In Sjögren’s, Plaquenil is used to treat many symptoms of Sjögren’s including fatigue, joint symptoms of arthritis and arthralgias (joint pain), dry mouth and dry eyes. Similar to its use in systemic lupus erythematosus, many clinicians feel that it is useful in reducing general Sjögren’s “disease activity.” One of the reasons that physicians feel comfortable in prescribing Plaquenil is its low risk to benefit ratio. Hydroxychloroquine and ed Plaquenil que es Chloroquine and hydroxychloroquine rheumatoid arthritis Does hydroxychloroquine make you bone pain Once a year while taking Plaquenil. After five years of Plaquenil treatment, when retina damage is likely to begin, you need to see your ophthalmologist every six months. Special tests can help find early damage to the retina before serious problems develop. COMPLETE CONTENTS OF THIS LEAFLET BEFORE PRESCRlBlNG PLAQUENIL. Irreversible retinal damage has been observed in some patients who had received long-term or high-dosage 4-aminoquinoline therapy for discoid and systemic lupus erythematosus, or rheumatoid arthritis. Retinopathy has been reported to be dose-related. Abnormal test is the visual field test, you may be asked to repeat it to make sure of the results. You will be told if any other tests are necessary and when you should be screened again. In cases of possible retinopathy, you will be recommended to continue taking 8 9 Macular Society Eye screening for patients taking hydroxychloroquine As with any medication, allergic reactions including skin rashes and non-allergic reactions can occur. This means that the side effects of Plaquenil are mild and infrequent compared with its potential benefits. Test done before plaquenil Humphrey visual field findings in hydroxychloroquine toxicity, PLAQUENIL® Metabolic fate of chloroquineHydroxychloroquine in chikungunyaCan plaquenil change ana One of the reasons that physicians feel comfortable in prescribing Plaquenil is its low risk to benefit ratio. This means that the side effects of Plaquenil are mild and infrequent compared with its potential benefits. As with any medication, allergic reactions including skin rashes and non-allergic reactions can occur. The Risk of Retinal Toxicity with Plaquenil. Eye screening for patients taking hydroxychloroquine Plaquenil. Hydroxychloroquine Plaquenil Toxicity and Recommendations.. Be sure to notify your ophthalmologist that you are taking this medicine so you can have the correct visual screening tests. Every person starting Plaquenil should have a baseline ophthalmologic exam within the first year, see the section below on How to use Plaquenil for things to ask for during your visit and regular screenings thereafter. If the tests do not show signs of retinopathy, you will be invited back for re-screening in one year. The results of your tests will be kept for. comparison with future results. Possible retinopathy. If there is an abnormality found on one test such as the visual field test, you may be invited back. for a repeat test sooner than one year. 9 Currently, one of the primary functional screening tests recommended for the evaluation of Plaquenil retinal toxicity is 10-2 white stimulus automated visual fields; however, research shows Asian patients benefited from 24-2 or 30-2 visual fields, given that toxicity often manifests changes beyond the macula in these patients. 9 Because.