Marked improvement of intractable arthritic pain in a woman with rheumatoid arthritis with sympathomimetic amine treatment despite previous failure with standard therapy and possible implications for last trimester unexplained fetal demise--case report.

Purpose: To determine if sympathomimetic amine treatment could alleviate severe arthritic pain and fatigue associated with rheumatoid arthritis which was refractory to other medical therapy in a patient with a history of unexplained last trimester fetal demise and unexplained cessation of fetal movement and acidosis.

Methods: A 32-year-old female was treated with 10 mg of dextroamphetamine sulfate daily after failing to gain relief with standard therapy for rheumatoid arthritis.

Results: After several weeks of therapy the patient noticed fewer flare ups of arthritic pain and a marked improvement in her fatigue.

Sympathomimetic amine therapy may improve refractory gastroparesis similar to its effect on chronic pelvic pain--case report.

Purpose: To determine if treatment with sympathomimetic amines can effectively treat gastroparesis that was refractory to other medical therapy.

Methods: After failing a water load test, a 29-year-old female was treated with 20 mg/day of dextroamphetamine sulfate.

Results: After several weeks of therapy she noted that most of her symptoms of gastroparesis subsided and she has remained symptom free for eight months.