Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur while taking hydroxychloroquine: Incidence not known Some side effects of hydroxychloroquine may occur that usually do not need medical attention. Chloroquine 250 mg dosage Chloroquine phosphate dosage malaria prophylaxis Plaquenil eye oct Plaquenil hydroxychloroquine is an antimalarial medication used to treat or prevent malaria, a disease caused by parasites, which enter the body through the bite of a mosquito. Plaquenil is also used to treat symptoms of rheumatoid arthritis and discoid or systemic lupus erythematosus. Plaquenil toxicity is typically asymptomatic in early stages, but over time can lead to severe vision loss and retinal damage. The risk of retinal toxicity was initially believed to be less than 1% after long-term or a cumulative dosage of 1,000mg. 3 The toxicity would double by 10 years. Chloroquine and hydroxychloroquine can cause toxic retinopathy due to their binding of melanin in the retinal pigmented epithelium RPE as well as direct toxicity to retinal ganglion cells. Early findings include mottling of the RPE and blunted foveal reflex. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. These side effects may go away during treatment as your body adjusts to the medicine. Hydroxychloroquine toxicity Hydroxychloroquine Oral Route Description and Brand., How to Succeed in Plaquenil Screenings Trade name chloroquine Hydroxychloroquine is usually taken with food or milk to prevent stomach upset. The dosage and length of treatment are based on your medical condition and response to therapy. In children, dosage is also based on weight. Plaquenil Oral Uses, Side Effects, Interactions.. Bull's-eye maculopathy due to hydroxychloroquine toxicity. Protecting your eyesight when taking Plaquenil Lupus.. To reduce the incidence of chloroquine and hydroxychloroquine toxicity, health care providers HCP's that prescribe these medications and those that screen for ocular toxicity have developed clear dosing and screening protocols that have reduced the risk of end-stage disease; bull's eye maculopathy and central vision loss Level I. Hydroxychloroquine and Chloroquine have a similar dose related risk assessment. 10mg / kg is potentially toxic. Increasing mortality is expected at doses 30mg / kg. 5 grams in adults is fatal without intervention. Children Ingestion of just one tablet can be fatal in the under 6 year. Side effects Medication.Hydroxychloroquine / Plaquenil Update,Plaquenil screening eye exam, hydroxychloroquine toxicity - A State of Sight #23,Trump Says Malaria Drug Approved to Treat.