Chloroquine retinopathy: is there a safe daily dose?
نویسنده
چکیده
Published case reports of chloroquine retinopathy rarely include details of daily dosage, but 30 reports where this information was available included 78 patients who developed impaired visual acuity an 13 had received daily doses of 250 mg or less. Eleven cases of ocular toxicity attributed to chloroquine were reported to the Committee on Safety of Medicines but only 2 developed impaired vision on 250 mg daily. A postal questionnaire among 41 rheumatology and 33 ophthalmology centres showed 2 patients who developed impaired vision as a result of treatment with chloroquine in a daily dose not exceeding 250 mg. Serious visual impairment related to chloroquine rarely occurs if the daily dose does not exceed 250 mg.
منابع مشابه
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Chloroquine Retinopathy Ideal body weight Dr. F.R. Ochsendorf, Department of Dermatology, University Hospital, Theodor-Stern-Kai 7, D-60590 Frankfurt/M. (Germany) In this journal, Lipsker et al. [1] emphasized the efficacy of the combination of chloroquine and quinacrine for the treatment of resistant cutaneous lupus erythematosus. 20% of their patients (3/15), however, developed abnormalities ...
متن کاملIncidence of and risk factors for chloroquine and hydroxychloroquine retinopathy in Thai rheumatologic patients
OBJECTIVE To study the incidences of and risk factors for chloroquine (CQ) and hydroxychloroquine (HCQ) retinopathy in Thai rheumatologic patients. METHODS A retrospective cohort study of 234 rheumatologic patients receiving either CQ or HCQ was conducted. Patients were divided based on whether or not they developed retinopathy as retinopathy-positive or negative groups. Medical records givin...
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متن کامل
Recommendations on Screening for Chloroquine and Hydroxychloroquine Retinopathy (2016 Revision).
BACKGROUND The American Academy of Ophthalmology recommendations on screening for chloroquine (CQ) and hydroxychloroquine (HCQ) retinopathy are revised in light of new information about the prevalence of toxicity, risk factors, fundus distribution, and effectiveness of screening tools. PATTERN OF RETINOPATHY Although the locus of toxic damage is parafoveal in many eyes, Asian patients often s...
متن کاملRetinal Toxicity Due to Antimalarials: Frequency and Risk Factors
Objective: To study the frequency of retinal toxicity and associated risk factors in a cohort of patients treated with antimalarials and seen at a tertiary level hospital. Material and methods: Retrospective study of 40 patients treated with antimalarials, who were referred to ophthalmology for the study of retinal toxicity during 2011. Data collection included type of antimalarial prescribed, ...
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ورودعنوان ژورنال:
- Annals of the rheumatic diseases
دوره 41 1 شماره
صفحات -
تاریخ انتشار 1982