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hydroxychloroquine Side Effects

Also known as: Plaquenil

Analysis of 71,900 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

71,900

Death-Related

7,814

10.9% of reports

Hospitalizations

20,530

28.6% of reports

Top Indication

Rheumatoid Arthritis

Most Reported Adverse Reactions

DRUG INEFFECTIVE
20,457
OFF LABEL USE
15,128
RHEUMATOID ARTHRITIS
12,921
PAIN
10,409
ARTHRALGIA
9,276
DRUG INTOLERANCE
9,157
FATIGUE
8,853
JOINT SWELLING
8,528
RASH
7,370
CONDITION AGGRAVATED
7,013
SYNOVITIS
6,692
NAUSEA
6,584
CONTRAINDICATED PRODUCT ADMINISTERED
6,430
TREATMENT FAILURE
6,014
ALOPECIA
5,939
HEADACHE
5,900
ABDOMINAL DISCOMFORT
5,881
ARTHROPATHY
5,825
SYSTEMIC LUPUS ERYTHEMATOSUS
5,719
PERIPHERAL SWELLING
5,499

Who Reports Side Effects

Gender Distribution

Female 48,695 (78%)
Male 13,464 (22%)
Unknown 50

Age Distribution

0-17 2,244 (5%)
18-44 13,170 (27%)
45-64 19,883 (41%)
65-74 8,915 (18%)
75+ 4,426 (9%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 7,814 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
OFF LABEL USE 2,596
SYSTEMIC LUPUS ERYTHEMATOSUS 1,618
RHEUMATOID ARTHRITIS 1,595
GLOSSODYNIA 1,577
GENERAL PHYSICAL HEALTH DETERIORATION 1,575
JOINT SWELLING 1,571
TYPE 2 DIABETES MELLITUS 1,555
HAND DEFORMITY 1,537
INFUSION RELATED REACTION 1,535
FATIGUE 1,520
FIBROMYALGIA 1,518
PAIN 1,504
HYPERTENSION 1,500
HEPATIC ENZYME INCREASED 1,492
PSORIATIC ARTHROPATHY 1,492
RASH 1,492
DUODENAL ULCER PERFORATION 1,488
SYNOVITIS 1,478
WOUND 1,475
HYPOAESTHESIA 1,472

Reactions in Hospitalization Reports

Top reactions in 20,530 reports where hospitalization was an outcome.

Reaction Reports
OFF LABEL USE 5,596
DRUG INEFFECTIVE 4,722
RHEUMATOID ARTHRITIS 3,601
PAIN 3,570
FATIGUE 3,397
ARTHRALGIA 3,387
CONDITION AGGRAVATED 3,134
RASH 3,054
JOINT SWELLING 3,006
SYNOVITIS 3,005
ARTHROPATHY 2,919
NAUSEA 2,876
DRUG INTOLERANCE 2,787
SYSTEMIC LUPUS ERYTHEMATOSUS 2,544
DRUG HYPERSENSITIVITY 2,534
ABDOMINAL DISCOMFORT 2,479
INFUSION RELATED REACTION 2,461
HEADACHE 2,458
VOMITING 2,422
HYPERSENSITIVITY 2,420

Nearby — Related Medications

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What the FAERS Data Reveals About hydroxychloroquine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 71,900 voluntary reports linked to hydroxychloroquine and its brand equivalents (Plaquenil), spanning 2004 through 2025. Of those, 7,814 (10.9%) listed death as an outcome and 20,530 (28.6%) involved hospitalization. The most common indication reported alongside adverse events was Rheumatoid Arthritis.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 78% were female and 22% male; age distribution skews toward 45-64, with 19,883 reports in that bracket. The single most reported reaction is drug ineffective with 20,457 submissions, followed by off label use and rheumatoid arthritis.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.