<html><head><meta http-equiv="Content-Type" content="text/html charset=windows-1252"></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; ">I do not know off hand who was involved in the decision, but I would think it was due to pharmacies being the origin of the prescriptions/medications and the accessibility to talk to a pharmacist.<div><br><div apple-content-edited="true">
<div style="color: rgb(0, 0, 0); font-family: Helvetica; font-size: medium; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; "><div style="color: rgb(0, 0, 0); font-family: Helvetica; font-size: medium; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; "><div style="color: rgb(0, 0, 0); font-family: Helvetica; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; "><div style="color: rgb(0, 0, 0); font-family: Helvetica; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; "><div style="color: rgb(0, 0, 0); font-family: Helvetica; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; "><b><span style="font-family: Calibri; color: rgb(51, 51, 51); ">Nathan D. Pope, PharmD </span></b><span style="font-family: Calibri; color: rgb(51, 51, 51); ">| Clinical Assistant Professor | College of Pharmacy | </span><b><span style="font-family: Calibri; color: rgb(153, 69, 5); ">The University of Texas at Austin</span></b></div><div style="color: rgb(0, 0, 0); font-family: Helvetica; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; "><span style="color: rgb(51, 51, 51); font-family: Calibri; ">Residency Program Director | HEB/UT Community Pharmacy Residency Program</span></div><div style="color: rgb(0, 0, 0); font-family: Helvetica; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; "><span style="color: rgb(51, 51, 51); font-family: Calibri; ">Pharmacist</span><span style="color: rgb(51, 51, 51); font-family: Calibri; "> </span><span style="color: rgb(51, 51, 51); font-family: Calibri; ">|</span><span style="color: rgb(51, 51, 51); font-family: Calibri; "> Forty Acres Pharmacy</span></div><div style="color: rgb(0, 0, 0); font-family: Helvetica; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; "><span style="font-family: Calibri; color: rgb(51, 51, 51); ">512 471 5664 | </span><u><span style="font-family: Calibri; color: rgb(56, 110, 255); "><a href="mailto:npope@austin.utexas.edu">npope@utexas.edu</a></span></u><span style="font-family: Calibri; color: rgb(51, 51, 51); "> | </span><u><span style="font-family: Calibri; color: rgb(56, 110, 255); "><a href="http://www.utexas.edu/pharmacy/residencies">http://www.utexas.edu/pharmacy/residencies</a></span></u><p class="MsoNormal"><span style="font-size: small; font-family: Calibri; color: rgb(51, 51, 51); "> </span><i style="font-size: small; "><span style="font-family: 'Helvetica Neue'; color: rgb(51, 51, 51); ">The information in this e-mail is confidential and should be viewed only by the individual or organization named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, or copying of the contents of this e-mail and its attachments, if any, is prohibited. If you have received this e-mail in error, please immediately notify the sender by return e-mail and delete this e-mail from your system. Thank you.</span></i></p></div></div></div></div></div>
</div>
<br><div><div>On Oct 25, 2013, at 2:38 PM, <<a href="mailto:pharmwaste-request@lists.dep.state.fl.us">pharmwaste-request@lists.dep.state.fl.us</a>> wrote:</div><br class="Apple-interchange-newline"><blockquote type="cite">Send Pharmwaste mailing list submissions to<br><span class="Apple-tab-span" style="white-space:pre"> </span><a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><br>To subscribe or unsubscribe via the World Wide Web, visit<br><span class="Apple-tab-span" style="white-space:pre"> </span>http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste<br>or, via email, send a message with subject or body 'help' to<br><span class="Apple-tab-span" style="white-space:pre"> </span>pharmwaste-request@lists.dep.state.fl.us<br><br>You can reach the person managing the list at<br><span class="Apple-tab-span" style="white-space:pre"> </span>pharmwaste-owner@lists.dep.state.fl.us<br><br>When replying, please edit your Subject line so it is more specific<br>than "Re: Contents of Pharmwaste digest..."<br>Today's Topics:<br><br> 1. From NIH's Medline (Catherine Zimmer)<br> 2. P.S. to info from Medline (Catherine Zimmer)<br> 3. RE: P.S. to info from Medline - let's be sure we<span class="Apple-tab-span" style="white-space:pre"> </span>teach<br> pharmacy students about disposal and management (Tenace, Laurie)<br> 4. RE: From NIH's Medline (Volkman, Jennifer (MPCA))<br><br><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>From: </b></span><span style="font-family:'Helvetica'; font-size:medium;">Catherine Zimmer <zenllc@usfamily.net><br></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>Subject: </b></span><span style="font-family:'Helvetica'; font-size:medium;"><b>[Pharmwaste] From NIH's Medline</b><br></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>Date: </b></span><span style="font-family:'Helvetica'; font-size:medium;">October 21, 2013 9:12:27 AM CDT<br></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>To: </b></span><span style="font-family:'Helvetica'; font-size:medium;"><pharmwaste@lists.dep.state.fl.us><br></span></div><br><br>
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<div>
<div style="font-size: small; font-family: Calibri; font-weight: normal; font-style: normal; text-decoration: none; display: inline; ">Good
morning everyone,</div></div>
<div>
<div style="font-size: small; font-family: Calibri; font-weight: normal; font-style: normal; text-decoration: none; display: inline; "> </div></div>
<div>
<div style="font-size: small; font-family: Calibri; font-weight: normal; font-style: normal; text-decoration: none; display: inline; ">I
found this interesting tidbit on Medline this am: </div>
<div class="hblock group">
<h2><font face="Times New Roman">What should I know about storage and disposal
of this medication?</font></h2></div><p><font face="Times New Roman">Keep this medication in the container it came
in, tightly closed, and out of reach of children. Store it at room temperature
and away from excess heat and moisture (not in the bathroom). Throw away any
medication that is outdated or no longer needed. Talk to your pharmacist about
the proper disposal of your medication.</font></p></div>
<div>
<div style="font-size: small; font-family: Calibri; font-weight: normal; font-style: normal; text-decoration: none; display: inline; "> </div></div>
<div>
<div style="font-size: small; font-family: Calibri; font-weight: normal; font-style: normal; text-decoration: none; display: inline; "><a title="http://www.nlm.nih.gov/medlineplus/druginfo/meds/a698032.html" href="http://www.nlm.nih.gov/medlineplus/druginfo/meds/a698032.html">http://www.nlm.nih.gov/medlineplus/druginfo/meds/a698032.html</a></div></div>
<div>
<div style="font-size: small; font-family: Calibri; font-weight: normal; font-style: normal; text-decoration: none; display: inline; "> </div></div>
<div>
<div style="font-size: small; font-family: Calibri; font-weight: normal; font-style: normal; text-decoration: none; display: inline; ">It
seems then, at least according to NIH, pharmacists should be well versed in the
proper disposal of pharmaceuticals. While I realize extraordinary efforts
have been made in this regard, its interesting to note NIH has determined this
is the professional patients should talk to. </div></div>
<div>
<div style="font-size: small; font-family: Calibri; font-weight: normal; font-style: normal; text-decoration: none; display: inline; "> </div></div>
<div>
<div style="font-size: small; font-family: Calibri; font-weight: normal; font-style: normal; text-decoration: none; display: inline; ">Anyone
know the history of this decision by NIH? </div></div>
<div>
<div style="font-size: small; font-family: Calibri; font-weight: normal; font-style: normal; text-decoration: none; display: inline; "> </div></div>
<div>
<div style="font-size: 12pt; font-family: Calibri; ">Very truly
yours,<br><br>Catherine Zimmer, MS, BSMT<br>Principal<br>Zimmer Environmental
Improvement LLC<br>Ph: 651.645.7509</div></div></div></div></div>
<br><br><br><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>From: </b></span><span style="font-family:'Helvetica'; font-size:medium;">Catherine Zimmer <zenllc@usfamily.net><br></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>Subject: </b></span><span style="font-family:'Helvetica'; font-size:medium;"><b>[Pharmwaste] P.S. to info from Medline</b><br></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>Date: </b></span><span style="font-family:'Helvetica'; font-size:medium;">October 21, 2013 9:18:13 AM CDT<br></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>To: </b></span><span style="font-family:'Helvetica'; font-size:medium;"><pharmwaste@lists.dep.state.fl.us><br></span></div><br><br>
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<div style="font-size: 12pt; font-family: Calibri; ">
<div>It appears ASHP (American Society of Health System Pharmacists) had a hand
in developing the Medline page. </div>
<div> </div>
<div style="font-size: small; font-family: Calibri; font-weight: normal; font-style: normal; text-decoration: none; display: inline; ">
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<div> </div>
<div style="BACKGROUND: #f5f5f5">
<div style="font-size: 12pt; font-family: Calibri; ">Very truly
yours,<br><br>Catherine Zimmer, MS, BSMT<br>Principal<br>Zimmer Environmental
Improvement LLC<br>Ph: 651.645.7509</div></div>
<div style="font-size: small; font-family: Calibri; font-weight: normal; font-style: normal; text-decoration: none; display: inline; "> </div></div></div></div></div></div>
<br><br><br><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>From: </b></span><span style="font-family:'Helvetica'; font-size:medium;">"Tenace, Laurie" <Laurie.Tenace@dep.state.fl.us><br></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>Subject: </b></span><span style="font-family:'Helvetica'; font-size:medium;"><b>RE: [Pharmwaste] P.S. to info from Medline - let's be sure we teach pharmacy students about disposal and management</b><br></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>Date: </b></span><span style="font-family:'Helvetica'; font-size:medium;">October 21, 2013 9:43:35 AM CDT<br></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>To: </b></span><span style="font-family:'Helvetica'; font-size:medium;">"pharmwaste@lists.dep.state.fl.us" <pharmwaste@lists.dep.state.fl.us><br></span></div><br><br>
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<div class="WordSection1"><p class="MsoNormal"><span style="color:#1F497D">If there is a school of pharmacy in your town or even your state, I would encourage people invested in this issue to try to get on the agenda as a speaker. I’ve spoken at FAMU and the pharmacy and public health
students attending have been very interested in learning about environmental impacts from drugs and proper disposal/management.
<o:p></o:p></span></p><p class="MsoNormal"><span style="color:#1F497D"> </span></p><p class="MsoNormal"><span style="color:#1F497D">Laurie<o:p></o:p></span></p><p class="MsoNormal"><span style="color:#1F497D"> </span></p><p class="MsoNormal"><span style="color:#1F497D"> </span></p>
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<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""> pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us]
<b>On Behalf Of </b>Catherine Zimmer<br>
<b>Sent:</b> Monday, October 21, 2013 10:18 AM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] P.S. to info from Medline<o:p></o:p></span></p>
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<div><p class="MsoNormal"><span style="font-size: 12pt; ">It appears ASHP (American Society of Health System Pharmacists) had a hand in developing the Medline page.
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<div><p class="MsoNormal" style="background:whitesmoke"><span style="font-size: 12pt; ">Very truly yours,<br>
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Catherine Zimmer, MS, BSMT<br>
Principal<br>
Zimmer Environmental Improvement LLC<br>
Ph: 651.645.7509<o:p></o:p></span></p>
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<br><br><br><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>From: </b></span><span style="font-family:'Helvetica'; font-size:medium;">"Volkman, Jennifer (MPCA)" <jennifer.volkman@state.mn.us><br></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>Subject: </b></span><span style="font-family:'Helvetica'; font-size:medium;"><b>RE: [Pharmwaste] From NIH's Medline</b><br></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>Date: </b></span><span style="font-family:'Helvetica'; font-size:medium;">October 21, 2013 10:56:39 AM CDT<br></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px;"><span style="font-family:'Helvetica'; font-size:medium; color:rgba(127, 127, 127, 1.0);"><b>To: </b></span><span style="font-family:'Helvetica'; font-size:medium;">"pharmwaste@lists.dep.state.fl.us" <pharmwaste@lists.dep.state.fl.us><br></span></div><br><br>I don't mean to sideswipe Catherine's question, but I had a person call me last week who was seriously ticked that the paperwork that came with her prescription recommended flushing. She called me just to complain. Her other prescription said to talk to her pharmacist. If that's what's going on, we need to inform them what to do in our states and counties. At some point, maybe after implementation of the DEA rules, we should try to get that flushing recommendation for CS changed...<br>... regardless of any recommendation, people do ask their pharmacists...<br>________________________________________<br>From: pharmwaste-bounces@lists.dep.state.fl.us [pharmwaste-bounces@lists.dep.state.fl.us] on behalf of Catherine Zimmer [zenllc@usfamily.net]<br>Sent: Monday, October 21, 2013 9:12 AM<br>To: pharmwaste@lists.dep.state.fl.us<br>Subject: [Pharmwaste] From NIH's Medline<br><br>Good morning everyone,<br><br>I found this interesting tidbit on Medline this am:<br>What should I know about storage and disposal of this medication?<br><br>Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.<br><br><br>http://www.nlm.nih.gov/medlineplus/druginfo/meds/a698032.html<br><br>It seems then, at least according to NIH, pharmacists should be well versed in the proper disposal of pharmaceuticals. While I realize extraordinary efforts have been made in this regard, its interesting to note NIH has determined this is the professional patients should talk to.<br><br>Anyone know the history of this decision by NIH?<br><br>Very truly yours,<br><br>Catherine Zimmer, MS, BSMT<br>Principal<br>Zimmer Environmental Improvement LLC<br>Ph: 651.645.7509<br><br><br><br><br>---<br>Note: As a courtesy to other listserv subscribers, please post messages to the listserv in plain text format to avoid the garbling of messages received by digest recipients.<br>---<br>TO SUBSCRIBE, go to: http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste <br>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to pharmwaste-unsubscribe@lists.dep.state.fl.us -- the subject line and body of the e-mail should be blank.<br>If you believe you may be subscribed with a different email address, please visit the subscriber listing at http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste <br>FOR PROBLEMS: Contact List Administrator Laurie.Tenace@dep.state.fl.us <br>SEND MAIL to the list server at: pharmwaste@lists.dep.state.fl.us<br></blockquote></div><br></div></body></html>