It's used to treat and prevent malaria infection, and to reduce symptoms and progression of autoimmune diseases such as lupus, rheumatoid arthritis, and others. Malaria is spread by mosquitoes, which transmit the parasites that cause the infection, usually in tropical and subtropical parts of the world. Iupac name of chloroquine Plaquenil revised dosing Aao plaquenil guideline Plaquenil toxicity continuing education Plaquenil can cause serious side effects when used in high doses for chronic diseases such as RA over the long term. The New Zealand Dermatological Society recommends that to decrease the risk of retina damage, no more than 200mg of Plaquenil should be taken a day, and a dose of 400mg per day should be taken no longer than a few weeks. As a result, all patients taking plaquenil should have an examination approximately every six months. The macula should be examined through a dilated pupil. The incidence of Plaquenil related macular problems increases when approaching a dose of 600 to 700 mg. per day. The average dose is 400 mg. per day. This is a very safe dose. If you take Plaquenil, it is important to see an ophthalmologist while you take this medicine. What happens if retinal damage is found? If your ophthalmologist finds any signs of retinal damage, he or she will tell your primary care doctor or inflammatory disease specialist to stop Plaquenil treatment immediately. For example, it may be combined with an antibiotic to treat chronic Q-fever, which humans usually catch from farm animals or raw milk. Plaquenil is used to treat other types of infections too. Plaquenil dilated pupils Plaquenil Side Effects on Your Eyes and Vision, Conditions Plaquenil-related Eye Problems Eugene Eye Care Chloroquine cancer therapyPlaquenil ocular screeningChloroquine phosphate for rheumatoid arthritis User Reviews for Hydroxychloroquine. Also known as Plaquenil, Quineprox The following information is NOT intended to endorse any particular medication. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners. User Reviews for Hydroxychloroquine -. How Do Ophthalmologists Look for Plaquenil Damage? - American.. Eye screening for patients taking hydroxychloroquine Plaquenil. These drugs affect the muscle that widens the pupil, slowing how it reacts to light. So even in a bright room, the eyes stay dilated. Withdrawal from these drugs can also make the pupils stay open. SIDE EFFECTS. The following adverse reactions have been identified during post-approval use of PLAQUENIL or other 4-aminoqunoline compounds. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Plaquenil hydroxychloroquine is a medication that has been used for many years to help musculoskeletal symptoms and fatigue in patients with autoimmune conditions such as rheumatoid arthritis, lupus and Sjögren’s. While there is good clinical evidence demonstrating.