Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Abruptly stopping plaquenil Ran out of hydroxychloroquine Is hydroxychloroquine used for fibromyalgia Hydroxychloroquine combination Plaquenil is commonly used in rheumatoid arthritis, but was originally developed as an antimalarial medication. A number of immunodeficient conditions may be treated with Plaquenil, including Sjögren’s syndrome, a number of autoimmune diseases such as lupus and Coxiella burnetii-related heart infections. 4-6 PLAQUENIL is indicated for the treatment of chronic discoid lupus erythematosus and systemic lupus erythematosus in adults. Rheumatoid Arthritis. PLAQUENIL is indicated for the treatment of acute and chronic rheumatoid arthritis in adults. CONTRAINDICATIONS. Use of PLAQUENIL is contraindicated in patients with known hypersensitivity to 4 I normally post on the arthritis board, and due to toxicity of the Plaquenil after 2 years, I have had to discontinue it, since I failed the visual field testing. Although I take Enbrel, and MTX, neither one work as well as the Plaquenil and the fatigue and joint pain have returned full force. Risk of Toxicity: The risk of toxicity is dependent on daily dose and duration of use. There are no similar demographic data for CQ, but dose comparisons in older literature suggest using 2.3 mg/kg real weight. Retinal changes with plaquenil Multimodal Imaging in Plaquenil Toxicity, PLAQUENIL HYDROXYCHLOROQUINE SULFATE TABLETS, USP DESCRIPTION What category is plaquenil Plaquenil official prescribing information for healthcare professionals. Includes indications, dosage, adverse reactions, pharmacology and more. be discontinued if ocular toxicity is suspected and the patient should be closely observed given that retinal changes and visual disturbances may progress even after cessation of therapy. Plaquenil - FDA prescribing information, side effects and uses. Discontinued Plaquenil.other options?. Retinal Physician - New Screening Guidelines for.. The Eye MD must use special tests to determine whether any eye changes are due to Plaquenil or not. Ocular side effects appear to be dose related, so the risk increases with increased daily dosage. Individuals less than 5’3” to 5’7” in height regardless of weight should take less than 400mg of Plaquenil per day. Taking hydroxychloroquine long-term or at high doses may cause irreversible damage to the retina of your eye. Stop taking hydroxychloroquine and call your doctor at once if you have trouble focusing, if you see light streaks or flashes in your vision, or if you notice any swelling or color changes in your eyes. Call your doctor at once if you have Ocular Surgery News The American Academy of Ophthalmology has published several dosing and screening recommendations for hydroxychloroquine to avoid potential retinal toxicity, yet some patients.