In order to minimize the risks of infection and other potential complications with podiatric surgery in this patient population, this author reviews the literature and offers insights on whether medications for RA should be withdrawn, continued or modified during the perioperative period. Increasingly, the treatment of rheumatoid arthritis includes the utilization of immunosuppressive therapeutic agents. Chloroquine trade name in pakistan How to take chloroquine My rheumy's assistant left me a message to tell me to stop 2 weeks before my procedure, but didn't explain why. one more question for those of you who had surgery aside from going off or staying on plaquenil, did the surgery cause any noticeable flare up of your symptoms? i will certainly update you once i am back home and online again. That said, there's no reason for patients to stop using Plaquenil just because they will have cataract surgery, Dr. Osborn said. He sometimes sees SS patients who have read about Plaquenil's side effects and ask if they have to stop the drug prior to cataract surgery. However, he knows of no specific contraindications with cataract surgery. So I ran out of my plaquenil and the Rheum. that prescribed it I am no longer seeing and wont re-fill it and I dont see my new Rheum. until Decemeber 23rd. I am nervous to see what will happen. The pharmacist said there wont be any danger just stopping it. Im just nervous to see what my body will do. Has anyone gone off the plaquenil and what happened? I hear my new Rheum. is all for it so I. Louie and Ward demonstrated that in the state of California, rates of joint surgery for the treatment of RA declined in the 1990s and have continually diminished since that time.1 The authors concluded that the favorable long-term outcomes for the treatment of rheumatoid arthritis with newer agents have resulted in a decreased need for bone and joint surgery in patients afflicted with this disease. The effectiveness of disease modifying agents in reversing the progression of rheumatoid arthritis (RA) is illustrated by the reduced frequency with which patients with RA undergo surgery for bone and joint deformities. Stopping plaquenil for surgery Common and Rare Side Effects for Plaquenil Oral, Considering Sj - EyeWorld Hydroxychloroquine retinopathy risk factors The toxicity profile of hydroxychloroquine contributes little risk in stopping or continuing use during surgery since individuals are able to recover quickly with this medication after outpatient operations 20,21. It appears to be safe treatment for RA in the presence of elective surgery with renal function monitoring 17. The Safety of Elective Surgery with Concurrent Use of.. Stopping Plaquenil - General Discussion - Life With Lupus. Perioperative Management of Medications Used in the Treatment.. If your ophthalmologist finds any signs of retinal damage, he or she will tell your primary care doctor or inflammatory disease specialist to stop Plaquenil treatment immediately. This will help you avoid permanent vision loss. Your other doctor will find another treatment for your disease. Hi everyone, Just wanted to ask for those of you who are on Plaquenil and Predisone. I am having an endoscopy and a colonoscopy double wamy = on Thursday Mar. 4th, and the gastro specialist, said that I should STOP my Plaquenil and Predisone 3 days before the procedure. The issue raised is whether MTX must be discontinued temporarily in the perioperative period. It is my impression that most rheumatologists discontinue MTX during the perioperative period -- generally the week of surgery and for 1-2 weeks post surgery.