Additionally, another exception occurred while executing the custom error page for the first exception. Chloroquine retinopathy, is a form of toxic retinopathy (damage of the retina) caused by the drugs chloroquine or hydroxychloroquine, which are sometimes used in the treatment of autoimmune disorders such as rheumatoid arthritis and systemic lupus erythematosus. Chloroquine lysosomal inhibitor transfection How soon do effects of plaquenil take Hydroxychloroquine foods to avoid Hydroxychloroquine labs to monitor Usual Adult Dose for Malaria Prophylaxis. 500 mg chloroquine phosphate 300 mg base orally on the same day each week Comments-If possible, suppressive therapy should start 2 weeks prior to exposure; if unable to start 2 weeks before exposure, an initial loading dose of 1 g chloroquine phosphate 600 mg base may be taken orally in 2 divided doses, 6 hours apart. Some advocate high-dose diazepam e.g. 2 mg/kg over 30 min, followed by 1-2 mg/kg/day for 2-4 days post-intubation in the patient with severe chloroquine toxicity. This stems from the French experience e.g. Riou et al, 1988 which suggests much improved mortality in patients receiving high dose diazepam. Chloroquine is very toxic in overdosage; overdosage is extremely hazardous and difficult to treat. Urgent advice from the National Poisons Information Service is essential. Life-threatening features include arrhythmias which can have a very rapid onset and convulsions which can be intractable. The risk of toxicity is low for individuals without complicating conditions during the first 5 years of treatment using less than 6.5 mg/kg/day of hydroxychloroquine or 3 mg/kg/day of chloroquine, and/or cumulative doses of less than 1000 gram and 460 gram (total dose), respectively. This eye toxicity limits long-term use of the drugs. Toxic dose of chloroquine Post-exposure Chloroquine Prophylaxis COVID19, Chloroquine poisoning • LITFL • Clinical Case Tox Conundrum Hydroxychloroquine and famotidine A patient who survives the acute phase and is asymptomatic should be closely observed until all clinical features of toxicity resolve. Chloroquine Dosage and Administration. The dosage of Chloroquine phosphate is often expressed in terms of equivalent Chloroquine base. Chloroquine - FDA prescribing information, side effects and uses. CHLOROQUINE Drug BNF content published by NICE. Chloroquine And Hydroxychloroquine Toxicity - StatPearls.. Chloroquine and hydroxychloroquine belong to the quinolone family. Although their therapeutic and toxic doses differ, they are related drugs with similar clinical indications for use and similar manifestations of retinal toxicity. Initially, chloroquine was given for malaria prophylaxis and treatment. The dosage of chloroquine usually ranges between 100 and 500 mg/day. Side effects are minimal at low doses, while many more toxic effects occur at higher doses, such as visual disturbances, gastrointestinal upset, electrocardiographic changes, headache, and pruritus. We have read with interest the article on retinal toxic reaction secondary to chloroquine and hydroxychloroquine use, finding it to be both comprehensive and informative.1 Of particular interest were the data on drug dosage calculation for actual and lean body weight and the use of novel methods of.