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. Plaquenil same as aleve Chloroquine phosphate during pregnancy Since the side effect of vision loss is possible but rare, it is important for you to tell your doctor about any vision changes that you experience. Doctors generally recommend regular eye exams while on Plaquenil, so that early changes can be caught. Once abnormalities are discovered, toxicity has already occurred. Notify your eye doctor when you are on this medication so regular visual screening tests can be performed. If you are pregnant, considering becoming pregnant, or lactating, please discuss this with your doctor before taking this medication. However, hydroxycholorquine has been shown to be safe during pregnancy and breast feeding. If you do have problems, with the 1 yr exam they will be caught and are reversible by stopping the plaquenil. The nurse is the crazy one, NOT you! Do you need a referral to see an ophthalmologist? I didn't have one, just picked one a friend was happy with that was on my insurance plan. You may not need to get anything from the crazy nurse. 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. Why do you need eye exams with plaquenil Plaquenil and Eye Exams Arthritis Information, Hydroxychloroquine Plaquenil Hydroxychloroquine and alcohol use Patients taking hydroxychloroquine Plaquenil. having your eyes dilated and you will probably need someone with you at the appointment. 6 7 Macular Society Eye screening for patients taking hydroxychloroquine. If there is any sign of disease you will be offered Eye screening for patients taking hydroxychloroquine.. Eye exam / Plaquenil -. Plaquenil Hydroxychloroquine - Side Effects, Dosage.. Retinal toxicity of Plaquenil may manifest itself with subtle disturbances of the retinal pigment epithelium which may eventually lead to complete destruction of the macula in the form of bull’s-eye maculopathy. Several risk factors may increase the likelihood of retinal toxicity from Plaquenil such as, age of greater than 60 years, daily. Eye exam fax-back form Why do I need an eye exam? An eye exam can check for eye problems even if your vision seems fine. If you take hydroxychloroquine hahy-drok-si-KLOHR-uh-kwin Plaquenil all ophthalmology offices have the equipment to PLAK-wuh-nil, you have a higher risk of developing an eye problem Problems with Plaquenil Use. although the current guidelines do not discuss the importance of continuous ocular care with an annual comprehensive eye exam, we believe that it is an essential consideration. 1. Hobbs HE, Sorby A, Freedman A. Retinopathy following chloroquinine therapy. Lancet. 1959 Oct 3;27101478-80.