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Typically naproxen is recommended to be used at the lowest effective dose for the shortest amount of time. Long term use of Naproxen may increase your risk of heart attack or stroke, especially in patients with prior history of heart disease. Naproxen can also increase your risk of gastrointestinal problems such as ulcers or bleeding. This is not to discourage you from taking this medication, but a reminder to have frequent monitoring from your doctor. Rare side effects of Plaquenil (hydroxychloroquine) include blurred vision or other changes in vision, seizures, muscle weakness, ringing or buzzing in ears or any loss of hearing, or unusual bruising or bleeding. Most patients will not be affected by these side effects. However, if you experience any of these symptoms, please follow up with your doctor as soon as possible. If you are concerned about the long term use of these medications, follow up with your doctor to discuss the risks of continuing to take them versus the help that they provide with your condition.
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