There are several drug categories such as: Mostly used for induction and/or maintenance therapy for patients with LN. Also used as first- or second-line and beyond therapy for patients with moderate/severe SLE Also used as third-line and beyond therapy for patients with mild SLEMainly used as third-line and beyond of treatment in patients with mild or moderate/severe SLE and LN Mainly used as alternative therapies to mycophenolate mofetil Can be used for induction therapy in refractory patients with LNAdd-on therapy in adult patients with active, autoantibody-positive SLE with a high degree of disease activity despite standard therapy Used as a third-line and beyond treatment for patients with moderate/severe SLE Used in a very small number of patients with mild SLE or LN Usually the treatment plan is based on your age, symptoms, organ involvement stage, and general health. Symptoms of plaquenil Hydroxychloroquine 200 mg tab Medication likely administered with chloroquine for amebiasis Aug 30, 2011 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. It is now considered for new disease applications in diabetes, heart disease and adjunct cancer therapies 2. 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 The action of hydroxychloroquine is cumulative and may require weeks to months to achieve the maximum therapeutic effect see CLINICAL PHARMACOLOGY. Initial adult dosage 400 mg to 600 mg 310 to 465 mg base daily, administered as a single daily dose or in two divided doses. In many cases it will take some time (several months or even years) to reach the best treatment for your specific condition and keep your lupus under control. The goals of a treatment plan are to reduce inflammation, reduce organ damage, suppress the over-activity of your immune system, prevent flares, and relieve your symptoms. Plaquenil standard of care Protecting your eyesight when taking Plaquenil Lupus., PowerPoint. Update on Plaquenil Testing Eye tests required for plaquenil Review of Optometry delivers the growing vision care market by serving optometrists' practice and patient needs with clinical, practice management, news, market trend information and Continuing Education programs Review of Optometry – The Magazine Read Most by Optometrists. Plaquenil Dosage Guide -. Plaquenil therapy and eye exams. - Eye Care - MedHelp. New Insights into Hydroxychloroquine Plaquenil Retinotoxicity. Two new articles1, 2 further refine our understanding of the retinotoxic risks of Plaquenil usage, and also provide new insights into patient evaluation and follow-up care. It is well understood that hydroxychloroquine HCQ has the potential to cause irreversible central vision loss. Macular Society Eye screening for patients taking hydroxychloroquine. Hydroxychloroquine is a medication used to treat several conditions including rheumatoid arthritis, systemic lupus erythematosus, some skin conditions especially photosensitive ones and others that involve inflammation. Hydroxychloroquine Plaquenil is a drug that is classified as an anti-malarial drug. Plaquenil is prescribed for the treatment or prevention of malaria. It is also prescribed for the treatment of rheumatoid arthritis, lupus, and the side effects of lupus such as hair loss, joint pain, and more.