Most importantly, you help support continued development of this site. The majority of cases of retinotoxicity have occurred in patients that have had a cumulative dose exceeding 1000g of hydroxychloriquine (Plaquenil). This level is reached in about 7 years with the most common daily dose of Plaquenil, 400 mg/day (200 bid). Macular oct for plaquenil Chloroquine and neuropathy The current recommended maximal dose for hydroxychloroquine is 6.5 mg/kg/day, with the weight in kilograms used for this calculation being the ideal bodyweight rather than actual bodyweight. Hydroxychloroquine HCQ retinopathy may be more common than previously recognized; recent ophthalmology guidelines have revised recommendations from ideal body weight IBW-based dosing to actual body weight ABW-based dosing. However, contemporary HCQ prescribing trends in the UK remain unknown. We examined a UK general population database to investigate HCQ dosing between 20. We. There were no differences in hydroxychloroquine levels when both height and ideal body weight were compared across the different blood concentrations. This suggests that we are correctly dosing patients based on actual rather than ideal body weight not exceeding a dose of 400 mg per day and indicated that dosing based on height is unnecessary. It now solely uses real body weight (rather than ideal body weight) based on new recommendations from a 2014 study (1). Disclaimer: This tool is designed to help eye care professionals better understand the risk the of retinotoxicity from hydroxychloroquine. Please note: This calculator was modified in 9/2015. Hydroxychloroquine weight based dosing 5 mg kg ideal bo ARVO Hydroxychloroquine daily dosing recs often exceeded, Hydroxychloroquine prescription trends and predictors for. Plaquenil and enbrel togetherCan plaquenil ever be stopped abruptlyReviews on plaquenilHydroxychloroquine cost increase The Weight Based Dose Calculator is used for weight based dosing. The parameters for the calculator include dosage, weight, med amount, per volume. Weight Based Dose Calculator - reference.. Hydroxychloroquine Blood Levels in SLE Clarifying dosing controversies.. Excess Hydroxychloroquine Dosing All Too Common. Acute attack 800 mg 620 mg base orally 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 Alternate dosing based on body weight A total dose representing 25 mg/kg is administered in 3 days, as follows NEW DOSE RECOMMENDATIONS FOR PLAQUENIL HYDROXYCHLOROQUINE USAGE IN TREATING # lupus? # ACR14 SHARE with everyone taking Plaquenil! Sorry no recent posts. a week of vacation. but now I am at the annual American College of Rheumatology ACR meeting where the latest in lupus research is being presented. On the basis of a recent study of 2,361 long-term HCQ users, 3 the Academy now recommends that all patients using HCQ keep daily dosage less than 5.0 mg/kg actual body weight—not ideal body weight,” said Dr. Marmor. “Older recommendations once advised calculating dosage as 6.5 mg/kg ideal body weight, but that conclusion was based on.