Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Rash from hydroxychloroquine Hydroxychloroquine yellow skin Of course the aim is avoid drug related retinal toxicity, which on ophthalmic examination, appears as the classic Bull’s eye change affecting the macula. Once retinal toxicity from hydroxychloroquine occurs, it is thought that the retinal changes are permanent and the disease can progress even if hydroxychloroquine is stopped for 1 to 3 years. About eye health checks for people taking hydroxychloroquine. No one need face macular degeneration alone. For information and support call 0300 3030 111. Eye screening for patients taking hydroxychloroquine Plaquenil® Mar 16, 2009 For plaquenil, it's recommended that a baseline eye exam be administered prior to starting the medication. Then testing every 3 or 6 months. This is because it has a small chance of causing retinal damage or cornea too I believe, over a longer period of time. Risk of Toxicity: The risk of toxicity is dependent on daily dose and duration of use. There are no similar demographic data for CQ, but dose comparisons in older literature suggest using 2.3 mg/kg real weight. Plaquenil baseline eye exam duration Who Is at Risk for Vision Loss with Plaquenil? - American., Eye screening for patients taking hydroxychloroquine. No need to check g6pd level for plaquenilHydroxychloroquine and antacidsCost of plaquenil in mexicoPlaquenil and depression and anxiety Kaplane–Meier curves show that patients staying with 5.0 mg/kg have less than 1% risk in the first 5 years of therapy and less than 2% up to 10 years Fig 4. Beyond this point, the risk increases sharply to approximately 20% after 20 years. The risk is much higher when the daily dose is higher. Recommendations on Screening for Chloroquine and.. Plaquenil questions -. Rx Side Effects New Plaquenil Guidelines and More.. Hey guys, I'm taking Plaquenil, for a second time, this time with MTX. My question is about insurance basically. I haven't had vision insurance because my eyes are 20/20, so I don't need an eye doctor to that. But last year when I went for my first Plaquenil eye checkup, it ended up costing me over $350. 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. Before beginning treatment with plaquenil, the doctor will perform a baseline eye examination and the following tests Dilated Retinal Examination, Retinal Photography, Visual Field Test, OCT. The risk of developing retinopathy increases with the length of time plaquenil has been taken and the dosage prescribed.