(this is my first post here, hello all!) i've been taking plaquenil since february (2005). So far, it's been amazing! A little history:
around age 20 I started to feel not as spry. I was in marching band in college and started having joint pain, fatigue, general malaise, got pneumonia, was diagnosed with asthma, carpal tunnel syndrome, tendonitis, etc. They gave me prednisone and I absolutely couldn't handle it. I gained 25 pounds in a week. I had dreadful stomach pains, headaches, swelling, mood swings, couldn't focus, and lost depth perception. I spent two years after that uninsured.
When I finally became insured again, I went straight to the doctor with a list of complaints. It hadn't occurred to me how ridiculously long a list it was for a 24 year old. So, she ordered a metric ton of blood tests. Elevated ana got me a referral to the rheumy.
The rheumatologist diagnosed me with fibromyalgia and sent me for even more blood work. I have a strong family history of autoimmune issues, so she figured it would be safe. Her diagnosis was "arthritis" but she didn't specify a type. My bloodwork was borderline in most areas, but my ana had gone up in the two weeks between tests. She prescribed me plaquenil for the "arthritis" and sent me on my way. When the follow up appointment hit, I told her how much better I was feeling! Less pain, more energy, and miraculously, I haven't had any oral ulcers. Unfortunately, it took two months to kick in and if I miss even one pill, I get a two week setback. I get ridiculous oral ulcer outbreaks, pain, fatigue, and so on until my body balances back out again with the medications. It's unreal. When I mentioned this to her I got a, "hmm... That's interesting." she prescribed me 5 refills and told me to let her know if anything changes.
Later that month, my insurance carrier refused to cover the plaquenil. We needed an official diagnosis. Both my doc and I were happy to call it "arthritis" and let it be as long as the medication was working. So, the doctor reviewed my charts and symptoms and officially diagnosed me with systemic lupus. Joy. Anyway, I don't care what it's called as long as I can stay on the plaquenil.
My side effects lasted for the initial two months. If I miss a dose, they can act up for the first week or so (the same period of time my body takes to readjust). I take them with food (as directed). It's not just a "glass of milk" prescription, but it isn't as bad as the prednisone was. I eat toast for breakfast with my pill and have the second dose with dinner. I had diarrhea for awhile after starting (but it was easily controlled with immodium), gas, and a few extra blemishes. After a month it went away completely and I stopped having any side effects. A month after that, the symptoms of my illness subsided. It's so much better than the prednisone alternative.
I told the doctor that she could prescribe prednisone all day, but I wouldn't take it. She said, "that's odd... Most people with these illnesses generally respond well to prednisone." so, I simply informed her that it was hard for me to tell. The medication made me so miserable that I wouldn't have been able to say whether it helped with the inflamation, breathing, etc.
--mighty oak