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. Chloroquine pronounce Hydroxychloroquine blog Side effectsManagementGoalsMechanismPrognosisPathophysiologyToxicityPreventionInteractionsGeneticsPurposeMedical usesAnalysisResearchDiagnosisSecurityResourcesContraindications Jun 13, 2019 If you take Plaquenil for your inflammatory disease, your ophthalmologist will check for damage to the retina in the back of the eye while you take the drug. If you take Plaquenil for your inflammatory disease, your ophthalmologist will check for damage to the retina in the back of the eye while you take the drug. 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. Eye doctors for plaquenil screening Quick Reference Screening for Chloroquine., How Do Ophthalmologists Look for Plaquenil Damage? - American. Plaquenil hydroxychloroquine retinopathyChloroquine and filipina clathrin mediated endocytosisPregnancy category hydroxychloroquineIs gastrointestinal problems common from plaquenilWho makes generic plaquenil The Risk of Retinal Toxicity with Plaquenil. Posted on Fri. As a precaution, patients treated with Plaquenil are advised to get a baseline eye exam prior to starting the drug and then annually thereafter. National Doctors Day 1 Ocular Pain 1 Olympics 1 Pelvic pain 1 The Risk of Retinal Toxicity with Plaquenil. How Do Ophthalmologists Look for Plaquenil Damage.. AAO Screening Guidelines for Plaquenil. Today it is recommended that every single person on Plaquenil get a visual field 10-2 test, plus one of the three other highly sensitive screening tests the FAF fundus autofluorescence imaging, the SD-OCT spectral domain optical coherence, or the multifocal electroretinogram mfERG,” Thomas says. Since prescribing doctors are generally aware of the retinotoxic potential of these drugs, patients are usually requested to see an eye doctor for baseline evaluation and follow-up surveillance. Most patients are placed on Plaquenil, the slightly less toxic of the two. The usual dosage is two 200mg tablets per day. Eye care specialists provide a valuable service when screening for Plaquenil retinal toxicity and advising the treating physician or rheumatologist with regards to the patient’s risk, safe dosing and appropriate screening procedures.