Generally it is safe, but one of the side effects of Plaquenil is retinal toxicity. If retinal toxicity is not detected, and Plaquenil is continued, it can cause irreversible vision loss. At these screenings, we will perform a dilated fundus examination and perform other specialized testing to look for signs of Plaquenil toxicity. Generic name of chloroquine Plaquenil rheumatoid arthritis side effects Best pricing hydroxychloroquine online prescription Trade name of chloroquine Your doctor has prescribed hydroxychloroquine also called Plaquenil® to help manage your. condition. It is a very safe and effective drug but, like all medicines, it can cause side effects. Hydroxychloroquine retinopathy. It is known that some people who take. hydroxychloroquine for more than five years and/or in high doses are at increased risk of PLAQUENIL tablets are white, to off-white, film coated tablets imprinted “PLAQUENIL” on one face in black ink. Each tablet contains 200 mg hydroxychloroquine sulfate equivalent to 155 mg base. Bottles of 100 tablets NDC 59212-562-10. Do not crush or divide PLAQUENIL film-coated tablets see DOSAGE AND ADMINISTRATION. Apr 20, 2011 Remember, any patient who is at a high risk for Plaquenil toxicity should be examined on an annual basis following the baseline exam. The goal of monitoring/screening is to identify early macular damage prior to irreversible vision loss or even before visible signs of bull’s eye maculopathy. 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. A 45-year-old black female presented with no ocular or visual complaints. However, her medical history was significant for a recent diagnosis of lupus. Plaquenil screening doctor Eye screening for patients taking hydroxychloroquine., Plaquenil Hydroxychloroquine Uses, Dosage, Side Effects. Plaquenil uses and side effectsPlaquenil and vision problemsHow does chloroquine work And screening tests, but that screening begins after one year of therapy for all patients on chloroquine. Screening may be best incorporated into the hospital eye service via virtual clinics. The results of screening should be communicated back to the prescribing doctor, patient and GP as normal, possible or definite hydroxychloroquine retinopathy. Hydroxychloroquine and Chloroquine Retinopathy.. New Plaquenil Guidelines. Plaquenil - Eye Doctor MD. The AAO published dosing and screening recommendations for chloroquine and hydroxychloroquine in 2016, revising previous recommendations published in 2011. The current maximum daily HCQ dose recommended by the AAO is 5 mg/kg of real weight. The 2011 guidelines suggested a maximum dose of 6.5 mg/kg of ideal weight. Be sure to notify your ophthalmologist that you are taking this medicine so you can have the correct visual screening tests. Every person starting Plaquenil should have a baseline ophthalmologic exam within the first year, see the section below on How to use Plaquenil for things to ask for during your visit and regular screenings thereafter. AAO Screening Guidelines for Plaquenil by S P Check out my recent review/summary of the American Academy of Ophthalmology’s statement on the Recommendations on Screening for Chloroquine and Hydroxychloroquine Retinopathy 2016 Revision from the Ophthalmology Journal 2016;186-1394.