Do you need a baseline eye exam before taking hydroxychloroquine

Discussion in 'Online Pharmacies Of Canada' started by jurs, 18-Mar-2020.

  1. MacMax Guest

    Do you need a baseline eye exam before taking hydroxychloroquine


    Her rheumatologist instructed her to undergo a baseline ocular examination prior to initiating Plaquenil (hydroxychloroquine, Sanofi-Aventis) therapy. Toxic maculopathy associated with chloroquine use was first documented in the literature five decades ago.1 In the United States, Plaquenil––an analog to chloroquine––is used to treat a variety of conditions, including rheumatoid arthritis, lupus and several distinct inflammatory disorders. Although the incidence of macular toxicity is infrequent with Plaquenil use (at a dosage of 200mg or 400mg q.d.), its visual impact can be devastating.

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    May 24, 2019 If you are allergic to hydroxychloroquine; any part of hydroxychloroquine; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had. If you have had any eye changes or changes in eyesight due to hydroxychloroquine or drugs like this one. If you have psoriasis. If you have porphyria. If you are taking cimetidine. If you are taking any drugs that can cause a certain type of heartbeat that is not normal prolonged QT interval. All individuals starting Plaquenil treatment should have a baseline ophthalmologic examination within the first year. If the initial ophthalmologic examination is normal and the person is considered low risk, re-testing need not occur for five years. The rheumy suggested trying the Brand name, instead of generic. That did the trick. No problems whatsoever with that. It takes weeks to months before you will feel the full effect of the drug. Also - regular eye exams are important while taking Plaquenil - either yearly or twice yearly. My rheumy required a baseline eye exam before starting me on it.

    Initially, central visual acuity may be unaffected, but the patient may notice related paracentral scotomas that often interfere with reading. The associated classic retinal toxicity is described as a bull’s eye maculopathy (ring of depigmented retinal pigment epithelium that spares the foveal area).

    Do you need a baseline eye exam before taking hydroxychloroquine

    Hydroxychloroquine - Side Effects, Dosage, Interactions., Taking Plaquenil for Rheumatoid Arthritis

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  6. Hydroxychloroquine, on the other hand, is much less toxic to the retina and there have been fewer reported eye problems. In general, a baseline ophthalmic examination should be performed upon initiation of therapy. In addition, a central visual field test and color photographs of the retina are usually taken at that time.

    • Plaquenil therapy and eye exams. - Eye Care - MedHelp.
    • Plaquenil -.
    • Eye Exam and Vision Testing Basics - American Academy of..

    Plaquenil-induced toxicity usually will not occur before five years of taking the drug. “Eye damage due to Plaquenil is not common,” he says. “Rarely will anybody who has good vision and minimal symptoms develop loss of central vision or ability to read if annual screening is done and visual are symptoms reported as soon as they occur so the medication can be stopped if toxicity occurs. Rarely, hydroxychloroquine can affect the bone marrow leading to reduced white blood cells leukopenia or platelets thrombocytopenia and abnormal red blood cells. Rare but potentially serious eye toxicity can occur. This toxicity affects a part of the eye called the retina and can lead to color blindness and even loss of vision. An ophthalmologist eye specialist often can detect changes in the retina that suggest toxicity before serious damage occurs. Hydroxychloroquine is a relatively safe medication but it is recommended to have regular monitoring by an ophthalmologist eye doctor while taking this drug. Before you begin taking Plaquenil, tell you doctor your complete medical history including any eye problems that may have come from other aminoquinolines other antimalarial drugs such as chloroquine.

     
  7. ystos Guest

    Keep using this medicine for the full treatment time, even if you feel better after the first few doses. Plaquenil Nurse Teachings Plaquenil Teaching 1977 Nurse Teachings Hydroxychloroquine Oral Uses, Side Effects, Interactions.
     
  8. marina007 XenForo Moderator

    The resource you are looking for (or one of its dependencies) could have been removed, had its name changed, or is temporarily unavailable. Hydroxychloroquine Tablets - FDA prescribing information. Hydroxychloroquine Sulfate Autophagy inhibitor Read Reviews. Hydroxychloroquine - Wikipedia
     
  9. aerofzd Guest

    Plaquenil - FDA prescribing information, side effects and uses Do not exceed 600 mg or 6.5 mg/kg 5 mg/kg base per day, whichever is lower, as the incidence of retinopathy has been reported to be higher when this maintenance dose is exceeded. Corticosteroids and salicylates may be used in conjunction with Plaquenil, and they can generally be decreased gradually in dosage or eliminated after a maintenance.

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