Category Archives: Support Groups

WE’RE BACK AGAIN – WITH AN ‘OLYMPIC’ EDITION OF THE 2012 FIBROMYALGIA CONFERENCE & PAMPERING

by Jeanne Hambleton©

The good news is the southeast Fibromyalgia Conference with Pampering will go ahead next April 2012.

I was offered loads of real help and support for the Folly Pogs FM Cause for a Cure research fund (my passion), so I told myself the male members of my family who raised the most objections to more work and more conferences were wrong. I rewrote our rulebook. It now reads we should do it again, and possibly again and even again, as long as the delegates enjoy and support the conference. Backed by the FMS SAS Sussex and Surrey charity trustees who are now involved with the work with Folly Pogs, we have a date to keep next Easter.

THE CONFERENCE
The Fibromyalgia Conference & Pamper Weekend will happen April 6/9 2012 (Easter weekend) at a hotel in Chichester. Our original venue was fully booked for 2012 so we had no choice but to move. We appreciate it is the first Bank Holiday of the year when families get together but why not bring your partner/sister/mother and dad with you. There are loads to see and do in Chichester, Portsmouth and Brighton and you know where the beaches are – Bracklesham Bay and West Wittering.

The venue offers in-house pampering for a fee, with free use of the spa, steam room, great ‘warm’ indoor pool, comfy beds, en suite, TV, tea making, telephone etc. We even have a special vacation offer for couples who want to stay on for an Easter break until the following Friday with a list of tourist attractions to visit.

THE PROGRAMME
We will again offer a full programme of interesting and keynote speakers, workshops and some exercises plus therapies, books and a modest exhibition – all being well. Plans are underway. The weekend – 3 nights 4 days from Friday to Monday will cost £179 per person sharing a double room.

FOR THE ROMANTICS AMONG YOU
We also have a special bridal suite and two bedrooms with four-posters available for the ‘romantics’ among you. We only have the three so payment secures your choice. Sadly there are no single rooms and the hotel requires a £50 single supplement, so bring a friend and share. This time we only have 70 rooms – beds for 150 people – less accommodation than usual – and already more than half these are booked. So hurry and get in touch if you want to come and learn about your condition plus enjoy the fun.

WHAT DOES YOUR MONEY BUY

Your fee (£179) for the weekend pays for accommodation, full board, 3 meals plus tea and coffee breaks, a choice of approximately 12 speakers, 12 workshops, exercises (some of this may be subject to change depending on the availability of those providing the presentations etc.), evening entertainment, some laughs and giggles.

Many delegates who came before are already booked to come back to Chichester. The Fibro Fillies Race Night is back too – horses to name and races to sponsor for research…. and the raffle for research too – prizes always welcome – thanks.

It will be another memorable weekend to make new friends with like minded folk, the chance to speak one to one with our speakers, learn more about your condition, join one of the informal workshops where you can ask questions and relax, and take part in fun competitions – the Easter Bonnet Parade; the Fibro Duck with Appropriate Owner competition (FDAO); and the ‘Olympic’ challenges when we have worked these out. Any ideas? These may be a bit challenging but nothing too hard for a fibromite. One might include knitting squares for a good cause – how quick and how many maybe? Stella Bernardi will highlight knitting as a diversion from pain in one of our workshops.

For more information and a conference booking form email me at jeannehambleton@me.com with CONFERENCE in the subject line please.

A big thanks to Pam Stewart – without her input we might still be floundering and wondering what to do and I would not have a new family rule book. Hooray. Thanks Pam – your heart is in the right place. We all appreciate what you do for the FM community. Also big thanks for the FMS SAS charity and it’s trustees for its help and support.

WHERE WILL THE MONEY GO?
After expenses remaining funds will be donated to the Folly Pogs Fibromyalgia Research Uk (Cause for a Cure). I believe we all need a cure – if only for the next generation as it is hereditary.

Statistic already show 2.7 million folk in the UK have been diagnosed with FM and we believe the same number have our pains which many GPs cannot diagnose due to lack of training in fibromyalgia. It can take two years to get a diagnosis. Stress is our enemy and a prime trigger for fibro flares which may put fibromites in bed for a week. The USA claim fibromyalgia is reaching worldwide epidemic proportions.

For some fibromites coming to conference can be an escape from their four walls, plus depression and isolation which so many fibromites suffer apart from the pains, chronic fatigue, sleep disorder, cognitive behaviour, IBS plus 50 other nasty symptoms. Thanks must go to a number of UK Rotary Clubs who so graciously funded the conference fee and trip for several fibromites on benefits at the last conference. You made a real difference to those gloomy lives. A big thanks to those Rotary Gents on behalf of the FM community.

Hope to see you at conference. Get in touch for a booking form. Take care. Keep well. Jeanne

FM CONFERENCE AND PAMPERS 2011 ANOTHER BIG HIT

By Jeanne Hambleton ©

The Fibromyalgia Conference and Pamper Weekend in April on the south coast was another great success inspite of cancellations by the Americans. Described as a ‘coalition’ conference many Group Leaders played a major part in collecting stage payments at group meetings over several months, to enable delegates to come to conference. Without the support of those Leaders, many living on benefits would have been unable to come. Others found their local Rotary Club willing to help fund their visit to the conference. So many people pulled together to make it happen and during the ‘fond farewell’ it was clear that they all enjoyed themselves.

The conference brought together two major charities, FMA UK and FMS SAS (Surrey and Sussex) to work with FibCon independent conference Folly Pogs team, striving to raise funds for research to find a cure. The success of the event was due to those who supported us and a few dedicated people who desperately want to see a cure for fibromyalgia.

It was another ‘win win’ event for delegates with 14 speakers, 14 work-shops, with many presentations provided by fibromites with a story to tell. There were also exercise programmes and good evening entertainment. Delegates are still talking about the fibro fillies horse racing and racing pigs with knitted woollen jockeys, the Friday highlight. Saturday saw the Cockney Barrow Boys with a sing-along of London songs and a mini re-enactment of an air raid with siren, which brought memories flooding back to some. On Sunday the conference was entertained by a team of four mediums, with humour, bringing messages from loved ones and the return of a favourite comedian who entertained us in 2010 – Paul James.

COMPETITIONS
Some 19 delightful Fibro Ducks were entered for the Best Dressed FD competition with three winners – Debbie Wilson, Maggie Stewart, and Orla Desmond – all winning first place. I am guessing the surnames are right as no one gave their full name. Judges Pam Stewart, Nichola Bond and Simon Stuart found it hard to make a choice. The Fibro Pearly Queen, the first prizewinner, was Maggie Perry, fibromite, who runs a Bed and Breakfast business in Kenilworth in the Midlands. Running a close second were the Pearly Prince and Princess, Ahmed Benallegue and Orla Desmond from Reading, who had also spent hours stitching on Pearlie buttons, to the delight of Cockney Jim, the Pearly King of Camberwell and Bermondsey.

PROGRAMME
Due to the unexpected late cancellation of the American doctors it was difficult to find replacement keynote USA speakers. But UK Dr Kim Lawson, international researcher, from Sheffield University, was among the favourite speakers with two presentations. Dr Nick Avery (CAM) returned and was well received again. Following her success in 2010 Dr Nina Bailey returned and after her presentation spent the day talking to fibromites about their problems. Dr Mark Cropley from Surrey University, a sleep specialist, also visited conference to network, to meet delegates and hear the speakers.

Dr Ian Rubenstein, a GP, had some humourous stories to tell and brought light hearted entertainment to the speakers’ room with his medical and mediumship re collections. Other speakers included Dr Thierry Conrozier, a French consultant rheumatologist; Dr Ruolin Sun, a Chinese herbalist and acupuncturist; nutritionist Joanna Majithia from the Institute of Optimum Nutrition; Mary Jane Burgess, a clinical hypnotherapist from Mind over Matter; Sue-Ellen Nicholls and Nicky Stoddart, pain management consultants; Andy Pothecary, a Special Rheumatology Pharmacist at the Royal Cornwall Hospital, Truro; Rebecca Richmond, creator and author of Forget Fibromyalgia; Steve Porter and Heather Gale who spoke about titanium technology and the new healing Black Wand; and Ken Murishwar from Midhurst who told his audience being healthier is simple, with just juice and 5 a day.

In the workshops mainly presented by fibromite, Suzie Oulton told her proto-col story from wheelchair to back to normal and offered tasters of her ’green magic’ which looked suspicious but was quite tasty; Jane Russell the dental hygienist who was a big hit in 2010 was back with more information and dental goody bags; Caroline Hinkes spoke about the Tried and Tested group, HeartMath practitioner and training; Kristina Richardson offered inspired coaching for getting back to work. Kit Stapely gave a talk and laughter workshop, and describing how laughter helped her recover from cancer. Marie-Caroline Scheid-Pickford described her very cold experience at -135o Celsius with cryotherapy (Kriotherapy) at Champneys.

Stella Bernardi, FMS SAS Co-Chair had prepared her work for the power point presentation on Computers for Beginners. But due to a fall she landed in hospital two days before conference and did not make it to conference. Our best wishes for a speedy recovery Stella. Instead Ray Brunton from the Worthing FM SG, an IBM computer buff, stepped in and ran the workshop. A big thanks Ray. With another last minute cancellation due to illness Nichola Bond GL from Worthing FM SG stepped in with ‘How to Start a Group’. Delia Mead with her Family History workshop in the coffee shop was a great success and was busy all morning with her magazines and ‘how to’ brochures.

The exercise workshops were provided by Roz Macarthur who did dance and tone and Pilates, while Chris Milton taught Tai Chi and Qigong mediation and breathing. Anna Moorby, visiting from London introduced the new Healthy Steps – a mixture of dance and exercise introduced as the Lebden system. Sunday saw tables and stands with pamper therapists, mind body and soul readers, art, handicraft and products.

FMA UK and FM SAS both had information stands available throughout the weekend and helped each other and many of the delegates. There was lots of talking to like minded folk, joy, laughter and delight at meeting friends from last year and as well as quite a bit of problem solving. Chairman of the FMA UK Trustees Pam Stewart and SAS Trustee and Worthing GL Nichola Bond and were answering FM questions all weekend – a great opportunity not often available.

THE FUTURE
I am under ‘family orders’ to stand back and give up the conference, but I have heard whispers that the conference is expected to go on possibly in April 2012, so watch this space. As South Downs, the present venue, is already fully booked for 2012, the conference would have to find a new venue. I am told a few folk are hoping to keep the conference going and make this happen again in 2012. Somehow I think I may be disobeying orders, as I cannot believe I will be able to stand back and not share a tip or two.

THANKS
Our thanks to everyone who worked so hard to make the event such a success. Special thanks to Glenda and Martin and their two ‘apprentice film makers’ Sophie and Aruna Murishwar who were volunteered by Dad to do some filming. Only two speakers did not wish to be filmed. What we have we will share with you once the film is available. But please be patient as this may take some time due to health, namely fibromyalgia. Meanwhile work is going ahead on finalising the DVDs from the 2010 conference with Prof. Choy and other key speakers. We are all still reeling from the 2011 conference and pressure of work but as soon as these are available we will let you know.

A sincere and very big thanks to the following folk in no particular order – Heather Butterick, GL Nene Valley who was OC in the speakers’ room and did a grand job of keeping everyone running on time with the help of her dear husband, Roger; Simon Stuart our techno wizard who looked after the equipment in the speakers’ room for the two days of presentations and the race night; thanks to the Wittering Freemasons – Bill, Brian, Stuart, Peter, and wives Pam and Pauline for organising the race night and tote and to Glenda and Martin who helped out on the tote. A big thanks to Lorely who picked and deliver back to the Station, speakers who came by train; Leanne Daniel GL Horndean who took copious notes of the presentations along with Denise Rhodes. Thanks to Jenny Oaks, Pauline (co GL Chichester), Glenna and Arthur who all did long stints on the front desk dealing with enquiries. A big thanks also to those who worked behind the scenes writing letters, Helen and Suzie and my gratitude must go to my family and to my dear friend, Sarah who fished me out of deep water, got me back on dry line and working once again. Without this support we would not be recalling happy moments at the conference.

THE VENUE
Thanks also to all the staff at South Downs who did a grand job – kitchen dining room, entertainments and admin – I personally did not receive one complaint. My bed was comfortable, the food was good even though I was often late and the service was excellent -some said better than a 5 star hotel. From the response on Monday morning I think most of you enjoyed the weekend.

Thanks to everyone who came and supported the conference – without you there would have been no fun, laughter and help for each other. Thanks to those fibromites who gave presentations, did workshops, signed their books. To those who gave their time selflessly to make the event happen, my personal thanks. Also our gratitude to the entertainers, speakers, therapists and Tranquility, who all helped to make the weekend a big success.

FURTHER INFORMATION
The contact details of most folks who entertained were printed in the programme. If you need information and no longer have the programme a short email with FIBCON 2011 INFORMATION in the subject will bring whatever details I have, back to you. Email me at fibrowhat@me.com.

WHERE DID THE MONEY GO?
I wish I knew – the bills seemed to be higher this year – maybe it was petrol costs, rising prices or perhaps we just wanted more this time. Who knows, but our money did not buy as much as it did last year. Apart from Labrha, the French company manufacturing Fibromyalgine, who sponsored the conference bags, there was no other sponsorship. I made at least 12 grant applications all without success – I believe this may be because we are not yet a registered charity and the effects of the current cut backs in the voluntary sector. But we are working hard to get registered. Donations or fund raising for the Folly Pogs research fund are always very welcome.

As before we begged, borrowed and stole short term, to get the show on the road, supported by the Folly Pogs (FM Philanthropists Research Fund). We had a handsome donation from Cherry Cull of Horndean, also a very respectable donation from an anonymous local fibromite. The proceeds of the race night and the raffle will be added to the research fund. I am hoping all those folks and groups who raised money for the Americans’ non-visit will agree these funds should find their way to research to help find a cure. Thanks to Marie-Caroline for her help and support and the £313 sponsorship from her 100-mile walk she has now donated to research.

We will be talking to Dr Kim Lawson, one of our keynote speakers, about research and hope in the future to sponsor some research through him. We do need to raise some mega bucks before then. We already have around 8 would-be trustees willing to help when we become a registered charity – so we live in hopes. All donations gratefully received – we all want a cure – contact me at email address below- and thanks.

2012 CONFERENCE
I said in a weak moment I could not do it again – but guess what – the conference lives on. There will be another April conference and pamper weekend in West Sussex during Easter weekend – Friday to Monday supported by the Folly Pogs and FMS SAS. Details are yet to be arranged but we only have half the accommodation, so it will be first come first booked. To stake your claim write to jeannehambleton@me.com with FibCon 2012 in the subject please.

Meanwhile take care and look after yourselves. Fibro hugs Jeanne

UK Fibromyalgia Conference & Unique Pamper Weekend

From the FMS Global News Desk of Jeanne Hambleton

With just weeks to go to the final booking date, fibromites from all around the UK are rushing for places at a weekend filled with laughter, fun, relaxation and learning.

Believed to be the first Fibromyalgia Conference in the south east of England working under the FMA UK umbrella, influenced by a yoga teacher working with fibromites, Sarah Owen, the event is offering pampering as a unique part of the programme along with leading speakers in the field of fibromyalgia.

Between 20 and 30 pamper therapists are expected to give free tasters allowing fibromites to try complementary therapies they have not previously experienced prior to booking one to one therapies at reduced cost at conference.

While many visitors are coming for the pamper experience, lots of fibromites have admitted they want to meet like-minded people from other groups with the view to twinning with other UK groups. Living in a world that does not understand fibromyalgia, those suffering with FMS enjoy the company of others suffering with the same condition. The idea of twinning has prompted one small Tee group with just 12 members to be the first group to enlist in a twinning programme with a partner group.

Others are anxious to listen to the speakers, attend workshops and try new treatments in the exhibition for those with disability and needing pain relief. The event will include scooters, adjustable beds, tilt and rise chairs, walk in baths, walkers, wheelchairs, fancy walking sticks and much more.

Dr. Ernest Choy, a consultant rheumatologist from Kings College Hospital, London, who specialises in fibromyalgia, who will travel from the annual meeting of the British Society of Rheumatology to join the conference. The Doctor will talk about new advances in the understanding of fibromyalgia. Other speakers will discuss sleep, pain management, digestive problems, chronic fatigue syndrome, food and mood, nutrition, benefits, and the controversial lightning process used by Esther Rantzen’s daughter for her ME/CFS.

Social highlights of the weekend will be the Fibro Factor, a chance for fibromites to have their moment in the spotlight. Following a gala dinner there will be the Folly Pogs Ball with posh frocks and dickie bow ties or fancy dress options. On Sunday the audience will join a charity auction of donated gifts to raise funds for fibromyalgia research.

Among the visitors will be Pam Stewart, chairman of the board of trustees for FMA UK, who is also the Vice President of the European Network of Fibromyalgia Association. Pam is looking forward to meeting newly diagnosed fibromites, members and group leaders.

“We have every intention on over dosing on laughter, which is the best medicine and has no side effects,” said who is one of the main organisers.

For more information email jeannehambleton@mac.com.

Still no treatment in Europe for the 14 million FMS patients trapped in pain!

From the FMS Global News Desk of Jeanne Hambleton (UK)

Press Release from ENFA – 29.04.2009

Brussels, (29.04.2009)

Last week was high on activities for the Fibromyalgia community, on one hand the European Network of Fibromyalgia Associations (ENFA) met with the European Health Commissioner Ms Androulla Vassiliou1. And on the other hand the European Medicines Agency (EMEA) gave another negative decision for a treatment for fibromyalgia in Europe2.

Ms. Pam Stewart, Vice-President of European Network of Fibromyalgia Associations (ENFA) and chairman of the trustees of Fibromyalgia Association UK, said one of the biggest challenges that the patients have been facing is the lack of officially recognised medical treatment options in the European Union.

By comparison there are three drugs in the United States of America approved by the Food and Drug Administration: Cymbalta from Eli Lilly, Lyrica from Pfizer and recently authorised Savella from Forest and Cypress (Pierre Fabre).

Last October, Cymbalta received a negative decision from the EMEA and last week was the turn of Lyrica said Ms Stewart. One dossier is still remaining to be evaluated by the EMEA: Savella. Each of these drugs has a limited success and judged alone leads to their failure to get approval.

However with a full range of treatment options, more people with fibromyalgia could have reduced levels of pain. This could enable them to embark on a management programme to significantly improve their quality of life said the Vice President.

“We are constantly hearing from people diagnosed with fibromyalgia that their doctor tells them there is no treatment because no approved guidelines or medications are available. Medical professionals that do not have time to research treatment options should have clearly signposted guidelines for effective treatment options. No one should be sentenced to a life of pain, she said.

“Patients across Europe are currently using these medicines off label. However, the European Medicines Agency told European Network of Fibromyalgia Associations that this is a common situation already faced in other disease areas such as cancer, and the situation with off label use cannot be taken into consideration in the assessment of medicines for which a marketing authorisation is sought.

“The difference with Fibromyalgia is that patients in the UK, for example, are unlikely to be prescribed any of these effective drugs because they have not been officially approved for Fibromyalgia. Patients are left with inadequate treatment options and although these drugs can be purchased over the Internet, this means their use is not monitored and people could be at the mercy of unscrupulous suppliers, which could put their lives at risk,” said Ms. Stewart.

Another example, coming from Germany, concerns the social status of patients since they are labeled as “depressive patient” for their life insurance or health insurance in order to have their drugs fully reimbursed by the National Health Insurance. In order to get any effective medicines, doctors should not diagnose fibromyalgia at all because the medicines are not indicated for fibromyalgia.

At the same time, an ENFA delegation was meeting with the European Health Commissioner Ms. Vassiliou. The meeting was only a natural step, concluding ENFA’s activities on the ‘European Institutions Fibromyalgia Awareness Campaign’ launched in 2008 on World Fibromyalgia Day.

Since the commencement of the campaign last May, with the support from 418 Members of the European Parliament, the Written Declaration on Fibromyalgia was adopted by the European Parliament in December 2008. The written declaration was necessary to raise awareness to all the European politicians from the 27 member states. It also helps create a mapping of the disease status disparity across Europe and increase awareness of better diagnosis and treatment.

“However, we realised that without any officially approved treatment options available, it was almost impossible to properly raise awareness of Fibromyalgia. The patient petition with over 27,000 signatures from all over Europe that MEP Adamou voluntarily hand delivered to the Health Commissioner, clearly demonstrates the frustration from the fibromyalgia community and strong and urgent needs to have treatment options to be officially available. The Fibromyalgia community is left with one hope to see maybe Savella drug approved before the summer. But unfortunately, the hope for a multiple choice of treatment in Europe seems to be lost.

“The European Network of Fibromyalgia Associations and all its associations have for years raised awareness on Fibromyalgia among national and European politicians, health professionals and the general public, and will keep on being active as long as it is necessary,” the Vice President.


About ENFA

ENFA is a network of patient association and support groups working in close consultation with the national association in the relevant country. Our joint missions are to conquer the myths and misunderstandings around Fibromyalgia. The network will help collectively push forward the boundaries which currently exist in understanding, experiencing and treatment of Fibromyalgia. Our main goal is to see Fibromyalgia receiving the recognition it deserves across Europe as an illness in its own right.

About Fibromyalgia

Fibromyalgia is a complex disease with chronic widespread pain as the defining symptom and various additional symptoms including fatigue, non-restorative sleep, morning stiffness, irritable bowel and bladder, restless legs, depression, anxiety and cognitive dysfunction often referred to as “fibro fog.” All of these symptoms cause serious limitations in patients’ ability to perform ordinary daily chores and work and severely affect their quality of life. Fibromyalgia imposes a large economic burden on society as well as on affected individuals. A study shows that an average patient in Europe consults up to 7 physicians and takes multiple medications over 5-7 years before receiving the correct diagnosis. The debilitating symptoms often result in lost work days, lost income and disability payments.

In fact, a Dutch study in 2005 estimated that the average annual cost of fibromyalgia was €980 million in the Netherlands. Research in the UK has shown that diagnosis and positive management of Fibromyalgia reduce healthcare cost by avoiding unnecessary investigations and consultations.

For more information on the European Network of Fibromyalgia Associations (ENFA) contact Ms. Pam Stewart Vice-President of ENFA Brussels@enfa-europe.eu; http://www.enfa-europe.eu.
1 On Wednesday 22 April in Strasbourg, for more information visit http://www.enfa-europe.eu; 2 On Thursday 23 April in London, for more information visit http://www.emea.europa.eu

“Walk in My Shoes™” for Fibromyalgia

From the FMS Global News Desk of Jeanne Hambleton (UK)

Courtesy Newswiretoday.com

NewswireToday – /newswire/ – Anaheim, CA, United States, 04/22/2009

For anyone who has ever felt helpless watching a loved one suffering from chronic fatigue syndrome, fibromyalgia, Gulf War illness, multiple chemical sensitivities, environmental illnesses, and chronic Lyme disease, “Walk in My Shoes™”.

Hosted by P.A.N.D.O.R.A. (Patient Alliance for Neuroendocrineimmune Disorders Organization for Research and Advocacy, Inc.) a non-profit charitable organization founded in 2002 to create awareness and address the needs of persons in the U.S. diagnosed with the above mentioned illnesses, “Walk in My Shoes™” will be held on May 23 at the C.B. Smith Park in Pembroke Pines.

The fundraiser is P.A.N.D.O.R.A.’s first hosted walk, and aims to attract participants who will make the 5K walk on behalf of friends, co-workers and family members with chronic illnesses.

“Acknowledging and understanding the real pain of a loved one suffering with these chronic illnesses is one of the most important things that friends and family members can do to show their support,” said P.A.N.D.O.R.A. founder Marly Silverman, who was diagnosed with chronic fatigue syndrome (CFS) and fibromyalgia in 1998.

“’Walk in My Shoes™’ also recognizes the important role that caregivers play in the lives of those with these debilitating illnesses.”

“Healthy persons may never be able to truly understand the debilitating body wide pain and fatigue, brain fog/cognitive impairment and flu like symptoms experienced on a daily basis by people with CFS, fibromyalgia and other chronic pain illnesses, however, helping raise much needed funds to continue the work of advocacy groups like P.A.N.D.O.R.A. brings us another step closer to finding a cure,” Silverman added.

WALK REGISTRATION

Check-in for “Walk in My Shoes™” begins at 7:30 am to 8:30 am. The walk starts promptly at 9:00 am. The C.B. Smith Park is located at 900 N. Flamingo Road in Pembroke Pines.

About P.A.N.D.O.R.A., Inc.

Patient Alliance for Neuroendocrineimmune Disorders Organization for Research & Advocacy
P.A.N.D.O.R.A. (pandoranet.info) was founded on July 1, 2002 by Marly C. Silverman, a Chronic Fatigue Syndrome and fibromyalgia patient. Our mission is to raise awareness of the plight of persons with chronic fatigue syndrome, fibromyalgia, Gulf War illness, multiple chemical sensitivities, environmental illnesses, and chronic Lyme disease and advocate on quality of life issues. P.A.N.D.O.R.A. is Built on Hope – Strong on Advocacy – Finding a Cure through Research.

Contact: Corin Walson – info[.]walsonpr.com – 714-970-2268
(http://www.newswiretoday.com/news/49839/)

Bottled Water: FAQ on Safety and Purity

From the FMS Global News Desk of Jeanne Hambleton (UK)

Courtesy WebMD.com. Health and Cooking /em>

By Salynn Boyles -Reviewed by Louise Chang, MD – WebMD Health News

Americans drank 9 billion gallons of bottled water last year, or slightly more than 29 gallons for every man, woman, and child in the country.

They also spent $22 billion on a product that critics of the bottled water industry say they should be getting for free from their home faucets.

Most of the criticism has focused on the environmental impact of bottled water. But an investigation released recently also raises questions about the purity and even safety of commercially available water.

WebMD looked into many commonly asked questions and concerns about bottled water. Here is what we found:

What did the new report find?

The Environmental Working Group tested 10 best-selling brands of bottled water for 170 contaminants and found different mixtures of 38 contaminants, including bacteria, fertilizer, and industrial chemicals at levels similar to those allowed in tap water.

Two of the samples, bought in San Francisco, contained the chemical compound trihalometrane in levels that exceeded the amount allowed in California.

“The bottled water industry really presents this image of purity, but our investigation demonstrated that it is really hit or miss,” Environmental Working Group senior scientist Olga Naidenko, PhD, tells WebMD.

But the International Bottled Water Association, which represents most bottlers, charged that the group’s report contained “false claims and exaggerations” and noted that the group’s sample was not representative of the hundreds of bottled waters on the market.

Joseph Doss, president of the International Bottled Water Association, tells WebMD that California has much stricter contamination restrictions than the FDA. He says the state’s allowed level of trihalometrane is eight times lower than the level allowed by the federal government.


How can I tell if the water I purchase started out as tap water?

Roughly 45% of the water sold in single-serve bottles comes from a municipal water source.

By law, bottled water that comes from a municipal water supply has to disclose this on its label unless the bottler takes steps to further purify the water, which most do. In this case, the label will say “purified water” or “purified drinking water,” but the original source is probably tap water.

Water labeled “spring water” comes from an underground water spring, but it may be piped to the bottling plant.

“Mineral water” comes from an underground source and must contain no less than 250 parts per million total dissolved solids, such as salts, sulfur compounds, and gasses. No minerals may be added to the water by the bottler.

“Artesian water” or “artesian well water” must come from a well that taps a confined aquifer.

How can I tell if there are contaminants in the bottled water I purchase?

You probably cannot. Tap water is regulated by the Environmental Protection Agency (EPA), which requires yearly public reports identifying the contaminants found in local water sources. But bottled water is regulated by the FDA, which has no such requirement.

The Environmental Working Group and the Natural Resources Defense Council, which released its own report critical of bottled water purity in 1999, want the FDA to require bottlers to list contaminants on water bottle labels.

In its report, the National Resources Defense Council noted that the EPA requires more frequent testing of municipal water than the FDA requires for bottled water, and that bottled water rules allow some contamination by E. coli or fecal coliforms, which indicate possible fecal matter contamination.

The report noted that the FDA does not require bottled water to be tested for parasites such as cryptosporidium or giardia; the EPA does require this testing for tap water.

Doss says consumers have a right to know what is in their bottled water, and they can find out by calling an 800 number that appears on every bottle. “If a consumer calls that number and does not get the information they want, they can and should choose another bottled water brand.”

Does calling the 800 number really get you the information you want?

That depends on what you want to know.

WebMD called the 800 numbers found on three best-selling water brands, purchased at a minimart in Nashville, Tenn. In each case, we were able to find out the source of the water and the purification process used by the bottler.

But in all three cases we were told that there were no contaminants in the water we were calling about because of the extra purification. While this may be true, water quality experts say it is unlikely that the purification process removes all contaminants. And the Environmental Working Group investigation showed that some of the bottled waters they tested had the same type and level of contaminants as the tap water source used by the bottler.

The brands we checked included Pepsi’s Aquafina, Coca-Cola’s Dasani, and Deer Park Spring Water, marketed by Nestle.

When we called the Pepsi number, a customer service agent helped us find the date stamp and production code on the bottle of Aquafina we had purchased.

With this information, she was able to tell us that our water came from a municipal source in Mankato, Minn. She further informed us that the bottler used a seven-step purification process that included reverse osmosis, carbon, and UV light filtration.

When we called the Coca-Cola number, a customer service agent was able to tell us that our Dasani came from a municipal source in Birmingham, Ala., and that the purification process included reverse osmosis filtration.

Our Deer Park call was answered by a customer service agent who told us where our spring water was bottled and how it was purified.

Sarah Janssen, PhD, who is a scientist with NRDC, says the 800 numbers may help you figure out where the water you purchase comes from but not what is in it.

“I cannot imagine that anyone standing in a store trying to make a decision about which water to buy is really going to go to all that trouble,” she says.

Which is safer, bottled or tap water?

Assuming that both the municipal tap water source and the bottler are in compliance with regulations, the experts contacted by WebMD say bottled water is no safer than tap water and tap is no safer than bottled.

The experts point to two cases where bottled water may be recommended — in emergency situations when contaminants in the local water supply exceed permitted standards and in homes where corroded plumbing could cause lead or copper to contaminate drinking water.

In the first instance, water suppliers are required to notify the community and they may even provide bottled water until the problem has been solved. Homeowners worried about their pipes can have their drinking water tested. Halden says most people choose bottled water for convenience, not safety.

“We have invested in the infrastructure to provide pure, safe, drinking water to the population,” he says. “In large cities, water quality is tested hourly, not just once a day.”

While that may be true, a recent report by the Associated Press raised new concerns about the purity of tap water.

Its five-month investigation found evidence of a wide range of prescription and over-the-counter drugs — including antidepressants, antibiotics, anticonvulsants, and sex hormones — in tested samples of municipal water taken from taps throughout the country.

Twenty-four of the 28 water samples taken from major metropolitan area water supplies contained evidence of drug contamination.

The concentrations of these pharmaceuticals were very small. But the report noted that the EPA has not set safety limits for drugs in water and does not require testing for them.

If I drink tap water, should I use a filter?

If you live in a home with older pipes, have odor or taste issues with your tap water, or just want an extra level of protection, a filter may be a good idea. But you have to get the right one for your specific problem, Janssen says.

“It is important to know what you are trying to filter out before you spend the money,” she says. “A reverse osmosis filter will get rid of most contaminants, but charcoal may be enough for odor and taste problems.”

The Natural Resources Defense Council web site is a good source for information on filters.

The consumer watchdog group Consumers Union, publisher of Consumer Reports, also weighed in on commercial filters in a report published early last year.

To find out which filter is best for you, the report recommended consulting the Consumer Confidence Report (CCR), published online each July by the EPA.

The report provides detailed information about where your tap water comes from along with detected levels of dozens of regulated contaminants and the corresponding state and federal limits for these contaminants.

To determine the quality of the water actually coming from your faucet, you will have to have it tested. The EPA’s Safe Drinking Water Hotline (800-426-4791) can provide the names of state-certified testing labs in your area. Or you can do it yourself for under $20 with a commercially available kit sold at most hardware stores.

Is it safe to drink old bottled water?

The FDA considers bottled water to have an “indefinite safety shelf life” if it is unopened and properly sealed, but drinking water quality expert Rolf Halden, PhD, of Arizona State University is not so sure.

“Even water stored for emergency use should be replaced periodically,” he tells WebMD. “You would not want to keep it for 10 years.”


Can chemicals leach from plastic bottles and pose a health risk?

Most experts who spoke to WebMD say there is little to worry about.

The major concerns have involved the chemicals bisphenol A and phthalates.

Bisphenol A is used in the production of multiuse polycarbonate water bottles, but not in single-use bottles used by commercial bottlers.

Likewise, phthalates are not typically found in plastic beverage bottles used commercially in the U.S. But Janssen says phthalates have been found in bottled water, suggesting that it may leach from the plastic cap or liner.

“These chemicals may be in your water, but you would never know because the water companies are not required to test for them,” she says.

Is freezing bottled water or leaving it in a hot car dangerous?

Both of these concerns have circulated widely in emails and on the Internet. One email that has been around for several years warns that freezing bottled water leads to contamination with carcinogenic dioxins.

The email was erroneously attributed to Johns Hopkins University, and it was so widespread that Johns Hopkins’ scientists felt compelled to publicly set the record straight in a news release.

Rolf Halden, PhD, PE, who is an adjunct associate professor with the Johns Hopkins Center for Water and Health, called the claim “urban legend.”

He notes that there are no dioxins in plastics and that freezing actually slows or prevents the release of chemicals.

The industry group representing single-use beverage bottle manufacturers, known as NAPCOR also used the term “urban legend” to describe claims that it is unsafe to drink water that has been left in a hot car.

“The idea that (these) bottles ‘leach’ chemicals when heated in hot cars is not based on any science, and is unsubstantiated by any credible evidence,” the group noted in a recent news release. “This allegation has been perpetuated by emails until it has become an urban legend, but it just is not so.”

Is there fluoride in bottled water?

If it is added by the bottler, the label must say so. But most bottled waters probably do not have as much fluoride as fluoridated tap water.

The CDC has stated that most bottled waters contain fluoride at levels that are less than optimal for oral health. It weighed in on the issue in a news release last February.

“If you mainly drink bottled water with no or low fluoride and you are not getting enough fluoride from other sources, you may get more cavities than you would if fluoridated tap water were your main water source,” the statement noted.

The CDC also warns that preparing infant formula with fluoridated bottled water could cause dental fluorosis, a condition in which permanent white spots occur on the teeth.

EDITOR’S NOTE: Mines a beer please!

SOURCES:
Gary Hemphill, Beverage Marketing Corp.
International Bottled Water Association web site: “Frequently Asked Questions.”
FDA: “Bottled Water Regulations and the FDA,” September 2002.
National Association for PET Container Resources Q&A.
Rolf Halden, PhD, PE, associate professor of civil and environmental engineering, Arizona State University; adjunct associate professor of environmental health and science, Johns Hopkins Bloomberg School of Public Health.
Joseph Doss, president, International Bottled Water Association.
Sarah Janssen, MD, PhD, MPH, scientist, Natural Resources Defense Council.
IWG Bottled Water Investigation, Oct. 15, 2008.
CDC Fact Sheet on Questions About Bottled Water and Fluoride.
WebMD Medical News: “Many Tap Filters Work Well.”
Associated Press: “Drugs Found in Drinking Water,” Sept. 12, 2008.
National Resources Defense Council: “Summary Findings of 1999 Bottled Water Report.”

© 2008 WebMD, LLC. All rights reserved.(http://www.webmd.com/food-recipes/news/20081107/bottled-water-faq-on-safety-and-purity?ecd=wnl_day_041309)

SEE: http://jeannehambleton77.wordpress.com for more health issue stories.

Fear Keeps Many From Fighting RA Pain

From the FMS Global and UK News Desk of Jeanne Hambleton

Courtesy of WebMD.com
By Bill Hendrick – WebMD Health News- Reviewed by Louise Chang, MD

March 25, 2009 — Many people with rheumatoid arthritis may have barriers that hinder optimal management of their pain, a study suggests.

Barriers to pain reduction, Canadian researchers say, include fear of medication side effects, fear of drug interactions, worry about drug addiction, concerns that the effects of medication might mask the disease, and aversion to taking too many pills.

McGill University scientists studied 60 patients with rheumatoid arthritis, all of whom were being treated by specialists. Of the rheumatoid arthritis sufferers, 53% described their pain as moderate to severe.

Forty-seven percent reported that pain was mild or absent. And 65% of all patients, including about half of those with moderate to severe pain, were satisfied with current methods to control suffering, the researchers report in the March issue of The Journal of Pain.

Although 87% of the patients reported that they expected to have “some” pain to “much” pain from their rheumatoid arthritis, only 13% didn’t expect any pain or only slight pain.

The researchers, led by Mary-Ann Fitzcharles, MD, of Montreal General Hospital at McGill University, were interested in the potential barriers to reducing pain that kept some people hurting.

The top barriers to optimal pain management found in the study participants included:

Worry of medication side effects (80%)

Not wanting to take “too many pills” (63%)

Worry about medication interactions (57%)

Worry of addiction (35%)

The researchers found that more than half of the patients had at least three barriers.

The researchers conclude that people with rheumatoid arthritis should be questioned vigorously about their pain, and that clinicians should explore potential barriers to effective pain control.

News release, McGill University.
Fitzcharles, M. The Journal of Pain, March 2009; vol 10: pp 300-305.
© 2009 WebMD, LLC. All rights reserved.

(http://www.webmd.com/rheumatoid-arthritis/news/20090325/is-fear-keeping-you-from-fighting-ra-pain?ecd=wnl_cbp_040209)

Hand Exercises Aid Rheumatoid Arthritis

Muscle-strengthening exercises may ease pain and help individuals with RA improve their quality of life

By Gina Shaw -WebMD the Magazine – Feature Reviewed by Michael W. Smith, MD

For 25 years, New Yorker Carol Solomon, 69, ran a knitting store. In 2006, a few years into retirement, she was diagnosed with rheumatoid arthritis (RA) in both hands.

“I have movement in my thumb and in my pointer finger, but my other three fingers are pretty stiff,” she says. Solomon did not want to give up the knitting and sewing she loves, so she sought help from her doctor and physical therapists at New York’s Hospital for Special Surgery.

There is a saying about exercise and RA: Use it, but do not abuse it.

“Studies have shown that strengthening the muscles around the joints leads to overall improved function and better quality of life,” says Heather Williams, DPT, a physical therapist in the Hospital for Special Surgery’s Joint Mobility Center.

“Patients can be afraid to exercise those joints because of pain, but they really benefit from strengthening exercises.”

RA is an autoimmune disease in which the body attacks its own tissues. It is a chronic disease, but when diagnosed and treated early with a combination of medication and physical therapy, joint damage can be limited.

When it affects the hands or wrists, like Solomon’s, some helpful exercises include squeezing small exercise balls or putting the hand out flat, palm up, and bending each finger one by one into the palm. Take it slowly, advises the physical therapist. She says Solomon should try three sets of five repetitions of each exercise instead of 10 or 12 reps — and then work up to more as she builds her strength.

People with RA go through phases called “flare-ups,” with extremely swollen and painful joints, and then “subacute” phases when the disease is less active. Modifying activity depending on what phase you are in is important, says Theodore Fields, MD, clinical director of the Gosden-Robinson Early Arthritis Center at New York’s Hospital for Special Surgery.

“When you have a significant flare-up, the joints need more rest.”

Whatever kind of exercise you do, be sure to discuss your exercise plan with a physical therapist who understands RA.

“Have your physical therapist work out a home-exercise program that fits your needs and respects the joints you have trouble with,” says Fields.

Solomon knows her knitting needles will never fly like they used to, but she has started to work with yarn again and can even sew with a needle and thread, an impossible feat when she first was diagnosed.

“I am just seeing what I can do every day, and trying to adjust the way I do things to give myself as much function as possible,” she says.

Hand Exercise for Rheumatoid Arthritis

The Exercise:
Fill an empty box with small items such as nuts, screws, and bolts. Reach in and, handful by handful, pick the screws and bolts out of one box, place them in your other hand, and place in a second box.

The Benefit:
This exercise helps strengthen muscles around joints for improved finger mobility and helps prevent future joint damage.

Originally published in the September/October 2007 issue of WebMD the Magazine. © 2007 WebMD, Inc. All rights reserved.
(http://www.webmd.com/rheumatoid-arthritis/features/hand-exercises-aid-rheumatoid-arthritis?ecd=wnl_cbp_040209)

Beverage Consumption a Bigger Factor in Weight

From the FMS Global and UK News Desk of Jeanne Hambleton

Courtesy of Johns Hopkins Bloomberg School of Public Health and Newswire.com

Newswise

When it comes to weight loss, what you drink may be more important than what you eat, according to researchers at the Johns Hopkins Bloomberg School of Public Health. Researchers examined the relationship between beverage consumption among adults and weight change and found that weight loss was positively associated with a reduction in liquid calorie consumption and liquid calorie intake had a stronger impact on weight than solid calorie intake. The results are published in the April 1, 2009, issue of the American Journal of Clinical Nutrition.

“Both liquid and solid calories were associated with weight change, however, only a reduction in liquid calorie intake was shown to significantly affect weight loss during the 6-month follow up,” said Benjamin Caballero MD, PhD, senior author of the study and a professor with the Bloomberg School’s Department of International Health.

“A reduction in liquid calorie intake was associated with a weight loss of 0.25 kg at 6 months and 0.24 kg at 18 months. Among sugar-sweetened beverages, a reduction of 1 serving was associated with a weight loss of 0.5 kg at 6 months and 0.7 kg at 18 months. Of the seven types of beverages examined, sugar-sweetened beverages were the only beverages significantly associated with weight change.”

Researchers conducted a prospective study of 810 adults aged 25-79 years old participating in the PREMIER trial, an 18-month randomized, controlled, behavioral intervention.

Caballero along with colleagues from the Johns Hopkins School of Medicine; the National Heart, Lung, and Blood institute; Duke University; the Pennington Biomedical Research Center; the Kaiser Permanente Center for Health Research; the University of Alabama; and Pennsylvania State University measured participant’s weight and height using a calibrated scale and a wall-mounted stadiometer at both 6 and 18 months. Dietary intake was measured by conducting unannounced 24-hour dietary recall interviews by telephone.

Researchers divided beverages into several categories based on calorie content and nutritional composition: sugar-sweetened beverages (regular soft drinks, fruit drinks, fruit punch, or high-calorie beverages sweetened with sugar), diet drinks (diet soda and other “diet” drinks sweetened with artificial sweeteners), milk (whole milk, 2 percent reduced-fat milk, 1 percent low-fat milk, and skim milk), 100 percent juice (100 percent fruit and vegetable juice), coffee and tea with sugar, coffee and tea without sugar and alcoholic beverages. They found that at 37 percent sugar-sweetened beverages were the leading source of liquid calories.

Consumption of liquid calories from beverages has increased in parallel with the obesity epidemic. Earlier studies by Bloomberg School researchers project that 75 percent of U.S. adults could be overweight or obese by 2015 and have linked the consumption of sugar-sweetened beverages to the obesity epidemic, which affects two-thirds of adults and increases the risk for adverse health conditions such as type 2 diabetes. Researchers recommend limited liquid calorie intake among adults and to reduce sugar-sweetened beverage consumption as a means to accomplish weight loss or avoid excess weight gain.

“Among beverages, sugar-sweetened beverages was the only beverage type significantly associated with weight change at both the 6- and 18-month follow up periods,” said Liwei Chen, MD, PhD, MHS, lead author of the study and a Bloomberg School graduate.

“Changes in the consumption of diet drinks and alcoholic beverages were inversely associated with weight loss, but were not statistically significant. Our study supports policy recommendations and public health efforts to reduce intakes of liquid calories, particularly from sugar-sweetened beverages, in the general population.”

“Reduction in Consumption of Sugar-Sweetened Beverages is Associated with Weight Loss: The PREMIER Trial” was written by Liwei Chen, Lawrence J. Appel, Catherine Loria, Pao-Hwa Lin, Catherine M. Champagne, Patricia J. Elmer, Jamy D. Ard, Diane Mitchell, Bryan C. Batch, Laura P. Svetkey and Benjamin Caballero.

The research was supported by the National Heart, Lung and Blood Institute; National Institutes of Health; the Johns Hopkins Bloomberg School of Public Health’s Center for Human Nutrition; and the Eunice Kennedy Shriver National Institute of Child Health and Human Development.

© 2009 Newswise. All Rights Reserved
(http://www.newswise.com/articles/view/550666/?sc=dwhn)

Occupational Therapists Help People with Arthritis Regain Their Zest for Life

From the FMS Global & UK News Desk of Jeanne Hambleton

Courtesy of American College of Rheumatology (ACR) and Newswise.com

Newswise

For the 46 million Americans living with arthritis, day-to-day activities can become nearly impossible within the blink of an eye. When patients face these difficult challenges, they often turn to rheumatology occupational therapists as a part of their treatment team.

Arthritis is not just an “older person’s disease.” Many people, including an estimated 300,000 children, suffer from its debilitating effects, and when the pain of arthritis starts to interfere with work, school, caring for your children and enjoying life, patients should consider medical intervention.

A major part of the treatment of arthritis is putting together a strong team of rheumatology experts to treat the disease. This team of experts is typically headed up by a rheumatologist, who is an internist or pediatrician qualified by additional training and experience in the diagnosis and treatment of arthritis and other diseases of the joints, muscles and bones. The treatment team is also supported by rheumatology health professionals, including the OTs who assist patients in developing and/or regaining the skills important for independent functioning, health and well-being.

Scott Zashin, MD
, a practicing rheumatologist in Dallas, Texas, refers patients to OTs for several reasons. “Patients who are concerned about loss of function, are looking for instruction on exercises or ways to decrease stress on their joints, or who simply want common sense tips on joint protection can all benefit from working with a rheumatology OT,” he explains.

Once working with a patient (often referred to as a client), rheumatology OTs develop an individualized treatment plan to achieve prioritized goals. They educate clients and their families to adapt environments, modify tasks, and use equipment to promote independent function and to help gain or maintain full participation in self-care, daily home tasks, work or school, and leisure or play.

“For people with inflammatory types of arthritis, fatigue is often identified as having a huge impact on participating in employment, parenting, and family life,” says Catherine Backman, PhD, OT(C), an associate professor of occupational therapy at the University of British Columbia.

“Occupational therapists collaborate with their clients to develop practical strategies and to set priorities, accommodate limitations and enjoy the activities they value most.”

April is National Occupational Therapy Month, and the ARHP understands the important role these health professionals play in the treatment of rheumatology patients.

“The occupational therapist is an integral partner in the interdisciplinary health care team that treats patients with rheumatic diseases as they provide essential tools and information that enable patients to manage chronic disease in their daily lives,” explains ARHP President, Pamela Degotardi, PhD.

“The Association of Rheumatology Health Professionals is proud of its occupational therapist membership and supports National Occupational Therapy Month.”

If you are being treated for arthritis or another rheumatic disease, speak with your rheumatologist about the positive role occupational therapy can play in your overall treatment plan. For more information about occupational therapy as a career, visit http://www.rheumatology.org/arhp.

The Association of Rheumatology Health Professionals, a division of the American College of Rheumatology, is a professional membership society composed of non-physician health care professionals specializing in rheumatology, such as advanced practice nurses, nurses, occupational therapists, physical therapists, psychologists, social workers, epidemiologists, physician assistants, educators, clinicians, and researchers.

© 2009 Newswise. All Rights Reserved.
(http://www.newswise.com/articles/view/550691/?sc=dwhn)

Alert: MedWatch – Digoxin (Caraco brand) – Recall of tablets because they may differ in size

Caraco Pharmaceutical Laboratories and FDA notified healthcare professionals of a consumer-level recall of Caraco brand Digoxin, USP, 0.125 mg, and Digoxin, USP, 0.25 mg, distributed prior to March 31, 2009, which are not expired and are within the expiration date of September, 2011.

The tablets are being recalled because they may differ in size and therefore could have more or less of the active ingredient, digoxin, a drug product used to treat heart failure and abnormal heart rhythms. The drug has a narrow therapeutic index and the existence of higher than labeled dose may pose a risk of digoxin toxicity in patients with renal failure. Digoxin toxicity can cause nausea, vomiting, dizziness, low blood pressure, cardiac instability, and bradycardia. Death can also result from excessive digoxin intake. A lower than labeled dose may pose a risk of lack of efficacy potentially resulting in cardiac instability. Consumers with the recalled product should return these products to their pharmacy or place of purchase.

FDA Recall — Firm Press Release
FDA posts press releases and other notices of recalls and market withdrawals from the firms involved as a service to consumers, the media, and other interested parties. FDA does not endorse either the product or the company.

Caraco Pharmaceutical Laboratories, Ltd. Announces a Nationwide Voluntary Recall of All Lots of Digoxin Tablets Due to Size Variability
Courtesy FDA (http://www.fda.gov/oc/po/firmrecalls/caraco03_09.html)
Contact: Daniel Movens: (313) 871-8400 – Thomas Versosky: (313) 556-4150

FOR IMMEDIATE RELEASE — DETROIT, March 31, 2009

Caraco Pharmaceutical Laboratories, Ltd. (NYSE AMEX: CPD), a generic pharmaceutical company, announced today that all tablets of Caraco brand Digoxin, USP, 0.125 mg, and Digoxin, USP, 0.25 mg, distributed prior to March 31, 2009, which are not expired and are within the expiration date of September, 2011, are being voluntarily recalled to the consumer level. The tablets are being recalled because they may differ in size and therefore could have more or less of the active ingredient, digoxin. The recalled tablets were manufactured by Caraco Pharmaceutical Laboratories, Ltd. This recall is being conducted with the knowledge of the Food and Drug Administration.

Digoxin is a drug product used to treat heart failure and abnormal heart rhythms. It has a narrow therapeutic index and the existence of higher than labeled dose may pose a risk of digoxin toxicity in patients with renal failure. Digoxin toxicity can cause nausea, vomiting, dizziness, low blood pressure, cardiac instability, and bradycardia. Death can also result from excessive digoxin intake. A lower than labeled dose may pose a risk of lack of efficacy potentially resulting in cardiac instability. Consequently, as a precautionary measure, Caraco is recalling these tablets to the consumer level to minimize any potential risk to patients.

Consumers with the products with the following NDC codes that are within expiration should return these products to their pharmacy or place of purchase.

Product Identification

Caraco Digoxin 0.125 mg is a scored round biconvex yellow tablet imprinted with “437”

Caraco Digoxin 0.25 mg is a scored round biconvex white tablet imprinted with “441”

NDC Numbers:

Digoxin Tablets, USP, 0.125 mg
57664-437-88 (100-count)
57664-437-18 (1000-count)

Digoxin Tablets, USP, 0.25 mg
57664-441-88 (100-count)
57664-441-18 (1000-count)

Patients using Caraco’s Digoxin tablets, USP, 0.125 mg or 0.25 mg, who have medical questions should contact their healthcare provider for additional instructions or guidance.

Retailers who have this product should return the product to their place of purchase. Retailers can call Caraco customer service at (800) 818-4555, Monday through Friday, 8:00 a.m. – 5:00 p.m. EST, for instructions on how to return the affected product or for any other inquiries related to this action.

Any adverse reactions experienced with the use of all affected product, and/or quality problems should also be reported to the FDA’s MedWatch Program by phone at 1-800-FDA-1088, by Fax at 1-800-FDA-0178, by mail at Med Watch, FDA, 5600 Fishers Lane, Rockville, MD 20852-9787, or on the MedWatch website at http://www.fda.gov/medwatch.

EDITOR’S NOTE: In the UK, should you experience any serious problems with Digoxin, you should contact your doctor, NHS Direct, or call an ambulance.

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