Patients starting chloroquine (CQ) or hydroxychloroquine (HCQ; i.e. Plaquenil) should have a baseline examination that serves as a reference point, as well as to rule out any preexisting maculopathies. Can plaquenil cause hair thinning Plaquenil swollen lymph nodes Chloroquine moa Chloroquine injection in pregnancy Review of Optometry CE, March 2020 Optometric Study Center Courses published monthly in Review of Optometry and Review of Cornea & Contact Lenses, offering either 1 or 2 hours of CE credit. Processing fees apply. Exam valid for credit up to three years from release date. Hydroxychloroquine HCQ retinopathy could result in severe and irreversible vision loss without prompt intervention. With so much at stake, optometrists cannot afford to underestimate the importance of screening and early detection. Plaquenil is manufactured in only a 200 mg tablet The typical dosage is either 200 or 400 mg per day 200 mg daily puts anyone under 68 pounds at risk1 400 mg of Plaquenil daily puts anyone under 135 pounds at a higher risk for toxicity Therefore, 200mg of Plaquenil daily is going to be a safe dosage for virtually all adults13 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). While most rheumatologists are now routinely prescribing their patients 400 mg of HCQ (or 250 mg CQ) daily for the management of conditions like systemic lupus erythematosus and rheumatoid arthritis, individuals of short stature often have their dosage determined off of their ideal body weight to avoid overdosing. Plaquenil testing review of optometry PowerPoint. Update on Plaquenil Testing, Spotting the Telltale Signs of Plaquenil Toxicity What is hydroxychloroquine sulfate tablets used to treatPlaquenil dose for arthritis Optometry has a long history of providing complete eye care. "Look at everything—every time" is a mantra many of us have humming in the background as we go through our clinical day. Accordingly, providing screening examinations for high-risk medications, such as hydroxychloroquine, is a natural service for our profession. New Guidelines for Hydroxychloroquine Visual Screening. Early Plaquenil Toxicity Detected. - School of Optometry. Pause the Plaquenil?. Standards for current Plaquenil care. Most optometrists have easy access to OCT imaging, and may even have autofluorescence cameras. MultifocalERG is the least likely test that will be found at your local eye doctor's office, but some surgery centers or larger teaching hospitals may have an ERG on site. via Plaquenil is commonly used in rheumatoid arthritis, but was originally developed as an antimalarial medication. A number of immunodeficient conditions may be treated with Plaquenil, including Sjögren’s syndrome, a number of autoimmune diseases such as lupus and Coxiella burnetii-related heart infections. 4-6 New Plaquenil Guidelines. PUB. DOC. The article offers information on the 2011 testing guidelines for patients on Plaquenil guidelines in the practice of optometry in the U. S. It presents several risk factors attributed to the development of toxic maculopathy including advanced age and pre-existing retinal disease.