The doctor said that given where I am right now (constant low level pain and light swelling of my hands and wrists but no joint damage showing up on xrays or the ultrasound), she gave me a choice of starting on either Plaquenil or Methotrexate. She went over some info on each drug and then gave me some time to think about which would be better for me. My largest concerns center around the side effects of each... Chloroquine peak plasma concentraion Plaquenil hypersensitivity rash Methotrexate is once a week usually and most of the side effects would hit the next day so some people choose to take it on a Friday or Saturday night and sleep through any potential side effects some people report that caffeine may lower the efficacy of methotrexate, though results have been inconclusive. Between groups per-protocol analysis after intervention Mean SD LPPAI in methotrexate group at baseline, 4.63 1.83, was significantly higher than that in hydroxychloroquine group, 3.46 0.94, P = 0.04. reveals LPPAI difference between the two groups at Plaquenil hydroxychloroquine is an effective medication for autoimmune conditions and malaria that comes with less side effects than other DMARDs. Effectively prevents and treats malaria, and treats a certain type of intestinal infection but can cause serious side effects in certain people. I also want to be sure that I'm taking a drug that will slow/stop the progression of the disease. With Plaquenil, the possibility of permanent vision damage scares me. Difference between hydroxychloroquine and methotrexate Hydroxychloroquine Side-effects, uses, time to work, Clinical efficacy and safety of methotrexate versus. Chloroquine treatment for vivax malariaDoes plaquenil affect blood pressure Methotrexate vs plaquenil side effects long term and short term The only problem is the Plaquenil causes severe headaches that interfer with my daily activities also. But the Dr suggested I try Methotrexate instead. Methotrexate vs plaquenil side effects long term and short.. Compare Plaquenil vs Chloroquine -. Effects of methotrexate and hydroxychloroquine combination.. This has important policy implications given the difference in cost between these treatments. Methotrexate combined with adalimumab, certolizumab, etanercept, or infliximab had a statistically significant benefit for inhibiting joint damage compared with oral methotrexate, but the effect was small and observed only in methotrexate naive patients. Dec 15, 2010 hello hope everyone is well just a quick question, i have been on methotrexate for 2 months increasing from 7.5 to 15 and now to 25mg.weekly now been given plaquenil 400mg daily, has anyone else been on this mixture and has it worked or how long should i wait to see if it works. Traditional DMARDs. DMARDs are drugs that can help prevent joint damage and deformity from RA. More than a dozen options exist, and they all work by suppressing the immune system. “Methotrexate is the gold standard and is often prescribed to someone with rheumatoid arthritis that has active disease," Dr. Kaplan says.