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Mother 73/5 ft under RA medication for past 10 days, HCQs 400 mg/d, Omnacortil 5 mg/d, Losar-H daily. Worried about HR toxicity to skip HCQ dosage for a day/week to limit HCQ to 2400 mg/week (her C reactive protein is 17.3 mg, ESR 55 mm, anti-ccp negative, though diabetic, sugar normal 118 and no diabetic medication. Also has knee pain for many years due to osteoarthritis (from uterus removal). Pl advise for HCQ dosage skip.
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Hcq is safest drug in rheumatology. Eye toxicity usually happens only after 7-10 years of continued use of above doses. We advice eye check-up once a year only and despite having prescribed it for more than 7 years to thousands of patient, I or even more experienced consultants hardly see any patient with hcq problems. So I would advice to continue. Best wishes. You can look for more information on arthritisrheumindia website.
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