One such commonly used medication for dermatologic and rheumatologic inflammatory conditions is hydroxychloroquine (Plaquenil), a chloroquine derivative. It is used to treat many diseases including malaria, rheumatoid arthritis and systemic lupus erythematosus. Plaquenil and alcohol interaction Can you take diet pills with hydroxychloroquine Plaquenil mediates cold symptoms Chloroquine effective against malaria And as the guidelines note, during each patient visit, the ophthalmologist should check the HCQ dosage relative to the patient’s weight and ask about any changes in systemic status, notably weight loss, kidney disease, and/or tamoxifen use. Current AAO guidelines do not specifically address dosing in obese patients. AAO also recommends baseline screening for retinal toxicity and annual screening beginning after 5 years of use or sooner if major risk factors are present Marmor AAO 2016. New American Academy of Ophthalmology recommendations on screening for hydroxychloroquine retinopathy. To the Editor Chloroquine CQ and hydroxychloroquine HCQ are used widely in the treatment of rheumatic disease, and they have the potential to cause serious retinal toxicity when high doses have been taken over a long period of time. It is imperative that patients and physicians are aware of and watch for this drug’s ocular side effects. Retinal toxicity from hydroxychloroquine is rare, but even if the medication is discontinued, vision loss may be irreversible and may continue to progress. Aao guidelines for plaquenil Quick Reference Screening for Chloroquine., Hydroxychloroquine Professional Patient Advice - Plaquenil oral usesWhat are the side effects of plaquenil Hydroxychloroquine Plaquenil is considered a disease-modifying anti-rheumatic drug DMARD. It can decrease the pain and swelling of arthritis, 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. Today, it is used to treat rheumatoid PATIENT FACT SHEET Hydroxychloroquine Plaquenil. New American Academy of Ophthalmology recommendations on.. RCOphth guideline Hydroxychloroquine and Chloroquine.. Plaquenil toxicity isn’t even in the top 10, or the top 100” if you’re looking at incidence, he said. “It’s a pretty rare thing.” Nevertheless, he urged doctors to master the Academy’s new guidelines, because the effects from chloroquine and hydroxychloroquine, when they do occur, are severe and often irreversible. Apr 20, 2011 In 2002, the American Academy of Ophthalmology AAO established ocular examination guidelines for screening patients on Plaquenil therapy. Testing included a comprehensive eye exam that consisted of an assessment of the posterior segment with careful evaluation of associated macular changes or signs of retinal disease. 4 Baseline fundus photography was considered as an optional test. The AAO guidelines go on to recommend the use of the multifocal electroretinogram multifocal ERG or mfERG as a functional test that can provide objective corroboration for visual fields by documenting parafoveal or extramacular electroretinogram depression in early retinopathy.