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These aren't the best messages I've written and I didn't take time to look up the best address for FDA (I took it from the source view of their web page), but I think more of us need to tell/ask ONDCP and FDA to get rid of FDA's guidance that emphasizes flushing
of certain medications. There is consistency between ONDCP's and EPA's guidance, but FDA must still not be convinced that collection is favorable over flushing? Maybe they are working on it? Seems silly for ONDCP to launch this big media event to promote collection
when their disposal guidance links to flushing. <br>
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<div id="divRpF124800" style="direction: ltr;"><font face="Tahoma" size="2" color="#000000"><b>From:</b> Volkman, Jennifer (MPCA)<br>
<b>Sent:</b> Monday, September 08, 2014 7:34 PM<br>
<b>To:</b> oipl@ondcp.eop.gov; druginfo@fda.hhs.gov<br>
<b>Subject:</b> RE: FDA's website guidance conflicts with ONDCP's new program<br>
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<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Hello again,</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">I missed this link! It shows consistency between EPA and ONDCP, but still points to the FDA’s confusing flush disposal recommendations for certain prescription
medications. </span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"><a href="http://www.deadiversion.usdoj.gov/drug_disposal/index.html" target="_blank">http://www.deadiversion.usdoj.gov/drug_disposal/index.html</a>
</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">I come at this from the perspective of trying (for 20 years) to get simple information out to families so they can do their part to reduce poisoning, abuse
and environmental impacts. Telling people to put all of their medications in a bag and bring them to a collection box is the simplest way to get them to take action. If they find conflicting information on the label, websites or in the instructions that come
with prescriptions, they are likely to put off trying to figure out how to do the right thing. The very best result of all of this is to raise awareness and get people to act.
</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Thanks for all of your hard work!</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">JV</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
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<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:windowtext">From:</span></b><span style="font-size:10.0pt; font-family:"Tahoma","sans-serif"; color:windowtext"> Volkman, Jennifer (MPCA)
<br>
<b>Sent:</b> Monday, September 08, 2014 5:57 PM<br>
<b>To:</b> 'oipl@ondcp.eop.gov'; 'druginfo@fda.hhs.gov'<br>
<b>Subject:</b> FDA's website guidance conflicts with ONDCP's new program</span></p>
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<p class="MsoNormal"> </p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Good afternoon,</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">I listened in on the stakeholder Q and A today and someone asked whether ONDCP was going to update its information on flushing drugs. The ONDCP’s website
actually points to the FDA’s website for disposal instructions. It is the information on the FDA’s website that needs updating:
</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Here is where FDA instructs people to flush certain drugs:</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"><a href="http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm#MEDICINES" target="_blank">http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm#MEDICINES</a>
</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">I understand the original impetus for the wording of the information back in 2009. It is just something that needs to be made consistent if at all possible.</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">The ONDCP site at this link
<a href="http://www.whitehouse.gov/ondcp/prescription-drug-abuse" target="_blank">
http://www.whitehouse.gov/ondcp/prescription-drug-abuse</a> still refers people to the FDA website link above. If you scroll down below the graphs, it is in this paragraph, highlighted:</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<h2 style="margin-top:0in"><span lang="EN" style="font-size:12.0pt">“What You Can Do</span></h2>
<p class="MsoNormal" style="margin-left:0in; text-indent:-.25in"><span lang="EN" style="font-size:10.0pt; font-family:Symbol; color:#333333"><span style="">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><strong><span lang="EN" style="font-size:9.0pt; font-family:"Arial","sans-serif"; color:#333333">Follow disposal guidelines</span></strong><span lang="EN" style="font-size:9.0pt; font-family:"Arial","sans-serif"; color:#333333">: No matter
who you are, you can help address this issue in your home. By following the guidelines, you reduce the risk of unintentional diversion or harm.
<span style="background:yellow">Learn <a href="http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm101653.htm" target="_blank">
how to dispose of unused medicines</a>, read</span> the <a href="http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186188.htm" target="_blank">
frequently asked questions</a> about safe drug disposal, and get information on <a href="http://www.cdc.gov/HomeandRecreationalSafety/Poisoning/brief_full_page.htm" target="_blank">
drug poisoning</a>.”</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">The simplest thing might be for you to delete that paragraph because the one you have below it works just fine:</span></p>
<p class="MsoNormal"><strong><span lang="EN" style="font-size:9.0pt; font-family:"Arial","sans-serif"; color:#333333">“Take advantage of community take-back programs</span></strong><span lang="EN" style="font-size:9.0pt; font-family:"Arial","sans-serif"; color:#333333">:
Call your city or county government's household <s>trash and recycling service</s>
<u>hazardous waste program</u>, or your local police or sheriff's department to see if a take-back program is available in your community.”
</span></p>
<p class="MsoNormal"><span lang="EN" style="font-size:9.0pt; font-family:"Arial","sans-serif"; color:#333333"> </span></p>
<p class="MsoNormal"><span lang="EN" style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#333333">You could update it with a note that you’ve revised rules so that pharmacies may be able to collect medications in the future, once state and local
laws are sorted out. Don’t send people to pharmacies yet!!!</span></p>
<p class="MsoNormal"><span lang="EN" style="font-size:9.0pt; font-family:"Arial","sans-serif"; color:#333333"> </span></p>
<p class="MsoNormal"><span lang="EN" style="font-size:9.0pt; font-family:"Arial","sans-serif"; color:#333333">The FAQs posted by FDA are also in need of updating:</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"><a href="http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186188.htm" target="_blank">http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186188.htm</a>
</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">This is what the MPCA’s website tells people to do:</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"><a href="http://www.pca.state.mn.us/index.php/living-green/living-green-citizen/household-hazardous-waste/disposing-of-unwanted-medications.html" target="_blank">http://www.pca.state.mn.us/index.php/living-green/living-green-citizen/household-hazardous-waste/disposing-of-unwanted-medications.html</a>
</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Please let me know what the plan is for an update.</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Thank you!</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Jennifer Volkman</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Statewide HHW Program Coordinator</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Minnesota Pollution Control Agency</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">651-757-2801</span></p>
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