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arthritis care.
COVID-19 VACCINES
The Government of Alberta has announced that Albertans who use Rituximab are eligible to receive their second COVID-19 vaccination 3-4 weeks after the first injection. It is important to coordinate with your rheumatologist to ensure the optimal timing of the vaccine around your rituximab.METHOTREXATE
Methotrexate is an anti-folate drug, and it also has many different specific effects which modulate the body’s immune system. Like all DMARDs, Methotrexate takes time to work. Most patients start to feel the positive effects of methotrexate at 4-8 weeks, with maximumbenefit at 3
GARNEAU RHEUMATOLOGY Garneau Rheumatology Print Page. Garneau Rheumatology is located in Edmonton near the University of Alberta Hospital at the corner of 111th Street and Whyte Avenue. In addition to a team of rheumatologists associated with the University of Alberta, Garneau Rheumatology is the Edmonton home for the Arthritis Society, Alberta & Northwest Territories. RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne Mosher KAYE EDMONTON CLINIC Kaye Edmonton Clinic Print Page. Kaye Edmonton Clinic. University of Alberta Rheumatologists see patients at the Edmonton Clinic located just west of the University of Alberta Hospital on 114th Street and University Avenue. To receive a first appointment, you must be referred, usually from another physician. LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. GOUT - ALBERTA RHEUMATOLOGY The sudden onset of pain in the big toe. It’s red, it’s hot, it’s swollen. This is the typical presentation for gout. However, gout can affect any joint similarly. Gout is caused by the immune system’s reaction to uric acid deposition in the joints. While it affects only 1% of the SIERRASIL® JOINT FORMULA14 What is SierraSil®? SierraSil® is a proprietary clay mineral complex derived from the Sierra Mountains in the United States.According to the manufacturer, SierraSil® Joint Formula14, at the daily recommended dose of 3 capsules daily, contains the following trace elements: . Calcium 23mg, potassium 20mg, sodium 12mg, aluminum 6mg, phosphorus 3.1mg, magnesium 2.2mg, iron 1.2mg, silicon 1mgLEFLUNOMIDE
Leflunomide, its tradename Arava, is in a class of medications called Disease Modifying Anti-Rheumatic Drugs, or DMARDs. DMARDs are a slow acting but effective treatment for rheumatoid arthritis and other forms of inflammatory arthritis. Leflunomide is a newer DMARD considered by some to be equivalent in effect to methotrexate forrheumatoid
ALBERTA RHEUMATOLOGY Alberta Rheumatology is a resource for patients, medical students, residents and physicians for all aspects related to rheumatology andarthritis care.
COVID-19 VACCINES
The Government of Alberta has announced that Albertans who use Rituximab are eligible to receive their second COVID-19 vaccination 3-4 weeks after the first injection. It is important to coordinate with your rheumatologist to ensure the optimal timing of the vaccine around your rituximab.METHOTREXATE
Methotrexate is an anti-folate drug, and it also has many different specific effects which modulate the body’s immune system. Like all DMARDs, Methotrexate takes time to work. Most patients start to feel the positive effects of methotrexate at 4-8 weeks, with maximumbenefit at 3
GARNEAU RHEUMATOLOGY Garneau Rheumatology Print Page. Garneau Rheumatology is located in Edmonton near the University of Alberta Hospital at the corner of 111th Street and Whyte Avenue. In addition to a team of rheumatologists associated with the University of Alberta, Garneau Rheumatology is the Edmonton home for the Arthritis Society, Alberta & Northwest Territories. RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne Mosher KAYE EDMONTON CLINIC Kaye Edmonton Clinic Print Page. Kaye Edmonton Clinic. University of Alberta Rheumatologists see patients at the Edmonton Clinic located just west of the University of Alberta Hospital on 114th Street and University Avenue. To receive a first appointment, you must be referred, usually from another physician. LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. GOUT - ALBERTA RHEUMATOLOGY The sudden onset of pain in the big toe. It’s red, it’s hot, it’s swollen. This is the typical presentation for gout. However, gout can affect any joint similarly. Gout is caused by the immune system’s reaction to uric acid deposition in the joints. While it affects only 1% of the SIERRASIL® JOINT FORMULA14 What is SierraSil®? SierraSil® is a proprietary clay mineral complex derived from the Sierra Mountains in the United States.According to the manufacturer, SierraSil® Joint Formula14, at the daily recommended dose of 3 capsules daily, contains the following trace elements: . Calcium 23mg, potassium 20mg, sodium 12mg, aluminum 6mg, phosphorus 3.1mg, magnesium 2.2mg, iron 1.2mg, silicon 1mgLEFLUNOMIDE
Leflunomide, its tradename Arava, is in a class of medications called Disease Modifying Anti-Rheumatic Drugs, or DMARDs. DMARDs are a slow acting but effective treatment for rheumatoid arthritis and other forms of inflammatory arthritis. Leflunomide is a newer DMARD considered by some to be equivalent in effect to methotrexate forrheumatoid
LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. BOSWELLIA - ALBERTA RHEUMATOLOGY Bottom Line. Effectiveness: May be effective to decrease osteoarthritis-related pain and improve physical function in the short term (1-3 months), however long term benefit has not been observed.There is a lack of evidence of benefit in rheumatoid arthritis and use is not recommended. Safety: Generally well tolerated when used orally for up to 6 months; long term safety is unknown LUPUS - ALBERTA RHEUMATOLOGY Systemic lupus erythematosus (SLE, or lupus) is an autoimmune disease, meaning the immune system can attack and cause problems to different parts of the body including the joints, the kidneys, the lungs, the skin, the blood cells, the brain or even the gastrointestinal tract. Different people can have different types of symptoms and signs EDMONTON 124 ST. CLINIC Edmonton 124 St. Clinic Print Page. The 124th Street Medical Clinic is centrally located in Edmonton at the corner of 124th Street and 109th Avenue.It is approximately a 5 minute drive from the Royal Alexandra Hospital. Parking is usually not a problem with ample space located onLOW DOSE NALTREXONE
What the Science Says: Low dose naltrexone (LDN) 4.5mg/day. A preliminary study (n=31, crossover design) of LDN in fibromyalgia patients demonstrated a modest reduction in pain (-1.1 from baseline 5.1); mood also improved, but there was no change in sleep. A third of patients were designated ‘responders’ (30% change in pain,fatigue, and
VASCULITIS - ALBERTA RHEUMATOLOGY Vasculitis is diagnosed by a rheumatologist after he/she performs a history and physical examination, and reviews various blood work and imaging studies. It is the right combination of findings from your history,exam and tests which determine if in fact you may have avasculitis.
SULFASALAZINE
Sulfasalazine is in a class of medications called Disease Modifying Anti-Rheumatic Drugs, or DMARDs. DMARDs are a slow acting but effective treatment for rheumatoid arthritis and other forms of inflammatory arthritis. Sulfasalazine is a milder DMARD in regards to its benefit, but can be useful in mild or early cases of inflammatoryarthritis.
DEVIL’S CLAW
Devil’s Claw (aqueous extract) 410mg 3x/day: Single centre, open label pilot study (N=13) over 6 weeks of patients with active rheumatoid or psoriatic arthritis on NSAID, steroid, or DMARD (penicillamine (n=1) or chloroquine (n=1)) therapy. MYAHS CONNECT SIGN UP INSTRUCTIONS MyAHS Connect Sign Up Instructions MyAHS Connect is a secure patient portal that allows you access to some of your health information through Alberta Health Services. SLEDAI-2K DISEASE ACTIVITY QUESTIONNAIRE:WEB VIEW PLEASE NOTE: If the SLEDAI-2K has been completed in the . past 4 weeks, please staple that copy to this CRF and indicate this here bychecking box.
ALBERTA RHEUMATOLOGY Alberta Rheumatology is a resource for patients, medical students, residents and physicians for all aspects related to rheumatology andarthritis care.
COVID-19 VACCINES
The Government of Alberta has announced that Albertans who use Rituximab are eligible to receive their second COVID-19 vaccination 3-4 weeks after the first injection. It is important to coordinate with your rheumatologist to ensure the optimal timing of the vaccine around your rituximab.METHOTREXATE
Methotrexate is an anti-folate drug, and it also has many different specific effects which modulate the body’s immune system. Like all DMARDs, Methotrexate takes time to work. Most patients start to feel the positive effects of methotrexate at 4-8 weeks, with maximumbenefit at 3
GARNEAU RHEUMATOLOGY Garneau Rheumatology Print Page. Garneau Rheumatology is located in Edmonton near the University of Alberta Hospital at the corner of 111th Street and Whyte Avenue. In addition to a team of rheumatologists associated with the University of Alberta, Garneau Rheumatology is the Edmonton home for the Arthritis Society, Alberta & Northwest Territories. LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. KAYE EDMONTON CLINIC Kaye Edmonton Clinic Print Page. Kaye Edmonton Clinic. University of Alberta Rheumatologists see patients at the Edmonton Clinic located just west of the University of Alberta Hospital on 114th Street and University Avenue. To receive a first appointment, you must be referred, usually from another physician. RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne Mosher EDMONTON 124 ST. CLINIC Edmonton 124 St. Clinic Print Page. The 124th Street Medical Clinic is centrally located in Edmonton at the corner of 124th Street and 109th Avenue.It is approximately a 5 minute drive from the Royal Alexandra Hospital. Parking is usually not a problem with ample space located on JAK KINASE INHIBITORS JAK Kinase inhibitors are a relatively new DMARD, first approved for use in Canada in 2014. They work by blocking the effect of an immune pathway called JAK-STAT. By doing this, it can help decrease the body’s inflammatory response, thereby decreasing joint inflammation. The benefits of these medications can be seen in patients as early as2
SIERRASIL® JOINT FORMULA14 What is SierraSil®? SierraSil® is a proprietary clay mineral complex derived from the Sierra Mountains in the United States.According to the manufacturer, SierraSil® Joint Formula14, at the daily recommended dose of 3 capsules daily, contains the following trace elements: . Calcium 23mg, potassium 20mg, sodium 12mg, aluminum 6mg, phosphorus 3.1mg, magnesium 2.2mg, iron 1.2mg, silicon 1mg ALBERTA RHEUMATOLOGY Alberta Rheumatology is a resource for patients, medical students, residents and physicians for all aspects related to rheumatology andarthritis care.
COVID-19 VACCINES
The Government of Alberta has announced that Albertans who use Rituximab are eligible to receive their second COVID-19 vaccination 3-4 weeks after the first injection. It is important to coordinate with your rheumatologist to ensure the optimal timing of the vaccine around your rituximab.METHOTREXATE
Methotrexate is an anti-folate drug, and it also has many different specific effects which modulate the body’s immune system. Like all DMARDs, Methotrexate takes time to work. Most patients start to feel the positive effects of methotrexate at 4-8 weeks, with maximumbenefit at 3
GARNEAU RHEUMATOLOGY Garneau Rheumatology Print Page. Garneau Rheumatology is located in Edmonton near the University of Alberta Hospital at the corner of 111th Street and Whyte Avenue. In addition to a team of rheumatologists associated with the University of Alberta, Garneau Rheumatology is the Edmonton home for the Arthritis Society, Alberta & Northwest Territories. LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. KAYE EDMONTON CLINIC Kaye Edmonton Clinic Print Page. Kaye Edmonton Clinic. University of Alberta Rheumatologists see patients at the Edmonton Clinic located just west of the University of Alberta Hospital on 114th Street and University Avenue. To receive a first appointment, you must be referred, usually from another physician. RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne Mosher EDMONTON 124 ST. CLINIC Edmonton 124 St. Clinic Print Page. The 124th Street Medical Clinic is centrally located in Edmonton at the corner of 124th Street and 109th Avenue.It is approximately a 5 minute drive from the Royal Alexandra Hospital. Parking is usually not a problem with ample space located on JAK KINASE INHIBITORS JAK Kinase inhibitors are a relatively new DMARD, first approved for use in Canada in 2014. They work by blocking the effect of an immune pathway called JAK-STAT. By doing this, it can help decrease the body’s inflammatory response, thereby decreasing joint inflammation. The benefits of these medications can be seen in patients as early as2
SIERRASIL® JOINT FORMULA14 What is SierraSil®? SierraSil® is a proprietary clay mineral complex derived from the Sierra Mountains in the United States.According to the manufacturer, SierraSil® Joint Formula14, at the daily recommended dose of 3 capsules daily, contains the following trace elements: . Calcium 23mg, potassium 20mg, sodium 12mg, aluminum 6mg, phosphorus 3.1mg, magnesium 2.2mg, iron 1.2mg, silicon 1mg RHEUMATOID ARTHRITIS Rheumatoid Arthritis is an autoimmune disease which causes pain, swelling and stiffness to the joints. It can occur at any age, although is seen more often in middle aged women. If not promptly treated, it can cause permanent damage to the bones surrounding the FIRST APPOINTMENT INFORMATION FORM Identifying Information. 1. Physician Name *. - Select Your Rheumatologist - Dr. Stephen Aaron Dr. Shafiq Akbar Dr. Alison Clifford Dr. Tharindri Dissanayake Dr. Joanne Homik Dr. Niall Jones Dr. Steven Katz Dr. Stephanie Keeling Dr. Walter Maksymowych Dr. Omid Niaki Dr. Lilia Olaru Dr. Mohammed Osman Dr. Anna Oswald Dr. LarissaPetriw Dr
JAK KINASE INHIBITORS JAK Kinase inhibitors are a relatively new DMARD, first approved for use in Canada in 2014. They work by blocking the effect of an immune pathway called JAK-STAT. By doing this, it can help decrease the body’s inflammatory response, thereby decreasing joint inflammation. The benefits of these medications can be seen in patients as early as2
LEFLUNOMIDE
Leflunomide, its tradename Arava, is in a class of medications called Disease Modifying Anti-Rheumatic Drugs, or DMARDs. DMARDs are a slow acting but effective treatment for rheumatoid arthritis and other forms of inflammatory arthritis. Leflunomide is a newer DMARD considered by some to be equivalent in effect to methotrexate forrheumatoid
BOSWELLIA - ALBERTA RHEUMATOLOGY Bottom Line. Effectiveness: May be effective to decrease osteoarthritis-related pain and improve physical function in the short term (1-3 months), however long term benefit has not been observed.There is a lack of evidence of benefit in rheumatoid arthritis and use is not recommended. Safety: Generally well tolerated when used orally for up to 6 months; long term safety is unknownLOW DOSE NALTREXONE
What the Science Says: Low dose naltrexone (LDN) 4.5mg/day. A preliminary study (n=31, crossover design) of LDN in fibromyalgia patients demonstrated a modest reduction in pain (-1.1 from baseline 5.1); mood also improved, but there was no change in sleep. A third of patients were designated ‘responders’ (30% change in pain,fatigue, and
MYAHS CONNECT SIGN UP INSTRUCTIONS MyAHS Connect Sign Up Instructions MyAHS Connect is a secure patient portal that allows you access to some of your health information through Alberta Health Services. RITUXIMAB - ALBERTA RHEUMATOLOGY Rituximab is a biologic, a newer class of DMARD (Disease Modifying Anti-Rheumatic Drug) While in class of biologics like TNF antagonists, Rituximab does not work in the same way. Rituximab is primarily used in the treatment of inflammatory arthritis such as rheumatoid arthritis, but has also been used to treat a variety of otherrheumatic
DEVIL’S CLAW
Devil’s Claw (aqueous extract) 410mg 3x/day: Single centre, open label pilot study (N=13) over 6 weeks of patients with active rheumatoid or psoriatic arthritis on NSAID, steroid, or DMARD (penicillamine (n=1) or chloroquine (n=1)) therapy. SLEDAI-2K DISEASE ACTIVITY QUESTIONNAIRE:WEB VIEW PLEASE NOTE: If the SLEDAI-2K has been completed in the . past 4 weeks, please staple that copy to this CRF and indicate this here bychecking box.
ALBERTA RHEUMATOLOGY Alberta Rheumatology is a resource for patients, medical students, residents and physicians for all aspects related to rheumatology andarthritis care.
COVID-19 VACCINES
The Government of Alberta has announced that Albertans who use Rituximab are eligible to receive their second COVID-19 vaccination 3-4 weeks after the first injection. It is important to coordinate with your rheumatologist to ensure the optimal timing of the vaccine around your rituximab.METHOTREXATE
Methotrexate is an anti-folate drug, and it also has many different specific effects which modulate the body’s immune system. Like all DMARDs, Methotrexate takes time to work. Most patients start to feel the positive effects of methotrexate at 4-8 weeks, with maximumbenefit at 3
GARNEAU RHEUMATOLOGY Garneau Rheumatology Print Page. Garneau Rheumatology is located in Edmonton near the University of Alberta Hospital at the corner of 111th Street and Whyte Avenue. In addition to a team of rheumatologists associated with the University of Alberta, Garneau Rheumatology is the Edmonton home for the Arthritis Society, Alberta & Northwest Territories. LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. KAYE EDMONTON CLINIC Kaye Edmonton Clinic Print Page. Kaye Edmonton Clinic. University of Alberta Rheumatologists see patients at the Edmonton Clinic located just west of the University of Alberta Hospital on 114th Street and University Avenue. To receive a first appointment, you must be referred, usually from another physician. RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne Mosher EDMONTON 124 ST. CLINIC Edmonton 124 St. Clinic Print Page. The 124th Street Medical Clinic is centrally located in Edmonton at the corner of 124th Street and 109th Avenue.It is approximately a 5 minute drive from the Royal Alexandra Hospital. Parking is usually not a problem with ample space located on JAK KINASE INHIBITORS JAK Kinase inhibitors are a relatively new DMARD, first approved for use in Canada in 2014. They work by blocking the effect of an immune pathway called JAK-STAT. By doing this, it can help decrease the body’s inflammatory response, thereby decreasing joint inflammation. The benefits of these medications can be seen in patients as early as2
SIERRASIL® JOINT FORMULA14 What is SierraSil®? SierraSil® is a proprietary clay mineral complex derived from the Sierra Mountains in the United States.According to the manufacturer, SierraSil® Joint Formula14, at the daily recommended dose of 3 capsules daily, contains the following trace elements: . Calcium 23mg, potassium 20mg, sodium 12mg, aluminum 6mg, phosphorus 3.1mg, magnesium 2.2mg, iron 1.2mg, silicon 1mg ALBERTA RHEUMATOLOGY Alberta Rheumatology is a resource for patients, medical students, residents and physicians for all aspects related to rheumatology andarthritis care.
COVID-19 VACCINES
The Government of Alberta has announced that Albertans who use Rituximab are eligible to receive their second COVID-19 vaccination 3-4 weeks after the first injection. It is important to coordinate with your rheumatologist to ensure the optimal timing of the vaccine around your rituximab.METHOTREXATE
Methotrexate is an anti-folate drug, and it also has many different specific effects which modulate the body’s immune system. Like all DMARDs, Methotrexate takes time to work. Most patients start to feel the positive effects of methotrexate at 4-8 weeks, with maximumbenefit at 3
GARNEAU RHEUMATOLOGY Garneau Rheumatology Print Page. Garneau Rheumatology is located in Edmonton near the University of Alberta Hospital at the corner of 111th Street and Whyte Avenue. In addition to a team of rheumatologists associated with the University of Alberta, Garneau Rheumatology is the Edmonton home for the Arthritis Society, Alberta & Northwest Territories. LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. KAYE EDMONTON CLINIC Kaye Edmonton Clinic Print Page. Kaye Edmonton Clinic. University of Alberta Rheumatologists see patients at the Edmonton Clinic located just west of the University of Alberta Hospital on 114th Street and University Avenue. To receive a first appointment, you must be referred, usually from another physician. RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne Mosher EDMONTON 124 ST. CLINIC Edmonton 124 St. Clinic Print Page. The 124th Street Medical Clinic is centrally located in Edmonton at the corner of 124th Street and 109th Avenue.It is approximately a 5 minute drive from the Royal Alexandra Hospital. Parking is usually not a problem with ample space located on JAK KINASE INHIBITORS JAK Kinase inhibitors are a relatively new DMARD, first approved for use in Canada in 2014. They work by blocking the effect of an immune pathway called JAK-STAT. By doing this, it can help decrease the body’s inflammatory response, thereby decreasing joint inflammation. The benefits of these medications can be seen in patients as early as2
SIERRASIL® JOINT FORMULA14 What is SierraSil®? SierraSil® is a proprietary clay mineral complex derived from the Sierra Mountains in the United States.According to the manufacturer, SierraSil® Joint Formula14, at the daily recommended dose of 3 capsules daily, contains the following trace elements: . Calcium 23mg, potassium 20mg, sodium 12mg, aluminum 6mg, phosphorus 3.1mg, magnesium 2.2mg, iron 1.2mg, silicon 1mg RHEUMATOID ARTHRITIS Rheumatoid Arthritis is an autoimmune disease which causes pain, swelling and stiffness to the joints. It can occur at any age, although is seen more often in middle aged women. If not promptly treated, it can cause permanent damage to the bones surrounding the FIRST APPOINTMENT INFORMATION FORM Identifying Information. 1. Physician Name *. - Select Your Rheumatologist - Dr. Stephen Aaron Dr. Shafiq Akbar Dr. Alison Clifford Dr. Tharindri Dissanayake Dr. Joanne Homik Dr. Niall Jones Dr. Steven Katz Dr. Stephanie Keeling Dr. Walter Maksymowych Dr. Omid Niaki Dr. Lilia Olaru Dr. Mohammed Osman Dr. Anna Oswald Dr. LarissaPetriw Dr
JAK KINASE INHIBITORS JAK Kinase inhibitors are a relatively new DMARD, first approved for use in Canada in 2014. They work by blocking the effect of an immune pathway called JAK-STAT. By doing this, it can help decrease the body’s inflammatory response, thereby decreasing joint inflammation. The benefits of these medications can be seen in patients as early as2
LEFLUNOMIDE
Leflunomide, its tradename Arava, is in a class of medications called Disease Modifying Anti-Rheumatic Drugs, or DMARDs. DMARDs are a slow acting but effective treatment for rheumatoid arthritis and other forms of inflammatory arthritis. Leflunomide is a newer DMARD considered by some to be equivalent in effect to methotrexate forrheumatoid
BOSWELLIA - ALBERTA RHEUMATOLOGY Bottom Line. Effectiveness: May be effective to decrease osteoarthritis-related pain and improve physical function in the short term (1-3 months), however long term benefit has not been observed.There is a lack of evidence of benefit in rheumatoid arthritis and use is not recommended. Safety: Generally well tolerated when used orally for up to 6 months; long term safety is unknownLOW DOSE NALTREXONE
What the Science Says: Low dose naltrexone (LDN) 4.5mg/day. A preliminary study (n=31, crossover design) of LDN in fibromyalgia patients demonstrated a modest reduction in pain (-1.1 from baseline 5.1); mood also improved, but there was no change in sleep. A third of patients were designated ‘responders’ (30% change in pain,fatigue, and
MYAHS CONNECT SIGN UP INSTRUCTIONS MyAHS Connect Sign Up Instructions MyAHS Connect is a secure patient portal that allows you access to some of your health information through Alberta Health Services. RITUXIMAB - ALBERTA RHEUMATOLOGY Rituximab is a biologic, a newer class of DMARD (Disease Modifying Anti-Rheumatic Drug) While in class of biologics like TNF antagonists, Rituximab does not work in the same way. Rituximab is primarily used in the treatment of inflammatory arthritis such as rheumatoid arthritis, but has also been used to treat a variety of otherrheumatic
DEVIL’S CLAW
Devil’s Claw (aqueous extract) 410mg 3x/day: Single centre, open label pilot study (N=13) over 6 weeks of patients with active rheumatoid or psoriatic arthritis on NSAID, steroid, or DMARD (penicillamine (n=1) or chloroquine (n=1)) therapy. SLEDAI-2K DISEASE ACTIVITY QUESTIONNAIRE:WEB VIEW PLEASE NOTE: If the SLEDAI-2K has been completed in the . past 4 weeks, please staple that copy to this CRF and indicate this here bychecking box.
ALBERTA RHEUMATOLOGY A: Low platelets can be a manifestation of systemic lupus.. It is still safe for those with lupus to receive a COVID-19 vaccine. There is a concern of the virus vector vaccines (Astra Zeneca and Johnson & Johnson products) inducing low platelets and a syndrome calledCOVID-19 VACCINES
Bottom Line. The available vaccines are highly effective in preventing COVID-19 infection, and in particular severe COVID-19 requiringhospitalization.
METHOTREXATE
What should I do if I miss a dose? If you miss your dose, you can take it the next day safely. Then, resume your normal weekly routine. If it has been more than 1-2 days, wait until your next weekly scheduleddose.
LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. GARNEAU RHEUMATOLOGY Garneau Rheumatology Print Page. Garneau Rheumatology is located in Edmonton near the University of Alberta Hospital at the corner of 111th Street and Whyte Avenue. In addition to a team of rheumatologists associated with the University of Alberta, Garneau Rheumatology is the Edmonton home for the Arthritis Society, Alberta & Northwest Territories. KAYE EDMONTON CLINIC Address. 3A Medicine Clinic Third Floor, Edmonton Clinic 11400 University Avenue, Edmonton, AB T6G 1Z1. Phone. Dr. Stephen Aaron 780-492-6761; Dr. Alison Clifford 780-492-1965; Dr. Joanne Homik 780-492-6030; Dr. Steven Katz 780-492-6030; Dr. Stephanie Keeling 780-492-7500; Dr. Walter Maksymowych 780-407-1964; Dr. Omid Niaki 780-492-9824; Dr. Anna Oswald 780-492-7500; Dr. Mohammed Osman SIERRASIL® JOINT FORMULA14 What is SierraSil®? SierraSil® is a proprietary clay mineral complex derived from the Sierra Mountains in the United States.According to the manufacturer, SierraSil® Joint Formula14, at the daily recommended dose of 3 capsules daily, contains the following trace elements: . Calcium 23mg, potassium 20mg, sodium 12mg, aluminum 6mg, phosphorus 3.1mg, magnesium 2.2mg, iron 1.2mg, silicon 1mgDEVIL’S CLAW
Devil’s Claw (aqueous extract) 410mg 3x/day: Single centre, open label pilot study (N=13) over 6 weeks of patients with active rheumatoid or psoriatic arthritis on NSAID, steroid, or DMARD (penicillamine (n=1) or chloroquine (n=1)) therapy. DEER VELVET OR ELK ANTLER Bottom Line. Effectiveness: There is little evidence for use in osteoarthritis.More research would be needed in this area. Likely not effective for use in rheumatoid arthritis. Safety: Possibly safe when used orally and at studied doses for up to 12 weeks. HEALTH ASSESSMENT QUESTIONNAIRE (HAQ-DI)© Your ACTIVITIES: To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? COMPLETELY MOSTLY MODERATELY A LITTLE NOT AT ALL Your PAIN: How much pain have you had IN THE PAST WEEK? On a scale of 0 to 100 (where zero represents “no pain” and 100 represents “severe pain”), please record the ALBERTA RHEUMATOLOGY A: Low platelets can be a manifestation of systemic lupus.. It is still safe for those with lupus to receive a COVID-19 vaccine. There is a concern of the virus vector vaccines (Astra Zeneca and Johnson & Johnson products) inducing low platelets and a syndrome calledCOVID-19 VACCINES
Bottom Line. The available vaccines are highly effective in preventing COVID-19 infection, and in particular severe COVID-19 requiringhospitalization.
METHOTREXATE
What should I do if I miss a dose? If you miss your dose, you can take it the next day safely. Then, resume your normal weekly routine. If it has been more than 1-2 days, wait until your next weekly scheduleddose.
LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. GARNEAU RHEUMATOLOGY Garneau Rheumatology Print Page. Garneau Rheumatology is located in Edmonton near the University of Alberta Hospital at the corner of 111th Street and Whyte Avenue. In addition to a team of rheumatologists associated with the University of Alberta, Garneau Rheumatology is the Edmonton home for the Arthritis Society, Alberta & Northwest Territories. KAYE EDMONTON CLINIC Address. 3A Medicine Clinic Third Floor, Edmonton Clinic 11400 University Avenue, Edmonton, AB T6G 1Z1. Phone. Dr. Stephen Aaron 780-492-6761; Dr. Alison Clifford 780-492-1965; Dr. Joanne Homik 780-492-6030; Dr. Steven Katz 780-492-6030; Dr. Stephanie Keeling 780-492-7500; Dr. Walter Maksymowych 780-407-1964; Dr. Omid Niaki 780-492-9824; Dr. Anna Oswald 780-492-7500; Dr. Mohammed Osman SIERRASIL® JOINT FORMULA14 What is SierraSil®? SierraSil® is a proprietary clay mineral complex derived from the Sierra Mountains in the United States.According to the manufacturer, SierraSil® Joint Formula14, at the daily recommended dose of 3 capsules daily, contains the following trace elements: . Calcium 23mg, potassium 20mg, sodium 12mg, aluminum 6mg, phosphorus 3.1mg, magnesium 2.2mg, iron 1.2mg, silicon 1mgDEVIL’S CLAW
Devil’s Claw (aqueous extract) 410mg 3x/day: Single centre, open label pilot study (N=13) over 6 weeks of patients with active rheumatoid or psoriatic arthritis on NSAID, steroid, or DMARD (penicillamine (n=1) or chloroquine (n=1)) therapy. DEER VELVET OR ELK ANTLER Bottom Line. Effectiveness: There is little evidence for use in osteoarthritis.More research would be needed in this area. Likely not effective for use in rheumatoid arthritis. Safety: Possibly safe when used orally and at studied doses for up to 12 weeks. HEALTH ASSESSMENT QUESTIONNAIRE (HAQ-DI)© Your ACTIVITIES: To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? COMPLETELY MOSTLY MODERATELY A LITTLE NOT AT ALL Your PAIN: How much pain have you had IN THE PAST WEEK? On a scale of 0 to 100 (where zero represents “no pain” and 100 represents “severe pain”), please record the RHEUMATOID ARTHRITIS Rheumatologists see over 100 different types of diseases. We are known for seeing arthritis, however, we also see many other conditions.Learn More
KAYE EDMONTON CLINIC Address. 3A Medicine Clinic Third Floor, Edmonton Clinic 11400 University Avenue, Edmonton, AB T6G 1Z1. Phone. Dr. Stephen Aaron 780-492-6761; Dr. Alison Clifford 780-492-1965; Dr. Joanne Homik 780-492-6030; Dr. Steven Katz 780-492-6030; Dr. Stephanie Keeling 780-492-7500; Dr. Walter Maksymowych 780-407-1964; Dr. Omid Niaki 780-492-9824; Dr. Anna Oswald 780-492-7500; Dr. Mohammed Osman GOUT - ALBERTA RHEUMATOLOGY Rheumatologists see over 100 different types of diseases. We are known for seeing arthritis, however, we also see many other conditions.Learn More
SUPPORT GROUPS
Rheumatologists see over 100 different types of diseases. We are known for seeing arthritis, however, we also see many other conditions.Learn More
RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne MosherLOW DOSE NALTREXONE
Bottom Line Effectiveness: There are limited evidence suggestive of benefit in rheumatoid arthritis, and pain relief in patients with fibromyalgia. More research is coming however. Safety: Has been used safely at doses for substance use disorder. More research is needed in use for rheumatic conditions. EDMONTON 124 ST. CLINIC Edmonton 124 St. Clinic Print Page. The 124th Street Medical Clinic is centrally located in Edmonton at the corner of 124th Street and 109th Avenue.It is approximately a 5 minute drive from the Royal Alexandra Hospital. Parking is usually not a problem with ample space located on BOSWELLIA - ALBERTA RHEUMATOLOGY Bottom Line. Effectiveness: May be effective to decrease osteoarthritis-related pain and improve physical function in the short term (1-3 months), however long term benefit has not been observed.There is a lack of evidence of benefit in rheumatoid arthritis and use is not recommended. Safety: Generally well tolerated when used orally for up to 6 months; long term safety is unknown GLUCOSAMINE AND CHONDROITIN Bottom Line Effectiveness: Glucosamine, Chondroitin and combination of Glucosamine and Chondroitin is not recommended for OA as per clinical practice guidelines, however a specific formulation of chondroitin may be effective for hand OA.. Safety: Glucosamine and chondroitin have been used safely in clinical trials.Adverse events reported are generally mild; however, the safety of long-term use SLEDAI-2K DISEASE ACTIVITY QUESTIONNAIRE:WEB VIEW PLEASE NOTE: If the SLEDAI-2K has been completed in the . past 4 weeks, please staple that copy to this CRF and indicate this here bychecking box.
ALBERTA RHEUMATOLOGY Alberta Rheumatology is a resource for patients, medical students, residents and physicians for all aspects related to rheumatology andarthritis care.
COVID-19 VACCINES
The Government of Alberta has announced that Albertans who use Rituximab are eligible to receive their second COVID-19 vaccination 3-4 weeks after the first injection. It is important to coordinate with your rheumatologist to ensure the optimal timing of the vaccine around your rituximab.METHOTREXATE
Methotrexate is an anti-folate drug, and it also has many different specific effects which modulate the body’s immune system. Like all DMARDs, Methotrexate takes time to work. Most patients start to feel the positive effects of methotrexate at 4-8 weeks, with maximumbenefit at 3
GARNEAU RHEUMATOLOGY Garneau Rheumatology Print Page. Garneau Rheumatology is located in Edmonton near the University of Alberta Hospital at the corner of 111th Street and Whyte Avenue. In addition to a team of rheumatologists associated with the University of Alberta, Garneau Rheumatology is the Edmonton home for the Arthritis Society, Alberta & Northwest Territories. LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. KAYE EDMONTON CLINIC Kaye Edmonton Clinic Print Page. Kaye Edmonton Clinic. University of Alberta Rheumatologists see patients at the Edmonton Clinic located just west of the University of Alberta Hospital on 114th Street and University Avenue. To receive a first appointment, you must be referred, usually from another physician. RHEUMATOID ARTHRITIS Rheumatoid Arthritis is an autoimmune disease which causes pain, swelling and stiffness to the joints. It can occur at any age, although is seen more often in middle aged women. If not promptly treated, it can cause permanent damage to the bones surrounding the RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne Mosher SIERRASIL® JOINT FORMULA14 What is SierraSil®? SierraSil® is a proprietary clay mineral complex derived from the Sierra Mountains in the United States.According to the manufacturer, SierraSil® Joint Formula14, at the daily recommended dose of 3 capsules daily, contains the following trace elements: . Calcium 23mg, potassium 20mg, sodium 12mg, aluminum 6mg, phosphorus 3.1mg, magnesium 2.2mg, iron 1.2mg, silicon 1mg BOSWELLIA - ALBERTA RHEUMATOLOGY Bottom Line. Effectiveness: May be effective to decrease osteoarthritis-related pain and improve physical function in the short term (1-3 months), however long term benefit has not been observed.There is a lack of evidence of benefit in rheumatoid arthritis and use is not recommended. Safety: Generally well tolerated when used orally for up to 6 months; long term safety is unknown ALBERTA RHEUMATOLOGY Alberta Rheumatology is a resource for patients, medical students, residents and physicians for all aspects related to rheumatology andarthritis care.
COVID-19 VACCINES
The Government of Alberta has announced that Albertans who use Rituximab are eligible to receive their second COVID-19 vaccination 3-4 weeks after the first injection. It is important to coordinate with your rheumatologist to ensure the optimal timing of the vaccine around your rituximab.METHOTREXATE
Methotrexate is an anti-folate drug, and it also has many different specific effects which modulate the body’s immune system. Like all DMARDs, Methotrexate takes time to work. Most patients start to feel the positive effects of methotrexate at 4-8 weeks, with maximumbenefit at 3
GARNEAU RHEUMATOLOGY Garneau Rheumatology Print Page. Garneau Rheumatology is located in Edmonton near the University of Alberta Hospital at the corner of 111th Street and Whyte Avenue. In addition to a team of rheumatologists associated with the University of Alberta, Garneau Rheumatology is the Edmonton home for the Arthritis Society, Alberta & Northwest Territories. LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. KAYE EDMONTON CLINIC Kaye Edmonton Clinic Print Page. Kaye Edmonton Clinic. University of Alberta Rheumatologists see patients at the Edmonton Clinic located just west of the University of Alberta Hospital on 114th Street and University Avenue. To receive a first appointment, you must be referred, usually from another physician. RHEUMATOID ARTHRITIS Rheumatoid Arthritis is an autoimmune disease which causes pain, swelling and stiffness to the joints. It can occur at any age, although is seen more often in middle aged women. If not promptly treated, it can cause permanent damage to the bones surrounding the RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne Mosher SIERRASIL® JOINT FORMULA14 What is SierraSil®? SierraSil® is a proprietary clay mineral complex derived from the Sierra Mountains in the United States.According to the manufacturer, SierraSil® Joint Formula14, at the daily recommended dose of 3 capsules daily, contains the following trace elements: . Calcium 23mg, potassium 20mg, sodium 12mg, aluminum 6mg, phosphorus 3.1mg, magnesium 2.2mg, iron 1.2mg, silicon 1mg BOSWELLIA - ALBERTA RHEUMATOLOGY Bottom Line. Effectiveness: May be effective to decrease osteoarthritis-related pain and improve physical function in the short term (1-3 months), however long term benefit has not been observed.There is a lack of evidence of benefit in rheumatoid arthritis and use is not recommended. Safety: Generally well tolerated when used orally for up to 6 months; long term safety is unknown CONFIRM YOUR APPOINTMENT Confirm Your Appointment. Confirm Your Appointment online right now. Available 24 hours a day, 7 days a week. Select your rheumatologist from the list provided. If you do not see your rheumatologist’s name, they do not participate in this service. Phone their office to confirm your appointment instead. FIRST APPOINTMENT INFORMATION FORM Identifying Information. 1. Physician Name *. - Select Your Rheumatologist - Dr. Stephen Aaron Dr. Shafiq Akbar Dr. Alison Clifford Dr. Tharindri Dissanayake Dr. Joanne Homik Dr. Niall Jones Dr. Steven Katz Dr. Stephanie Keeling Dr. Walter Maksymowych Dr. Omid Niaki Dr. Lilia Olaru Dr. Mohammed Osman Dr. Anna Oswald Dr. LarissaPetriw Dr
RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne MosherVACCINATIONS
Vaccinations when taking DMARDs or Biologics. a If patient has received Pneumovax previously, administer Prevnar-13 at least 1 year later, followed by a Pneumovax-23 booster 5 years after the first dose. b Alberta Health will pay for Prevnar-13 and Pneumovax-23 for patients with inflammatory arthritis taking therapy/therapies beyondHCQ and/or SSZ.
GOUT - ALBERTA RHEUMATOLOGY The sudden onset of pain in the big toe. It’s red, it’s hot, it’s swollen. This is the typical presentation for gout. However, gout can affect any joint similarly. Gout is caused by the immune system’s reaction to uric acid deposition in the joints. While it affects only 1% of theDEVIL’S CLAW
Devil’s Claw (aqueous extract) 410mg 3x/day: Single centre, open label pilot study (N=13) over 6 weeks of patients with active rheumatoid or psoriatic arthritis on NSAID, steroid, or DMARD (penicillamine (n=1) or chloroquine (n=1)) therapy.LOW DOSE NALTREXONE
What the Science Says: Low dose naltrexone (LDN) 4.5mg/day. A preliminary study (n=31, crossover design) of LDN in fibromyalgia patients demonstrated a modest reduction in pain (-1.1 from baseline 5.1); mood also improved, but there was no change in sleep. A third of patients were designated ‘responders’ (30% change in pain,fatigue, and
RITUXIMAB - ALBERTA RHEUMATOLOGY Rituximab is a biologic, a newer class of DMARD (Disease Modifying Anti-Rheumatic Drug) While in class of biologics like TNF antagonists, Rituximab does not work in the same way. Rituximab is primarily used in the treatment of inflammatory arthritis such as rheumatoid arthritis, but has also been used to treat a variety of otherrheumatic
MILK THISTLE
Milk thistle is usually well tolerated when taken orally. The most common side effect is diarrhea. Other less common side effects include nausea, heart burn, gas, bloating, and poor appetite. Some people may be allergic to milk thistle and could get an itchy rash, eczema or even shortness of breath. GLUCOSAMINE AND CHONDROITIN Glucosamine is a naturally occurring amino sugar that is produced in humans. It is also found in seashells or could be made in the laboratory. Glucosamine supplements are commonly sold as glucosamine sulfate, glucosamine hydrochloride, or N-acetyl glucosamine. Chondroitin is a substance that occurs naturally in the body. ALBERTA RHEUMATOLOGY Alberta Rheumatology is a resource for patients, medical students, residents and physicians for all aspects related to rheumatology andarthritis care.
COVID-19 VACCINES
The Government of Alberta has announced that Albertans who use Rituximab are eligible to receive their second COVID-19 vaccination 3-4 weeks after the first injection. It is important to coordinate with your rheumatologist to ensure the optimal timing of the vaccine around your rituximab.METHOTREXATE
Methotrexate is an anti-folate drug, and it also has many different specific effects which modulate the body’s immune system. Like all DMARDs, Methotrexate takes time to work. Most patients start to feel the positive effects of methotrexate at 4-8 weeks, with maximumbenefit at 3
GARNEAU RHEUMATOLOGY Garneau Rheumatology Print Page. Garneau Rheumatology is located in Edmonton near the University of Alberta Hospital at the corner of 111th Street and Whyte Avenue. In addition to a team of rheumatologists associated with the University of Alberta, Garneau Rheumatology is the Edmonton home for the Arthritis Society, Alberta & Northwest Territories. LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. KAYE EDMONTON CLINIC Kaye Edmonton Clinic Print Page. Kaye Edmonton Clinic. University of Alberta Rheumatologists see patients at the Edmonton Clinic located just west of the University of Alberta Hospital on 114th Street and University Avenue. To receive a first appointment, you must be referred, usually from another physician. RHEUMATOID ARTHRITIS Rheumatoid Arthritis is an autoimmune disease which causes pain, swelling and stiffness to the joints. It can occur at any age, although is seen more often in middle aged women. If not promptly treated, it can cause permanent damage to the bones surrounding the RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne Mosher SIERRASIL® JOINT FORMULA14 What is SierraSil®? SierraSil® is a proprietary clay mineral complex derived from the Sierra Mountains in the United States.According to the manufacturer, SierraSil® Joint Formula14, at the daily recommended dose of 3 capsules daily, contains the following trace elements: . Calcium 23mg, potassium 20mg, sodium 12mg, aluminum 6mg, phosphorus 3.1mg, magnesium 2.2mg, iron 1.2mg, silicon 1mg BOSWELLIA - ALBERTA RHEUMATOLOGYBOSWELLIA OSTEOARTHRITISBOSWELLIA DOSAGE FOR ARTHRITISBOSWELLIA FOR ARTHRITIS INFLAMMATIONBOSWELLIA SERRATA DOSAGE FOR ARTHRITIS Bottom Line. Effectiveness: May be effective to decrease osteoarthritis-related pain and improve physical function in the short term (1-3 months), however long term benefit has not been observed.There is a lack of evidence of benefit in rheumatoid arthritis and use is not recommended. Safety: Generally well tolerated when used orally for up to 6 months; long term safety is unknown ALBERTA RHEUMATOLOGY Alberta Rheumatology is a resource for patients, medical students, residents and physicians for all aspects related to rheumatology andarthritis care.
COVID-19 VACCINES
The Government of Alberta has announced that Albertans who use Rituximab are eligible to receive their second COVID-19 vaccination 3-4 weeks after the first injection. It is important to coordinate with your rheumatologist to ensure the optimal timing of the vaccine around your rituximab.METHOTREXATE
Methotrexate is an anti-folate drug, and it also has many different specific effects which modulate the body’s immune system. Like all DMARDs, Methotrexate takes time to work. Most patients start to feel the positive effects of methotrexate at 4-8 weeks, with maximumbenefit at 3
GARNEAU RHEUMATOLOGY Garneau Rheumatology Print Page. Garneau Rheumatology is located in Edmonton near the University of Alberta Hospital at the corner of 111th Street and Whyte Avenue. In addition to a team of rheumatologists associated with the University of Alberta, Garneau Rheumatology is the Edmonton home for the Arthritis Society, Alberta & Northwest Territories. LETHBRIDGE RHEUMATOLOGY Lethbridge Rheumatology Print Page. Lethbridge Rheumatology is located in central Lethbridge. Its rheumatologists maintain close ties with rheumatologists in Calgary and Edmonton, as well as the University of Calgary and University of Alberta. KAYE EDMONTON CLINIC Kaye Edmonton Clinic Print Page. Kaye Edmonton Clinic. University of Alberta Rheumatologists see patients at the Edmonton Clinic located just west of the University of Alberta Hospital on 114th Street and University Avenue. To receive a first appointment, you must be referred, usually from another physician. RHEUMATOID ARTHRITIS Rheumatoid Arthritis is an autoimmune disease which causes pain, swelling and stiffness to the joints. It can occur at any age, although is seen more often in middle aged women. If not promptly treated, it can cause permanent damage to the bones surrounding the RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne Mosher SIERRASIL® JOINT FORMULA14 What is SierraSil®? SierraSil® is a proprietary clay mineral complex derived from the Sierra Mountains in the United States.According to the manufacturer, SierraSil® Joint Formula14, at the daily recommended dose of 3 capsules daily, contains the following trace elements: . Calcium 23mg, potassium 20mg, sodium 12mg, aluminum 6mg, phosphorus 3.1mg, magnesium 2.2mg, iron 1.2mg, silicon 1mg BOSWELLIA - ALBERTA RHEUMATOLOGYBOSWELLIA OSTEOARTHRITISBOSWELLIA DOSAGE FOR ARTHRITISBOSWELLIA FOR ARTHRITIS INFLAMMATIONBOSWELLIA SERRATA DOSAGE FOR ARTHRITIS Bottom Line. Effectiveness: May be effective to decrease osteoarthritis-related pain and improve physical function in the short term (1-3 months), however long term benefit has not been observed.There is a lack of evidence of benefit in rheumatoid arthritis and use is not recommended. Safety: Generally well tolerated when used orally for up to 6 months; long term safety is unknown CONFIRM YOUR APPOINTMENT Confirm Your Appointment. Confirm Your Appointment online right now. Available 24 hours a day, 7 days a week. Select your rheumatologist from the list provided. If you do not see your rheumatologist’s name, they do not participate in this service. Phone their office to confirm your appointment instead. FIRST APPOINTMENT INFORMATION FORM Identifying Information. 1. Physician Name *. - Select Your Rheumatologist - Dr. Stephen Aaron Dr. Shafiq Akbar Dr. Alison Clifford Dr. Tharindri Dissanayake Dr. Joanne Homik Dr. Niall Jones Dr. Steven Katz Dr. Stephanie Keeling Dr. Walter Maksymowych Dr. Omid Niaki Dr. Lilia Olaru Dr. Mohammed Osman Dr. Anna Oswald Dr. LarissaPetriw Dr
RICHMOND ROAD DIAGNOSTIC AND TREATMENT CENTRE Contact Info Address. 1820 Richmond Rd SW Calgary, AB T2T 5C7. Rheumatologists. Dr. Raymond Lewkonia Phone: 403-955-8733 FAX: 403-955-8029 Dr. Dianne MosherVACCINATIONS
Vaccinations when taking DMARDs or Biologics. a If patient has received Pneumovax previously, administer Prevnar-13 at least 1 year later, followed by a Pneumovax-23 booster 5 years after the first dose. b Alberta Health will pay for Prevnar-13 and Pneumovax-23 for patients with inflammatory arthritis taking therapy/therapies beyondHCQ and/or SSZ.
GOUT - ALBERTA RHEUMATOLOGY The sudden onset of pain in the big toe. It’s red, it’s hot, it’s swollen. This is the typical presentation for gout. However, gout can affect any joint similarly. Gout is caused by the immune system’s reaction to uric acid deposition in the joints. While it affects only 1% of theDEVIL’S CLAW
Devil’s Claw (aqueous extract) 410mg 3x/day: Single centre, open label pilot study (N=13) over 6 weeks of patients with active rheumatoid or psoriatic arthritis on NSAID, steroid, or DMARD (penicillamine (n=1) or chloroquine (n=1)) therapy.LOW DOSE NALTREXONE
What the Science Says: Low dose naltrexone (LDN) 4.5mg/day. A preliminary study (n=31, crossover design) of LDN in fibromyalgia patients demonstrated a modest reduction in pain (-1.1 from baseline 5.1); mood also improved, but there was no change in sleep. A third of patients were designated ‘responders’ (30% change in pain,fatigue, and
RITUXIMAB - ALBERTA RHEUMATOLOGY Rituximab is a biologic, a newer class of DMARD (Disease Modifying Anti-Rheumatic Drug) While in class of biologics like TNF antagonists, Rituximab does not work in the same way. Rituximab is primarily used in the treatment of inflammatory arthritis such as rheumatoid arthritis, but has also been used to treat a variety of otherrheumatic
MILK THISTLE
Milk thistle is usually well tolerated when taken orally. The most common side effect is diarrhea. Other less common side effects include nausea, heart burn, gas, bloating, and poor appetite. Some people may be allergic to milk thistle and could get an itchy rash, eczema or even shortness of breath. GLUCOSAMINE AND CHONDROITIN Glucosamine is a naturally occurring amino sugar that is produced in humans. It is also found in seashells or could be made in the laboratory. Glucosamine supplements are commonly sold as glucosamine sulfate, glucosamine hydrochloride, or N-acetyl glucosamine. Chondroitin is a substance that occurs naturally in the body. * Students & Residents* Staff
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Tracey from Canada asks: If I have psoriatic arthritis, can I work as a gas bar attendant?A:
The treatment goal for any inflammatory arthritis is to reach remission. Those in remission should be able to participate in all their normal activities, including work. Before reaching remission, patients should listen to their bodies. If it hurts when you are doing something, it is important not to ignore that. However, that line of what is too much is going to be different for everyone. The important thing to know is that being active is not going to make the underlying disease worse. In fact, exercise in moderation is considered a positive step for those with inflammatory arthritis.View More Answers
WHAT IS RHEUMATOLOGY? Rheumatologists see over 100 different types of diseases. We are known for seeing arthritis, however, we also see many other conditions.Learn More
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