It may have both an anti-spirochaete activity and an anti-inflammatory activity, similar to the treatment of rheumatoid arthritis. And caution is required if patients have certain heart conditions, diabetes, psoriasis etc. Plaquenil maculopathy oct of macula Chloroquine 250 mg tab Feb 19, 2020 What Is Plaquenil? Plaquenil hydroxychloroquine is an antimalarial medication used to treat or prevent malaria, a disease caused by parasites, which enter the body through the bite of a mosquito. Plaquenil is also used to treat symptoms of rheumatoid arthritis and discoid or systemic lupus erythematosus. Plaquenil is available in generic form. I also felt very week and sluggish in the very first month of the Plaquenil use but the Rhumy told me it takes close to 6 months before the Plaquenil would even take effect but since my liver rejected it, it will never get the chance. That med is definitely never going in my system again. Hydroxychloroquine therapy has not been associated with liver function abnormalities and is an extremely rare cause of clinically apparent acute liver injury. Hydroxychloroquine is a derivative of chloroquine that has both antimalarial and antiinflammatory activities and is now most often used as an antirheumatologic agent in systemic lupus erythematosis and rheumatoid arthritis. The most serious adverse effects affect the eye, with dose-related retinopathy as a concern even after hydroxychloroquine use is discontinued. The most common adverse effects are a mild nausea and occasional stomach cramps with mild diarrhea. Is plaquenil toxic to the liver Plaquenil Side Effects Common, Severe, Long Term -, Confirmed Plaquenil Muscle Toxicity - Scleroderma - Inspire Hold plaquenil for infectionCan plaquenil cause extreme fatigue Many systemic medications may cause retinal toxicity. One such commonly used medication for dermatologic and rheumatologic inflammatory conditions is hydroxychloroquine Plaquenil, a chloroquine derivative. It is used to treat many diseases including malaria, rheumatoid arthritis and systemic lupus erythematosus. Hydroxychloroquine-Induced Retinal Toxicity - American.. Hydroxychloroquine - LiverTox - NCBI Bookshelf. Long-Term Side Effects of Plaquenil for Rheumatoid Arthritis.. Co-existing liver and kidney disease may also impact on the genesis of plaquenil retinal toxicity. One additional issue is the fact that chloroquine and hydroxychloroquine are cleared by both the liver and kidney. Any compromise of these organs may also impact on potential toxicity. The American Academy of Ophthalmology has published several dosing and screening recommendations for hydroxychloroquine to avoid potential retinal toxicity, yet some patients still experience permanent vision loss resulting from hydroxychloroquine retinopathy due to improper dosing of the drug and improper screening. This condition does not cause symptoms and is reversible with cessation of the medication. The finding of corneal verticillata bares no correlation with retinal toxicity and is not an indication to stop the medication 1. The hallmark of hydroxychloroquine toxicity is bilateral pigmentary retinopathy 1.