Centers for Disease Control and Prevention (CDC) has updated its recommendations for people who are at higher risk for complications from COVID-19 -- including people over 60 and those with severe chronic medical conditions -- to "stay at home as much as possible" and "avoid crowds." According to the CDC website, "Older adults and people who have severe chronic medical conditions like heart, lung or kidney disease seem to be at higher risk for more serious COVID-19 illness. We asked Michael George, MD, a rheumatologist and epidemiologist who studies infections in patients with autoimmune disease, who should follow this new guidance. “The more at risk you are, the more you should consider this recommendation.” He says this new guidance particularly applies to those with more severe disease or who have been hospitalized in the past with a respiratory infection or have interstitial lung disease, COPD or asthma, for example. Plaquenil ophthalmologist or optometrist Plaquenil treat lupus Plaquenil is often added in lupus patients with arthritis, as it can help lower the dosage of, or possibly eliminate the use of, prednisone in some patients. Some side effects of Plaquenil are diarrhea, skin rash, sun-sensitivity and, rarely, eye problems pigment deposits in the back of the eye. A recent large study of people with cardiovascular disease found that hydroxychloroquine Plaquenil does not increase the risk of infection and methotrexate increases the risk of infection only slightly. The concern with immune suppression is that the virus could replicate more freely and cause more severe or extensive disease, says Dr. Winthrop. Gout is often confused with rheumatoid arthritis RA, says Dr. Huffstutter, especially in patients who have polyarticular gout, which means that gout impacts several joints. Both RA and gout can cause visible nodules, especially in the advanced stages. If you have gout, the bumps, which are called tophi, are made of lumps of uric acid crystals. (See below for more details on risk factors.) People with osteoarthritis, or non-autoimmune types of arthritis, who have risk factors, such as age (over 60 years) or severe underlying medical condition should follow the CDC guidance on crowd avoidance, too. George adds, “everyone should follow the general precautions,” such as handwashing, not touching your face, eyes, nose or mouth. Those with more mild disease may want to ask their doctor for guidance. Can plaquenil cause gout Coronavirus and Arthritis What You Need to Know., Coronavirus and Arthritis What You Need to Know Arthritis. Can you chew plaquenilHydroxychloroquine sulfate pain killerHow to get on hydroxychloroquine Excess uric acid in the body can cause gout attacks or flares, which can last days or weeks. “The classic case of gout is often in the big toe, known as podagra. Foods to Avoid With Gout. Gout Misdiagnosis Diseases Gout Can Be Mistaken For. Get to Know Your Gout Triggers. Plaquenil Side Effects by Likelihood and Severity INFREQUENT side effects. Common culprits and what you can do. Pharmacy and Medication Tips. Things to remember when you fill your prescription. SIDE EFFECTS. The following adverse reactions have been identified during post-approval use of PLAQUENIL or other 4-aminoqunoline compounds. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Plaquenil and Gout - from FDA reports Summary Gout is found among people who take Plaquenil, especially for people who are female, 60+ old, have been taking the drug for 1 month, also take medication Methotrexate, and have Osteoporosis. This study is created by eHealthMe based on reports of 48,911 people who have side effects when taking.