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. Plaquenil eye exam Rising cost of plaquenil Polymyalgia rheumatica plaquenil Effect of chloroquine injection Mar 08, 2017 Based on the 2011 recommendations from the AAO and ACR, 17% of the patients were receiving an HCQ overdose that was more than 10% above the recommended dosage, and another 13% received a smaller overdose. If the 2016 dosage guidelines were applied, the extent of overdosing might be even greater, Dr. Koppikar said. Preferred Practice Pattern® Guidelines. Preferred Practice Pattern® guidelines "PPP" are designed to identify characteristics and components of quality eye care. Developed by a panel of ophthalmologists with expertise in the guideline topic, a methodologist, and other experts the Quality of Care Secretariat and the PPP Committee. The new guideline also makes recommendations regarding the techniques and timing of baseline and follow-up screening tests for both hydroxychloroquine and chloroquine retinopathy. Hydroxychloroquine is a medicine that is effective in treating various long-term inflammatory disorders of the joints and skin. It is imperative that patients and physicians are aware of and watch for this drug’s ocular side effects. Retinal toxicity from hydroxychloroquine is rare, but even if the medication is discontinued, vision loss may be irreversible and may continue to progress. Aao plaquenil guidelines AMERICAN COLLEGE OF RHEUMATOLOGY, Preferred Practice Pattern® Guidelines - American Academy of. Is hydroxychloroquine genericMethotrexate and plaquenil for psoriatic arthritisHas anyone been treated on just sulfasalazine and plaquenil The American Academy of Ophthalmology AAO recently assembled a task force to examine the available evidence on these drugs and to develop screening recommendations that would be in accordance with both modern knowledge and the economic realities of practice Marmor MF, Carr RE, Easterbrook M, Farjo AA, Mieler WF, for the American Academy of. New American Academy of Ophthalmology recommendations on.. RCOphth guideline Hydroxychloroquine and Chloroquine.. Practice Pearl of the Week Plaquenil Guidelines. Dr. Rosenbaum reviewed the guidelines from the American College of Rheumatology, which are generally nonspecific regarding exactly how hydroxychloroquine should be used. He showed evidence that the guidelines from the AAO are indeed changing clinical practice. Screening Guidelines. In 2011, revised guidelines for HCQ retinopathy screening were published by the American Academy of Ophthalmology AAO, with an emphasis on more sensitive diagnostic imaging techniques. The AAO recommends that all patient receive a baseline evaluation before initiating HCQ therapy. In 2002, the American Academy of Ophthalmology AAO established ocular examination guidelines for screening patients on Plaquenil therapy. Testing included a comprehensive eye exam that consisted of an assessment of the posterior segment with careful evaluation of associated macular changes or signs of retinal disease. 4 Baseline fundus.