Please note: a valid prescription is required for all prescription medication.
Plaquenil® Tablets for Rheumatoid Arthritis
Buy More, Save More: Get 20% off when you buy 3 or more of any one product using code LESS20 at checkout.
Applies to all products originating from Canada. Maximum allowable quantity equal to a 90-day supply per single order.
Black Friday Bonus: Enjoy free standard shipping on all orders over $250.
Offer can be combined with the 20% “Buy More, Save More” discount. Enter each coupon code separately at checkout to claim your offers. Offer ends December 5, 2025.
$103.37
Secure Encrypted Payments
What Plaquenil Is and How It Works
Plaquenil® is a prescription antimalarial and immunomodulator used for autoimmune conditions like rheumatoid arthritis and lupus. Patients use this medicine to reduce flares and joint inflammation, with convenient US delivery from Canada. Many compare cash options when paying without insurance, and this page summarizes the essentials to help informed ordering and storage.
This medicine reduces immune overactivity. It accumulates within lysosomes, raises pH, and can modulate toll-like receptor signaling. These effects may decrease inflammatory mediators that contribute to joint pain, skin symptoms, and fatigue. The treatment is also active against malaria parasites for prevention or treatment as directed.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
Explore related care topics in our Rheumatoid Arthritis section for condition context.
Who It’s For
This therapy is used for adults with rheumatoid arthritis, discoid or systemic lupus, and certain malaria uses per the official label. Some readers search for the Generic name for hydroxychloroquine; that name is hydroxychloroquine sulfate. The drug may be considered when first-line pain relievers are inadequate or when a clinician prefers a steroid-sparing approach.
Avoid use if there is known hypersensitivity to 4‑aminoquinolines. Use caution with preexisting eye disease, significant cardiac rhythm abnormalities, psoriasis, porphyria, or severe liver or kidney impairment. Pediatric malaria indications follow specific label directions and require close supervision.
Dosage and Usage
Follow the prescriber’s instructions and the official labeling. Tablets are taken by mouth with food or milk to reduce stomach upset. For rheumatoid arthritis and lupus, clinicians often start with a daily schedule and reassess benefit after a trial period. Malaria dosing and timing differ for prophylaxis versus acute treatment, so clinical guidance is essential.
Swallow tablets whole with water. Try to take doses at the same time each day to support adherence. If gastrointestinal upset occurs, taking the dose with a small meal or snack may help. Never change the dose or stop abruptly without professional guidance. For complete directions, consult the FDA label or your clinician.
For practical timing tips, see our article Best Time.
Strengths and Forms
Commonly available presentation: hydroxychloroquine tablets in a single adult strength. A widely used option is the Hydroxychloroquine 200 mg tablet, with pack sizes varying by manufacturer and market. Availability can differ by supplier and country; select options may be temporarily out of stock. Your prescriber can advise if another presentation or a therapeutic alternative is appropriate.
Missed Dose and Timing
If a dose is missed, take it when remembered unless it is close to the next scheduled dose. If it is nearly time for the next dose, skip the missed tablet. Do not double up or take extra tablets to make up for a missed dose. If multiple doses are missed, contact a healthcare professional for advice.
Storage and Travel Basics
Store tablets at room temperature in a dry place, away from excessive heat and light. Keep medication in the original, child‑resistant container with the pharmacy label intact. Do not store in the bathroom where moisture is common. For travel, keep tablets in carry‑on luggage along with a copy of the prescription label. Pack only what you need and a small buffer as permitted by local rules. Airlines and security agencies generally accept properly labeled medicines.
If your clinician specifies special handling for another medicine in your order, our partners use temperature-controlled handling when required. Keep this medicine out of reach of children and pets.
Benefits
This treatment may reduce joint pain, morning stiffness, and swelling in autoimmune disease. It can help cut down on flare frequency and may allow lower steroid exposure when used as part of a plan. For malaria uses, it provides a well‑characterized option under label direction. Tablets are oral and generally simple to integrate into daily routines.
Side Effects and Safety
- GI discomfort or nausea
- Headache or dizziness
- Skin rash or itching
- Loss of appetite or diarrhea
- Vision changes with long-term use
Serious but less common risks include retinopathy, cardiomyopathy, abnormal heart rhythms, severe skin reactions, low blood counts, hypoglycemia, seizures, and hearing changes. Risk of retinal toxicity increases with high cumulative exposure, certain co-morbidities, and concurrent tamoxifen. Regular eye exams are recommended for patients on long-term therapy. Seek urgent care for severe rash, fainting, visual field defects, chest pain, or symptoms of low blood sugar.
For an eye-health overview, visit our article Eye Exam.
Drug Interactions and Cautions
Tell the prescriber about all medicines and supplements. Antacids may reduce absorption if taken too close together. Cimetidine can affect metabolism. Levels of digoxin may rise with co‑administration. Concomitant use with QT‑prolonging drugs (for example, certain antiarrhythmics, macrolides, or fluoroquinolones) may increase arrhythmia risk. The medicine can enhance effects of blood sugar–lowering drugs, increasing hypoglycemia risk. Tamoxifen use may heighten retinal risk. Use caution with alcohol if liver disease is present. Patients with G6PD deficiency or psoriasis require careful assessment.
What to Expect Over Time
For autoimmune conditions, clinical benefit may develop gradually. Early changes often involve reduced morning stiffness and better tolerance for daily activities. Consistent dosing and scheduled check‑ins help assess response. Eye monitoring is part of long‑term safety. If benefit is insufficient, the clinician may adjust the plan or add therapies. For malaria uses, timing is set by travel or exposure risk and should follow label‑based schedules.
Compare With Alternatives
Several therapies may be considered when forming an autoimmune regimen. A direct generic alternative is hydroxychloroquine from other manufacturers, such as HCQS® 200mg. Another class option for rheumatoid arthritis is leflunomide, available as Arava®. Choice depends on diagnosis, co‑conditions, and prior response. Discuss benefits and risks with a healthcare professional.
Pricing and Access
We show current options and explain typical cash‑pay savings compared with local quotes. Many visitors check Plaquenil price to understand brand versus generic differences. Our checkout supports clear totals before you place an order. Canadian suppliers enable US shipping from Canada with transparent fees at checkout. If looking for seasonal deals, see our Promotions. Payment methods are listed during checkout, and encrypted checkout protects personal data.
Availability and Substitutions
Supply can vary. If the brand is unavailable, a prescriber may recommend a therapeutically appropriate alternative or a different manufacturer’s tablet. Stock updates occur regularly, but restock dates are not guaranteed. Your prescription determines what can be dispensed.
Patient Suitability and Cost-Saving Tips
Good candidates include adults with autoimmune disease where an oral immunomodulator fits the care plan and monitoring is feasible. Not all patients are suitable, especially those with significant eye disease, rhythm disorders, or strong contraindications. Consider a multi‑month fill if clinically appropriate to reduce per‑fill costs and travel time. Refill reminders can help sustain adherence.
Where permitted, generics are often the most economical choice. Some people research Generic for hydroxychloroquine to compare labels and suppliers. Patients also ask about Hydroxychloroquine price without insurance; our pricing pages display options available to you. For country sourcing transparency, see Country Of Origin Canada. For lupus‑related support, visit Lupus, and for malaria guidance see Malaria.
Questions to Ask Your Clinician
- Baseline tests needed: eye exam, labs, or EKG
- Expected timeframe to assess benefit
- How to coordinate with steroids or methotrexate
- Interaction risks with current medicines
- Sun exposure precautions and skin care
- Travel considerations for malaria regions
- Plan for eye monitoring over time
Authoritative Sources
FDA DailyMed: Hydroxychloroquine Sulfate Tablets
Sanofi: Plaquenil Product Information
Ready to proceed? Place your order with prompt, express shipping. This information is educational and not a substitute for professional medical advice. Always follow your prescriber’s instructions and the official label.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
How often are eye exams needed while taking this medicine?
Eye monitoring is important with long‑term use because rare retinal changes can occur. Many clinicians recommend a baseline exam within the first year of ongoing therapy, then regular screenings thereafter based on duration, dose, and risk factors like kidney disease or concurrent tamoxifen. Testing may include visual fields and imaging. Follow the schedule advised by your eye care professional and prescriber, as timing can vary by individual risk profile and local guidelines.
Can it be taken with antacids or acid reducers?
Antacids may reduce absorption if taken too close to a dose. If an antacid is needed, separate administration times according to the product label or your clinician’s guidance. H2 blockers and proton pump inhibitors can have different interaction profiles, but it’s still prudent to discuss all over‑the‑counter products. Keep a complete medication list and inform the prescriber to prevent interaction issues and to coordinate the best timing strategy.
Does food affect absorption or stomach upset?
Food generally helps tolerance for many patients. Taking tablets with milk or a small meal can reduce nausea or stomach discomfort. Consistency matters more than a specific food choice. Avoid alcohol excess if liver disease is present, and be careful with high‑sugar beverages if low blood‑sugar episodes have occurred. If persistent stomach issues continue despite food, consult a healthcare professional for guidance on supportive measures.
What if a dose is vomited soon after taking it?
If vomiting occurs shortly after a dose, decisions depend on timing and clinical factors. Do not automatically repeat the dose. Contact a healthcare professional or pharmacist for advice, especially if symptoms are severe or persistent. Maintaining hydration and monitoring for signs of low blood sugar or dizziness can be helpful. Future doses may be taken with a small snack to improve tolerance, as advised by your prescriber.
Is sun sensitivity a concern with this therapy?
Photosensitivity can occur with several medicines used for autoimmune conditions. Protective clothing and sunscreen are reasonable precautions for many patients. Some individuals may notice mild rashes or increased skin sensitivity. If a severe reaction develops, seek medical attention. Review all concurrent medications to identify other agents that may increase sun sensitivity, and discuss tailored precautions with your clinician based on season and activity plans.
Can it be used during pregnancy or breastfeeding?
Decisions in pregnancy or breastfeeding are individualized. The medicine has been continued in certain situations when benefits are judged to outweigh risks, particularly in autoimmune disease management. Data are limited and nuanced. A clinician will consider disease control, alternative options, and maternal‑fetal safety. Do not start or stop therapy without medical guidance if pregnant, planning pregnancy, or nursing. Shared decision‑making ensures risks and benefits are carefully weighed.
How long before benefits are noticeable for arthritis?
Improvements for autoimmune conditions may emerge gradually. Some patients report early changes in morning stiffness, energy, or joint tenderness after sustained use, while others need a longer assessment period. Regular follow‑ups help track progress and adjust the plan as needed. Avoid changing the dose on your own. If benefits are unclear at a review visit, your clinician may consider combination therapy or alternative options based on clinical response.
Rewards Program
Earn points on birthdays, product orders, reviews, friend referrals, and more! Enjoy your medication at unparalleled discounts while reaping rewards for every step you take with us.
You can read more about rewards here.
POINT VALUE
How to earn points
- 1Create an account and start earning.
- 2Earn points every time you shop or perform certain actions.
- 3Redeem points for exclusive discounts.
How to book an appointment
- 1Create Begin by completing a profile or log into your existing account. This step ensures we have the necessary information to provide you with a service that's tailored to your needs. account and start earning.
- 2Scheduling an appointment with our online booking system is easy. Pick a day and time that suits you. You’ll receive an immediate confirmation, without the wait.
- 3Discuss your concerns and symptoms and receive a thorough diagnosis from one of our licensed doctors during a confidential video appointment.
- 4If you've been prescribed medication, your Rx is sent directly to one of our licensed pharmacies and delivered right to your door.
Get Started
To book an online doctor appointment, register for an account or login. After doing so, you can book your visit on this page.
