Wait until the next scheduled time, and take your usual dose. After several months your doctor will check your joints for swelling and see how you feel. If you still have pain with your daily activities, then you and your doctor should think about trying another medicine. The most common side effects are diarrhea, nausea, vomiting, headache, dizziness, skin rash or black spots when you look at things.
Most side effects will go away when your body gets used to the medicine. Tell your doctor if you have these side effects. A lower dose may stop them. Do not lower the dose on your own.
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Plaquenil stays in your body for about 3 months. If you must stop it, it will take a while for the side effects to go away. You should have an eye examination every year to prevent a very rare but serious eye problem. Less than one person in 5, develops the problem. Only an eye doctor can see if you have a problem with your retina. Almost always the damage will go away if it is found early and the medicine stopped. You should not take this medicine if you already have problems with the retinas in your eyes.
Because it's a long-term treatment it's important to keep taking hydroxychloroquine unless you have severe side effects:. There's a small risk that hydroxychloroquine can damage a part of the inside of the eye called the retina. And this increases with long-term use and higher dosage. Your doctor will advise you on a safe dose to take according to your weight, and you will need to have regular monitoring of your eyes.
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.
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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.
We suggest you discuss your medication with your doctor if you're planning to have a baby, become pregnant or are thinking of breastfeeding. Current guidelines state that hydroxychloroquine can be taken during pregnancy.
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Shareable Toolkit. Sign Up for Emails. Tell Your Story. Media Relations. Contact Us. Annual Report. National Lupus Partners Network. Dosing Hydroxychloroquine is generally prescribed at a daily dose of 6. Benefits include: Decrease in the number of disease flares. Decrease in damage from disease over time. Ability to delay absorption of ultraviolet light. Reduction in the number of antigen-presenting cells in the skin.
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The authors found: Strong evidence, especially with HCQ, of decreased lupus activity during pregnancy without harm to the fetus. Strong evidence of prevention of disease flares. Strong evidence of increased long-term survival. Moderate evidence of protection against irreversible organ damage, thrombosis blood clot formation , and bone mass loss. Side effects In some people, HCQ may cause gastrointestinal problems, such as nausea, vomiting, upset stomach, cramps, or diarrhea.
Rare complications The greatest concern people have when taking hydroxychloroquine is related to vision. The AAO review makes several important points: The purpose of monitoring is to recognize early toxicity and not the prevention of toxicity.