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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
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. 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 1mgLOW 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
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. DEER VELVET OR ELK ANTLER It is thought to have healing and rejuvenating properties in traditional Chinese medicine. Deer velvet is made up of substances that may help cells grow and function (including amino acids, vitamin A, estradiol, sphingomyelin, prostaglandins, and epidermal growth factor). How deer velvet might work to treat rheumatic conditions isunknown.
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
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. 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 1mgLOW 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
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. DEER VELVET OR ELK ANTLER It is thought to have healing and rejuvenating properties in traditional Chinese medicine. Deer velvet is made up of substances that may help cells grow and function (including amino acids, vitamin A, estradiol, sphingomyelin, prostaglandins, and epidermal growth factor). How deer velvet might work to treat rheumatic conditions isunknown.
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 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 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 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.SUPPORT GROUPS
There are no specific programs that are associated with rheumatology. However, it is very common for spouses to attend support groups with their partner and connect with others on the effect rheumatoid arthritis has had on the patient and their family. Speak to your rheumatologist about a referral to the Rheumatoid Arthritis EducationProgram
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
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
DEER VELVET OR ELK ANTLER It is thought to have healing and rejuvenating properties in traditional Chinese medicine. Deer velvet is made up of substances that may help cells grow and function (including amino acids, vitamin A, estradiol, sphingomyelin, prostaglandins, and epidermal growth factor). How deer velvet might work to treat rheumatic conditions isunknown.
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. 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 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. 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. 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. 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. 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. 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. 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. 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. 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. 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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Image of the Month December 2014 ASK THE RHEUMATOLOGIST: LATEST ANSWERQ:
Jonathan from Calgary asks: Is there any specific advice recommended for rheumatology patients and COVID-19?A:
Please click here to our page on COVID-19 . We will try to keep this information up to date, but the situation remains fluid.View More Answers
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