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Heart diseaseRarelyweakening of the heart muscle has been reported with the use of hydroxychloroquineIf you have heart diseasediscuss with your doctor how this medication may affect your medical conditionhow your medical condition may affect the dosing and effectiveness of this medicationand whether any special monitoring is needed.
Rheumatoid arthritisThe usual adult starting dose is 400 mg to 600 mg dailyIt may take several weeks before the beneficial effects of hydroxychloroquine for the treatment of rheumatoid arthritis are seenand several months before maximum effects are achievedAfter 5 to 10 daysthe dose may be gradually increasedAfter a good response to treatment is seenusually within 4 to 12 weeksthe dose is decreased to 200 mg to 400 mg daily.
The incidence of corneal changes and visual side effects appears to be considerably lower with hydroxychloroquine than with chloroquine.
To help reduce stomach upsethydroxychloroquine should be taken with a meal or a glass of milk.
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i seen my rhuemy today and she suggested i start taking 400mg a day plaquenil and slowly ween myself down to 5 mg of prednisone.
