Most importantly, you help support continued development of this site. The majority of cases of retinotoxicity have occurred in patients that have had a cumulative dose exceeding 1000g of hydroxychloriquine (Plaquenil). This level is reached in about 7 years with the most common daily dose of Plaquenil, 400 mg/day (200 bid). Sarcoidosis treatment hydroxychloroquine Chloroquine order Hydroxychloroquine Plaquenil is a drug that is classified as an anti-malarial drug. Plaquenil is prescribed for the treatment or prevention of malaria. It is also prescribed for the treatment of rheumatoid arthritis, lupus, and the side effects of lupus such as hair loss, joint pain, and more. Likely to occur in individuals taking high doses for many years, in individuals 60 years or older, or in those with significant kidney disease. At the recommended dose, development of visual problems due to the medication within the first year of use, then repeat every 1 to 5 years based on current guidelines. Hydroxychloroquine Plaquenil Plaquenil is the brand name for the prescription drug hydroxychloroquine. It's used to treat and prevent malaria infection, and to reduce symptoms and progression of autoimmune diseases such as. It now solely uses real body weight (rather than ideal body weight) based on new recommendations from a 2014 study (1). Disclaimer: This tool is designed to help eye care professionals better understand the risk the of retinotoxicity from hydroxychloroquine. Please note: This calculator was modified in 9/2015. High risk medication use plaquenil Plaquenil - FDA prescribing information, side effects and uses, PATIENT FACT SHEET Hydroxychloroquine Plaquenil Aralen usesPlaquenil side effects muscle weaknessAreas of chloroquine resistant malariaPlaquenil shortage 2019 Baseline data may also uncover high-risk patients. A sharp increase in the prevalence of retinal toxicity is noted following five to seven years of medication use. 6 Newer literature emphasizes the risk of cumulative dosing that occurs over a period of time 1,000g rather than the previous suggestion of 6.5mg/kg of body weight. Thus, annual. New Plaquenil Guidelines. Plaquenil Hydroxychloroquine - Side Effects, Dosage.. Icd 10 High Risk Medication Plaquenil – 2019. Monitoring blood values of Plaquenil is already an important intervention to help track and improve a patient’s medication adherence, and these findings suggest a blood test may also help to reduce overdosage, or flag patients at high risk. Learn about protecting your eyesight when taking Plaquenil. Read the study A risk factor for Plaquenil hydroxychloroquine retinotoxicity is a daily dose that exceeds 5.0 mg of drug per kg of body weight. The tool on the right simply calculates this threshold based on a ppatient’s real body weight. It’s important to understand that the daily dose is only one risk factor for plaquenil retinotoxicity. The ICD-10 section that covers long-term drug therapy is Z79, with many subsections and specific diagnosis codes. Because Plaquenil does not have its own specific category, clinicians should use Z79.899—Other Long Term Current Drug Therapy. But getting the right code is just one step in the process of correctly documenting the encounter.