What is an alternative drug to Plaquenil?

Quinacrine (Atabrine) is another alternative, but it is prescribed less often because it can sometimes cause a yellow discoloration of the skin. It is sometimes given in addition to hydroxychloroquine if the patient does not respond to Plaquenil alone.
Takedown request   |   View complete answer on hopkinslupus.org


What can be taken instead of Plaquenil?

Types of antimalarials

Hydroxychloroquine (Plaquenil) is the most common antimalarial for lupus. If you can't take hydroxychloroquine, your doctor may recommend chloroquine (Aralen®).
Takedown request   |   View complete answer on lupus.org


Is methotrexate and Plaquenil the same?

Plaquenil (hydroxychloroquine) is an effective medication for autoimmune conditions and malaria that comes with less side effects than other DMARDs. Reduces inflammation and cell replication. Otrexup (methotrexate) is the first-choice treatment for many types of cancer and arthritis, but it has many side effects.
Takedown request   |   View complete answer on iodine.com


What is the safest drug for rheumatoid arthritis?

Methotrexate is widely regarded as one of the safest of all arthritis drugs, though it carries some potential downsides. Gastrointestinal symptoms such as nausea and vomiting are its most frequent side effects.
Takedown request   |   View complete answer on arthritis.org


What happens when you stop taking Plaquenil?

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.
Takedown request   |   View complete answer on webmd.com


What is plaquenil



Can you take Plaquenil for life?

Plaquenil and other anti-malarials are the key to controlling lupus long term, and some lupus patients may be on Plaquenil for the rest of their lives. For this reason, you can think of anti-malarials as a sort of “lupus life insurance.”
Takedown request   |   View complete answer on hopkinslupus.org


What is the downside of taking hydroxychloroquine?

muscle weakness. unusual bleeding or bruising. bleaching or loss of hair. mood or mental changes.
Takedown request   |   View complete answer on medlineplus.gov


Which is better Plaquenil or methotrexate?

Methotrexate has an average rating of 6.6 out of 10 from a total of 264 ratings on Drugs.com. 55% of reviewers reported a positive effect, while 24% reported a negative effect. Plaquenil has an average rating of 6.6 out of 10 from a total of 112 ratings on Drugs.com.
Takedown request   |   View complete answer on drugs.com


What is the number one medication for rheumatoid arthritis?

Doctors usually first prescribe methotrexate (Rheumatrex, Trexall) to treat rheumatoid arthritis. If that alone doesn't calm the inflammation, they may try or add a different type of conventional DMARD such as hydroxychloroquine (Plaquenil), leflunomide (Arava), sulfasalazine (Azulfidine), or tofacitinib (Xeljanz).
Takedown request   |   View complete answer on webmd.com


What is the most successful drug for rheumatoid arthritis?

Methotrexate is usually the first medicine given for rheumatoid arthritis, often with another DMARD and a short course of steroids (corticosteroids) to relieve any pain. These may be combined with biological treatments. Common side effects of methotrexate include: feeling sick.
Takedown request   |   View complete answer on nhs.uk


Is methotrexate safer than Plaquenil?

Safety variables at 6 month were within normal physiological ranges and did not differ in groups (p>0.05) indicating that both methotrexate and hydroxychloroquine were effective and safe to use in rheumatoid arthritis. The difference in the incidence of adverse effects, total or individual, was almost nil.
Takedown request   |   View complete answer on pubmed.ncbi.nlm.nih.gov


Is there a new drug for rheumatoid arthritis?

Official answer. The newest drugs for the treatment of rheumatoid arthritis are the Janus kinase (JAK) inhibitors, which are FDA approved under the brand names Rinvoq, Olumiant, and Xeljanz.
Takedown request   |   View complete answer on drugs.com


Is there a difference between Plaquenil and hydroxychloroquine?

Hydroxychloroquine is used in the treatment of arthritis to help relieve inflammation, swelling, stiffness, and joint pain and also to help control the symptoms of lupus erythematosus (lupus; SLE). A common brand name for hydroxychloroquine is Plaquenil®.
Takedown request   |   View complete answer on hopkinsarthritis.org


Is there an over-the-counter version of hydroxychloroquine?

Hydroxychloroquine is available in the United States by prescription only. Avoid websites claiming to sell prescription medications to American consumers without a prescription. That's illegal and a sign the pharmacy is illegitimate.
Takedown request   |   View complete answer on bemedwise.org


Is prednisone similar to hydroxychloroquine?

Are Plaquenil and Prednisone the Same Thing? Plaquenil (hydroxychloroquine) and prednisone are used to treat symptoms of rheumatoid arthritis. Plaquenil is also used to treat or prevent malaria, and to treat symptoms of discoid or systemic lupus erythematosus.
Takedown request   |   View complete answer on rxlist.com


What are the long term effects of taking hydroxychloroquine?

Long-term use and high doses of hydroxychloroquine are risk factors for the development of cardiomyopathy. Cardiac failure, conduction disorders (including QT prolongation and Torsades de Pointes) and sudden cardiac death are consequences of the cardiomyopathy.
Takedown request   |   View complete answer on medsafe.govt.nz


Which is worse lupus or rheumatoid arthritis?

So, is RA Worse Than Lupus? Neither RA nor lupus is "worse" than the other. They are different conditions and require treatment accordingly. Lupus and RA patients can have a mild or severe form of either disease.
Takedown request   |   View complete answer on mymee.com


What is the best medication for rheumatoid arthritis with the least side effects?

The RA drug with the least side effects is hydroxychloroquine (Plaquenil). “We don't consider it immunosuppressive, and it doesn't cause elevated liver markers or kidney issues like some of the other drugs,” says Dr. Sharmeen.
Takedown request   |   View complete answer on healthcentral.com


What is the best painkiller for rheumatoid arthritis?

NSAIDs. Most people with RA are advised to take a non-steroidal anti-inflammatory drug to decrease pain and inflammation. NSAIDs are sold over-the-counter, under such names as Advil and Aleve, as well as by prescription, under names such as Mobic and Celebrex.
Takedown request   |   View complete answer on arthritis-health.com


What is the difference between sulfasalazine and hydroxychloroquine?

Azulfidine (Sulfasalazine) Treats malaria and autoimmune conditions including rheumatoid arthritis and lupus. Plaquenil (hydroxychloroquine) is an effective medication for autoimmune conditions and malaria that comes with less side effects than other DMARDs. Reduces inflammation.
Takedown request   |   View complete answer on iodine.com


What is the safest biologic for rheumatoid arthritis?

The available evidence indicates that Orencia and Kineret have the lowest risk of serious side effects. However, Kineret, which is given as an injection under the skin every day, causes more redness, itching, rash, and pain at the injection site than the other biologics that are given in this way.
Takedown request   |   View complete answer on consumerreports.org


Does Plaquenil slow progression of rheumatoid arthritis?

Other DMARDs that slow inflammation and RA's progression include: Hydroxychloroquine (Plaquenil)
Takedown request   |   View complete answer on webmd.com


How long can you be on hydroxychloroquine?

A new investigation analyzed the retinal changes over a five-year period in people with lupus and did not find clinically relevant retinal changes in the group. The study concludes that hydroxychloroquine therapy is safe for long-term use at doses <5 mg/kg/day.
Takedown request   |   View complete answer on lupus.org


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].
Takedown request   |   View complete answer on ncbi.nlm.nih.gov


Can hydroxychloroquine cause weight gain?

Abnormal weight gain is a side effect of long-term doxycycline and hydroxychloroquine treatment.
Takedown request   |   View complete answer on ncbi.nlm.nih.gov
Previous question
Can vitamin D3 cause kidney damage?