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. Rheumatoid arthritis methotrexate vs hydroxychloroquine Signs of plaquenil overdose If there are any changes then you should tell your rheumatologist or your eye doctor promptly. The vast majority of patients on Plaquenil get absolutely no eye problems and you should not be unduly worried or concerned. As a precaution, patients treated with Plaquenil are advised to get a baseline eye exam prior to starting the drug and then annually thereafter This information provided by Neil I. Stahl, MD & Tongalp H. Tezel, MD was first printed in the The Moisture Seeker, SSF's patient newsletter for members. Nov 17, 2009 In our practices, we use two forms one for our Plaquenil evaluations and one for our diabetic eye evaluations. Both of these forms can be downloaded and modified to suit your individual needs via our website, Other than these two forms, we dictate letters to our referring physicians. 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. Eye dr for plaquenil Plaquenil Hydroxychloroquine - Side Effects, Dosage., The Risk of Retinal Toxicity with Plaquenil What chloroquine Jan 18, 2019 What can Hydroxychloroquine Plaquenil do to my eyes? Hydroxychloroquine Plaquenil was originally used to treat malaria and is now used mostly to treat rheumatological and dermatological diseases. Its most frequent use now is for Rheumatoid Arthritis RA and Lupus and is often very effective in mitigating the joint and arthritic symptoms. What can Hydroxychloroquine Plaquenil do to my eyes?. Raise Your Level of Care - Review of Optometry. Plaquenil – RheumInfo. 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. In patients weighing less than 135 lbs. it may require the gentle counsel of the eye doctor to bring this potentially touchy issue to the prescribing doctor's attention. Just as many eye doctors still use timolol 0.5% bid, so too do many rheumatologists continue to prescribe Plaquenil at 200mg bid—regardless of the patient's lean body weight. At San Antonio Eye Specialists, we monitor Plaquenil patients by testing visual acuity, color vision, central visual field testing, distortion test and a thorough retina exam. If signs of retinopathy are detected, the drug is stopped and vision typically returns to normal. In some cases, vision is permanently affected.