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. Plaquenil package insert Dry skin and plaquenil Plaquenil making hair fall out Abatacept sulfasalazine hydroxychloroquine triple therapy 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. Plaquenil is the one drug that you need the eye exam prior to starting the drug as they really need that baseline. If it's going to affect your eyes, tends to do so in the first 6 months. but I don't think MTX is the same.doc hasn't made me get it prior to treatment but he is adamant about yearly eye exams. Dec 17, 2018 Follow these guidelines to get your child screened at the right times. These screenings help identify when your child might need a complete eye exam. Baseline eye exams for adults. The American Academy of Ophthalmology recommends that adults get a complete eye examination at age 40. This is when early signs of disease or changes in vision may. 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 Plaquenil Side Effects & Dosage for Malaria, Bone Joint Muscle - Arthritis Baseline eye exam and Methotrexate Benefits of plaquenil for lupusChloroquine phosphate buy online usa online prescription Most rheumatologists recommend patients undergo a baseline eye examination prior to starting Plaquenil and be re-examined in the future depending on their risk for developing the condition. Risk factors include advanced age and having pre-existing retinal disease. Plaquenil Side Effects on Your Eyes and Vision. Eye Exam and Vision Testing Basics - American Academy of.. PATIENT FACT SHEET Hydroxychloroquine Plaquenil. 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. 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. I knew I needed regular eye exams while taking hydroxychloroquine, but was surprised to find out that there were some special tests that needed to be done related to drug side effects. This only became clear after a year's treatment with the drug.