Hello
You could ask about
adding another anti malarial called Quinacrine to the Plaquenil. It's slightly different from Plaquenil and the two work very well together for general disease modification, and skin joints and fatigue- Quinacrine is especially known for its energising effects. Quinacrine has to be obtained from a compounding pharmacist who will make the product up into pills or gel capsules.
It does not affect the eyes at all so the combination is a good way of getting extra anti malarial power without going beyond the maximum recommended dose of Plaquenil and may mean less Prednisone or other DMARDs like Methotrexate or Imuran
There should be obvious improvement within a few weeks
Bee