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. Aralen and food Plaquenil increased gas Nurse teaching to a patient taking hydroxychloroquine Icd 10 code for plaquenil therapy Adult dosing ranges from 200 mg or 400 mg per day 6.5mg/kg. In some cases, higher doses can be used. It is recommended one tablet twice daily if taking more than one tablet. It is recommended to be taken with food. Hydroxychloroquine can be taken with a glass of milk or a meal to decrease nausea. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take hydroxychloroquine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Apr 10, 2019 Take Plaquenil with a meal or a glass of milk. To prevent malaria Start taking Plaquenil 2 weeks before entering an area where malaria is common. Continue taking the medicine regularly during your stay and for at least 8 weeks after you leave the area. To treat malaria Plaquenil is usually given for 3 days. 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). How often to take plaquenil Discontinued Plaquenil.other options?, Hydroxychloroquine MedlinePlus Drug Information How to take aralen The management of patients on plaquenil has been a controversial subject. Alot of the concerns are related to the problems caused by chloroquine, the predecesor to hydroxychloroquine Plaquenil. It was much more toxic to the retina and much more likely to cause permanent visual problems. Plaquenil therapy and eye exams. - Eye Care - MedHelp. Plaquenil Uses, Dosage & Side Effects -. Plaquenil What You Need to Know - Kaleidoscope Fighting Lupus. I've been on plaquenil for over 6 years, then last year i got a letter saying that i needed to have a full blood count done every 3 months as I was on a DMARD drug, the plaquenil, as it can effect your blood. They also do a blood test to check my liver and kidneys too. I take methotrexate injections weekly along with antibotic thereaphy of 200 mg of minocycline. Last week my doc added plaquenil to the mix. I have a pharmacist friend that says it can take up to a year to work, but once its kicks in it can be really good. I suggest you ask your rhuemie for additional help in the meantime. May 23, 2016 In summary, if you have Sjögren’s, hydroxychloroquine may be an option to help your symptoms. Because there are other more effective therapies available to treat dry eyes and dry mouth, it is typically prescribed to help musculoskeletal pain and fatigue. Be patient, as the drug may take up to 6 months to see a beneficial effect.