In order to minimize the risks of infection and other potential complications with podiatric surgery in this patient population, this author reviews the literature and offers insights on whether medications for RA should be withdrawn, continued or modified during the perioperative period. Increasingly, the treatment of rheumatoid arthritis includes the utilization of immunosuppressive therapeutic agents. Plaquenil bladder infection Coming off plaquenil Excessive sleepiness plaquenil Plaquenil is used in the treatment of sarcoidosis but its main use is in the treatment of malaria. One of the side effects of taking the drug is that it affects eye sight, and eye tests, especially field of vision tests need to be done every six months. For the four years that I took the drug. Hi everyone, Just wanted to ask for those of you who are on Plaquenil and Predisone. I am having an endoscopy and a colonoscopy double wamy = on Thursday Mar. 4th, and the gastro specialist, said that I should STOP my Plaquenil and Predisone 3 days before the procedure. In general, one should consider withdrawal of the medication three or four days prior to surgery. Hydroxychloroquine is a less commonly utilized disease modifying anti-rheumatic medication. It is an anti-malarial medication. There is no indication that Plaquenil requires discontinuation in the perioperative period. In Conclusion Louie and Ward demonstrated that in the state of California, rates of joint surgery for the treatment of RA declined in the 1990s and have continually diminished since that time.1 The authors concluded that the favorable long-term outcomes for the treatment of rheumatoid arthritis with newer agents have resulted in a decreased need for bone and joint surgery in patients afflicted with this disease. The effectiveness of disease modifying agents in reversing the progression of rheumatoid arthritis (RA) is illustrated by the reduced frequency with which patients with RA undergo surgery for bone and joint deformities. Stopping plaquenil for surgery The Safety of Elective Surgery with Concurrent Use of., Endoscopy and Colonoscopy DailyStrength Statistics plaquenil maculopathy Find patient medical information for Plaquenil Oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Plaquenil Oral Uses, Side Effects, Interactions, Pictures.. A Guide To Perioperative Management Of The Rheumatoid Patient.. Stopping plavix for surgery - MedHelp. I just had major spine surgery in November. The surgeon had me check with my rheumy about stopping Plaquenil and I was told to continue it, or just stop it the day of surgery then get right back on, I asked what would happen if I stopped for a week and was told I'd risk going into a flare. I stayed on it and surgery went OK. Three hundred and eighty-eight patients undergoing elective orthopedic surgeries were randomized to either continue or to stop MTX therapy for 2 weeks before surgery and resume 2 weeks postoperatively. Jun 09, 2006 Although the rate of complications occurring within 30 days of surgery was high, and 52% of the 63 83% complications were septic, there was no correlation with therapy. Specifically, infliximab treatment within 8 weeks before and 4 weeks after surgery did not increase the risk of early postoperative infections in these CD patients.