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. Hydroxychloroquine as third-line agent in type 2 diabetes Nifedipine and hydroxychloroquine Nov 01, 2015 Hydroxychloroquine Maculopathy An Update on Screening and Diagnosis A brief guide for imaging SHIRI SHULMAN, MD. H ydroxychloroquine HCQ; Plaquenil, Sanofi, Bridgewater, NJ is an antimalarial agent that is also commonly used as a treatment for a variety of rheumatologic and dermatologic conditions, such as rheumatoid arthritis and systemic lupus erythematosus. Hydroxychloroquine Plaquenil is a common trade name is an anti-inflammatory oral medication that is commonly used to treat many autoimmune diseases. In the hair clinic, we use it for diseases such as lichen planopilaris, frontal fibrosing alopecia, pseudopelade and discoid lupus. A 57-year-old woman was referred to a retinal specialist with concerns of ocular toxicity from hydroxychloroquine. She complained of blurry vision and flashing lights photopsia. The patient had been taking 400 mg of hydroxychloroquine daily for 10 years for the management of systemic lupus. 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. Plaquenil retinopathy to reverse Recommendations on Screening for Chloroquine and., Skin Pigmentation with Hydroxychloroquine Plaquenil. Can you buy hydroxychloroquine over the counter I have recently been diagnosed with Plaquenil retinopathy from 14 years of use with Plaquenil. I went off it on Feb 2 and my vision is still getting worse. Does anyone have vision problems from Plaquenil? If so, did your vision loss progress? I'm having a great deal of difficulty seeing. Plaquenil retinopathy - HealthBoards. Hydroxychloroquine-induced retinopathy in a 57-year-old woman. Hydroxychloroquine toxicity - EyeWiki. Find information about common, infrequent and rare side effects of Plaquenil Oral. That dosage threshold for retinopathy appears to be 5.1 mg/kg per day for chloroquine and 7.8 mg/kg per day for hydroxychloroquine according to my studies with these compounds. Before the administration of chloroquine, the patient had only a mild skin erythema in the irradiated area, which was consistent with the radiotherapy dose she had received. On day 3 of chloroquine therapy, she developed localized brisk bullous eruptions in the irradiated area, which developed into a patch of fulminant moist desquamation.