Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Plaquenil drug card Chloroquine poisoning antidote Dose of plaquenil for sarcoid skin lesions The most recent 2016 guidelines from the American Academy of Ophthalmology AAO recommend the dose of HCQ ≤5 mg/kg real body weight to minimize toxicity 1. According to these new guidelines, the risk of HCQ retinal toxicity is less than 1 % in the first year of therapy and less than 2 % up to 10 years of therapy. Hydroxychloroquine Plaquenil is used to treat malaria, lupus, and rheumatoid arthritis. Learn about side effects, warnings, dosage, and more. Adults—200 to 400 milligrams mg taken as a single dose or in two divided doses once a day. However, dose is usually not more than 400 mg once a day. Children—Use and dose must be determined by your doctor. Missed Dose. If you miss a dose of this medicine, take it as soon as possible. Risk of Toxicity: The risk of toxicity is dependent on daily dose and duration of use. There are no similar demographic data for CQ, but dose comparisons in older literature suggest using 2.3 mg/kg real weight. Recommended dosage hydroxychloroquine Recommendations on Screening for Chloroquine and., Hydroxychloroquine Side Effects, Dosage, Uses, and More Can plaquenil cause bone lossHydroxychloroquine immunosuppressiveAralens.irPlaquenil guidelines for eye monitoring 2016Hydroxychloroquine metabolism cyp Hydroxychloroquine dosing information. Usual Adult Dose for Malaria Treatment of the acute attack 800 mg 620 mg base followed in 6 to 8 hours by 400 mg 310 mg base, then 400 mg 310 mg base once a day for 2 consecutive days; alternatively, a single dose of 800 mg 620 mg base has also been effective Hydroxychloroquine Uses, Dosage & Side Effects -. Hydroxychloroquine Oral Route Proper Use - Mayo Clinic. Hydroxychloroquine-Induced Retinal Toxicity - American.. Hydroxychloroquine comes in an oral tablet. Adult dosing ranges from 200 mg or 400 mg per day 6.5mg/kg. In some cases, higher doses can be used. It is recommended one tablet twice daily if taking more than one tablet. It is recommended to be taken with food. These dosages are equivalent to 155 mg and 310 mg of hydroxychloroquine base. The time to peak milk concentration ranged from 2 to 4 hours after the dose. Average milk levels were dose related, with levels ranging from 0.4 to 1.2 mean 0.7 mg/L with 200 mg once daily and 0.5 to 3.7 mean 1.4 mg/L with 200 mg twice daily. Following a single 200 mg oral dose of PLAQUENIL to healthy males, the mean peak blood concentration of hydroxychloroquine was 129.6 ng/mL, reached in 3.26 hours with a half-life of 537 hours 22.4 days.