Fang and hydroxychloroquine screening

Discussion in 'Canada Pharmacy Online' started by Sijaw, 13-Mar-2020.

  1. vent2015 Well-Known Member

    Fang and hydroxychloroquine screening


    She suffered from Sjogren syndrome and inflammatory arthritis and was currently treated with prednisone and methotrexate. She was previously treated with hydroxychloroquine (Plaquenil) 200mg bid (6.5mg/kg) for 10 years, which was stopped one year prior to presentation.

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    Screening intervals. All patients who are placed on long-term HCQ treatment should have a baseline screening within the first year of begin­ning treatment. An initial fundus eval­uation of the macula is critical to rule out preexisting disease that might make the retina more susceptible or screening difficult. Annual screening may be commenced before 5 years of treatment if additional risk factors for retinal toxicity exist, such as concomitant tamoxifen therapy, impaired renal function eGFR less than 60 mL/minute/1.73 m 2 or high-dose therapy greater than 5 mg/kg/day of hydroxychloroquine sulfate. Hydroxychloroquine Plaquenil is used to treat malaria, lupus, and rheumatoid arthritis. Learn about side effects, warnings, dosage, and more.

    Review of systems: Blurred vision, halos, dry eye, dry mouth, gastroesophageal reflux, joint pain Pupils: Reactive to light in each eye from 5 mm in the dark to 2 mm in the light. Extraocular movements: Full, both eyes (OU) Confrontation visual fields: Full OU Intra-ocular pressure The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. Past Ocular History: None Medical History: Sjogren syndrome and inflammatory arthritis, supraventricular tachycardia, anxiety, depression, peptic ulcer disease Medications: prednisone, methotrexate, amitriptyline, ranitidine, estradiol, tizanidine, diltiazem, Restasis Allergies: codeine, droperidol Family History: heart disease, arthritis, cancer Social History: occasional alcohol but no tobacco or intravenous drug use.

    Fang and hydroxychloroquine screening

    RCOphth guideline Hydroxychloroquine and Chloroquine., HYDROXYCHLOROQUINE SULFATE Drug BNF content published.

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  7. Newer guidelines state that daily dose 5mg/kg of real weight/day can lead to toxicity. Retinal toxicity is irreversible and can progress after cessation of hydroxychloroquine, thus early screening is important to limit potential vision loss. Baseline screening and annual screening after five years is recommended.

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    Hydroxychloroquine toxicity and Screening Neuro-Ophthalmology with Dr. Andrew G. Lee. Should All Patients with Lupus be Taking Hydroxychloroquine? - Medpage Today - Duration. Hydroxychloroquine HCQ, sold under the brand name Plaquenil among others, is a medication used for the prevention and treatment of certain types of malaria. Specifically it is used for chloroquine-sensitive malaria. Other uses include treatment of rheumatoid arthritis, lupus, and porphyria cutanea tarda. It is taken by mouth. Guidelines on screening for retinopathy associated with hydroxychloroquine toxicity were initially published by the Academy in 2002. These guidelines were updated in February of this year, given the emergence of more sensitive diagnostic techniques and the recognition that risk of toxicity from years of hydroxychloroquine use is greater than.

     
  8. IAFer Guest

    Itching on hands and feet can be quite irritating especially if it distracts our concentration while performing our daily activities. What Causes Itching Hands and Feet? with pictures Plaquenil and itching - Terrible Itching on Plaquenil---PLEASE HELP.
     
  9. Dagdamor Well-Known Member

    It works by blocking nerve impulses (or pain sensations) that are sent to your brain. Methocarbamol Oral Route Proper Use - Mayo Clinic Methocarbamol Uses, Dosage & Side Effects - Plaquenil and Robaxin drug interactions - eHealthMe
     
  10. dosugrucom_v New Member

    Sjogren's syndrome - Symptoms and causes - Mayo Clinic Sjogren's SHOW-grins syndrome is a disorder of your immune system identified by its two most common symptoms — dry eyes and a dry mouth. The condition often accompanies other immune system disorders, such as rheumatoid arthritis and lupus.

    Sjogren's Syndrome Symptoms, Causes, Diagnosis, Treatment