Hi Joy. Plaquenil causes a loss in your peripheral field of vision and anyone taking it should have their eyes checked at least annually. I've often had problems with my vision which has been diagnosed as neurological complications of lupus. Be sure to have your eyes checked.
As for pain, like you, I take Arthritis Tylenol and Tramadol daily. If the pain gets really bad I currently take a narcotic called Nucynta. I've tried lots of pain meds over the years and I've never had an addiction problem. I use the strong stuff when I need it, sometimes for days at a time, but return to my Tylenol as soon as I can. There is no reason to stay in pain. To grin and bear it only leads to stress and feeling worse. I hope you feel better soon! Love, Butterflake aka Donna