Chloroquine is now uncommonly used in favor of its derivative hydroxychloroquine. In the United States, hydroxychloroquine is most often used for its anti-inflammatory effects in rheumatology and dermatology. When rheunatoid factor elevates while on plaquenil Plaquenil prevebt lupus flare Fundus plaquenil SCOTTSDALE, ARIZ. – When patients on immunosuppressive therapies need surgery, the risks of disease flare and compromised postoperative recovery and rehabilitation must be weighed against the risk of increased infections and impaired wound healing. Plaquenil is a drug used to treat Rheumatoid Arthritis and Systemic Lupus Erythematosis. It is a very good drug and gives many patients significant relief from their symptoms. Plaquenil related eye complications are not common. Plaquenil can produce pigment changes in the macula of the retina. Your schedule is other than that, do not take on morning of surgery. VI. Musculoskeletal and Rheumatology Medications If narcotic medication is prescribed for pain, you can take as needed the morning of surgery A. NSAIDS Stop 3 days before surgery unless instructed otherwise 1. celecoxib Celebrex 2. Ibuprofen Advil, Motrin 3. While early toxicity may be asymtomatic, patients with more advanced stage of toxicity may complain of color vision changes or paracentral scotomas. Its toxic effects on the retina are seen in the macula. Plaquenil and cataract surgery Rheumatoid Arthritis Should Methotrexate Be Discontinued Before Surgery?, Conditions Plaquenil-related Eye Problems Eugene Eye Care Plaquenil and doxycyclineChloroquine autophagy lc3bOlistat and plaquenil Jun 09, 2006 Rheumatoid arthritis RA, the most common form of inflammatory arthritis, can lead to significant pain, disability, and deformity, and is a multisystem autoimmune disorder. The hallmark of this disease, erosive joint destruction, results from unchecked synovial inflammation, which can damage articular cartilage and bone, with resultant loss of. Perioperative Management of Medications Used in the Treatment.. DAILY MEDICATION USE AND YOUR UPCOMING SURGERY. Fuchs' Dystrophy Johns Hopkins Medicine. Chloroquine and Hydroxychloroquine Plaquenil have been used for many years, initially for the treatment of malaria but now more commonly for the treatment of inflammatory diseases such as rheumatoid arthritis and Systemic Lupus Erythematosis. I was pain and symptom free for one year, but now symptoms have returned, and I have been told to restart the drugno prednisone. In the 4 years taking it, I went from 95 lbs. to 85 lbs. lost a significant amount of hair, had cataract surgery and, now, macular degeneration. That said, there's no reason for patients to stop using Plaquenil just because they will have cataract surgery, Dr. Osborn said. He sometimes sees SS patients who have read about Plaquenil's side effects and ask if they have to stop the drug prior to cataract surgery. However, he knows of no specific contraindications with cataract surgery.