Chloroquine is now uncommonly used in favor of its derivative hydroxychloroquine. In the United States, hydroxychloroquine is most often used for its anti-inflammatory effects in rheumatology and dermatology. Chloroquine dosing for lupus Malaria preventative chloroquine aralen Special eye exams for people on plaquenil Plaquenil newborn A complete ophthalmologic examination is recommended before starting or within the first year of starting hydroxychloroquine therapy. During this exam, patients should receive a fundus examination; visual fields and spectral-domain optical coherence tomography SD-OCT should be added if maculopathy is present. Background The American Academy of Ophthalmology recommendations on screening for chloroquine CQ and hydroxychloroquine HCQ retinopathy are revised in light of new information about the prevalence of toxicity, risk factors, fundus distribution, and effectiveness of screening tools. Great that you're getting a baseline eye exam before you start taking it so that the doctors have something to compare to at subsequent visits. You should get a Plaquenil eye exam yearly on this medication. For many, Plaquenil has helped symptoms a lot. While early toxicity may be asymtomatic, patients with more advanced stage of toxicity may complain of color vision changes or paracentral scotomas. Its toxic effects on the retina are seen in the macula. Eye exam before starting the plaquenil What can Hydroxychloroquine Plaquenil do to my eyes?, Recommendations on Screening for Chloroquine and. Plaquenil guidelines 2019Risk of plaquenil toxicityChloroquine alcoholPlaquenil aptt test As a precaution, patients treated with Plaquenil are advised to get a baseline eye exam prior to starting the drug and then annually thereafter. This information provided by Neil I. Stahl, MD & Tongalp H. Tezel, MD was first printed in the The Moisture Seeker, SSF's patient newsletter for members. The Risk of Retinal Toxicity with Plaquenil - Sjogren's. Starting Plaquenil DailyStrength. Starting Plaquenil BEFORE Eye Exam? - Scleroderma - Inspire. Chloroquine has been replaced with hydroxychloroquine as it has less side effects. Eye Exam Before Starting Treatment. If a person is going to be treated long-term with Plaquenil, they need to have a thorough dilated eye exam with best corrected visual acuity, central visual field, color vision, and dilated examination of the retina. I think I was on plaquenil for a few months before starting my eye exams. I've been taking plaquenil for over 15 years now without any problems. Yes, my RD told me to get a baseline exam within a month or two of starting Plaquenil and every 6 months thereafter. Yes, my RD required an exam before I started Plaquenil. All individuals starting Plaquenil treatment should have a baseline ophthalmologic examination within the first year. If the initial ophthalmologic examination is normal and the person is considered low risk, re-testing need not occur for five years. It is recommended that high-risk patients have annual eye examinations.