Earlier recommendations suggested an initial dose of 1 mg/kg/d of prednisone; however, more recent expert opinions endorse a lower dose (eg, 40 mg/d), which is tapered to every-other-day long-term therapy over several weeks. In one study, treatment of acute exacerbations of pulmonary sarcoidosis with steroid doses as low as 20 mg of prednisone for a median of 21 days improved spirometry back to baseline and improved clinical symptoms. Hydroxychloroquine how long does it stay in body Can you take phentermine with plaquenil These may include Corticosteroids. These powerful anti-inflammatory drugs are usually the first line treatment. Medications that suppress the immune system. Hydroxychloroquine. Hydroxychloroquine Plaquenil may be helpful for skin lesions. Tumor necrosis factor-alpha TNF-alpha. Plaquenil, hydroxychloroquine HCQ, is an anti-malarial medication that has been proven to be useful in the treatment of patients with rheumatoid arthritis RA, systemic lupus erythematosus SLE and other inflammatory and autoimmune diseases. Introduction Hydroxychloroquine is widely used in treatment of cutaneous sarcoidosis. There is limited literature regarding the experience of hydroxychloroquine in pulmonary sarcoidosis. Aim To review the treatment and toxicity profile of hydroxychloroquine in the treatment of pulmonary sarcoidosis. Methods Retrospective observational cohort study of sarcoidosis patients in the West of. However, data suggest early treatment of stage II sarcoidosis with oral prednisolone for 3 months followed by inhaled budesonide for 15 months improves 5-year pulmonary function and reduces the need for future steroid treatment. Some data suggest that corticosteroid use may be associated with increased relapse rates. Plaquenil for sarcoidosis Current and emerging pharmacological treatments for., Conquering Sjogren's Plaquenil Chloroquine for infantsPlaquenil retina screening guidelinesHydroxychloroquine bleaching cream Oral corticosteroids are the mainstay of treatment for pulmonary sarcoidosis. In a Cochrane review 5 of corticosteroids for pulmonary sarcoidosis, treatment with oral steroids for six to 24 months improved chest radiograph findings compared with placebo. Patients with interstitial lung disease stages II and III. Sarcoidosis - American Family Physician. Experience of hydroxychloroquine in the treatment of.. SARCOIDOSIS TREATMENT GUIDELINES. Plaquenil was the 1st treatment outside of prednisone that I tried. And I've been on 400 mg from the start. I did fine on it for a quite a while until the sarc joint pain became full fledged rheumatoid arthritis and I had to add something else. Aug 03, 2009 The ATS/ERS/WASOG review suggests an initial dose of 20 to 40 mg/day for pulmonary sarcoidosis, or the equivalent taken alternate days, and further evaluation of response after 1 to 3 months. In steroid responders it advises gradual tapering of the dose to 5 to 10 mg/day or an equivalent alternate day dose. Sarcoidosis is a very serious disease if it goes untreated. While many people with sarcoidosis manage well without extensive treatment, chronic illnesses can create a lifelong impact on our bodies. To prevent flare-ups and scarring of your lungs, seek treatment for your sarcoidosis no matter the severity.