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- Lithium: because it reduces the renal clearance and increases lithium levels in plasma which increases the risk of lithium toxicity

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Martel C, Huynhle H, Garnier A, Ventura-Clapier R, Brenner C (2012) Inhibition of the mitochondrial permeability transition for cytoprotection: direct versus indirect mechanisms

If the second cortisone injection also does not provide relief from severe pain and swelling, it is unlikely that corticosteroid injections will benefit you