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Hydroxychlorquine/Plaquenil Options
Calmwater22
#21 Posted : Monday, December 07, 2009 9:32:07 PM Quote
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Hello
Mrs woman u said you take steriods
well they supress immune system so you shouldnt you be offered get swine flu jab as they supress immune system

i had my first flu jab when only having steriod jabs occasionally.
seems gp do vary but still worth try.
as for planequil yes thats anti malarial drug not imuno supressant,mtx is though.
not sure on that aswell?

lv melly
cuddly cats make my world seem so much more fun
amanda_lewin
#22 Posted : Monday, December 07, 2009 10:41:24 PM Quote
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Dear Shirley,

It sounds as if you need something more hardcore like mtx to kick the rheumatoid into some form of control. The Hydro is usually accompanied with mtx or slz, unless one is unable to tolerate it etc.

The Amit. are most likely making you feel so sleepy...I couldn't even manage 10mg a day..they just made me feel half alive..

There are a few excellent herbs for sleeplessness, like valerian, verbena, here are some more and a helpful article (not with the Amit though etc);

http://www.christopherho...herbs_for_insomnia.html

Of course always check with Doc/rheumy re herbs..some of them are more cautious than others.

Love,
Amanda
MinnieM
#23 Posted : Tuesday, December 08, 2009 7:02:14 PM Quote
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Guess what...I'm also a member of the Hydroxy Club. ThumpUp
I started mine about 2 years ago and take 300mgs (3 x 1/2 tablet) daily. It took me a little while to get used to it with a few side effects (eye pain, blurred vision, nausea & temporary hairloss). I take the 1/2 tablet dosage to minimise the side effects. For me, It was about 6-8 months before it started to work. I have my eyes checked annually at the hospital and my Opthalmologist (sp) said that it is very rare to get eye damage from Hydroxy and she has never seen a patient affected throughout her career. I also have dry eye syndrome which has developed from either the Hydroxy or RA.

Min
amanda_lewin
#24 Posted : Tuesday, December 08, 2009 7:11:05 PM Quote
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Thank you for this, Minnie, I am feeling much more assured. I only take one but am considering two.

Do you take Hydro alone or with other 'friends'?

Love,

Amanda
Joy
#25 Posted : Tuesday, December 08, 2009 9:47:54 PM Quote
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I had no side effects at all with HCQ, but is wasn't strong enough on its own to control my RA. I have found Imuran along with HCQ to be very effective and no side effects.
Joy
MinnieM
#26 Posted : Tuesday, December 08, 2009 10:17:58 PM Quote
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Amanda Smile - yes I take Hydroxy on it's own but don't feel I'm totally controlled anymore.
I also have Osteoporosis and don't know if thats the cause of my back pain or RA. Have appointment with Rheumatologist next week.
300mgs is maximum daily dose for my weight.

love,
Min
amanda_lewin
#27 Posted : Tuesday, December 08, 2009 10:21:37 PM Quote
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I hope your appointment goes very well for you. I was on Imuran for years as a teen and it controlled the rheumatoid beautifully...

I hadn't realised they also measure weight against the Hydro as they do for Imuran too.

Much love,
Amanda
MinnieM
#28 Posted : Wednesday, December 09, 2009 10:49:54 AM Quote
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Thanks Amanda Smile
I think my consultant worked it out at 6.5 mg per kg of body weight per day. Mine worked out to be 351mg maximum which was under the 400mg average dosage. To get 300mg I have to cut tablet in half.
Hope the Imuran & Hydroxy keep you well.
Love,
Min
amanda_lewin
#29 Posted : Wednesday, December 09, 2009 11:47:34 AM Quote
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Thanks for that Min.

I am no longer on Imuran, it only helped when I was younger.!

It was incredibly popular for rheumatoid before the arrival of mtx!

Love,
Amanda
Calmwater22
#30 Posted : Wednesday, December 09, 2009 12:18:11 PM Quote
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Imuran
ohh right
i know quiet few lupus patients who are now taking imuran,says very effevtice.

inky07
cuddly cats make my world seem so much more fun
amanda_lewin
#31 Posted : Wednesday, December 09, 2009 1:10:46 PM Quote
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Yes it is Azathioprine, it is an anti-rejection drug for kidney transplants and is effective in helping RA.

I took it for about 6 years..

Love,
A
MrsWoman
#32 Posted : Wednesday, December 09, 2009 1:57:50 PM Quote
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I think with our combined knowledge of drugs we have the potential to be pharmacists! BigGrin
crazychick
#33 Posted : Wednesday, December 09, 2009 4:11:32 PM Quote
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Hi Amanda
Thank-you for the advise. I have been to the hospital today to have an echocardiogram and to see the cardiologist as i have supra ventricular tacydardia (diagnosed 4 years ago) and my rheumatologist wanted to make sure all was well before starting me on MTX. The cardiologist said i could have atrial fibrillation op which is quite invasive. He said that as my RA isn't under control it may be best to carry on with the beta blockers for a while. My rheumy will now decide if all is okay to start the MTX.

These morphine patches are making me so spaced out at the moment (it's quite nice in a way as i feel very relaxed and all but my neck and shoulder pain has eased off.Smile

Love to all

Shirley
amanda_lewin
#34 Posted : Wednesday, December 09, 2009 4:18:01 PM Quote
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Dear Shirley,

I am so pleased to hear you had a good appointment with your Dr today. I am so sorry to hear of your other troubles though and I hope and pray you'll be able to begin MTX with excellent results. They monitor you so carefully. Please let me know when you start your mtx..

My memory of morphine is very relaxing indeed, I needed SO much after the traumatic birth of my last baby son! There was this buzzer you held in your hand!

I have Oramorph (for the hip pain) but never had the courage to take it. (I know!)

Much love,
Amanda
Tabbycat
#35 Posted : Thursday, December 10, 2009 9:16:17 AM Quote
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MinnieM wrote:
Thanks Amanda Smile
I think my consultant worked it out at 6.5 mg per kg of body weight per day. Mine worked out to be 351mg maximum which was under the 400mg average dosage. To get 300mg I have to cut tablet in half.
Hope the Imuran & Hydroxy keep you well.
Love,
Min



I started Hydroxychloroquine 3 weeks ago. I'm taking 400mg daily and weigh 8st 5lbs. or 53Kgs. 53 x 6.5mg = 344mg so looks like I'm OD'ing slightly.

I've definitely noticed that my eyes feel sore and will mention to GP tomorrow. Maybe a slightly reduced dose would reduce my eye problem?

Carol
HellyC
#36 Posted : Thursday, December 10, 2009 9:39:50 AM Quote
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My arthritis originally went into remission 21yrs ago thanks to a combination of methotrexate and deflazacort (steroid) but came out of remission in September this year.

It took a while to get me started on meds because I wasn't very well. I finally started hydroxychloroquine on 12th November. I take 400mg alongside 600mg Etodolac. For me I've had headaches (a couple of bad ones) and nausea, which I can usually settle with lemonade and ginger biscuits.

I went for eye test last week and my prescription has improved (I've worn glasses for 15yrs).... the retina and macular are looking healthy. I do have a blob that appears every now and then.. like I have something in my eye. The optician thinks it could be a 'static' floater with my anemia but is referring me to the eye hospital to have it checked out further.

I haven't noticed a huge difference yet but doc did say it can take up to 6mths before I see any results. Keeping fingers crossed.
Helly x

Celebrating 10yrs of National Rheumatoid Arthritis Society

Doing a Tandem Skydive - May 2011 - All Sponsorship Welcome - www.justgiving.com/helencopeland






Read my blog - Helly Copeland

amanda_lewin
#37 Posted : Thursday, December 10, 2009 10:58:36 AM Quote
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Yes, I have had various problems with my eyes for years yet i have also have rheumatoid for years too so it is very difficult to tell which came first!

I wear lenses but get constant protein spots on them, like little oily deposits. No one has ever ever mentioned it to me in relation to the illness!

Another joy of rheumatoid!

Love,

Amanda
HellyC
#38 Posted : Thursday, December 10, 2009 11:39:30 AM Quote
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I've had the same thing Amanda... It didn't affect the back of my eyes like it did with other children who needed to have drops but I remember seeing an opthamologist in the rheumatology clinic. I started wearing glasses when I was 12 for reading but on top of wearing calipers, splints I kinda stopped reading...

It was only when I was 20 that the optician said my eyes had got so bad I couldn't even read number plates (and shouldn't have been driving!) so started wearing glasses

As time has gone on they diagnosed sjogrens which means I also get dry eyes but recently managed to start wearing occasional disposable lenses.

You never know how much of it is down to the rheumatoid, or other factors. My mum recently had a hole in her macular plus there is a history of cataracts/glaucoma in my family so I guess its good I'm having regular checks.
Helly x

Celebrating 10yrs of National Rheumatoid Arthritis Society

Doing a Tandem Skydive - May 2011 - All Sponsorship Welcome - www.justgiving.com/helencopeland






Read my blog - Helly Copeland

amanda_lewin
#39 Posted : Thursday, December 10, 2009 11:59:24 AM Quote
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Hi Helly,

It was the same for me as a child and I began wearing lenses/glasses at 12.

I always had dry eyes, sore eyes, red eyes but again, no one put it together with RA even though it is a common factor with JRA! (bizarre!)

Like you I now wear daily disposables and I LOVE them with a passion! LOL

Worth every penny...

Love,
Amanda
brendab
#40 Posted : Thursday, December 10, 2009 7:44:44 PM Quote
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Hi

When I stopped taking 400mg of hydroxy because of side effects I asked if the fact that I am only 5ft and weighed about 8st 7lbs at the time could be the cause. I reasoned that a 6ft+ man who weighed 13st could be given the same dose. Nobody took any notice but I have been fine on 300mg for about 2 years now. I had to work this out for myself!

Brenda
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