Hydroxychloroquine (Plaquenil) for Rheumatoid Arthritis and Lupus Patients During the COVID-19 Pandemic
Low Dose Naltrexone (LDN) as Alternative
Due to the COVID-19 pandemic, there is a shortage of Hydroxychloroquine (Plaquenil), a popular anti-malaria drug also used for Rheumatoid Arthritis & Lupus, which is now leaving patients who regularly need this medication searching for alternatives. Although missing a few doses may not seem like a big deal to some, patients struggle to come to terms with this idea, worrying that the disease might flare up.
In fact, according to an article on creakyjoints.org by Lauren Gelman,
“The hydroxychloroquine shortage can be terrifying for those who have lupus or rheumatoid arthritis.”
Why It’s Important for Patients With Lupus or Rheumatoid Arthritis
Hydroxychloroquine is inexpensive and is potentially very important for those living with lupus.
According to a rheumatologist at NYU Langone Health in NYC whose clinical research focuses on lupus, Ashira Blazer, MD, “it’s the number one mainstay of lupus therapy.”
It is a significant medication option for the 1.5 million lupus patients who mainly consist of women. For patients with rheumatoid arthritis, hydroxychloroquine is a good option, along with two other medications for many patients who cannot use the biologic medications. Source: creakyjoints.org
How Long Patients Can Go Without Hydroxychloroquine
According to a 1991 study, there is a possibility that lupus patients who have low and stable disease states can go without Hydroxychloroquine for weeks at a time without suffering from a major flare. Most patients did well three months at a time after not taking the medication.
After 6 months, there was a substantial flare up among 60% of patients who took the placebo compared to 25% who took the drug. In conclusion, it takes time for the disease to flare up after discontinuing hydroxychloroquine.
Our Supply of Hydroxychloroquine
As of 4/8/2020 we received a shipment of powder (not tablets from the manufacturer) and can help with some patients who are in need. This medication can be compounded into a capsule or liquid formulation if necessary.
Your doctor will need to write the Rx for compounded hydroxychloroquine capsule with the appropriate mg, dose and directions. For questions call or text the pharmacy.
This is the compounded capsule with the hydroxychloroquine bulk powder, the active pharmaceutical ingredient. This is not the commercial Plaquenil tablet (or generic hydroxychloroquine tablet) you may be used to getting even though the active pharmaceutical ingredient is the same.
If supplies run out or if you’re not comfortable with the form compounded from powder, then Low Dose Naltrexone (LDN) can be a suitable alternative as it may address autoimmune conditions.
Town & Country Compounding accepts most insurance plans, but many insurance companies don’t cover compounded medications, which has been a problem in the industry. You will find that the price of medication will be different than what you’re used to when billed through your insurance plan if it’s not covered.
Low-Dose Naltrexone as an Alternative
Many patients with autoimmune diseases are finding much relief with Low Dose Naltrexone (LDN). It is not a biologic. We have expert pharmacists on staff who have helped thousands of patients with autoimmune diseases and owner John Herr, RPh, helped form a company that specializes in using LDN for autoimmune and pain conditions.
Here are some helpful resources about how LDN can treat autoimmune disease.
Do You Need a Referral to a Low Dose Naltrexone (LDN) Prescriber?
T&C Compounding works with the most prestigious providers. We work with you and health providers/specialists to formulate the most customized medication regimens to fit your specific needs. Medication is not one-size-fits-all, our compounding specialists use precise compounding techniques & equipment to get you the best solution.
Get In-Demand COVID-19 T&C Supplements TODAY!
Download T&C Coronavirus Supplement Recommendation List, and get them bundled for curbside pickup, or shipped directly to your door. Please email, call, or fax your order to T&C Compounding TODAY, while supplies last. See if we ship to your area.
We’re In This Together
We can win this fight against COVID-19 with the help of our communities. Every person has a role to play. Town & Country Compounding Pharmacy continues to provide medications & supplements needed throughout the quarantine period.
For the safety of our patients and staff we kindly ask that customers comply with our COVID-19 Policy: Curbside Pickup & Shipping Only.
Read more about T&C’s Patient Protection Plan.
Reminder: Patients who pick-up from Our Pharmacy:
On an abundance of caution, Town & Country Compounding Pharmacy will be offering ONLY curb-side delivery & shipping until further notice. When placing your refill, please provide a credit card so we may process your order. Once you arrive to our address on the date and time you were confirmed for pick-up, please call us at 201-447-2020, Option 1 so we may bring your prescription to your car. See if we ship to your area.
Find a Prescriber
T&C Compounding Experts work with providers to educate and inform them of new advancements in treatment options being developed and what might fit their patients’ needs. Submit your info to get a referral to a prescriber in your area.
See if we ship to your state >>
Town & Country Compounding offers several hormone saliva testing kits and helps analyze results through a scheduled private consultation with the patient. The pharmacy can then get in contact with your physician and help find a treatment plan that fits your needs.
We can ship out to you just email or call the pharmacy.
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Get the Help You Need to Improve Your Quality of Life
If you have a condition that involves pain, or opioid dependence, depression or something else listed in our previous blogs about LDN, please call us and we’ll work with you and your doctor to find the appropriate solution.