Your doctor will determine the best dosage to fit your needs. Plaquenil comes as tablets that are taken by mouth. Plaquenil should be taken with a meal or glass of milk. The typical Plaquenil daily dosage for lupus is mg to mg taken by mouth. This daily dosage may be taken as a single dose once daily or as divided doses twice daily.
At dosages higher than mg daily, vision problems have occurred more often than when the drug is used at lower dosages. Once Plaquenil begins reducing your RA symptoms, your doctor will decrease your dosage.
The typical starting dosage of Plaquenil for RA is mg to mg daily. This total daily dosage may be taken as a single dose once daily or as divided doses twice daily. If you develop side effects, your doctor may reduce your starting dosage of Plaquenil to help decrease the side effects. After Plaquenil begins reducing your RA symptoms, your doctor will lower your Plaquenil dosage by half. So if your starting dosage was mg daily, your maintenance long-term dosage will be mg daily.
Usually, the maintenance dosage of Plaquenil for RA is mg to mg daily. And this total daily dosage may also be taken as a single dose once daily or as divided doses twice daily. One kg is about equal to 2. At Plaquenil dosages higher than mg or 6. Below, we describe typical Plaquenil dosages for adults for each of these situations. But in some cases, your doctor may calculate your Plaquenil dosage based on your body weight. You should take your weekly Plaquenil dose on the same day each week.
For example, if you take your first dose on a Sunday, keep taking Plaquenil on Sunday each week. Your first dose of the drug will be mg. However, in some cases, your doctor may calculate your Plaquenil dosage based on your body weight. Plaquenil is approved to both treat and prevent malaria in children. Typical dosages of Plaquenil for malaria in children are based on body weight. Below, we describe typical Plaquenil dosages for each of these uses in children.
This is because their required dose would be lower than mg, which is the lowest strength available in Plaquenil tablets. To prevent malaria in children, the typical dosage of Plaquenil is 6. So if your child weighs 77 lb about 35 kg , their Plaquenil dosage would be about mg each week. For their first dose of Plaquenil, children will take 13 mg of drug per kg of body weight. So if your child weighs 77 pounds about 35 kg , their first dose of Plaquenil will be about mg.
And their last two doses of Plaquenil, taken 24 hours and 48 hours after their first dose, will both be mg. If you miss a dose of Plaquenil, talk with your doctor or pharmacist.
A kitchen timer may be useful, too. This stockpile is a reserve of essential medications and other supplies for use during public health emergencies. This happened because there seemed to be more risk than benefit in using the drug for this condition. COVID is a respiratory disease that causes fever and cough. But in other people, the disease can be life threatening.
COVID is caused by a new form of the coronavirus. But other types of coronaviruses can also cause respiratory illnesses. Plaquenil may also be used off-label for other conditions. Plaquenil is approved to treat certain forms of lupus in adults. With lupus, which is an autoimmune disease , your immune system attacks your own body. This leads to pain and swelling in your body. In particular, lupus can affect your skin, joints, and organs such as your kidneys and heart.
However, the condition may be related to your genetics, hormones, or environment. DLE primarily affects your skin. With this condition, you may develop sores, swelling, or thick scarring on your skin. SLE, on the other hand, can cause different types of symptoms. These include muscle and joint pain, rash, and fatigue lack of energy.
However, one review looked at 95 articles about antimalarial drugs being used to treat lupus. Plaquenil belongs to a group of drugs called antimalarials. This review showed that these drugs, including Plaquenil, prevent symptoms of lupus from flaring up.
According to the review, the drugs also increase survival length in people with lupus. Plaquenil is recommended for treating lupus because it decreases symptom flare-ups and slows the condition from worsening.
Plaquenil is approved to treat RA in adults. With RA, which is an autoimmune disease , your immune system attacks your joints. This causes aching, pain, stiffness, and swelling in your joints. Most often, hands, wrists, and knees are affected by RA. But the condition may be related to your genetics or environmental exposures. However, one trial looked at people with RA who took Plaquenil.
The trial showed that after 36 weeks of taking the drug, people had decreased joint pain and increased joint function. Plaquenil is approved to both treat and prevent malaria. It can be used for this condition in both adults and children who weight at least 31 kilograms about 68 pounds.
Symptoms of malaria include fever, chills, headache, nausea, and vomiting. The manufacturer has stated that when used to prevent or treat malaria, Plaquenil has the following limitations of use:. Malaria treatment guidelines from the Centers for Disease Control and Prevention CDC state that hydroxychloroquine can be used to treat certain types of malaria. Hydroxychloroquine is the active drug in Plaquenil.
Plaquenil is also recommended by the CDC to prevent malaria. In addition to the uses listed above, Plaquenil may be used off-label for other purposes. Plaquenil is approved to treat rheumatoid arthritis RA , which is an autoimmune disease. With autoimmune conditions, your immune system attacks your own body. But sometimes Plaquenil is used off-label to treat osteoarthritis. Osteoarthritis is the most common type of arthritis. It occurs with age as your joints become worn out. Specifically, osteoarthritis occurs when your cartilage the tissue that cushions your joints wears out.
Osteoarthritis may cause pain, swelling, and joint stiffness. Usually, the condition affects joints in your hands, hips, or knees. One trial looked at people with osteoarthritis in their knees who took Plaquenil. However, another study looked at people with osteoarthritis in their hands who took Plaquenil.
A placebo is a treatment with no active drug. One study looked at people taking hydroxychloroquine along with leflunomide Arava. In the trials, people had been given either Plaquenil or a placebo treatment with no active drug. Plaquenil is approved to both treat and prevent malaria in children of all ages who weigh at least 31 kg about 68 lb. In some cases of RA or lupus treatment, Plaquenil may be used along with steroids, such as prednisone.
And it may also be used with salicylates, such as aspirin. But for malaria, Plaquenil is typically used by itself. When other medications are taken in addition to Plaquenil, your doctor may decrease your dosage of the other drugs once Plaquenil begins working. In some cases, your doctor may even recommend that you stop using certain other drugs.
If you have questions about drugs you may be taking with Plaquenil, talk with your doctor. Immunosuppressants work by lowering the activity of your immune system. The drug may alter the way your immune system works.
Certain immunosuppressants are used to treat lupus and rheumatoid arthritis RA. When you are taking Hydroxychloroquine, it is very important that your doctors know if you are taking any other medicine. This includes prescription and non-prescription medicines as well as birth control pills, vitamins, and herbal supplements. Rarely, Hydroxychloroquine can cause vision problems. Your doctor may want you to have an eye exam before beginning this medication.
You will then have an eye exam yearly with an ophthalmologist to check for any changes in the back of the eye. This information is provided for general education only. Individuals should consult a qualified health care provider for professional medical advice, diagnosis and treatment of a medical or health condition. Do you need help?
Call Help Get more information. How to Take It Hydroxychloroquine comes in an oral tablet. Be sure to notify your other physicians when taking this drug. This drug does not have a strong effect on the immune system, so vaccines recommended by other physicians are generally acceptable.
Notify your eye doctor when you are on this medication so regular visual screening tests can be performed. This monitoring of your eyes may be arranged at a hospital clinic when you start the drug and then again once a year in a hospital when you have been taking the drug for more than five years. Otherwise, you should have a check up with an optician once a year and tell them that you're taking hydroxychloroquine.
If you develop any other new symptoms or there's anything else that concerns you after starting hydroxychloroquine, you should tell your doctor or rheumatology nurse specialist as soon as possible. Hydroxychloroquine is commonly used alongside other disease-modifying drugs including methotrexate — especially for rheumatoid arthritis.
However, some drugs can interact with hydroxychloroquine. Indigestion remedies for example, antacids including some over-the-counter preparations can stop hydroxychloroquine being absorbed. It's recommended you wait at least four hours after taking hydroxychloroquine before you take an indigestion remedy.
Discuss any new medications with your doctor before starting them, and always mention you're on hydroxychloroquine if you're treated by anyone other than your usual healthcare team. You can have vaccinations, including live vaccines such as yellow fever and shingles, while you're on hydroxychloroquine. Even though hydroxychloroquine is an anti-malarial drug, don't assume it will protect you if you're travelling to an area where there's a risk of malaria.
Always check with a healthcare professional what precautions you need to take against malaria. Methotrexate is a DMARD used to treat rheumatoid arthritis, juvenile idiopathic arthritis, vasculitis and psoriatic arthritis. Learn the risks and side-effects. However, if you're also taking methotrexate you should keep well within the recommended limits no more than 14 units of alcohol per week for adults as methotrexate can interact with alcohol and affect your liver.
In some circumstances your doctor may advise lower limits.
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