Hello and welcome to our family;
I am sorry to hear that you are going through so much right now. Often times, doctors will recommend that a corticosteroid be used along with the Plaquenil in order to treat the other symptoms that you shared with us. Some doctors will also recommend an immunosuppressant when it appears that the disease is quite active (as yours appears to be). Perhaps you can discuss adding one of these treatments to your regimen.
Please let us know what you and your doctor decide and I wish you the very best.
Peace and Blessings
Look For The Good and Praise It!