Patients starting chloroquine (CQ) or hydroxychloroquine (HCQ; i.e. Plaquenil) should have a baseline examination that serves as a reference point, as well as to rule out any preexisting maculopathies. Plaquenil affect immune system Can plaquenil be used for ulcerative colitis Aug 30, 2011 She suffered from Sjogren syndrome and inflammatory arthritis and was currently treated with prednisone and methotrexate. She was previously treated with hydroxychloroquine Plaquenil 200mg bid 6.5mg/kg for 10 years, which was stopped one year prior to presentation. Hydroxychloroquine HCQ retinopathy could result in severe and irreversible vision loss without prompt intervention. With so much at stake, optometrists cannot afford to underestimate the importance of screening and early detection. A risk factor for Plaquenil hydroxychloroquine retinotoxicity is a daily dose that exceeds 5.0 mg of drug per kg of body weight. The tool on the right simply calculates this threshold based on a ppatient’s real body weight. It’s important to understand that the daily dose is only one risk factor for plaquenil retinotoxicity. 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). While most rheumatologists are now routinely prescribing their patients 400 mg of HCQ (or 250 mg CQ) daily for the management of conditions like systemic lupus erythematosus and rheumatoid arthritis, individuals of short stature often have their dosage determined off of their ideal body weight to avoid overdosing. Plaquenil testing review of optometry Don’t Drop Patients on Plaquenil - Review of Optometry, Spotting the Telltale Signs of Plaquenil Toxicity Tab chloroquine priceHydroxychloroquine lupus mechanismDoes plaquenil lower blood pressureCan plaquenil cause colitis Generally, the plaquenil eye exam is something everyone here has done. These are the patients where you need to knock out that extra 10-2 in your exam.except that may not be true anymore. What is plaquenil used for? HCQ is used for RA, Lupus and for SS among other conditions. RA is the most common of these at ~1% of the population. PowerPoint. Update on Plaquenil Testing. Plaquenil Risk Calculators. Plaquenil Toxicity Screening Macula and Retina Institute c.. The traditional protocol for following patients on Plaquenil therapy consisted of baseline photography as well as annual color vision testing, Amsler grid and 10-2 visual fields annually. 2,3 Under the new guidelines, color vision and Amsler grid testing are no longer considered acceptable screening methods so they have been removed from the. 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 The opinion relating to a review of any issue presented or discussed is the sole responsibility of the healthcare provider or medical advisor. The doctor or patient must assume all liability, including, but not limited to, any direct, indirect, incidental, consequential, or any other monetary or other damages, or liabilities arising out of or.