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Risky Painkillers Commonly Prescribed for Osteoarthritis

d RheumNow

Published guidelines warn that treating osteoarthritis (OA) with opioids and benzodiazepines can boost patients' risk of falling.

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Cyclosporin and IVIG Effective in Kawasaki's Disease

d Jack Cush, MD

A Lancet study has shown that adding cyclosporin to intravenous immunoglobulin (IVIG) Kawasaki disease patients, who were predicted to be resistant to IVIG, was both safe and effective in averting severe coronary artery outcomes.

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Ironwood Retreats from the US Gout Market

d Jack Cush, MD

Ironwood Pharmaceuticals discontinued the marketing and sales of both lesinurad (Zurampic) the combination drug of lesinurad and allopurinol (Duzallo) in the United States effective February 1, 2019.

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No Rise in Cancer Risk with Actemra

d RheumNow

In patients with rheumatoid arthritis (RA), there was no increased risk for malignancy development seen with newly initiated tocilizumab (Actemra) treatment, an analysis of three U.S. insurance claim databases found.

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CRA Position Statement on Medical Cannabis Use

d Jack Cush, MD

Courtesy of the Canadian Rheumatology Association (CRA) website, here are consensus guidelines on medical cannabis use.



Rheumatology patients experience prevalent pain that is only modestly controlled with current treatment strategies.

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RheumNow Podcast – You Owe Me a DEXA (3.15.19)

d Jack Cush, MD

Dr. Jack Cush reviews this week's news and highlights from RheumNow.com.

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FREE Online viewing of RheumNow Live - Friday 3/22 at 1pm EST. 2 hr discussion blocks on RA, PsA, AS, SLE, Vasculitis. 10 "TED" talks interspersed from Cush, Calabrese, Van Vollenhoven, Schett, Matteson, Wolfe, Oransky,etc. SEE YOU THERE OR REGISTER HERE https://t.co/lbrJ0Dp1Hb

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Dr. John Cush RheumNow ( View Tweet)

Rheumatologists are the happiest specialists! https://t.co/C6aaHWq7qf @ACRheum Choose Rheumatology and Be Happy! @alhkim

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Jeff Sparks jeffsparks ( View Tweet)

Study of 151,305 pts from Clinical Practice Research Datalink, shows that THR/TKR patients exposed to statins for 1-5 years had ~25% reduced risk of arthroplasty revision (HR 0.74 (0.62, 0.88)). https://t.co/AQhKHuAwkD

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Dr. John Cush RheumNow ( View Tweet)

Pain signaling via NMDA receptors in the brain can be treated with drugs that block NMDA receptors (ketamine, methadone, memantine, amantadine, dextromethorphan). Metanalysis of memantine (15 studies) shows little benefit. https://t.co/72yfYzDXhV

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Dr. John Cush RheumNow ( View Tweet)

Brain fog (Fibro Fog) is common with sleep disorders and fibromyalgia. Manifests as memory problems, poor mental focus, forgetfulness - all correctable with sleep medicine evaluation and sleep assistance. https://t.co/e6CXXkYV39

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Dr. John Cush RheumNow ( View Tweet)

Study of 21,016 SLE patients from Korean Health Claims databases shows SLE patients have a higher risk of cancer than controls (OR 1.44; 95% CI 1.33–1.56) with highre rates of cervical, thyroid, ovarian, oral cancer, lymphoma, leukemia, & multiple myeloma https://t.co/NKR9i4ccfU

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Dr. John Cush RheumNow ( View Tweet)

Time to register for this weeks RheumNow Live. Free online streaming video - 16 hrs of Innovative lectures and Q&A Panels from friday afternoon 3/22, till noon Sunday 3/24. Register for FREE at https://t.co/wIgS5rq4UE

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Dr. John Cush RheumNow ( View Tweet)

QD Clinic - When To Stop MTX- Should/Can a Patient ever stop MTX? | RheumNow https://t.co/z0Dhwdbr3Q

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Dr. John Cush RheumNow ( View Tweet)

European Commission Approves MabThera (rituximab) for use in Pemphigus, US FDA approved it in 6/18; RTX is now approved in 4 autoimmune disorders in the US & Europe (RA, GPA, MPA, Pemphigus) - Not approved for use in children https://t.co/dJJfPdXuWQ(rituxim/364143/index.html

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Dr. John Cush RheumNow ( View Tweet)

Nice comprehensive full read review of the Diagnosis and Management of Paget's Disease of Bone in Adults: A Clinical Guideline from the JBMR. https://t.co/Eh9xfPJ2B0

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Dr. John Cush RheumNow ( View Tweet)

Vedolizumab superior to adalimumab in clinical remission (31 vs 22%) and mucosal healing(40 vs 28%) at week 52 when given to383 patients with moderate to severely active ulcerative colitis. Data presented at European Crohn’s and Colitis Congress. https://t.co/dXrEkzhnKh

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Dr. John Cush RheumNow ( View Tweet)

Daily noninvasive ultrasound (US) stimulation of the spleen significantly reduces disease severity in a murine model of inflammatory arthritis. Results mediated via T & B cell effects as T/B deficient mice did not improve with splenic US. https://t.co/dSlYWEgplR

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Dr. John Cush RheumNow ( View Tweet)

The Weekly RheumNow Podcast is up! https://t.co/qA4wADpPN8 or listen to it on iTunes or SoundCloud https://t.co/mZ3y0yvwA3

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Dr. John Cush RheumNow ( View Tweet)

FREE-Register to view into RheumNow Live next friday 3/22 >> https://t.co/lbrJ0Dp1Hb AFabulous Faculty - Calabrese, O'Shea, Weinblatt, Ruderman, Reveille, Langford, Seo, Kavanaugh, Conaghan, VanVollenhoven, Schett, Matteson, Wolfe, Pincus & more https://t.co/0NwHXWfjyO

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Dr. John Cush RheumNow ( View Tweet)

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