How does hydroxychloroquine help Sjogren's?

Hydroxychloroquine, an anti-malarial, has been widely used to treat autoimmune conditions like lupus, rheumatoid arthritis, and Sjögren's. It works to modulate the immune system, which is overly active in these disorders, and also seems to reduce lipid levels and protect against blood clots and diabetes.
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Does hydroxychloroquine stop the progression of Sjogren's?

While the study was small (26 patients) and did not include a control group, it did show a clear benefit of HCQ in Sjogren's at 8 and 52 weeks. Improvement at 52 weeks was greater than at 8 weeks, as would be expected for such a long-acting drug.
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Should I take hydroxychloroquine for Sjogren's?

In the latest Sjogren's Syndrome Foundation Clinical Practice Guidelines, HCQ is recommended as a first-line therapy for inflammatory musculoskeletal pain associated with pSS, and a moderate medication strength is recommended [41].
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What is the best medicine for Sjögren's syndrome?

Treat systemwide symptoms.

Hydroxychloroquine (Plaquenil), a drug designed to treat malaria, is often helpful in treating Sjogren's syndrome. Drugs that suppress the immune system, such as methotrexate (Trexall), also might be prescribed.
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Does hydroxychloroquine help with dry mouth?

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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Sjögren’s Syndrome - Treatment | Johns Hopkins



What is the downside of taking hydroxychloroquine?

muscle weakness. unusual bleeding or bruising. bleaching or loss of hair. mood or mental changes.
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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 medications to avoid when you have Sjogren's?

Avoid medicines that are known to cause dry eyes. These include antihistamines, diuretics, and some antidepressants. Talk with your doctor if you take any of these medicines. Sometimes the benefits of a medicine outweigh the risks.
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What should I avoid with Sjogren's syndrome?

Individuals who experience severe xerostomia tend to avoid crunchy foods such as raw vegetables, dry or tough foods such as meats and breads, and sticky foods such as peanut butter. Xerostomia can also affect dental health.
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What triggers a Sjogren's flare?

Autoimmune diseases such as Sjogren's syndrome are highly likely to be triggered by environmental factors such as pollution, infections, certain medications, diet, and allergy-causing agents. Make a note of potential environmental triggers, and try to steer clear of them as much as possible.
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What does a sjogrens flare feel like?

Joint pain is one of the most common symptoms of Sjögren's syndrome. Multiple joints are painful, usually episodically with periods of joint pain, known as “flares”, followed by periods of little or no joint pain. Tenderness and swelling of the joints, when present, are indicative of inflammatory arthritis.
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Can Sjogren's go into remission?

The damage to salivary glands in Sjogren's syndrome cannot be reversed, but the symptoms can be controlled and, rarely, the disease goes into remission.
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Does hydroxychloroquine affect your sleep?

Even anti-malarials, such as hydroxychloroquine, can cause sleep difficulties and strange dreams. Taking such medications earlier in the day can be helpful in mitigating these effects. This, of course, must be discussed with your physicians. Alternately, some medications can be used to help you sleep.
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How long does it take for Plaquenil to work for Sjogren's?

It's used in people with Sjogren's syndrome, rheumatoid arthritis, and lupus to relieve joint pain, fatigue, and rashes. It may take up to 12 weeks for you to notice the effects of hydroxychloroquine.
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Does sjogrens get worse over time?

Symptoms are mild in most people but can be very severe in others. Symptoms can vary over time and may improve, worsen, or even go away completely for periods.
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What helps Sjögren's flare up?

Eat well and often. Eating an anti-inflammatory diet is one of the ways to reduce Sjogren's syndrome flares and provide adequate nutrition, thereby reducing fatigue. Ensure that your diet consists of food with high fiber, healthy fats, and spices such as garlic, ginger, and turmeric.
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What foods make sjogrens worse?

Some foods affect people differently. Though these foods can trigger inflammation and worsen Sjögren's syndrome symptoms, some can be eaten in moderation.
...
Some foods to avoid include:
  • red meat.
  • processed foods.
  • fried foods.
  • dairy.
  • sugars and sweets.
  • alcohol.
  • soda.
  • gluten.
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Should you get the Covid vaccine if you have Sjogren's syndrome?

As a person with Sjögren's, should I receive a vaccination for COVID-19? Yes. We recommend that all people with Sjögren's should be vaccinated, with the exception of children under the age of 16 (since children were not included in the trials that led to the EUA for the Pfizer and Moderna vaccines).
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Does drinking water help Sjogren's?

Dehydration is a common cause of dry mouth, but the sensation is also a telltale sign of Sjögren's. The immune system also attacks glands involved with saliva production, which makes you need to constantly reach for drinking water.
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Can hydroxychloroquine cause weight gain?

Abnormal weight gain is a side effect of long-term doxycycline and hydroxychloroquine treatment.
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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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Does hydroxychloroquine cause weight loss?

Weight gain or weight loss

For some people, Plaquenil may cause weight loss. This is because the drug can decrease your appetite, which may lead to the weight loss. But it's not known how many people have had weight loss while taking Plaquenil.
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What does hydroxychloroquine do for autoimmune disease?

Hydroxychloroquine is a disease-modifying anti-rheumatic drug (DMARD). It regulates the activity of the immune system, which may be overactive in some conditions. Hydroxychloroquine can modify the underlying disease process, rather than simply treating the symptoms.
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How long can you be on hydroxychloroquine?

You may continue to get better for up to 1 year. Most people who take Plaquenil also take other medicines for pain and stiffness.
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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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