Plaquenil oct guidelines

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    Plaquenil oct guidelines


    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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    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. Risk for toxicity is least with less than 6.5 mg/kg/day for hydroxychloroquine and 3 mg/kg/day for chloroquine. Patients are at low risk during the first 5 years of treatment. Cumulative use in excess of 250 grams increases the risk for toxic retinopathy. Other risk factors include obesity, kidney or liver disease, older age. The recent guidelines recommend against biomicroscopy alone, fundus photography, time-domain optical coherence tomography, fluorescein angiography, full-field electroretinography, Amsler grid.

    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.

    Plaquenil oct guidelines

    Plaquenil Uses, Dosage & Side Effects -, Hydroxychloroquine toxicity - EyeWiki

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  5. 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

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    The new guideline on screening for hydroxychloroquine and chloroquine retinopathy is written in response to evidence from the United States that shows that hydroxychloroquine retinopathy is more common than previously recognised. Implementation of the guideline’s recommendations will prevent iatrogenic visual loss. The new guideline also makes recommendations regarding the techniques and. PLAQUENIL is indicated for the treatment of uncomplicated malaria due to P. falciparum, P. malariae, P. ovale, and P. vivax. PLAQUENIL is indicated for the prophylaxis of malaria in geographic areas where chloroquine resistance is not reported. Limitations Of Use In Malaria. PLAQUENIL is not recommended for the treatment of complicated malaria. Plaquenil Guidelines Point Out New Risks, New Presentation Written By Jean Shaw, Senior Editor, interviewing Rebekah A. Braslow, MD, Sang Jin Kim, MD, and Michael F. Marmor, MD Add to My To-Do List

     
  6. spyder-new Well-Known Member

    Was told by the doctor that the med, should help me control the systemic arthrirts(Sjogren syndrome /lupus) after 4-6 months of using the med. I am on plaquenil but also experience some of the same things you do. Rx Side Effects New Plaquenil Guidelines and More - American. If you've stopped taking plaquenil, did you start getting. New Plaquenil Guidelines -
     
  7. Pashka XenForo Moderator

    Common and Rare Side Effects for Methotrexate Anti-Rheumatic Oral - WebMD Find information about common, infrequent and rare side effects of Methotrexate Anti-Rheumatic Oral.

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