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. Does plaquenil cause eye pain Plaquenil causing depression Is there a diagnosis for a baseline exam before patient starts plaquenil? Zella Posted Wed 05th of September, 2012 AM Do you only code the condition such as rheumatoid arthritis or sarcoidosis when coding an exam, vf or oct prior to patient starting high risk medication. or is there a V code for premedication exam? 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. It is thought that although the bull’s eye seen on ophthalmic exam represents a disruption of the pigmented part of the retina, it is the photoreceptors that are the targets of hydroxychloroquine toxicity. Baseline Screening. Fundus examination within the first year of use;. But it was for alleged Plaquenil related eye toxicity, and. 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 Plaquenil and Eye Exams Arthritis Information, Recommendations on Screening for Chloroquine and Hydroxychloroquine. Plaquenil for seronegative arthropathy Thanks, Jenny, for your quick response. My doctor didn't specifically mention having the eye exam before starting. I checked for internet articles and found one that said that only 30-some percent of rheumatologists routinely prescribe a baseline eye exam before Methotrexate, and that the same percentage high 30's never do. Bone Joint Muscle - Arthritis Baseline eye exam and.. My Take on New Ocular Screening Guidelines for Plaquenil.. Anyone else afraid to take plaquenil. lupus - reddit. An eye exam is recommended at the start of treatment to detect any existing vision problems; follow-up tests are needed to catch retinal damage in the earliest stages, before symptoms appear. If found later, damage to the eye may be irreversible, even if the medication is stopped. 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. If you take Plaquenil for your inflammatory disease, your ophthalmologist will check for damage to the retina in the back of the eye while you take the drug.