Hydroxychloroquine is used for treating malaria, autoimmune conditions, such as chronic discoid lupus erythematosus, systemic lupus erythematosus, and rheumatoid arthritis. It comes under a class of drugs called disease-modifying antirheumatic drugs. It is taken orally to treat the conditions.
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What tests should I do for APS syndrome?
Query: Hello doctor, Following my previous query regarding APS syndrome with immunological features of lupus, I am attaching my latest blood test results. After starting the Plaquenil, my polyarthralgia is less painful than 12 to 18 months ago. Although somewhat slow, the decrease in pain is evident. As yo... Read Full »
Answer: Hello, Welcome to icliniq.com. Good to know that your symptoms are improving. All your test results look normal (attachments removed to protect the patient’s identity). It would be best if you continued getting these tests at regular intervals, as it will help in the early identification of any ... Read Full »
Are Wysolone, HCQS, Saaz and Shelcal safe during pregnancy?
Query: Hello doctor, My wife is 26 years old and she is suffering from rheumatoid arthritis for the past one year. Now, she is pregnant. Her tablet pattern is Wysolone 2.5 mg in alternative days, HCQS 0-0-1, Saaz 1-1-1 and Shelcal 0-0-1. The lab tests performed were ANA 1+, RA factor less than 20. Are the ... Read Full »
Answer: Hi, Welcome to icliniq.com. HCQS (Hydroxychloroquine sulfate), Prednisolone (Wysolone), Shelcal (Calcium carbonate and Vitamin D3) are relatively safe in pregnancy and your doctor will stop Saaz (Sulfasalazine) and if possible, Wysolone too. Read Full »
Is Plaquenil beneficial in C.difficile colitis?
Query: Hello doctor, My mother was diagnosed with systemic sclerosis (CREST). Her main symptoms have been Raynaud's and esophageal issues. She also has Alzheimer's and a history of recurrent C.diff colitis. She took Plaquenil for several years and her CREST symptoms appeared stable. So, when her rheumato... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your mother's history and she has had a tough path. Plaquenil (Hydroxychloroquine) at this stage will not help her scleroderma much, especially the esophagus, which is already dilated with no motility. This is one of the few conditions of scleroder... Read Full »
I have rheumatoid arthritis with degenerative changes and reduced space between bones. Kindly help.
Query: Hello doctor,I was diagnosed with rheumatoid arthritis, my rheumatoid factor was above 200 IU/mL, and I was under treatment with HCQS for about six months. Now, my rheumatoid factor is 42 IU/mL. The x-ray that I took a couple of years ago suggests degenerative changes and reduced space between bones... Read Full »
Answer: Hi,Welcome to icliniq.com.Rheumatoid arthritis cannot be cured entirely, but it can be well controlled. I would suggest you discuss with your doctor to start you on HCQS (Hydroxychloroquine), Etoricoxib, Calcium, vitamin D3, and Prednisolone. Based on your liver and kidney function tests, it is advi... Read Full »
Kindly advise the next step to treat my chronic fatigue, malaise, body pain, and brain fog.
Query: Hello doctor,I have a chronic condition that causes me severe pain, fatigue, malaise, and brain fog. I have an elevated CRP, acetylcholine receptor antibodies are negative, and my MRI reports are unremarkable. I took Hydroxychloroquine, but it did not help.Do you have any advice about what to do nex... Read Full »
Answer: Hi, Welcome to icliniq.com. Please answer the following questions to help you better; 1) How is your sleep? 2) Do you have pain during sleeping? 3) Do you have any anxiety issues? 4) Do you have any sexual problems? 5) Have you ever been told that you have anxiety issues by any ... Read Full »
Does my report say that I have vasculitis and if so, am I at COVID risk?
Query: Hi doctor, I am a 53-year-old female, and I was diagnosed with lupus more than 15 years ago. It was considered mild, with the main problems being light sensitivity, fatigue, muscle aches, and occasional mouth ulcers. I was tested positive for ANA and was negative for all other autoantibodies, and... Read Full »
Answer: Hello,Welcome to icliniq.com.You have absolutely no risk for vasculitis (attachments removed to protect the patient’s identity). These tests are for a very rare type of vasculitis, and fortunately, they are negative. Concerning your lupus, it was mild, and it is expected that the disease goes into... Read Full »
What is the cause of fatigue, night sweats, chills, and appetite changes?
Query: Hi doctor, About 4.6 months ago, I became ill. It started with fatigue and joint pain and then progressed to the whole body pain. Every day I feel like I have the flu. I had consistent night sweats, day sweats and chills, loss of appetite at times, nausea on and off and terrible fatigue. I have a ba... Read Full »
Answer: Hi, Welcome to icliniq.com. Cancer is practically ruled out by doing all the scans. However, I am intrigued with the fear of cancer. Do you have a family history of any cancer? Regarding the joint pain, I will suggest you use Hydroxychloroquine if routine painkillers are not working. Consult your d... Read Full »
Kindly suggest the safe drugs for lupus during the third-trimester.
Query: Hello doctor, My wife is 7.5 months pregnant (third trimester). She has been diagnosed with lupus before conceiving. Now she is taking Deflacort 24 mg and taking the Injection Cardinex. She is continuing so. Is it safe to consume Deflacort 24 mg at this phase? She also has an allergy. What shall be... Read Full »
Answer: Hello, Welcome to icliniq.com. You have not mentioned the symptoms of your wife. The treatment of lupus depends on the symptoms and severity of the disease. Some lupus medicines cannot be given during pregnancy. Medicines like Hydroxychloroquine, steroids, Azathioprine are relatively saf... Read Full »
Are Hydroxychloroquine and Azithromycin ideal drugs for COVID-19 infection?
Query: Hello doctor,I am a 77-year-old male in great shape. I am 6' 1' tall and 194 lbs. I do stretching and balance exercises for an hour every morning. And I workout including lifting weights, hiking, and playing a high level of table tennis over 10 hours a week plus I run a working cattle ranch. I take ... Read Full »
Answer: Hello, Welcome to icliniq.com. We do not yet have detailed proof as of now to the effects of Hydroxychloroquine on COVID-19 patients. There have been a few trials, but at the moment, they are inconclusive, and I cannot say for sure it will affect your cardiovascular system negatively or positively... Read Full »
I developed RA during pregnancy and getting pain post delivery. Please help.
Query: Hi doctor, I have 2 months old baby now. I had rheumatoid arthritis while I am pregnant. I had no pain so I was not in medication. After delivery, I am getting pain in the hand and elbows. I wanted to get rid of this. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. Rheumatoid arthritis flare (increase in disease activity) usually occurs after delivery. It is pretty common to have joint pain and swelling after delivery. Since you have two months old baby, the first-line medication of RA that is Folitrax (Methotrexate) is contraindi... Read Full »