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. Can plaquenil cause dry mouth Severe side effects of plaquenil Of 2361 patients who had taken hydroxychloroquine continuously for at least 5 years and who had 10-2 visual fields or SD-OCT, 177 7.5% showed clear signs of retinal toxicity. None of the primary medical indications for hydroxychloroquine therapy were significantly associated with an increased prevalence of retinal toxicity. The American Academy of Ophthalmology released an updated set of screening recommendations for hydroxychloroquine Plaquenil and chloroquine to account for the many studies that have shown the effects of these medications on the retina 1. It succinctly makes the case for screening, and Visual Field - III, red stimulus; Interpreting the Normal Field This 10-2 visual field VF was done with the III, red stimulus using the FASTPAC protocol. The field is normal, and illustrates several points to consider in interpreting such VFs. 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. 10-2 plaquenil How to Succeed in Plaquenil Screenings, Hydroxychloroquine And Chloroquine Screening 2016 AAO. Ester c and plaquenil Aug 06, 2014 Hydroxychloroquine, sold under the brand name Plaquenil Sanofi-Aventis, is an antimalarial drug that has gained widespread use in treating various autoimmune diseases, including systemic lupus erythematosus and rheumatoid arthritis. 1 By some estimates, more than 150,000 patients are on long-term therapy with this medication in America alone. 2 Retinal toxicity associated with HCQ use is. Multimodal Imaging in Plaquenil Toxicity. Visual Field - III, red stimulus; Interpreting the.. Hydroxychloroquine Plaquenil Toxicity and Recommendations.. The 10-2 red test has been recommended in the past as the testing strategy of choice for HCQ toxicity due to its sensitivity. 1,5 Easterbrook 1 reported the 10-2 red test to be 91% sensitive for detection of HCQ toxicity. However, he also reported a low specificity of 57% for this test. Take Plaquenil hydroxychloroquine with food or milk. Swallow whole. Do not chew, break, or crush. Keep taking Plaquenil hydroxychloroquine as you have been told by your doctor or other health care provider, even if you feel well. Do not take antacids or kaolin within 4 hours of Plaquenil hydroxychloroquine. What do I do if I miss a dose? Central threshold automated visual fields with a white target • Subtle, repeatable visual field defectsshould be taken seriously and. Plaquenil is.