Implementation of the guideline’s recommendations will prevent iatrogenic visual loss. The new guideline also makes recommendations regarding the techniques and timing of baseline and follow-up screening tests for both hydroxychloroquine and chloroquine retinopathy. Normal dosage of plaquenil for lupus Is it ok to get flu shot while taking plaquenil Plaquenil autoimmune thyroiditis The new guideline also makes recommendations regarding the techniques and timing of baseline and follow-up screening tests for both hydroxychloroquine and chloroquine retinopathy. Hydroxychloroquine is a medicine that is effective in treating various long-term inflammatory disorders of the joints and skin. 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 Healthcare personnel HCP are on the front lines of caring for patients with confirmed or possible infection with coronavirus disease 2019 COVID-19 and therefore have an increased risk of exposure to this virus. HCPs can minimize their risk of exposure when caring for confirmed or possible COVID. In general, hydroxychloroquine is a safe and cost-effective medication, particularly when compared to newer anti-inflammatory medicines which can more significant adverse effects on the body. Hydroxychloroquine is a medicine that is effective in treating various long-term inflammatory disorders of the joints and skin. New guidelines for plaquenil screening New Screening Guidelines for Hydroxychloroquine Toxicity, Hydroxychloroquine And Chloroquine Screening 2016 AAO. Allergic reaction to plaquenilReactions to plaquenilPlaquenil and trintellix interactionsDoes hydroxychloroquine lower your immune system The 2016 guidelines recommend the following. Screening intervals. All patients who are placed on long-term HCQ treatment should have a baseline screening within the first year of beginning treatment. An initial fundus evaluation of the macula is critical to rule out preexisting disease that might make the retina more susceptible or. Plaquenil Guidelines Point Out New Risks, New Presentation.. What Healthcare Personnel Should Know about Caring for.. New guidelines issued for plaquenil screening - EyeDocNews. 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. In 2011 the American Academy of Ophthalmology published new clinical guidelines for appropriate annual screenings for those patients taking Plaquenil. These guidelines are much different from the previous 2002 recommendations, and many practicing doctors were trained with the 2002 guidelines in mind. With the new guidelines for HCQ dosing it becomes imperative for rheumatologists to assess the weight of their patients and adjust the dose of HCQ downward if the patient weights 80 kg. References 1. Recommendations on Screening for Chloroquine and Hydroxychloroquine Retinopathy 2016 Revision.