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. Plaquenil sun spots Brand name plaquenil better than generic Hydroxychloroquine patient british The AAO revised the guidelines in 2016 to define excess doses of hydroxychloroquine as greater than 5.0 mg/kg of actual body weight Ophthalmology. 2016;186-94. Based on these new guidelines, the investigators found that 56% of 527 patients who were currently. Nov 10, 2019 American Academy of Ophthalmology AAO 2016 guidelines recommend to use HCQ at dosages ≤5 mg/kg real body weight to minimize toxicity 1. Important risk factors for retinal toxicity are daily and cumulative dosage of HCQ, duration of treatment, patient age and concomitant renal or liver diseases 1. AAO revised guidelines. The AAO published dosing and screening recommendations for chloroquine and hydroxychloroquine in 2016, revising previous recommendations published in 2011. The current maximum daily HCQ dose recommended by the AAO is 5 mg/kg of real weight. The 2011 guidelines suggested a maximum dose of 6.5 mg/kg of ideal weight. 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 guidelines aao 2016 Hydroxychloroquine And Chloroquine Screening 2016 AAO., Compliance with Hydroxychloroquine Dosage According to 2016. Side effects of long term use of plaquenilPlaquenil success stories Twenty-seven percent of cases of hydroxychloroquine retinopathy in obese women had ostensibly safe dosing based on 2016 AAO guidelines. Overdosing of obese women by 2016 AAO guidelines is not rare. Daily dosing based on the older 6.5-mg/kg ideal weight threshold is safer in women with a body mass index of 30 kg/m 2 or more. The 2016 American Academy of Ophthalmology Hydroxychloroquine.. Despite Plaquenil dosing recommendations, retinal toxicity.. PowerPoint. Update on Plaquenil Testing. Recommendations by the AAO to limit HCQ dosing to 6.5 mg/kg of ideal body weight have been 31 revised to 5 mg/kg of actual body weight 5. Some authors recommend 6.5 mg/kg of actual 32 body weight with a cap at 400 mg per day and further adjustments for renal insufficiency 10. Mar 10, 2017 Macular disorders should be identified at baseline by Ophthalmologists as part of AAO 2011 guidelines 24 and baseline examination within the first year of treatment is advised in the 2016. Highlights of the 2016 guidelines include the following. Use real body weight. “The bottom line is that the daily dose should be 5.0 mg per kg or less, using real body weight,” said Michael F. Marmor, MD, at Stanford University in Palo Alto, Calif.