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 lyme joint pain How to stop taking hydroxychloroquine The usual starting dose of Plaquenil is 200 mg twice a day or 400 mg once a day, administered orally, in people weighing 80 kg or more. The usual dosage works for most people who take Plaquenil, but it is possible to increase or decrease the dose based on individual needs. It's important to watch for possible side effects and toxicity. Ophthalmologists should use Humphrey visual field test and OCT — and fundus autofluorescence if available can help, too — to detect signs of HCQ toxicity, Moshfeghi said. “The bottom line is. Aug 14, 2017 Plaquenil is the brand name of hydroxychloroquine, a drug used to prevent or treat malaria 2. Plaquenil is also used for long-term treatment of autoimmune diseases such as rheumatoid arthritis RA and systemic lupus erythmatosis. 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. Testing for plaquenil usage Multimodal Imaging in Plaquenil Toxicity, Despite Plaquenil dosing recommendations, retinal toxicity. Long term plaquenil therapy Hydroxychloroquine And Chloroquine Screening 2016 AAO Recommendations 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. Hydroxychloroquine And Chloroquine Screening 2016 AAO.. Long-Term Side Effects of Plaquenil for Rheumatoid Arthritis.. How is plaquenil hydroxychloroquine used to treat lupus?. Aug 30, 2011 Baseline Screening. Within first year of use. Visual fields and SD OCT if maculopathy is present. Annual Screening. Begin after 5 years of use but sooner if presence of major risk factors. Both HVF 10-2 and SD-OCT; optional testing as needed mfERG and/or FAF Hydroxychloroquine Plaquenil is a drug that is classified as an anti-malarial drug. Plaquenil is prescribed for the treatment or prevention of malaria. It is also prescribed for the treatment of rheumatoid arthritis, lupus, and the side effects of lupus such as hair loss, joint pain, and more. 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.