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Re: Plaquenil...

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Lori: I too am on plaquenil, and had my first eye exam a couple of weeks ago. I

was also concerned with the eye problems that can happen while taking this

medication. Some of the members here, informed me that it is a very, very rare

chance that retina damage will happen. I asked the eye physician about it and he

said that as long as you keep your routine eye exams, that they will let you

know if there is any change. He said in his 15 years of eye care, he had only

seen one case where it had affected the retina, and it was in a very old patient

on planquenil, and he couldn't even say if it was just not normal degeneration,

due to her age. So I feel confident in taking this medication, it helps me

tremendously with the arthritis and lupus. It takes 12-24 weeks on this med to

feel the full benefits of it, I have been on it for 6 weeks now and have my good

and bad days, but there seems to be alot more good than bad anymore. Good luck,

hope all works out for you....Sheri D.

Lori <mousehouse5@...> wrote:Hey all...

I am wondering if any other members in the group that are on

Plaquenil have had any eye complications. My doctor has just put me

on them and I am hesitant to take them due to the side effects. I

have had cataracts and lost most of my sight in my right eye, so

needless to say any drug with possible eye complications make me a

bit apprehensive.

Lori

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thank you for your reply...

I am going to see my opthamologist on June 6th and will talk it over

with him. He has seen me through the worst times, and has gotten me

to wear I am today. He will know if the risk is worth the benefit...

Glad to hear of someone else's experience though.

Lori

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Lori,

Although plaquenil related eye problems are rare, I can understand your

hesitation to take it considering your vision problems. Did you discuss

your reservations with your doctor? If you feel strongly about not wanting

to take it, there are many other options. Here are a few articles:

Plaquenil-related Eye Problems

http://eugeneeyecare.com/conditions/Plaquenil-related_Eye_Problems.html

Drugs and the Eye

http://www.richmondeye.com/drug1.htm

The management of patients on plaquenil has been a controversial subject.

Alot of the concerns are related to the problems caused by chloroquine, the

predecesor to hydroxychloroquine (Plaquenil). It was much more toxic to the

retina and much more likely to cause permanent visual problems.

Hydroxychloroquine, on the other hand, is much less toxic to the retina and

there have been fewer reported eye problems. In general, a baseline

ophthalmic examination should be performed upon initiation of therapy. In

addition, a central visual field test and color photographs of the retina

are usually taken at that time. There are differing opinions regarding

subsequent follow-up exams. The most conservative opinion would include

exams every 6 months with repeat visual fields every 6 to 12 months. My

general feeling is to perform annual exams with visual field testing. One

study determined that the risk of retina toxicity when patients are taking

less than 6.5 mg per kilograms per day is rare. This means that a person

weighing 150 lbs is likely to be safe if they are taking 200 mg twice daily.

I calculate this number regularly and if the person is on more than 6.5 mg

per kg per day than I will follow them more closely.

http://www.medhelp.org/perl6/eyecare/archive/54.html

a

> Hey all...

>

> I am wondering if any other members in the group that are on

> Plaquenil have had any eye complications. My doctor has just put me

> on them and I am hesitant to take them due to the side effects. I

> have had cataracts and lost most of my sight in my right eye, so

> needless to say any drug with possible eye complications make me a

> bit apprehensive.

>

> Lori

>

>

>

>

>

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So, Lori, are you having trouble seeing with your right eye because of a

cataract or another reason? Are you going to have cataract surgery, or

did you?

[ ] Plaquenil...

> Hey all...

>

> I am wondering if any other members in the group that are on

> Plaquenil have had any eye complications. My doctor has just put me

> on them and I am hesitant to take them due to the side effects. I

> have had cataracts and lost most of my sight in my right eye, so

> needless to say any drug with possible eye complications make me a

> bit apprehensive.

>

> Lori

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