Statistics show that nearly 50 percent of people ages 65 and older have been diagnosed with some form of arthritis . Unfortunately, many symptoms of rheumatoid arthritis resemble those found in patients with fibromyalgia and lupus. These conditions often affect many of the same joints in a similar way, causing pain, stiffness and aching. However, despite joint discomfort, people with fibromyalgia do not normally experience the swelling noted by rheumatoid arthritis and fibromyalgia doesn’t normally affect the same joints in the hands that rheumatoid arthritis does. Still, because of the similarity in the symptoms, your doctor may have to run tests to tell you which condition you have.
Adverse events have been observed in animal reproduction studies. Lithium crosses the placenta in concentrations similar to those in the maternal plasma (Newport 2005). Cardiac malformations in the infant, including Ebstein anomaly, are associated with use of lithium during the first trimester of pregnancy. Other adverse events including polyhydramnios, fetal/neonatal cardiac arrhythmias, hypoglycemia, diabetes insipidus, changes in thyroid function, premature delivery, floppy infant syndrome, or neonatal lithium toxicity are associated with lithium exposure when used later in pregnancy (ACOG 2008). The incidence of adverse events may be associated with higher maternal doses (Newport 2005).
Be advised that, given the international nature of the practice of International Prescription Service (IPS) pharmacy, there may be limitations in the ability of the Manitoba Pharmaceutical Association (MPhA), which is the statutory licensing authority for pharmacies and pharmacists in the Province of Manitoba, to investigate and prosecute complaints from persons who receive services or products from an IPS pharmacy. Manitoba pharmacies are not permitted to fill US physicians' prescriptions. They can only fill prescriptions issued by a physician licensed in a province or territory of Canada. takes the position that it may be contrary to professional standards for a pharmacist to fill prescriptions by a physician, licensed in a province or territory of Canada, who has not established an acceptable patient physician relationship with you.