30-2 plaquenil

Discussion in 'International Pharmacy' started by darkdim, 27-Feb-2020.

  1. Vefire Moderator

    30-2 plaquenil


    Guidelines from the American Academy of Ophthalmology (AAO) on screening for CQ and HCQ toxicity recommend that all patients starting therapy receive a baseline screening followed by annual follow-up visits beginning at 5 years after the start therapy—although some individuals with certain high risk factors might require closer monitoring. Above and beyond their role in screening, eye care professionals have a valuable role in educating patients and medical colleagues about safe dosing, risk factors, and the need for screening.

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    You can conceivably misinterpret the visual field if the 24-2 or 30-2 testing strategies are used, because the scotoma may appear as a small central defect as opposed to a paracentral ring scotoma. When using the larger testing strategies, a strong indication of Plaquenil toxicity is the presentation of a scotoma in the central 4 degrees of fixation. Generally, the plaquenil eye exam is something everyone here has done. These are the patients where you need to knock out that extra 10-2 in your exam.except that may not be true anymore. What is plaquenil used for? HCQ is used for RA, Lupus and for SS among other conditions. RA is the most common of these at ~1% of the population. 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.

    Prominently, the panel of experts reviewing the data acknowledged that the risk of retinal toxicity in patients using CQ or HCQ therapy is likely higher in patients on higher doses used for longer durations, although the data on what constitutes a “safe” dose is inconclusive. Risk Factors and Safe Dosing Recommendations The 2016 guidelines from the AAO update previously published recommendations based on new clinical data.

    30-2 plaquenil

    Understanding Visual Field Testing NCEyes June 2018, PowerPoint. Update on Plaquenil Testing

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  4. This is ordered for the 10% of glaucoma patients who are so advanced that the HVF 24-2 is mostly black, with only a central island of remaining vision. Macular diseases including plaquenil toxicity exams also need 10-2. HVF 30-2. Generally, we order this for neuro patients. It has a wider angle and can capture peripheral field defects.

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    Abstract. Background The American Academy of Ophthalmology recommendations on screening for chloroquine CQ and hydroxychloroquine HCQ retinopathy are revised in light of new information about the prevalence of toxicity, risk factors, fundus distribution, and effectiveness of screening tools. Pattern of Retinopathy Although the locus of toxic damage is parafoveal in many eyes, Asian. The American Academy of Ophthalmology released an updated set of screening recommendations for hydroxychloroquine Plaquenil and chloroquine to account for the many studies that have shown the effects of these medications on the retina 1. It succinctly makes the case for screening, and Antimalarial Drugs Fewer side effects occur with Plaquenil Hydrochloroquine than with Aralen Chloroquine It’s estimated that approximately 10-20% of patients taking Chloroquine and 3% of patients taking Hydroxychloroquine develop toxicity2 It’s rare for side effects to occur with Plaquenil if the medication is dosed properly

     
  5. Baloo Guest

    Applies to hydroxychloroquine: oral tablet Along with its needed effects, hydroxychloroquine (the active ingredient contained in Plaquenil) may cause some unwanted effects. Hydroxychloroquine toxicity - EyeWiki Hydroxychloroquine - Wikipedia Plaquenil Hydroxychloroquine Side effects, Images, Uses.
     
  6. moolt Guest

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  7. Zspb Moderator

    Hydroxychloroquine - Wikipedia 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.

    Hydroxychloroquine Oral Uses, Side Effects, Interactions, Pictures.