Hydroxychloroquine (HCQ) is by far the most frequently used antimalarial for the management of Systemic Autoimmune Diseases. It has immunomodulatory, hypolipidemic, hypoglycemic and antithrombotic properties and it diminishes the risk of malignancies.
Due to its cost‐effectiveness, safety and efficacy, HCQ is especially used in rheumatic autoimmune disorders (RADs), such as systemic lupus erythematosus, primary Sjögren's syndrome and rheumatoid arthritis.
Hydroxychloroquine starts to work gradually. For inflammatory conditions such as rheumatoid arthritis and lupus, it can take 6 to 12 weeks before you notice any benefits. It's important to keep taking hydroxychloroquine. You may not feel any different at first, but it is likely to be working.
Serious side effects
muscle weakness, cramps, stiffness or spasms, or changes in how your skin feels such as tingling. frequent infections with a high temperature, sore throat or mouth ulcers. bruising that happens more easily than usual.
The mechanism of action for this medication is not well understood. It is thought that hydroxychloroquine interferes with the ability of immune system cells to communicate with each other and thereby decreasing inflammation.
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.
How long you take hydroxychloroquine for depends on why you're taking it. For some conditions, if hydroxychloroquine works for you then you may need to take it for several years, or even for the rest of your life, to control your symptoms.
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.
Its main side effects are gastrointestinal upset (vomiting, diarrhea, stomach cramps), skin rash, headache, dizziness, and ocular toxicity. However, serious side effects including arrhythmia, bronchospasm, angioedema, and seizures can rarely occur.
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.
In 1956, the U.S. Food and Drug Administration approved HCQ for symptoms of lupus and rheumatoid arthritis, particularly skin inflammation, hair loss, mouth sores, fatigue, and joint pain.
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.
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.
People may need to stop taking hydroxychloroquine because of side effects. They should not stop taking the drug on their own without the help of their medical provider. Plaquenil stays in the body for around three months and it may take a while for side effects to go away.
There's no known interaction between alcohol and hydroxychloroquine. However, if you're also taking methotrexate you should keep well within the recommended limits (no more than 14 units of alcohol per week for adults) as methotrexate can interact with alcohol and affect your liver.
Methotrexate is a common treatment for some types of cancer, rheumatoid arthritis, and psoriasis, but it can have many side effects. Hydroxychloroquine (Plaquenil) is an effective medication for autoimmune conditions (such as rheumatoid arthritis and lupus) and certain types of malaria.
Hydroxychloroquine may potentially result in adverse effects on the central nervous system, mainly irritability, nervousness, emotional changes, nightmares, and even true psychoses [3, 4].
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®.
The study concludes that hydroxychloroquine therapy is safe for long-term use at doses <5 mg/kg/day. Learn about how lupus affects the eyes and hydroxychloroquine.
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.
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.
Adults—At first, 400 to 600 milligrams (mg) taken as a single dose or in two divided doses per day. Then, 200 mg once a day or 400 mg taken as a single dose or in two divided doses per day. Your doctor may adjust your dose if needed. Children—Use and dose must be determined by your doctor.
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.