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. Plaquenil joint pain New guidelines for plaquenil screening Does plaquenil lower platelets Plaquenil buy online usa I have lichen planopilaris and the doctor is recommending treatment with Plaquenil. Upon reading the side effects - Answered by a verified Dermatologist. I have lichen planopilaris and the doctor is recommending treatment with Plaquenil. Upon reading the side effects online, it seems that the drug is quite toxic. Also the baseline. Hydroxychloroquine Plaquenil is considered a disease-modifying anti-rheumatic drug DMARD. It can decrease the pain and swelling of arthritis. It may prevent joint damage and reduce the risk of long-term disability. Hydroxychloroquine is in a class of medications that was first used to prevent and treat malaria. Baseline Examination. All patients beginning long-term HCQ or CQ therapy should have a baseline ophthalmologic examination within the first year of starting the drug to document any complicating ocular conditions and to establish a record of the fundus appearance and functional status. 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. Baseline reading for plaquenil therapy Plaquenil Uses, Dosage & Side Effects -, Hydroxychloroquine Plaquenil Brazil nuts and plaquenil Plaquenil was actually first classified as an antimalarial drug, but it is also used to treat certain rheumatic and autoimmune conditions which are unrelated to malaria. Generally, Plaquenil is a treatment option as monotherapy used alone for mild rheumatoid arthritis or as combination therapy with other DMARDs for moderate to severe disease. Taking Plaquenil for Rheumatoid Arthritis. Recommendations on Screening for Chloroquine and.. Hydroxychloroquine Oral Uses, Side Effects, Interactions.. Baseline Screening. But it was for alleged Plaquenil related eye toxicity, and believe me, attornies will grab any guideline they can as "Standard-of-Care" if it suits their case. And lucky for me, my lawsuit was dropped after the plaintiff was seen reading the newspaper and his cell phone in the waiting room of his lawyer's office. Previous 30 recommendations by the AAO to limit HCQ dosing to 6.5 mg/kg of ideal body weight have been 31 revised to 5 mg/kg of actual body weight 5. Some authors recommend 6.5 mg/kg of actual 32 body weight with a cap at 400 mg per day and further adjustments for renal insufficiency 10. 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.