The pain is usually relieved by sitting up or bending forward, and worsened by lying down (both recumbent and supine positions) or by inspiration (taking a breath in). The pain may resemble that of angina but differs in that pericarditis pain changes with body position, where heart attack pain is generally constant and pressure-like. Hydroxychloroquine to stop flare ups Plaquenil and low blood sugar Hydroxychloroquine HCQ is a 4-aminoquinoline which differs from chloroquine CQ in the addition of a hydroxyl group. Initially used as antimalarials, both drugs have now become mainstays in the management of rheumatic diseases principally systemic lupus erythematosus SLE and rheumatoid arthritis RA. Note This document contains side effect information about hydroxychloroquine. Some of the dosage forms listed on this page may not apply to the brand name Plaquenil. For the Consumer. Applies to hydroxychloroquine oral tablet. Along with its needed effects, hydroxychloroquine the active ingredient contained in Plaquenil may cause some unwanted effects. Latest Treatment Approach for Recurrent Lupus Pericarditis. at this time included hydroxychloroquine 200mg oral twice daily, mycophenolate mofetil MMF 1000mg. Due to its similarity to the pain of myocardial infarction (heart attack), pericarditis can be misdiagnosed as a heart attack. Other symptoms of pericarditis may include dry cough, fever, fatigue, and anxiety. Hydroxychloroquine pericarditis Pericardial Diseases Guidelines Coming of Age and Making., Plaquenil Side Effects Common, Severe, Long Term - Plaquenil and allergy medication interactionsHydroxychloroquine for autoimmunePlaquenil palpitations Recurrent pericarditis is diagnosed with a documented first episode of acute pericarditis, a symptom-free interval of 4–6 weeks or longer and evidence of subsequent recurrence of pericarditis Table 4. 11,13–15 Diagnosis of recurrence is established according to the same criteria as those used for acute pericarditis. ESC Guidelines for the diagnosis and management of.. Latest Treatment Approach for Recurrent Lupus Pericarditis.. Pleuropericardial effusion in a 50 year old woman.. Allan Klein, MD First of all, the rheumatoid arthritis should be treated by the rheumatologist to prevent further attacks of pericarditis with meds such as plaquenil. If the pericarditis is autoimmune, this would be a longer term process. Summary Pericarditis is found among people who take Plaquenil, especially for people who are female, 50-59 old, have been taking the drug for 1 - 2 years, also take medication Enbrel, and have Multiple myeloma. This study is created by eHealthMe based on reports of 48,911 people who have side effects when taking Plaquenil from Food. Hydroxychloroquine is widely used in the treatment of post-Lyme arthritis. It may have both an anti- spirochaete activity and an anti-inflammatory activity, similar to the treatment of rheumatoid arthritis.