Plaquenil eye exam standard of care

Discussion in 'Generic Chloroquine' started by q1111, 07-Mar-2020.

  1. timurso User

    Plaquenil eye exam standard of care


    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.

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    Ophthalmologic examination within the first year of treatment including examination of the retina 50 with a dilated exam and visual fields by an automated threshold central visual field test 51 Humphrey 10-2. If available, objective testing such as multifocal electroretinography The risk is much higher in patients who have been taking the drug for 20 years or more. In these patients between 20 and 50 out of 100 will develop retinopathy. At this appointment, a number of photographs and scans will be taken of your retina to assess your eye health and your suitability for screening. Jan 17, 2014 User Reviews for Plaquenil to treat Lyme Disease, Arthritis. The following information is NOT intended to endorse any particular medication. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners.

    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.

    Plaquenil eye exam standard of care

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  4. Sep 23, 2015 As optometrists, it is important that we are aware of the possible ocular complications that can occur from the use of high risk medications. 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.

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    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. Aug 30, 2011 Diagnosis Hydroxychloroquine-induced retinal toxicity Discussion. Chloroquine CQ and hydroxychloroquine Plaquenil HCQ have been used for many years, initially for the treatment of malaria but now more commonly for the treatment of inflammatory diseases such as rheumatoid arthritis and lupus 1. Many patients are prescribed plaquenil prior to developing symptoms. If patients are prescribed HCQ early in the disease process then they could be taking the drug for many years. The standard dose for a new patient prescribed plaquenil is 200 mg BID. Is this too much? 2011 Guidelines warned about cumulative dose of 1000g

     
  5. lex2d User

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  6. aiklll New Member

    Retinal Physician - Hydroxychloroquine Maculopathy An Update. Nov 01, 2015 H ydroxychloroquine HCQ; Plaquenil, Sanofi, Bridgewater, NJ is an antimalarial agent that is also commonly used as a treatment for a variety of rheumatologic and dermatologic conditions, such as rheumatoid arthritis and systemic lupus erythematosus. The most common side effect associated with its use is retinal toxicity, which may be.

    Plaquenil Toxicity - Bennett & Bloom Eye Centers