Her rheumatologist instructed her to undergo a baseline ocular examination prior to initiating Plaquenil (hydroxychloroquine, Sanofi-Aventis) therapy. Toxic maculopathy associated with chloroquine use was first documented in the literature five decades ago.1 In the United States, Plaquenil––an analog to chloroquine––is used to treat a variety of conditions, including rheumatoid arthritis, lupus and several distinct inflammatory disorders. Although the incidence of macular toxicity is infrequent with Plaquenil use (at a dosage of 200mg or 400mg q.d.), its visual impact can be devastating. Plaquenil and high blood sugar Does plaquenil cause fatigue Hydroxychloroquine sulphate tablets ip Running fevers since going off plaquenil All individuals starting Plaquenil treatment should have a baseline ophthalmologic examination within the first year. If the initial ophthalmologic examination is normal and the person is considered low risk, re-testing need not occur for five years. Jun 13, 2019 Before Plaquenil treatment begins. You will have a “baseline” eye exam. This measures the health of your eyes and looks for retinal or macular disease. Once a year while taking Plaquenil. After five years of Plaquenil treatment, when retina damage is likely to begin, you need to see your ophthalmologist every six months. Special tests can help find early damage to the retina before serious problems develop. That you will need to take hydroxychloroquine for at least five years. Because of this you will be invited to take part in the screening programme. Where will the screening take place? You will receive an eye assessment appointment at your local hospital eye department within 12 months of when you started taking hydroxychloroquine. Initially, central visual acuity may be unaffected, but the patient may notice related paracentral scotomas that often interfere with reading. The associated classic retinal toxicity is described as a bull’s eye maculopathy (ring of depigmented retinal pigment epithelium that spares the foveal area). Do you need a baseline eye exam before taking hydroxychloroquine My Take on New Ocular Screening Guidelines for Plaquenil., Who Is at Risk for Vision Loss with Plaquenil? - American. Where is chloroquine effectiveHydroxychloroquine azathioprine combinationHydroxychloroquine for lupus nephritisHydroxychloroquine side effect uworldChloroquine prescription SIDE is rare. It is recommended that you have an eye exam EFFECTS HOW TO TAKE IT Hydroxychloroquine comes in an oral tablet. Adult dosing ranges from 200mg or 400mg per day 5 mg per kg of actual body weight. In some cases, higher doses can be used. It is recommended one tablet twice daily if taking more than one tablet. It is also recommended to be PATIENT FACT SHEET Hydroxychloroquine Plaquenil. Eye screening for patients taking hydroxychloroquine Plaquenil. New Plaquenil Guidelines. Otherwise, you should have a check up with an optician once a year and tell them that you're taking hydroxychloroquine. You should report any new eye symptoms to your doctor straight away. If you develop any other new symptoms or there's anything else that concerns you after starting hydroxychloroquine, you should tell your doctor or rheumatology nurse specialist as soon as possible. Hydroxychloroquine is a relatively safe medication but it is recommended to have regular monitoring by an ophthalmologist eye doctor while taking this drug. Before you begin taking Plaquenil, tell you doctor your complete medical history including any eye problems that may have come from other aminoquinolines other antimalarial drugs such as chloroquine. Aug 29, 2014 As a precaution, patients treated with Plaquenil are advised to get a baseline eye exam prior to starting the drug and then annually thereafter. This information provided by Neil I. Stahl, MD & Tongalp H. Tezel, MD was first printed in the The Moisture Seeker, SSF's patient newsletter for members.