Shared Care GuidelineShared Care Guideline • June 6th, 2021
Contract Type FiledJune 6th, 2021Hydroxychloroquine (Adults) Introduction This shared care agreement outlines the responsibilities between the specialist and the generalist for managing the prescribing of hydroxychloroquine for indications listed below. Indication Rheumatoid arthritis and inflammatory osteoarthritis, discoid and systemic lupus erythematosus, and dermatological conditions caused or aggravated by sunlight. Licensing information Treatment of rheumatoid arthritis, discoid and systemic lupus erythematosus, and dermatological conditions caused or aggravated by sunlight. Dosage and administration Usually started at a dose of 200mg twice daily for the first three months and then reduced to 200mg daily as a maintenance dose if effective (aim for 3- 5mg/kg/day using ideal bodyweight ideally not exceeding 6.5mg/kg). Contraindications and cautions Contraindications• Known hypersensitivity to 4-aminoquinoline compounds e.g. chloroquine.• Pre-existing maculopathy of the eye.• Patients with rare hereditary problem