It does not work against certain types of malaria (chloroquine-resistant). The United States Center for Disease Control provides updated guidelines and travel recommendations for the prevention and treatment of malaria in different parts of the world. Accidental double dose of plaquenil Plaquenil visual field screening Along with its needed effects, hydroxychloroquine the active ingredient contained in Plaquenil may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur while taking hydroxychloroquine Hydroxychloroquine is usually taken with food or milk to prevent stomach upset. The dosage and length of treatment are based on your medical condition and response to therapy. In children, dosage is also based on weight. A case of thrombocytopenia associated with the use of hydroxychloroquine following open heart surgery. Hydroxychloroquine, Cardiac surgery. The patient was admitted to the outpatient clinics in the Department of Cardiovascular Surgery complaining of nose bleeding. This medication is also used, usually with other medications, to treat certain auto-immune diseases (lupus, rheumatoid arthritis) when other medications have not worked or cannot be used. Discuss the most recent information with your doctor before traveling to areas where malaria occurs. Hydroxychloroquine bleeding and surgery Plaquenil Oral Uses, Side Effects, Interactions, Pictures., Plaquenil Oral Uses, Side Effects, Interactions. Plaquenil and foot pain Surgical damage to tissue and blood vessels activates clotting Immobilization during and after surgery interrupts normal blood flow Antiphospholipid antibody positive patients are at higher risk for blood clots compared to the general population because of a third factor Hypercoagulation. Top 10 Points aPL-Positive Patients Should Know Presurgery. A case of thrombocytopenia associated with the use of.. Long-Term Side Effects of Plaquenil for Rheumatoid.. Answer. Plaquenil does not need to be stopped for surgery so it can be restarted after the procedure. Although in studies Celebrex does not cause increased bleeding, unilke other older NSAIDs, some surgeons still advise to stop it to be safe. In general, Celebrex can be restarted the day after the procedure once the risk of bleeding is over. Vitrectomy surgery. When macular edema is caused by vitreous pulling on the macula, a procedure called a vitrectomy may be needed to restore the macula to its normal lying flat shape. The surgeon uses tiny instruments to remove the vitreous from the eye and peel scar tissue from the macula. This relieves the traction that is damaging the macula. I just had major spine surgery in November. The surgeon had me check with my rheumy about stopping Plaquenil and I was told to continue it, or just stop it the day of surgery then get right back on, I asked what would happen if I stopped for a week and was told I'd risk going into a flare. I stayed on it and surgery went OK.