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this patient population, this author reviews the literature and offers insights on whether medications for RA should be withdrawn, continued or modified during the perioperative period.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. Chloroquine and piriton Plaquenil and black gums Plaquenil does not need to be stopped for surgery so it can be restarted after the procedure. Although in studies Celebrex does not cause increased bleeding, unilke other older NSAIDs, some surgeons still advise to stop it to be safe. In general, Celebrex can be restarted the day after the procedure once the risk of bleeding is over. RARE side effects. If experienced, these tend to have a Severe expression. Abnormal Liver Function Tests. Acute Liver Failure. Acute Pustular Eruptions On Skin. Bronchospasm. Decreased Blood Platelets. Decreased White Blood Cells. 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. 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 Get Involved - Arthritis Foundation Symptoms Treatments, Common and Rare Side Effects for Plaquenil Oral Plaquenil cardiotoxicityChloroquine phosphate tablets ip 250 mgPlaquenil nombre generico That said, there's no reason for patients to stop using Plaquenil just because they will have cataract surgery, Dr. Osborn said. He sometimes sees SS patients who have read about Plaquenil's side effects and ask if they have to stop the drug prior to cataract surgery. However, he knows of no specific contraindications with cataract surgery. Considering Sj - EyeWorld. Stopping Plaquenil before surgery Lupus Forums at The Lupus.. Hold the immunomodulators for surgery? Maybe yes, maybe no.. It is ok and recommended to stop plavix for a week for the surgery and continue with other medications to decrease the risk of bleeding during surgery. Stopping the plavix for a few days does not increase the risk of a cardiac event. Hope this information is helpful. Plaquenil is the brand name for the prescription drug hydroxychloroquine. It's used to treat and prevent malaria infection, and to reduce symptoms and progression of autoimmune diseases such as lupus, rheumatoid arthritis, and others. Malaria is spread by mosquitoes. The toxicity profile of hydroxychloroquine contributes little risk in stopping or continuing use during surgery since individuals are able to recover quickly with this medication after outpatient operations 20,21. It appears to be safe treatment for RA in the presence of elective surgery with renal function monitoring 17.