<div>FDA completed their labeling review for drug product labels with flushing directions. No new drug substances were added that wasn't already on the list. Only a few new product brands containing substances already on the list, generic equivalents of existing, and a few new dosage forms (dilaudid liquid is one, I think). Onsalis and Embeda, both high potency Schedule II opiates, are two recent FDA approvals with patient labeling that recommends flushing unused drug. All the drugs on the list contain controlled substances, and most are Schedule II opioids that could definitely kill a child, and maybe an adult too if they were your first experience with a opioid-type drug. </div>
<div> </div>
<div>Jim Hunter, RPh., MPH</div>
<div>FDA<br><br></div>
<div class="gmail_quote">On Wed, Oct 14, 2009 at 3:28 PM, Gressitt, Stevan <span dir="ltr"><<a href="mailto:Stevan.Gressitt@maine.gov">Stevan.Gressitt@maine.gov</a>></span> wrote:<br>
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<p class="MsoNormal"><font size="2" face="Courier New"><span style="FONT-FAMILY: 'Courier New'; FONT-SIZE: 10pt"><a href="http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm186598.htm" target="_blank">http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm186598.htm</a></span></font><font size="2" face="Arial"><span style="FONT-FAMILY: Arial; FONT-SIZE: 10pt"></span></font></p>
<p class="MsoNormal"><font size="2" face="Arial"><span style="FONT-FAMILY: Arial; FONT-SIZE: 10pt"> </span></font></p>
<p style="MARGIN-LEFT: 0.5in" class="MsoNormal"><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Stevan Gressitt, M.D., Medical Director</span></font></p>
<p style="MARGIN-LEFT: 0.5in" class="MsoNormal"><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Office of Adult Mental Health Services</span></font></p>
<p style="MARGIN-LEFT: 0.5in" class="MsoNormal"><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Department of Health and Human Services</span></font></p>
<p style="MARGIN-LEFT: 0.5in" class="MsoNormal"><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Marquardt</span></font><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt"> Building</span></font><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">, 2nd Floor</span></font></p>
<p style="MARGIN-LEFT: 0.5in" class="MsoNormal"><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">11 State House Station</span></font></p>
<p style="MARGIN-LEFT: 0.5in" class="MsoNormal"><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">32 Blossom Lane</span></font></p>
<p style="MARGIN-LEFT: 0.5in" class="MsoNormal"><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Augusta</span></font><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">, ME 04333-0011</span></font></p>
<p style="MARGIN-LEFT: 0.5in" class="MsoNormal"><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Ph: (207)287-4273</span></font></p>
<p style="MARGIN-LEFT: 0.5in" class="MsoNormal"><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt" lang="FR">Fax: (207)287-1022</span></font><span lang="FR"></span></p>
<p style="MARGIN-LEFT: 0.5in" class="MsoNormal"><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt" lang="FR">Cell Phone: (207) 441-0291</span></font><span lang="FR"></span></p>
<p style="MARGIN-LEFT: 0.5in" class="MsoNormal"><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt" lang="FR">E-Mail : </span></font><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt"><a title="mailto:stevan.gressitt@maine.gov" href="mailto:stevan.gressitt@maine.gov" target="_blank"><span lang="FR">stevan.gressitt@maine.gov</span></a></span></font><font color="#993366" size="2" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt" lang="FR"></span></font></p>
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<p style="TEXT-ALIGN: justify; MARGIN-LEFT: 0.5in" class="MsoNormal"><em><b><i><font color="black" size="1" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: black; FONT-SIZE: 8pt; FONT-WEIGHT: bold">Confidentiality Notice</span></font></i></b></em><font color="black" size="1" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: black; FONT-SIZE: 8pt">: This e-mail message, including any attachments, is for the sole use of the intended recipient(s). It may contain confidential and privileged information. Any unauthorized review, copy, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please note that any dissemination, distribution or copying of this is strictly prohibited. Please contact me by reply e-mail or telephone and destroy all copies of<b><i><span style="FONT-STYLE: italic; FONT-WEIGHT: bold"> </span></i></b>this message</span></font><font color="blue" size="1" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: blue; FONT-SIZE: 8pt">.</span></font><font size="1" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; FONT-SIZE: 8pt"></span></font></p>
<p style="TEXT-ALIGN: justify; MARGIN-LEFT: 0.5in" class="MsoNormal"><font color="black" size="1" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; COLOR: black; FONT-SIZE: 8pt">The Department of Health and Human Services (DHHS) does not discriminate on the basis of disability, race, color, creed, gender, sexual orientation, age, or national origin, in admission to, access to, or operations of its programs, services, or activities, or its hiring or employment practices. This notice is provided as required by Title II of the Americans with Disabilities Act of 1990 and in accordance with the Civil Rights Act of 1964 as amended, Section 504 of the Rehabilitation Act of 1973, as amended, the Age Discrimination Act of 1975, Title IX of the Education Amendments of 1972 and the Maine Human Rights Act and Executive Order Regarding State of Maine Contracts for Services. Questions, concerns, complaints or requests for additional information regarding the ADA may be forwarded to DHHS’ ADA Compliance/EEO Coordinators, 11 SHS-221 State Street, Augusta, Maine 04333, 207-287-4289 (V), 207-287-3488 (V), 1-800-606-0215 (TTY). </span></font><font size="1" face="Goudy Old Style"><span style="FONT-FAMILY: 'Goudy Old Style'; FONT-SIZE: 8pt"></span></font></p>
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<div></div><br>-- <br>Jim Hunter<br>