Is weight gain a side effect of Plaquenil? No, weight gain hasn't been reported as a side effect of Plaquenil. But weight loss has been reported as a side effect. Two conditions Plaquenil is prescribed to treat, rheumatoid arthritis (RA) and lupus, can cause symptoms that contribute to weight gain.
No clinical trial has reported that Hydroxychloroquine can make you gain weight. However, bloating or weight gain can be experienced by some people because of water or fluid retention in the body. You should inform your physician if you experience severe or unusual weight change.
Side Effects
Hydroxychloroquine typically is very well tolerated. The most common side effects are nausea and diarrhea, which often improve with time. Less common side effects include rash, hair changes, and muscle weakness. Rarely, hydroxychloroquine can lead to anemia in some individuals.
Nausea, vomiting, and diarrhea are the most common side effects of hydroxychloroquine. And some people may also experience stomach pain.
Avoid taking an antacid or Kaopectate (kaolin-pectin) within 4 hours before or 4 hours after you take hydroxychloroquine.
Using Plaquenil for a long period of time may harm the retina, causing serious vision loss. People with retinal damage from Plaquenil are not aware at first that they are losing vision.
Keep taking hydroxychloroquine until your doctor tells you to stop. Do not stop taking it just because you feel better. If you stop, your symptoms may get worse again.
Corticosteroids such as prednisone can cause insomnia, agitation, or depression. Another is hydroxychloroquine (Plaquenil) which can also cause sleep difficulties.
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. Weight gain, on the other hand, isn't a known side effect of Plaquenil.
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.
You might feel dizzy or faint, or you might have a fast, pounding, or uneven heartbeat. Make sure your doctor knows if you had a heart rhythm problem, including QT prolongation. This medicine may cause muscle and nerve problems.
These may occur for the first few days a person takes the drug while the body adjusts to the medication. Loss of appetite, tiredness, weakness, or headache are uncommon side effects and typically go away over time.
Do not take more or less medicine than ordered. This medicine should be taken with food or milk.
If you're late taking a morning dose, you should still take the second dose at the right time.” Dooley says time of day also matters less with Plaquenil® (hydroxychloroquine). But, it's best taken with food.
It's possible for hydroxychloroquine to cause liver problems. Liver problems weren't reported in clinical trials of the drug. However, liver problems were reported in people taking hydroxychloroquine after the drug was approved for use.
Joint pain and swelling also decrease. Over time, Plaquenil helps reduce inflammation around the heart and lungs and improves symptoms such as fatigue, fever, and cognitive dysfunction. And patients report more energy because it's a mild stimulant.
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.”
Plaquenil works very slowly. In 1 to 3 months you should start to feel better. You may continue to get better for up to 1 year. Most people who take Plaquenil also take other medicines for pain and stiffness.
Plaquenil and alcohol
Plaquenil isn't known to interact with alcohol. However, certain side effects from Plaquenil could be worsened by drinking alcohol. Examples of these side effects include headache, nausea, and dizziness. (For information about Plaquenil's side effects, see this article.)
Hydroxychloroquine is generally safe at normal doses, but higher amounts can damage the retina, the light-sensitive tissue at the back of the eye, and could result in partial or complete blindness.
40 % of women by age 50 will develop female pattern hair loss. This means that 40 % of female patients who use Plaquenil will develop female genetic hair loss - not from the drug itself but because that is the expected frequency in the population.
Hydroxychloroquine may potentially result in adverse effects on the central nervous system, mainly irritability, nervousness, emotional changes, nightmares, and even true psychoses [3, 4].