The concurrent use of 
chloroquine and 
penicillamine may result in increased 
toxicity, possibly as a result of increased 
penicillamine levels. 
 If problems occur consider this drug interaction as a possible cause. Note that chloroquine, 
hydroxychloroquine and 
penicillamine are associated with serious haematological adverse effects, and therefore the US manufacturers suggest that the use of 
penicillamine with either of these drugs should be avoided.