Do you need a baseline eye exam before taking hydroxychloroquine

Discussion in 'Plaquenil Generic' started by Fenrizz, 23-Feb-2020.

  1. Greg Guest

    Do you need a baseline eye exam before taking hydroxychloroquine


    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.

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    Hydroxychloroquine, on the other hand, is much less toxic to the retina and there have been fewer reported eye problems. In general, a baseline ophthalmic examination should be performed upon initiation of therapy. In addition, a central visual field test and color photographs of the retina are usually taken at that time. Plaquenil is the one drug that you need the eye exam prior to starting the drug as they really need that baseline. If it's going to affect your eyes, tends to do so in the first 6 months. but I don't think MTX is the same.doc hasn't made me get it prior to treatment but he is adamant about yearly eye exams. May 24, 2019 If you are allergic to hydroxychloroquine; any part of hydroxychloroquine; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had. If you have had any eye changes or changes in eyesight due to hydroxychloroquine or drugs like this one. If you have psoriasis. If you have porphyria. If you are taking cimetidine. If you are taking any drugs that can cause a certain type of heartbeat that is not normal prolonged QT interval.

    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).

    Do you need a baseline eye exam before taking hydroxychloroquine

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  6. May 24, 2017 As I mentioned before, hydroxychloroquine eye toxicity is not reversible. Once it happens, it happens. So the trick is to catch it early. Fortunately, the changes occur VERY slowly. The American Academy of Ophthalmology recommends the following Obtain a baseline eye exam within the first year of starting hydroxychloroquine to document any complicating eye problem.

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    Otherwise, you should have a check up with an optician once a year and tell them that you're taking hydroxychloroquine. You should report any new eye symptoms to your doctor straight away. If you develop any other new symptoms or there's anything else that concerns you after starting hydroxychloroquine, you should tell your doctor or rheumatology nurse specialist as soon as possible. Aug 29, 2014 As a precaution, patients treated with Plaquenil are advised to get a baseline eye exam prior to starting the drug and then annually thereafter. This information provided by Neil I. Stahl, MD & Tongalp H. Tezel, MD was first printed in the The Moisture Seeker, SSF's patient newsletter for members. Aug 30, 2011 Newer guidelines state that daily dose 5mg/kg of real weight/day can lead to toxicity. Retinal toxicity is irreversible and can progress after cessation of hydroxychloroquine, thus early screening is important to limit potential vision loss. Baseline screening and annual screening after five years is recommended.

     
  7. pavel0207 XenForo Moderator

    In this article, you will learn how to build a Lyme disease herbal or prescription antibiotic treatment. Hydroxychloroquine User Reviews for Lyme Disease, Arthritis. Rifampin, Azithromycin, Plaquenil Experiences Plaquenil for treatment - Lyme Disease - MedHelp
     
  8. Soarer New Member

    Plaquenil (hydroxychloroquine) is a medication that has been used for many years to help musculoskeletal symptoms and fatigue in patients with autoimmune conditions such as rheumatoid arthritis, lupus and Sjögren’s. Plaquenil Hydroxychloroquine Uses, Dosage, Side Effects. What Is Hydroxychloroquine Used For? - Malaria Home Page Rheumatoid Drug No Help To Arthritis Patients
     
  9. MrJuice Well-Known Member

    Chloroquine and Alcohol Consumption - Interaction? Yahoo. Chloroquine oral should be kept out of the reach of children because it is very poisonous to them. Do not drink alcohol while you are taking this medicine because it may increase the risk of.

    Is It Safe to Drink Alcohol While Taking Medication.