Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Plaquenil (hydroxychloroquine) with all of your drugs and health problems. New guidelines for plaquenil macuopathy 2018 When is the best time to take plaquenil If you are pregnant, talk with your doctor about the risks of traveling to areas where malaria is common. It is not known whether hydroxychloroquine passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby. Plaquenil is not approved for use by anyone younger than 18 years old. Results The rates of miscarriage, stillbirth, pregnancy loss, and congenital abnormality were not statistically different among the 3 groups. The degree of lupus activity during pregnancy, however, was significantly higher in women who stopped taking HCQ. Some of the risk to the mother is not directly due to lupus. In a case-control study we found that women with lupus were more likely to have multiple complications of pregnancy, including diabetes, urinary tract infections, and pre-eclampsia. For this reason, referral to a high-risk obstetrician is always appropriate. For all uses of Plaquenil (hydroxychloroquine): WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Do not start, stop, or change the dose of any drug without checking with your doctor. Plaquenil and pregnancy risk Precautions and Warnings With Hydroxychloroquine, Hydroxychloroquine in lupus pregnancy - Clowse - 2006 - Arthritis &. Macular oct for plaquenil Lupus does not reduce a woman’s chances of getting than 50% of pregnancies in women with lupus have complications, but all lupus pregnancies are considered high-risk. Lupus can. Lupus and Pregnancy Tips for Living with Lupus While Pregnant. Lupus and Pregnancy Johns Hopkins Lupus Center. Plaquenil Hydroxychloroquine - Side Effects, Dosage.. What are the risks related to tumid lupus, plaquenil and pregnancy? I was diagnosed with tumid lupus 4 months ago and was prescribed plaquenil 200mg twice a day with blood tests every two months. My doctor is adament about me NOT getting pregnant. Side effects include irritability, headache, weakness, hair lightening or loss, stomach upset, nausea, dizziness, muscle pain, rash and itching. Rarely, hydroxychloroquine can affect the bone marrow leading to reduced white blood cells leukopenia or platelets thrombocytopenia. Although many lupus pregnancies will have no complications, all lupus pregnancies are considered “high risk”—meaning problems may occur and must be anticipated. The best time to be pregnant is when you are doing well with your health. Women whose lupus is in remission have much less trouble with pregnancy than women whose disease is active.