Plaquenil testing review of optometry

Discussion in 'Canada Drug' started by kapi, 12-Mar-2020.

  1. ak65 Moderator

    Plaquenil testing review of optometry


    Patients starting chloroquine (CQ) or hydroxychloroquine (HCQ; i.e. Plaquenil) should have a baseline examination that serves as a reference point, as well as to rule out any preexisting maculopathies.

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    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 Dr. Corte provides a quick reference guide based on the AAO's updated screening guidelines for chloroquine and hydroxychloroquine Plaquenil retinopathy. As optometrists, it is important that we are aware of the possible ocular complications that can occur from the use of high risk medications. Plaquenil is manufactured in only a 200 mg tablet The typical dosage is either 200 or 400 mg per day 200 mg daily puts anyone under 68 pounds at risk1 400 mg of Plaquenil daily puts anyone under 135 pounds at a higher risk for toxicity Therefore, 200mg of Plaquenil daily is going to be a safe dosage for virtually all adults13

    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). While most rheumatologists are now routinely prescribing their patients 400 mg of HCQ (or 250 mg CQ) daily for the management of conditions like systemic lupus erythematosus and rheumatoid arthritis, individuals of short stature often have their dosage determined off of their ideal body weight to avoid overdosing.

    Plaquenil testing review of optometry

    New Plaquenil Guidelines - EBSCO Information Services, Quick Reference Screening for Chloroquine.

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  6. A risk factor for Plaquenil hydroxychloroquine retinotoxicity is a daily dose that exceeds 5.0 mg of drug per kg of body weight. The tool on the right simply calculates this threshold based on a ppatient’s real body weight. It’s important to understand that the daily dose is only one risk factor for plaquenil retinotoxicity.

    • Plaquenil Risk Calculators.
    • Early Plaquenil Toxicity Detected. - School of Optometry.
    • AAO Screening Guidelines for Plaquenil.

    Newer guidelines state that daily dose 5mg/kg of real weight/day can lead to toxicity. Retinal toxicity is irreversible and can progress after cessation of hydroxychloroquine, thus early screening is important to limit potential vision loss. Baseline screening and annual screening after five years is recommended. Macular OCT is one of the three ways that you can meet the. standards for current Plaquenil care. Most optometrists have easy. access to OCT imaging, and may even have autofluorescence cameras. MultifocalERG is the least likely test that will be found at your local. 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 spectral-domain optical coherence tomography SD-OCT is readily accessible and able to detect early structural damage prior to clinical funduscopic findings.

     
  7. hantenbain New Member

    ive put on 45 lbs since starting this medication back in October it is January now so that’s 10lbs a month. Weight gain while on Plaquenil? lupus Plaquenil and loss of appetite - Lupus - MedHelp Abnormal Weight Gain and Gut Microbiota Modifications Are.
     
  8. baltazar33 New Member

    Plaquenil is the brand name for the prescription drug hydroxychloroquine. Plaquenil Oral Uses, Side Effects, Interactions. Plaquenil - Uses, Side Effects, Interactions - Plaquenil Uses, Dosage & Side Effects -
     
  9. GreatOnizuka Moderator

    Hydroxychloroquine Oral Route Proper Use - Mayo Clinic Side Effects; Products and services. Free E-newsletter. If you are also taking kaolin or antacids, take them at least 4 hours before or after using hydroxychloroquine. Dosing. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.

    Stopping plaquenil. DailyStrength
     
  10. Delini User

    Chloroquine definition of chloroquine by Medical dictionary Chloroquine A drug used in the treatment of MALARIA, RHEUMATOID ARTHRITIS and lupus erythematosus. In 1993 the clinical effectiveness of chloroquine in Malawi was less than 50 percent and it was replaced by sulfadoxine and pyrimethamine. But ten years late the efficiency had risen again to 99 percent. The drug is on the WHO official list. Brand.

    What is Chloroquine Phosphate? - GoodRx