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Generic Plaquenil Information

Introduction

Plaquenil, whose active ingredient is hydroxychloroquine, is an anti‑viral medication that has been used chiefly for autoimmune disorders and, historically, for malaria prophylaxis. In the United Kingdom it is marketed by Sanofi and listed under the COVID‑19 and anti‑viral medication groups, although current UK guidance does not recommend hydroxychloroquine for the prevention or treatment of SARS‑CoV‑2 infection (MHRA, 2023). The drug is also employed for systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA), where it improves disease control and reduces flare frequency.

What is Plaquenil?

Plaquenil is the generic version of the original Sanofi‑produced brand “Plaquenil”, containing the same active compound hydroxychloroquine. It is supplied in coated tablets of 200 mg strength. The medication belongs to the class of 4‑aminoquinoline antimalarials and is recognised by the UK Medicines and Healthcare products Regulatory Agency (MHRA) as a licensed product for specific autoimmune indications.

How Plaquenil Works

Hydroxychloroquine interferes with intracellular acidification by accumulating in lysosomes and raising the pH of acidic vesicles. This impairs antigen processing and presentation, which dampens activation of T‑cells and B‑cells involved in autoimmune inflammation. In the context of viral replication, the raised endosomal pH can inhibit the fusion of some enveloped viruses with host cells, although the clinical relevance for SARS‑CoV‑2 has not been demonstrated in well‑conducted trials. The drug’s pharmacokinetic profile shows an oral absorption of ≈ 70 % with peak plasma concentrations occurring 3–4 hours after a dose; steady‑state is achieved after 4–6 weeks of daily use, reflecting the long elimination half‑life of 40–50 days.

Conditions Treated with Plaquenil

  • Systemic lupus erythematosus (SLE) – evidence from the European League Against Rheumatism (EULAR) and NICE guidelines indicates hydroxychloroquine reduces disease activity, organ damage, and mortality when used long‑term.
  • Rheumatoid arthritis (RA) – hydroxychloroquine is part of the standard disease‑modifying anti‑rheumatic drug (DMARD) regimen for patients with mild to moderate disease activity.
  • Malaria prophylaxis – historically employed for travelers to malaria‑endemic regions, although modern prophylaxis favours newer agents.
  • COVID‑19 (historical) – early pandemic research explored hydroxychloroquine as a possible antiviral; robust randomized controlled trials later showed no benefit and a potential for harm, leading to its removal from UK COVID‑19 treatment pathways.

The drug’s effectiveness in autoimmune disease stems from immunomodulation without significant immunosuppression, allowing disease control while preserving host defence.

Who is Plaquenil For?

Plaquenil is primarily prescribed for adults with confirmed SLE or RA who require long‑term disease control and for individuals undertaking malaria prophylaxis. Candidates with stable renal or hepatic function and those who can be monitored for ocular toxicity are ideal. Contra‑indications include known hypersensitivity to 4‑aminoquinoline compounds, severe retinopathy, and pregnancy (Placental accumulation may affect fetal development). The medication is not appropriate for patients with significant cardiac conduction abnormalities, uncontrolled diabetes, or chronic kidney disease (eGFR < 30 mL/min) unless specialist oversight is in place.

Risks, Side Effects, and Interactions

Common

  • Gastrointestinal discomfort – nausea, dyspepsia, diarrhoea (usually mild and transient).
  • Skin reactions – pruritus, rash, and photosensitivity.
  • Pruritus or mild alopecia – low‑grade hair loss reported in ≤ 5 % of users.

Rare

  • Hypoglycaemia – hydroxychloroquine may potentiate insulin; patients with diabetes should monitor glucose levels.
  • Neuromyopathy – peripheral neuropathy or myopathy has occurred in isolated case reports.

Serious

  • Retinal toxicity – irreversible maculopathy associated with cumulative exposure; risk rises after > 5 years of therapy or high cumulative dose (> 1 g).
  • Cardiac conduction disorders – QT‑interval prolongation and rare arrhythmias; co‑administration with other QT‑prolonging drugs (e.g., azithromycin) increases risk.
  • Severe hypersensitivity (Stevens‑Johnson syndrome) – extremely rare but potentially life‑threatening.
Clinically relevant drug–drug interactions
  • Chloroquine – additive toxicity, especially retinal.
  • Antacids containing aluminum or magnesium – may reduce hydroxychloroquine absorption; separate administration by ≥ 2 hours is advisable.
  • Cytochrome P450 substrates (e.g., amitriptyline, carbamazepine) – hydroxychloroquine can inhibit metabolism, raising plasma levels of co‑administered drugs.
  • Warfarin – potential increase in anticoagulant effect; INR should be monitored when initiating or stopping Plaquenil.

Practical Use: Dosing, Missed Dose, Overdose

Plaquenil is usually prescribed at 200 mg once daily for adults with SLE or RA; in some rheumatology protocols, a dose of 400 mg (200 mg × 2) every other day is used for disease flares. For malaria prophylaxis, the standard adult regimen is 400 mg once weekly, started 1 week before travel and continued for 4 weeks after return.

  • Missed dose – take the missed tablet as soon as remembered unless the next scheduled dose is within 6 hours; do not double‑dose.
  • Overdose – ingestion of > 3 g in a 24‑hour period may cause severe cardiac, neurological, or hypoglycaemic effects. Immediate medical attention and supportive care (e.g., intravenous glucose for hypoglycaemia, cardiac monitoring) are required.
  • Food & alcohol – food can delay absorption but does not affect overall exposure; take with water. Excessive alcohol may exacerbate gastrointestinal side effects and should be avoided.
  • Comorbidities – patients with liver disease, renal impairment, or visual disorders require dose adjustment and more frequent ophthalmic monitoring.

Buying Plaquenil from Our Online Pharmacy

Plaquenil can be purchased from our online pharmacy in UK. Our service provides:

  • Affordable pricing – generic tablets are offered at near‑manufacturer cost, significantly lower than brand‑name retail rates.
  • Verified quality – all products are sourced from licensed international wholesalers that meet UK‑GMP standards.
  • Guaranteed delivery – discreet, reliable shipping; express parcels arrive within 7 working days, regular airmail within 3 weeks.
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Our online pharmacy operates under a strict privacy framework, safeguarding personal data while providing seamless access to essential medicines.

FAQ

  • Is Plaquenil available in both brand‑name and generic forms in the UK?
    Yes, Plaquenil is marketed as a generic tablet that contains the same active ingredient, hydroxychloroquine, as the original Sanofi brand. Generic versions are typically less expensive while meeting the same regulatory standards.

  • Does Plaquenil require cold storage?
    No special refrigeration is needed. The tablets should be stored at controlled room temperature (15 °C–25 °C), protected from excessive heat, moisture, and direct light.

  • What packaging does Plaquenil come in when ordered online?
    Plaquenil is supplied in sealed blister packs of 28 tablets per pack, each tablet embossed with the dosage strength (200 mg) and the manufacturer’s logo.

  • Can Plaquenil be safely imported into the UK for personal use?
    Personal import of hydroxychloroquine is permitted under the UK’s “non‑commercial personal use” provisions, provided the product is authorised by a recognised overseas regulator and possession is for a legitimate medical purpose.

  • Are there specific warnings for Plaquenil in Asian populations?
    Clinical data indicate a higher prevalence of G6PD deficiency in some Asian groups, which may increase the risk of haemolysis with 4‑aminoquinoline drugs. Routine screening is recommended before initiating treatment in at‑risk individuals.

  • Does Plaquenil differ in formulation between the EU and the US?
    The UK/EU formulation contains lactose, magnesium stearate, and povidone as excipients, whereas the US version may substitute corn‑starch as a filler. These differences do not affect the active concentration but can be relevant for patients with specific intolerances.

  • How does Plaquenil’s mechanism differ from that of chloroquine?
    Both drugs raise endosomal pH, yet hydroxychloroquine possesses a slightly longer half‑life and a higher affinity for binding to melanin‑containing tissues, leading to a greater risk of retinal accumulation compared with chloroquine.

  • Is routine ophthalmic monitoring required for all Plaquenil users?
    Yes. Baseline retinal examination is advised before starting therapy, followed by annual assessments after five years of cumulative exposure or earlier if visual symptoms develop.

  • What is the shelf‑life of Plaquenil tablets?
    The manufacturer’s stability data assign a shelf‑life of 36 months when stored under recommended conditions. Expired tablets should be discarded and not used.

  • Can Plaquenil be taken with other antimalarial prophylactics?
    Co‑administration with other 4‑aminoquinoline agents (e.g., mefloquine) is discouraged due to additive toxicity, especially retinal and cardiovascular effects.

Glossary

Hydroxychloroquine
A synthetic derivative of chloroquine that modulates immune activity by increasing the pH of intracellular compartments.
Maculopathy
Damage to the macula, the central area of the retina, which can result in permanent visual impairment.
QT interval
A measurement on an electrocardiogram representing the time for ventricular depolarisation and repolarisation; prolongation may predispose to arrhythmia.
G6PD deficiency
A genetic enzyme defect that predisposes red blood cells to haemolysis when exposed to certain oxidative drugs, including some antimalarials.

⚠️ Disclaimer

The information provided about Plaquenil is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Plaquenil for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.

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