Does hydroxychloroquine blur vision?

Effects on the eye
The most important side effect of hydroxychloroquine is on the eye. Blurred vision may occur in the first few weeks after starting hydroxychloroquine. This usually returns to normal even when you continue taking the tablets. Talk to your doctor if you are worried.
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Can hydroxychloroquine affect eyesight?

Patients usually complain of difficulty in reading, decreased vision, missing central vision, glare, blurred vision, light flashes, and metamorphopsia. They can also be asymptomatic. Most patients have a bull's eye fundoscopic appearance.
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How soon can hydroxychloroquine affect the eyes?

Plaquenil-induced toxicity usually will not occur before five years of taking the drug. “Eye damage due to Plaquenil is not common,” he says.
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What are the most common side effects of hydroxychloroquine?

Hydroxychloroquine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
  • headache.
  • dizziness.
  • loss of appetite.
  • nausea.
  • diarrhea.
  • stomach pain.
  • vomiting.
  • rash.
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How does chloroquine affect eyes?

Hydroxychloroquine (Plaquenil) and chloroquine cause ocular toxicity to various parts of the eye such as the cornea, ciliary body, and retina. Chloroquine can also induce cataract formation; however, no reports of hydroxychloroquine and cataract have been reported.
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Can chloroquine cause blindness?

Blindness from Chloroquine is irreversible and unfortunately visual loss will progress despite cessation of therapy. Three patients with retinopathy are told to stop using chloroquine and use alternative antimalarials.
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Does hydroxychloroquine cause macular degeneration?

The diagnosis of retinal macular degeneration caused by hydroxychloroquine was made after excluding other interfering diseases based on the patient's long-term use of hydroxychloroquine and the results of the eye examination.
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What should I avoid while taking hydroxychloroquine?

Hydroxychloroquine should not be taken with other drugs that could cause heart arrhythmias (irregular heart rate or rhythm). Taking hydroxychloroquine with these drugs could cause dangerous arrhythmias. Examples of these drugs include: amiodarone.
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What are the negative side effects of hydroxychloroquine?

Hydroxychloroquine is associated with several rare but serious adverse reactions that may warrant immediate discontinuation of the medicine. Serious adverse reactions include ophthalmological, cardiomyopathy and QT prolongation, haematological, and neurological and neuromuscular reactions.
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What medications should not be taken with hydroxychloroquine?

Some products that may interact with this drug are: penicillamine, remdesivir. Many drugs besides hydroxychloroquine may affect the heart rhythm (QT prolongation). Some examples are amiodarone, azithromycin, disopyramide, dronedarone, pimozide, quinidine, among others.
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Can hydroxychloroquine cause retina problems?

Hydroxychloroquine Retinopathy

3 The condition can cause the appearance of a target, or bulls-eye ring, on the retina surrounding the macula. The retina is the tissue in the back of the eye that receives light; the macula is the area responsible for central vision. Hydroxychloroquine retinopathy is extremely rare.
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How common is hydroxychloroquine retinopathy?

The overall prevalence of hydroxychloroquine retinopathy was 7.5% but varied with daily consumption (odds ratio, 5.67; 95% CI, 4.14-7.79 for >5.0 mg/kg) and with duration of use (odds ratio, 3.22; 95% CI, 2.20-4.70 for >10 years).
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How long does hydroxychloroquine stay in your system?

A drug's half-life is the amount of time it takes for your body to get rid of half of a drug's dose. The half-life of Plaquenil is about 40 to 50 days. In other words, it takes about 40 to 50 days for your body to get rid of half of a dose of Plaquenil.
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Why does hydroxychloroquine cause retinopathy?

Chloroquine and hydroxychloroquine can cause toxic retinopathy due to their binding of melanin in the retinal pigmented epithelium (RPE) as well as direct toxicity to retinal ganglion cells. Early findings include mottling of the RPE and blunted foveal reflex.
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Who should not take hydroxychloroquine side effects?

Who should not take HYDROXYCHLOROQUINE SULFATE?
  • low blood sugar.
  • glucose-6-phosphate dehydrogenase (G6PD) deficiency.
  • low amount of magnesium in the blood.
  • low amount of potassium in the blood.
  • porphyria.
  • anemia.
  • decreased blood platelets.
  • low levels of a type of white blood cell called neutrophils.
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How does hydroxychloroquine make you feel?

Hydroxychloroquine may cause some people to be agitated, irritable, or display other abnormal behaviors. It may also cause some people to have suicidal thoughts and tendencies, or to become more depressed. If you or your caregiver notice any of these side effects, tell your doctor right away.
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Can I just stop taking hydroxychloroquine?

Do not stop taking it without talking with your doctor, especially if you are taking it for malaria. It is important to continue taking this for the length of time prescribed. Stopping prevention or treatment too soon may lead to infection or a return of the infection.
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Can you be in the sun while taking hydroxychloroquine?

Our results have shown that photosensitivity during medication with chloroquine and hydroxychloroquine is uncommon and that there is no need to stop this treatment due to sun exposure.
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Does hydroxychloroquine make you gain weight?

Abnormal weight gain is a side effect of long-term doxycycline and hydroxychloroquine treatment.
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Does hydroxychloroquine affect the brain?

Hydroxychloroquine may potentially result in adverse effects on the central nervous system, mainly irritability, nervousness, emotional changes, nightmares, and even true psychoses [3, 4].
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Does hydroxychloroquine help dry eyes?

Hydroxychloroquine (HCQ) has been widely used in rheumatic diseases. Some pSS patients are also receiving HCQ treatment. Studies have shown HCQ can significantly alleviate the symptoms of dry mouth, dry eyes, and joint pain in pSS patients and can also reduce circulating inflammatory factors.
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Does chloroquine cause retinopathy?

Chloroquine retinopathy is a form of toxic retinopathy (damage of the retina) caused by the drugs chloroquine or hydroxychloroquine, which are sometimes used in the treatment of autoimmune disorders such as rheumatoid arthritis and systemic lupus erythematosus. This eye toxicity limits long-term use of the drugs.
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Can I stop taking hydroxychloroquine cold turkey?

Your body doesn't become dependent on Plaquenil during treatment. So if you stop taking it, this won't cause withdrawal symptoms. If you take Plaquenil for lupus or rheumatoid arthritis, you may notice that stopping treatment makes your condition get worse.
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Does hydroxychloroquine affect blood pressure?

Clinically, patients with lupus treated with hydroxychloroquine present a lower prevalence of thromboembolic events [13, 14] and chronic treatment with hydroxychloroquine reduced hypertension and improved endothelium-dependent relaxation in conduit vessels from SLE mice [15].
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What are the benefits of taking hydroxychloroquine?

Over the long term hydroxychloroquine can reduce pain, swelling and joint stiffness. If you have lupus, it may also improve the rash. It may be as long as 12 weeks before you notice the benefits. Hydroxychloroquine is often taken in combination with other drugs such as methotrexate.
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