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Real members of myRAteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
May 11
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myRAteam

That's a really important observation and worth taking seriously. Noticing a change in how your pacemaker is functioning after starting hydroxychloroquine is something that needs prompt medical attention.

Hydroxychloroquine is a commonly used medication for RA, but it is known to have effects on heart rhythm in some Show Full Answer

That's a really important observation and worth taking seriously. Noticing a change in how your pacemaker is functioning after starting hydroxychloroquine is something that needs prompt medical attention.

Hydroxychloroquine is a commonly used medication for RA, but it is known to have effects on heart rhythm in some people. If your pacemaker is responding differently, it could mean your heart's electrical activity has changed since starting the medication.

Here are some important steps to consider:

- Contact your cardiologist as soon as possible — they need to know about this change in pacemaker activity
- Let your prescribing doctor know too — your primary care physician should be aware of what you're experiencing
- Do not stop taking hydroxychloroquine on your own — always consult your doctor before making any changes, as stopping abruptly could trigger an RA flare
- Ask about a pacemaker check — your cardiologist may want to review your device's activity logs

Given that you have a pacemaker, any medication changes for your RA really should involve both your rheumatologist and cardiologist working together. A specialist in RA (rheumatologist) may also be better placed than a primary care physician to manage your RA medications safely alongside your heart condition.

May 11

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