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. Vd chloroquine Plaquenil and sore eyes What is plaquenil therapy 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. That you will need to take hydroxychloroquine for at least five years. Because of this you will be invited to take part in the screening programme. Where will the screening take place? You will receive an eye assessment appointment at your local hospital eye department within 12 months of when you started taking hydroxychloroquine. A 57-year-old female presented to the Ophthalmology clinic at UIHC complaining bilateral central photopsias for the past two years. 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. 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 Starting Plaquenil, any tips? rheumatoid, Eye screening for patients taking hydroxychloroquine Plaquenil Chloroquine-primaquine-phosphate.Plaquenil creatininePlaquenil oral side effectsPlaquenil and nerve damageMacular oct plaquenil toxicity Taking Plaquenil long-term or at high doses may cause irreversible damage to the retina of your eye. Stop taking Plaquenil and call your doctor at once if you have trouble focusing, if you see light streaks or flashes in your vision, or if you notice any swelling or color changes in your eyes. Plaquenil Uses, Dosage & Side Effects -. Hydroxychloroquine Plaquenil Toxicity and.. Plaquenil Withdrawal – Life As An Anomaly. Both my rheumatologist and opthamologist recommended exams every 6mo for the first year I was on plaquenil. Now I just go yearly to have my eyes checked. Also, my rhuemy said any time he makes an adjustment to my plaquenil that I'll need an eye exam within 6mo just to make sure nothing has changed. Good luck! This has lower incidence of retinal toxicity than plaquenil, but has other unique side effects that need to be monitored. Ultimately, you will need to discuss your particular situation with your rheumatologist, who can take into account your situation, lab tests and guide you most appropriately. You can go to a normal opticians but make sure they know you are on hydroxychloroquine and expect them to do a peripheral vision field test that involves looking into a machine and pressing a button when you can see a flashing light in various places over a circle within the machine very easy, they can then tell if there is a problem with the peripheral vision which could be caused by the.