Yes, HCQS 200 mg twice daily (total 400 mg/day) is commonly prescribed for rheumatoid arthritis and can be safe if advised by your doctor and your tests are normal. Do not increase the dose on your own; always follow your rheumatologist's guidance.

If your ESR stays high in rheumatoid arthritis, it usually means the disease is still active and may need stronger or adjusted treatment. Along with medicines, regular exercise, physiotherapy, stress control, and a healthy anti-inflammatory diet are important. Always discuss changes with your rheumatologist rather than self-medicating.

Morning stiffness and pain in the fingers and toes are common in rheumatoid arthritis, especially when the disease is active. Mild chest or heart-area pain should not be ignored, as RA can sometimes affect the heart or it may be due to another cause like muscle strain or acidity. Continue your RA medicines as prescribed, do gentle morning exercises, and see your doctor soon for evaluation.

HCQS 200 Tablet may not be used to treat vitiligo. So, it should only be used under a doctor's guidance with regular follow-up.

In ankylosing spondylitis, pain and stiffness are usually managed first with NSAIDs. Regular stretching, posture exercises, and physiotherapy are very important to reduce stiffness, especially in the morning. If pain is not controlled, your rheumatologist may suggest other medicines. Avoid self-medication and consult your doctor to choose the safest option for you.