prescribed and took anti-malarial (eg Nivaquine) tablets for 9 years
and discovered that it had affected my eyes.
diagnosed 3 years ago and I consulted an Ophthalmologist/eye surgeon
who advised me to stop taking the tablets immediately.
various tests done and was injected with a dye to see the extent of
mostly central vision problems and blind spots that are permanent.
back the following year and repeated the tests and there was some
improvement in the one eye and some degradation to the other eye.
basically told that the damage was permanent and could get worse or
could improve slightly.
went for the tests last year.
to know if I should go back this year and do the tests again or just
deal with it and continue to wait for my eyes/vision to stabilize.
the vision has worsened and I need new prescription for glasses and
I go back or wait longer?
question is that the anti-malarial medication helped me with body
aches and pains and since I have been off the medication the pain
is much worse, and I live on pain killers and anti-inflammatories.
any other medication that I can take in substitution of the anti-malarials
that could help my situation?
go back this year and do the tests again
has the potential to cause serious medical complications. In rare
cases of long-term use, Nivaquine sometimes damages the retina or
causes permanent deafness.
patients experience convulsions, delusions or hallucinations while
Nivaquine disrupts cardiovascular electrical activity or causes sudden,
dangerous drops in blood pressure levels. Inflammation or liver damage
to also is possible while taking Nivaquine.
(Plaquenil®) is sometimes used as an alternative for chloroquine
(Nivaquine®), but one of the most serious side effects is a toxicity
in the eye (generally with chronic use), and requires regular screening
even when symptom-free.
from hydroxychloroquine may be seen in two distinct areas of the eye,
the cornea, and the macula. The cornea may become affected (relatively
commonly) by an innocuous vortex keratopathy and is characterized
by whorl-like corneal epithelial deposits.
changes bear no relationship to dosage and are usually reversible
on cessation of hydroxychloroquine.
changes are potentially serious and are related to dosage and length
of time taking hydroxychloroquine.
maculopathy is characterized by moderate reduction of visual acuity
and an obvious "bulls eye" macularlesion.
maculopathy is characterized by severe reduction in visual acuity
and severe atrophy of the retinal pigment epithelium.
herbal antimalarial, Extract of Cryptolepis sanguinolenta, is potently
(an extract from the plant artemisia), a Chinese and Southeast Asian
herbal treatment for malaria, proved to be highly effective during
an epidemic of malaria in Vietnam during the early 1990s when it reportedly
cut the death rate by 97%.
the new Global Fund for AIDS, Tuberculosis and Malaria has now given
11 countries funding to purchase this herbal remedy and told another34
countries to drop their applications for older drugs, including chloroquine
and sulfadoxine-pyrimethamine, and switch to artemisinin.
another drug to prevent malaria can cause psychiatric problem.
Doxycycline Hyclate is also used to prevent malaria but blurred vision
side effects are associated with Doxycycline Hyclate.