Baseline reading for plaquenil therapy

Discussion in 'Northwest Pharmacy' started by submind, 19-Mar-2020.

  1. imbalance New Member

    Baseline reading for plaquenil therapy


    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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    Baseline Examination All patients should have a baseline ophthalmologic examination within the first year of initiating HCQ or CQ therapy with thorough risk factor assessment and fundus examination of the macula to rule out underlying disease. Baseline visual field and SD OCT are recommended if abnormalities are present e.g. macular lesions, glaucoma, etc that could affect screening tests. Find patient medical information for Plaquenil Oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Research has shown that your risk of developing retinopathy is higher the longer you are taking Plaquenil. In fact, the incidence of retinal toxicity rises sharply in people that have taken it between 5 and 7 years. As a result, baseline testing should occur within the first year of taking the drug and then annually at the five-year mark.

    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.

    Baseline reading for plaquenil therapy

    New Plaquenil Guidelines -, Plaquenil Oral Uses, Side Effects, Interactions, Pictures.

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  7. 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. It succinctly makes the case for screening, and

    • Hydroxychloroquine And Chloroquine Screening 2016 AAO..
    • Plaquenil Side Effects on Your Eyes and Vision.
    • Plaquenil Risk Calculators.

    Because early toxicity changes can be revealed on SD-OCT, it is prudent to perform a baseline screening of patients taking Plaquenil. Multifocal ERG has the ability to detect early macular dysfunction, so it should be included as part of baseline screening. A maximum daily dose of Plaquenil of 5.0mg/kg real weight is recommended. The issues are reading, color and night vision. Patient 2 69 year old male presents with a history of long term plaquenil use. Diagnosed with RA at age 19 now has almost no use of his hands. Has had 10 surgeries mostly joint replacements, stopped all drugs last year after a life threatening infection now starting back on therapy. PLAQUENIL hydroxychloroquine sulfate tablets is indicated for the treatment of rheumatoid. PLAQUENIL is not recommended for use in patients with baseline QTc prolongation e.g. PLAQUENIL should be discontinued and alternative therapy considered. If

     
  8. vlrll XenForo Moderator

    Chloroquine has long been used in the treatment or prevention of malaria from Plasmodium vivax, P. malariae, excluding the malaria parasite Plasmodium falciparum, for it started to develop widespread resistance to it. Unlocking the secrets of drug resistance in malaria parasites Chloroquine-Resistant Malaria The Journal of Infectious. Chloroquine Oral Uses, Side Effects, Interactions, Pictures.
     
  9. Verofarm Guest

    Plaquenil - Wellish Vision Institute Retinopathy can lead to sight loss so it’s important that you keep your doctor informed of any changes you experience in your vision. If you are using Plaquenil, The Wellish Vision Institute recommends regular eye exams to help catch any change that may be subtly occurring.

    What can Hydroxychloroquine Plaquenil do to my eyes?