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<div class=Section1>

<p class=MsoPlainText>From: <a
href="http://www.epa.gov/osw/hazard/wastetypes/universal/pharm.htm#4">http://www.epa.gov/osw/hazard/wastetypes/universal/pharm.htm#4</a>
<o:p></o:p></p>

<p class=MsoPlainText><o:p>&nbsp;</o:p></p>

<p class=MsoPlainText>What pharmaceutical drugs are considered hazardous waste?
<o:p></o:p></p>

<p class=MsoPlainText><o:p>&nbsp;</o:p></p>

<p class=MsoPlainText>There are approximately 31 commercial chemical products
listed on RCRA&#8216;s P- and U-lists that have pharmaceutical uses. As the P- and
U-lists are based on chemical designations, this number does not completely
represent the total number of brand name pharmaceuticals that may actually be
listed hazardous wastes. For example, the following chemotherapy drugs, CTX,
Cytotoxan, Neosar and Procytox, are U058 (cyclophosamide). <o:p></o:p></p>

<p class=MsoPlainText><o:p>&nbsp;</o:p></p>

<p class=MsoPlainText>In addition, waste pharmaceuticals may also be hazardous
because they exhibit one or more of the four characteristics of hazardous
waste: ignitability, corrosivity, reactivity and toxicity. Characteristic
pharmaceutical wastes include those that exhibit the ignitability
characteristic, such as solutions containing more than 24% alcohol. An example
of a pharmaceutical that may exhibit the reactivity characteristic is
nitroglycerine. Pharmaceuticals exhibiting the corrosivity characteristic are
generally limited to compounding chemicals, including strong acids, such as
glacial acetic acid, and strong bases, such as sodium hydroxide. Depending on
the concentration in different pharmaceutical preparations, pharmaceuticals may
also exhibit the toxicity characteristic because of the use of arsenic (D004),
barium (D005), cadmium (D006), chloroform (D022), chromium (D007), lindane
(D013), m-cresol (D024), mercury (D009), selenium (D010), and silver (D011). As
thousands of over-the-counter or prescription drugs are currently approved for
sale in the U.S., it is difficult to provide a precise number of pharmaceuticals
that are listed and/or characteristic under RCRA (for a complete listing of
FDA-approved drugs, please see FDA&#8217;s Orange Book. <o:p></o:p></p>

<p class=MsoPlainText><o:p>&nbsp;</o:p></p>

<p class=MsoPlainText><o:p>&nbsp;</o:p></p>

<p class=MsoPlainText><o:p>&nbsp;</o:p></p>

<p class=MsoPlainText>Jeanie Jaramillo, PharmD<o:p></o:p></p>

<p class=MsoPlainText>Managing Director, Texas Panhandle Poison Center<o:p></o:p></p>

<p class=MsoPlainText>Assistant Professor, Texas Tech UHSC School of Pharmacy<o:p></o:p></p>

<p class=MsoPlainText>1501 S. Coulter
St.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<o:p></o:p></p>

<p class=MsoPlainText>Amarillo, TX 79106<o:p></o:p></p>

<p class=MsoPlainText>P: (806) 354-1611<o:p></o:p></p>

<p class=MsoPlainText>C: (806) 672-0833<o:p></o:p></p>

<p class=MsoPlainText>F: (806) 354-1667<o:p></o:p></p>

<p class=MsoPlainText>Cisco IP: 30412<o:p></o:p></p>

<p class=MsoPlainText><o:p>&nbsp;</o:p></p>

<p class=MsoPlainText><o:p>&nbsp;</o:p></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<div>

<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>

<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span
style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> Sue Dayton
[mailto:sdayton@swcp.com] <br>
<b>Sent:</b> Wednesday, February 17, 2010 6:09 AM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us; 'Tenace, Laurie'<br>
<b>Subject:</b> [Pharmwaste] Question about haz med waste<o:p></o:p></span></p>

</div>

</div>

<p class=MsoNormal><o:p>&nbsp;</o:p></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Good
morning!<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>I
need help. Can anyone on this list serve send me information re: the following:
<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p>&nbsp;</o:p></span></p>

<ol style='margin-top:0in' start=1 type=1>
 <li class=MsoNormal style='mso-list:l0 level1 lfo3'><span style='font-size:
     10.0pt;font-family:"Arial","sans-serif"'>List of pharmaceutical drugs
     classified as hazardous.<o:p></o:p></span></li>
 <li class=MsoNormal style='mso-list:l0 level1 lfo3'><span style='font-size:
     10.0pt;font-family:"Arial","sans-serif"'>List of chemotherapeutical
     chemicals classified as hazardous.<o:p></o:p></span></li>
 <li class=MsoNormal style='mso-list:l0 level1 lfo3'><span style='font-size:
     10.0pt;font-family:"Arial","sans-serif"'>Any other type of medical waste that
     may be classified or considered hazardous waste.<o:p></o:p></span></li>
</ol>

<p class=MsoNormal style='margin-left:.25in'><span style='font-size:10.0pt;
font-family:"Arial","sans-serif"'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Thank
you in advance! <o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Best
&#8211;<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Sue
Dayton</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Blue
Ridge Environmental Defense League</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>North
Carolina Healthy Communities Program</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>PO
BOX 44</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Saxapahaw,
NC 27340</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>(336)
525-2003</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><a
href="mailto:sdayton@swcp.com">sdayton@swcp.com</a></span><o:p></o:p></p>

<p class=MsoNormal>&nbsp;<o:p></o:p></p>

<p class=MsoNormal>&nbsp;<o:p></o:p></p>

<p class=MsoNormal>&nbsp;<o:p></o:p></p>

<div>

<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><em><span
style='font-family:"Palatino Linotype","serif"'>Our lives begin to end the day
we become silent about things that matter.&nbsp;&nbsp; -&nbsp; Martin Luther
King Jr.</span></em><em><span style='font-size:10.0pt;font-family:"Palatino Linotype","serif"'><o:p></o:p></span></em></p>

<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-family:"Arial","sans-serif"'><o:p>&nbsp;</o:p></span></p>

</div>

<p class=MsoNormal>&nbsp;<o:p></o:p></p>

<p class=MsoNormal>&nbsp;<o:p></o:p></p>

<p class=MsoNormal><o:p>&nbsp;</o:p></p>

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