In Sjögren’s, Plaquenil is used to treat many symptoms of Sjögren’s including fatigue, joint symptoms of arthritis and arthralgias (joint pain), dry mouth and dry eyes. Similar to its use in systemic lupus erythematosus, many clinicians feel that it is useful in reducing general Sjögren’s “disease activity.” One of the reasons that physicians feel comfortable in prescribing Plaquenil is its low risk to benefit ratio. Long term use of plaquenil for lupus Does hydroxychloroquine suppress the immune system If you're taking this medicine for a long period of time, your doctor will probably recommend annual eye exams. Pregnancy and Plaquenil It's not known whether Plaquenil will harm an unborn baby. Remember, any patient who is at a high risk for Plaquenil toxicity should be examined on an annual basis following the baseline exam. The goal of monitoring/screening is to identify early macular damage prior to irreversible vision loss or even before visible signs of bull’s eye maculopathy. The recommendation is to have a baseline eye exam with dilation and a visual field test before or soon after starting the drug. A repeat of that exam should occur every year IF there is no evidence of toxicity. The actual incidence of retinal toxicity from hydroxychloroquine is difficult to pin down because there is usually a long time between. As with any medication, allergic reactions including skin rashes and non-allergic reactions can occur. This means that the side effects of Plaquenil are mild and infrequent compared with its potential benefits. Taking baseline eye examination before starting plaquenil How Do Ophthalmologists Look for Plaquenil Damage., New Plaquenil Guidelines - Hydroxychloroquine accidental drug overdoseHydroxychloroquine 200 mg couponsHydroxychloroquine tuberculosisSide effects from stopping plaquenil Baseline Examination. All patients beginning long-term HCQ or CQ therapy should have a baseline ophthalmologic examination within the first year of starting the drug to document any complicating ocular conditions and to establish a record of the fundus appearance and functional status. Recommendations on Screening for Chloroquine and Hydroxychloroquine.. What can Hydroxychloroquine Plaquenil do to my eyes?. Taking Plaquenil for Rheumatoid Arthritis. Abnormal test is the visual field test, you may be asked to repeat it to make sure of the results. You will be told if any other tests are necessary and when you should be screened again. In cases of possible retinopathy, you will be recommended to continue taking 8 9 Macular Society Eye screening for patients taking hydroxychloroquine 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. Hydroxychloroquine is a relatively safe medication but it is recommended to have regular monitoring by an ophthalmologist eye doctor while taking this drug. Before you begin taking Plaquenil, tell you doctor your complete medical history including any eye problems that may have come from other aminoquinolines other antimalarial drugs such.