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). Does hydroxychloroquine interact with potassium What if plaquenil doesn't work Chloroquine stock Plaquenil renal toxicity NEW DOSE RECOMMENDATIONS FOR PLAQUENIL HYDROXYCHLOROQUINE USAGE IN TREATING # lupus? # ACR14 SHARE with everyone taking Plaquenil! Sorry no recent posts. a week of vacation. but now I am at the annual American College of Rheumatology ACR meeting where the latest in lupus research is being presented. On the basis of a recent study of 2,361 long-term HCQ users, 3 the Academy now recommends that all patients using HCQ keep daily dosage less than 5.0 mg/kg actual body weight—not ideal body weight,” said Dr. Marmor. “Older recommendations once advised calculating dosage as 6.5 mg/kg ideal body weight, but that conclusion was based on. SAN FRANCISCO – Hydroxychloroquine Plaquenil dosing based on actual body weight – instead of ideal weight – is appropriate for patients with systemic lupus erythematosus SLE, according to a review of 686 lupus patients at Johns Hopkins University in Baltimore. Most were dosed by actual weight, 6.5 mg/kg up to a maximum of 400 mg/day. 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. Hydroxychloroquine weight based dosing 5 mg kg ideal bo Hydroxychloroquine Dosage Guide with Precautions -, New App to Tackle Hydroxychloroquine Dosing Dilemma. Plaquenil psoriasis arthritisPlaquenil adverse effectsPlaquenil et grossesseChloroquine dosage lupus 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. Plaquenil Risk Calculators. ACR Actual-weight hydroxychloroquine dosing works in SLE, up to a.. The 2016 American Academy of Ophthalmology Hydroxychloroquine.. If a patient is on a dose that exceeds 5 mg/kg/day of real body weight, the prescribing physician should be contacted to ensure that the dose can be adjusted and medical risks are managed. Content Contributors Hydroxychloroquine HCQ retinopathy may be more common than previously recognized; recent ophthalmology guidelines have revised recommendations from ideal body weight IBW-based dosing to actual body weight ABW-based dosing. However, contemporary HCQ prescribing trends in the UK remain unknown. We examined a UK general population database to investigate HCQ dosing between 20. We. The current recommended maximal dose for hydroxychloroquine is 6.5 mg/kg/day, with the weight in kilograms used for this calculation being the ideal bodyweight rather than actual bodyweight.