One such commonly used medication for dermatologic and rheumatologic inflammatory conditions is hydroxychloroquine (Plaquenil), a chloroquine derivative. It is used to treat many diseases including malaria, rheumatoid arthritis and systemic lupus erythematosus. Does plaquenil affect cgrp inhibitors Hydroxychloroquine 200mg Plaquenil is also an antirheumatic medicine and is used to treat symptoms of rheumatoid arthritis and discoid or systemic lupus erythematosus. Important information. Taking Plaquenil long-term or at high doses may cause irreversible damage to the retina of your eye. Unfortunately, hydroxychloroquine monitoring while challenging is the only solution to prevent progressive and irreversible sight loss 5, 6. Take Plaquenil hydroxychloroquine with food or milk. Swallow whole. Do not chew, break, or crush. Keep taking Plaquenil hydroxychloroquine as you have been told by your doctor or other health care provider, even if you feel well. Do not take antacids or kaolin within 4 hours of Plaquenil hydroxychloroquine. What do I do if I miss a dose? It is imperative that patients and physicians are aware of and watch for this drug’s ocular side effects. Retinal toxicity from hydroxychloroquine is rare, but even if the medication is discontinued, vision loss may be irreversible and may continue to progress. Plaquenil monitoring ICD-10-CM Diagnosis Code Z79.899 Other long term., Monitoring for hydroxychloroquine retinopathy Eye Hydroxychloroquine sulfate tablets side effects Hydroxychloroquine for rheumatoid arthritis and other rheumatological diseases Adults It is vital for safe and appropriate patient care that there is a clear understanding of where clinical and prescribing responsibility rests between Consultants and General Practitioners GPs. Shared Care Guideline - mm.uk. Plaquenil Indications, Side Effects, Warnings -. Protecting your eyesight when taking Plaquenil Lupus.. MONITORING. Baseline CBC, lytes, Cr, BUN, AST, ALT. Baseline major eye exam. Every year, repeat basic labs described above and ensure repeat major eye exam to look for retinopathy due to this medication. CONTRAINDICATIONS. Hypersensitivity to hydroxychloroquine. Caution in patients with previous retinal or visual field changes. Problems with Plaquenil Use Toxic maculopathy associated with chloroquine use was first documented in the literature five decades ago.1 In the United States, Plaquenil––an analog to chloroquine––is used to treat a variety of conditions. PLAQUENIL hydroxychloroquine sulfate tablets is indicated for the treatment of rheumatoid arthritis, and discoid and systemic lupus erythematosus, in patients who have not responded satisfactorily to drugs with less potential for serious side effects.