I was diagnosed late in life, last October at the age of 59 years old. I was put on 200 mg plaquenil in October and the dosage was doubled to 400 mg in May. I continue to have pain that keeps me from working out. While I'm able to manage my pain, it's still there, especially with certain movements, weather related as well as air conditioning. In addition, I have side effects of tinnitus and I'm struggling with my vision. Is anyone else struggling with this? What are people doing to combat the pain?