Hydroxychloroquine dose adjustment

Discussion in 'Canada Pharmaceuticals Online' started by inkub_96, 22-Feb-2020.

  1. Anatoliy_msk Guest

    Hydroxychloroquine dose adjustment


    -Suppressive therapy should continue for 8 weeks after leaving the endemic area. Approved indication: For the suppressive treatment of malaria due to Plasmodium vivax, P malariae, P ovale, and susceptible strains of P falciparum CDC Recommendations: 300 mg base (500 mg salt) orally once a week Comments: -For prophylaxis only in areas with chloroquine-sensitive malaria -Prophylaxis should start 1 to 2 weeks before travel to malarious areas; should continue weekly (same day each week) while in malarious areas and for 4 weeks after leaving such areas.

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    Based on the 2011 recommendations from the AAO and ACR, 17% of the patients were receiving an HCQ overdose that was more than 10% above the recommended dosage, and another 13% received a smaller overdose. If the 2016 dosage guidelines were applied, the extent of overdosing might be even greater, Dr. Koppikar said. Then, 200 to 400 mg taken as a single dose or in two divided doses once a day. Your doctor may adjust your dose if needed. However, dose is usually not more than 600 mg or 6.5 mg per kilogram kg of body weight per day, whichever is lower. Children—Use and dose must be determined by your doctor. For treatment of lupus Typical starting dose is 800 mg. This is followed by 400 mg three times 6 hours after the first dose, 24 hours after the first dose, and 48 hours after the first dose.

    Approved indication: For acute attacks of malaria due to P vivax, P malariae, P ovale, and susceptible strains of P falciparum CDC Recommendations: Chloroquine-sensitive uncomplicated malaria (Plasmodium species or species not identified): 600 mg base (1 g salt) orally at once, followed by 300 mg base (500 mg salt) orally at 6, 24, and 48 hours Total dose: 1.5 g base (2.5 g salt) Comments: -For the treatment of uncomplicated malaria due to chloroquine-sensitive P vivax or P ovale, concomitant treatment with primaquine phosphate is recommended. 60 kg or more: 1 g chloroquine phosphate (600 mg base) orally as an initial dose, followed by 500 mg chloroquine phosphate (300 mg base) orally after 6 to 8 hours, then 500 mg chloroquine phosphate (300 mg base) orally once a day on the next 2 consecutive days Total dose: 2.5 g chloroquine phosphate (1.5 g base) in 3 days Less than 60 kg: First dose: 16.7 mg chloroquine phosphate/kg (10 mg base/kg) orally Second dose (6 hours after first dose): 8.3 mg chloroquine phosphate/kg (5 mg base/kg) orally Third dose (24 hours after first dose): 8.3 mg chloroquine phosphate/kg (5 mg base/kg) orally Fourth dose (36 hours after first dose): 8.3 mg chloroquine phosphate/kg (5 mg base/kg) orally Total dose: 41.7 mg chloroquine phosphate/kg (25 mg base/kg) in 3 days Comments: -Concomitant therapy with an 8-aminoquinoline compound is necessary for radical cure of malaria due to P vivax and P malariae.

    Hydroxychloroquine dose adjustment

    Hydroxychloroquine Plaquenil Dosing Calculator - MDCalc, Hydroxychloroquine Oral Route Side Effects - Mayo Clinic

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  3. Your doctor may adjust your dose if needed. However, dose is usually not more than 600 mg or 6.5 mg per kilogram kg of body weight per day, whichever is lower. Children—Use and dose must be determined by your doctor. For treatment of lupus Adults—200 to 400 milligrams mg taken as a single dose or in two divided doses once a day.

    • Hydroxychloroquine Oral Route Proper Use - Mayo Clinic.
    • Hydroxychloroquine Side Effects, Dosage, Uses, and More.
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    The action of hydroxychloroquine is cumulative and may require weeks to months to achieve the maximum therapeutic effect see CLINICAL PHARMACOLOGY. Initial adult dosage 400 mg to 600 mg 310 to 465 mg base daily, administered as a single daily dose or in two divided doses. Additionally, an inverse dose-response relationship was found, with the lowest risk seen in patients who received a cumulative dose of hydroxychloroquine 70 defined daily dose within 90 days after rheumatoid arthritis diagnosis or a hydroxychloroquine dose 400 mg/d. Furthermore, dose adjustments may need to be made in patients with concomitant medical conditions, in patients taking certain medications, as well as in elderly patients. Patients who have undergone any weight or hormonal changes may require dose adjustments, and the majority of pregnant women require increased doses of levothyroxine.

     
  4. Kurt7 Moderator

    A urinary tract infection (UTI) is an infection from microbes. Plaquenil Hydroxychloroquine - Side Effects, Dosage. Urinary Tract Infection UTI in Men Symptoms, Treatment. Urinary tract infection UTI - Symptoms and causes - Mayo Clinic
     
  5. -John- Guest

    Chloroquine - Wikipedia Chloroquine enters the red blood cell by simple diffusion, inhibiting the parasite cell and digestive vacuole. Chloroquine then becomes protonated to CQ2+, as the digestive vacuole is known to be acidic pH 4.7; chloroquine then cannot leave by diffusion.

    Chloroquine MedlinePlus Drug Information
     
  6. dollar$ New Member

    Can plaquenil hydroxychloroquine for autoimmune disease. Unlike many meds used to treat autoimmune diseases immune modulators that suppress the immune system Plaquenil hydroxychloroquine has an antiinflammatory effect on autoimmune dss. So the risk of infections seen with immune suppression is uncommon. Major concern with this drug is effect on vision. Regular eye exams are recommended.

    Yeast infections and plaquinil Arthritis Information