One Step Multi-Drug Screen Test Cup Package Insert
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Multi-Drug Rapid Test Panel with Adulteration (Urine)
6-mono-aceto-morphine in urine is 3-7 days. Multi-Drug Rapid Test Panel with 6-MAM 10 Adulteration (Urine) (6-MAM10) The Multi-Drug Rapid Test Panel yields a positive result when the concentration of (±) 3,4-Methylenedioxy- (±) 3,4-Methylenedioxy- benzodiazepines in urine exceeds detective level. Package Insert 500 Buprenorphine (BUP) Amphetamine(MDA500) Amphetamine Instruction Sheet for testing of any combination of the following drugs: Ethyl- β-D-Glucuronide(ETG500) Ethyl- β -D-Glucuronide 500 Buprenorphine is a potent analgesic often used in the treatment of opioid addiction. The drug is ACE/AMP/BAR/BZO/BUP/COC/THC/MTD/MET/MDMA/MOP/MQL/OPI/PCP/PPX/TCA/TML/K sold under the trade names Subutex™, Buprenex™, Temgesic™ and Suboxone™, which ET/OXY/COT/EDDP/FYL/K2/6-MAM/MDA/ETG/CLO/LSD/MPD/ZOL Ethyl- β-D-Glucuronide(ETG1,000) Ethyl- β -D-Glucuronide 1,000 contain Buprenorphine HCl alone or in combination with Naloxone HCl. Therapeutically, Including Specimen Validity Tests (S.V.T.) for: Clonazepam(CLO 400) Clonazepam 400 Buprenorphine is used as a substitution treatment for opioid addicts. Substitution treatment is a Oxidants/PCC, Specific Gravity, pH, Nitrite, Glutaraldehyde and Creatinine Clonazepam(CLO 150) Clonazepam 150 form of medical care offered to opiate addicts (primarily heroin addicts) based on a similar or A rapid test for the simultaneous, qualitative detection of multiple drugs and drug metabolites in identical substance to the drug normally used. In substitution therapy, Buprenorphine is as human urine. For healthcare professionals including professionals at point of care sites. Lysergic Acid Diethylamide (LSD) Lysergic Acid Diethylamide 20 effective as Methadone but demonstrates a lower level of physical dependence. -
MDPV Bath Salts Test
One Step Methylenedioxypyrovalerone Drug of Abuse Test MATERIALS Analytical Sensitivity The cut-off concentration of the One Step Methylenedioxypyrovalerone Drug of Abuse Test is determined to be 1,000ng/mL. (Dip Card) Materials Provided: Test was run in 30 replicates with negative urine and standard control at ±25% cut-off and ±50% cut-off concentration levels. Test results ● Dip cards are summarized below. For Forensic Use Only ● Desiccants ● Package insert Test Result INTENDED USE Percent of Cut-off n Materials Required But Not Provided: Methylenedioxypyrovalerone Concentration in ng/mL The One Step Methylenedioxypyrovalerone Drug of Abuse Test is a lateral flow chromatographic immunoassay for the ● Specimen collection container Negative Positive qualitative detection of Methylenedioxypyrovalerone (MDPV) in human urine specimen at the cut-off level of 1,000ng/mL. This ● Disposable gloves 0% Cut-off assay is intended for forensic use only. ● Timer 30 30 0 This assay provides only a preliminary qualitative test result. A more specific confirmatory reference method, such as Liquid (No Drug Present) chromatogra -50% Cut-off phy tandem mass spectrometry (LC/MS/MS) or gas chromatography/mass spectrometry (GC/MS) must be use in INSTRUCTIONS FOR USE] 30 30 0 order to obtain a confirmed analytical result. (500ng/mL) 1) Remove the dip card from the foil pouch. -25% Cut-off 30 30 0 BACKGROUND 2) Remove the cap from the dip card. Label the device with patient or control identifications. (750ng/mL) 3) Immerse the absorbent tip into the urine sample for 5 seconds. Urine sample should not touch the plastic device. Cut-off ‘Bath salts’, a form of designer drugs, also promoted as ‘plant food’ or ‘research chemicals’, is sold mainly in head shops, on 4) Replace the cap over the absorbent tip and lay the dip card on a clean, flat, and non-absorptive surface. -
Medical Review Officer Manual
Department of Health and Human Services Substance Abuse and Mental Health Services Administration Center for Substance Abuse Prevention Medical Review Officer Manual for Federal Agency Workplace Drug Testing Programs EFFECTIVE OCTOBER 1, 2010 Note: This manual applies to Federal agency drug testing programs that come under Executive Order 12564 dated September 15, 1986, section 503 of Public Law 100-71, 5 U.S.C. section 7301 note dated July 11, 1987, and the Department of Health and Human Services Mandatory Guidelines for Federal Workplace Drug Testing Programs (73 FR 71858) dated November 25, 2008 (effective October 1, 2010). This manual does not apply to specimens submitted for testing under U.S. Department of Transportation (DOT) Procedures for Transportation Workplace Drug and Alcohol Testing Programs (49 CFR Part 40). The current version of this manual and other information including MRO Case Studies are available on the Drug Testing page under Medical Review Officer (MRO) Resources on the SAMHSA website: http://www.workplace.samhsa.gov Previous Versions of this Manual are Obsolete 3 Table of Contents Chapter 1. The Medical Review Officer (MRO)........................................................................... 6 Chapter 2. The Federal Drug Testing Custody and Control Form ................................................ 7 Chapter 3. Urine Drug Testing ...................................................................................................... 9 A. Federal Workplace Drug Testing Overview.................................................................. -
House Bill No. 325
FIRST REGULAR SESSION HOUSE BILL NO. 325 101ST GENERAL ASSEMBLY INTRODUCED BY REPRESENTATIVE PRICE IV. 0249H.01I DANA RADEMAN MILLER, Chief Clerk AN ACT To repeal sections 195.010, 579.015, 579.020, 579.040, 579.055, and 579.105, RSMo, and to enact in lieu thereof twenty new sections relating to the legalization of marijuana for adult use, with penalty provisions. Be it enacted by the General Assembly of the state of Missouri, as follows: Section A. Sections 195.010, 579.015, 579.020, 579.040, 579.055, and 579.105, RSMo, 2 are repealed and twenty new sections enacted in lieu thereof, to be known as sections 195.010, 3 195.2300, 195.2303, 195.2309, 195.2310, 195.2312, 195.2315, 195.2317, 195.2318, 195.2321, 4 195.2324, 195.2327, 195.2330, 195.2333, 579.015, 579.020, 579.040, 579.055, 579.105, and 5 610.134, to read as follows: 195.010. The following words and phrases as used in this chapter and chapter 579, 2 unless the context otherwise requires, mean: 3 (1) "Acute pain", pain, whether resulting from disease, accidental or intentional trauma, 4 or other causes, that the practitioner reasonably expects to last only a short period of time. Acute 5 pain shall not include chronic pain, pain being treated as part of cancer care, hospice or other 6 end-of-life care, or medication-assisted treatment for substance use disorders; 7 (2) "Addict", a person who habitually uses one or more controlled substances to such an 8 extent as to create a tolerance for such drugs, and who does not have a medical need for such 9 drugs, or who is so far addicted to the use of such drugs as to have lost the power of self-control 10 with reference to his or her addiction; 11 (3) "Administer", to apply a controlled substance, whether by injection, inhalation, 12 ingestion, or any other means, directly to the body of a patient or research subject by: 13 (a) A practitioner (or, in his or her presence, by his or her authorized agent); or EXPLANATION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is intended to be omitted from the law. -
“Biosynthesis of Morphine in Mammals”
“Biosynthesis of Morphine in Mammals” D i s s e r t a t i o n zur Erlangung des akademischen Grades Doctor rerum naturalium (Dr. rer. nat.) vorgelegt der Naturwissenschaftlichen Fakultät I Biowissenschaften der Martin-Luther-Universität Halle-Wittenberg von Frau Nadja Grobe geb. am 21.08.1981 in Querfurt Gutachter /in 1. 2. 3. Halle (Saale), Table of Contents I INTRODUCTION ........................................................................................................1 II MATERIAL & METHODS ........................................................................................ 10 1 Animal Tissue ....................................................................................................... 10 2 Chemicals and Enzymes ....................................................................................... 10 3 Bacteria and Vectors ............................................................................................ 10 4 Instruments ........................................................................................................... 11 5 Synthesis ................................................................................................................ 12 5.1 Preparation of DOPAL from Epinephrine (according to DUNCAN 1975) ................. 12 5.2 Synthesis of (R)-Norlaudanosoline*HBr ................................................................. 12 5.3 Synthesis of [7D]-Salutaridinol and [7D]-epi-Salutaridinol ..................................... 13 6 Application Experiments ..................................................................................... -
PRODUCT MONOGRAPH ORCIPRENALINE Orciprenaline Sulphate Syrup House Standard 2 Mg/Ml Β2-Adrenergic Stimulant Bronchodilator AA P
PRODUCT MONOGRAPH ORCIPRENALINE Orciprenaline Sulphate Syrup House Standard 2 mg/mL 2-Adrenergic Stimulant Bronchodilator AA PHARMA INC. DATE OF PREPARATION: 1165 Creditstone Road, Unit #1 April 10, 2014 Vaughan, Ontario L4K 4N7 Control Number: 172362 1 PRODUCT MONOGRAPH ORCIPRENALINE Orciprenaline Sulfate Syrup House Standard 2 mg/mL THERAPEUTIC CLASSIFICATION 2–Adrenergic Stimulant Bronchodilator ACTIONS AND CLINICAL PHARMACOLOGY Orciprenaline sulphate is a bronchodilating agent. The bronchospasm associated with various pulmonary diseases - chronic bronchitis, pulmonary emphysema, bronchial asthma, silicosis, tuberculosis, sarcoidosis and carcinoma of the lung, has been successfully reversed by therapy with orciprenaline sulphate. Orciprenaline sulphate has the following major characteristics: 1) Pharmacologically, the action of orciprenaline sulphate is one of beta stimulation. Receptor sites in the bronchi and bronchioles are more sensitive to the drug than those in the heart and blood vessels, so that the ratio of bronchodilating to cardiovascular effects is favourable. Consequently, it is usually possible clinically to produce good bronchodilation at dosage levels which are unlikely to cause cardiovascular side effects. 2 2) The efficacy of the bronchodilator after both oral and inhalation administration has been demonstrated by pulmonary function studies (spirometry, and by measurement of airways resistance by body plethysmography). 3) Rapid onset of action follows administration of orciprenaline sulphate inhalants, and the effect is usually noted immediately. Following oral administration, the effect is usually noted within 30 minutes. 4) The peak effect of bronchodilator activity following orciprenaline sulphate generally occurs within 60 to 90 minutes, and this activity lasts for 3 to 6 hours. 5) Orciprenaline sulphate taken orally potentiates the action of a bronchodilator inhalant administered 90 minutes later, whereas no additive effect occurs when the drugs are given in reverse order. -
Quantitative Drug Test Menu Section 2
1 Guthrie Square, Sayre, PA 18840 Bill To: Client GMG Toxicology Laboratory Requisition Toll Free Phone (844) 617-4719 Insurance Request Date: _____/______/______ Medical Director: Hani Hojjati, MD Fax (570) 887-4729 Patient PATIENT INFORMATION (PLEASE PRINT IN BLACK INK) INSURANCE BILLING INFORMATION (PLEASE PRINT IN BLACK INK) Pt Last Name First M I PRIMARY Medicare Medicaid Other Ins. Self Spouse Child __ Subscriber Last Name First M Address Birth Date Sex M F Beneficiary/Member # Group # City Pt. SS# or MRN Claims Name and Address City ST ZIP ST ZIP Home Phone (Attach a copy of the patient's insurance card and information) SECONDARY Medicare Medicaid Other Ins. Self Spouse Child Employer Work Phone Subscriber Last Name First M Work Address City ST ZIP Beneficiary/Member # Group # __ CLIENT INFORMATION - REFERRING PHYSICIAN Claims Name and Address City ST ZIP Client Address: (Atttach a copy of the patient's insurance card and information) COLLECTION / REPORTING INFORMATION Copy to: FAX Results to __ CALL Results to Phone: Fax: Date Collected: Time Collected: AM PM Specimen Type: Urine Saliva Other ___________________ Physician Signature (legible - No Stamp) For Lab Use Only (Required for Medicare & Medicaid patient orders) Signed ABN Obtained Place Lab Label Here Contact Laboratory Medical Director (570-887-4719) with questions concerning medical necessity PHYSICIAN When ordering tests, the physician is required to make an independent medical necessity decision with regard to each test thelaboratory will bill. The physician also understands he or she is required NOTICE to (1) submit ICD-10 diagnosis supported in the patient's medical record as documentation of the medical necessity or (2) explain and have the patient sign an ABN. -
Substance Abuse in the Workplace Policy
Substance Abuse in the Workplace Policy Rexnord (herein referred to as “Rexnord” or the “Company”) has a strong commitment to its employees to provide a safe work environment and to promote high standards of employee performance. Consistent with the spirit and intent of this commitment, the Company has established a policy regarding substance abuse in the workplace. Further, the Company is committed to maintaining a drug-free workplace as required by “The Drug-Free Workplace Act of 1988.” Therefore, compliance with this Policy is a condition of continued employment with Rexnord. I. PURPOSE To outline the procedures to be followed by each location in order to ensure that the safety and performance of employees is not impaired by alcohol, illegal drugs or other substances. II. APPLICABILITY This policy shall apply to all employees (full-time, part-time, exempt, and non-exempt employees) as well as to all applicants who have received a conditional offer of employment. Personnel who perform their services on Company property or on a third party’s property at the request of the Company (e.g., a Company customer site), as provided under a contract either directly with the Company or through the services of an outside firm, are required to abide by this policy. It is the responsibility of the contracting firm (at its cost and expense) to ensure that its personnel are tested in conformance with this policy prior to working at / on behalf of Rexnord. III. SUBSTANCE ABUSE It is the Company’s policy that the following is prohibited and will result in discipline up to and including termination: A. -
Drug & Alcohol Testing Be a Driver in the Know
Controlled Substances Consequences FEDERAL The regulations require 5-panel testing for the 3 A positive test result or a following classes of substances: refusal requires the driver to be immediately removed from Drug & Marijuana n operating any CMV on public n Cocaine roadways. The employer must provide you with a list of Alcohol n Opiates — opium and acceptable SAPs from which to codeine derivatives choose to begin the “return-to- ” n Amphetamines and duty process. This process must Testing meth amphetamines be completed before a positive or REGULATIONS refusal driver can legally return to n Phencyclidine — PCP driving CMVs for any employer, including himself. For more information, visit www.usdoj.gov/dea/concern 3 The impact of testing positive or refusing to test can be devastating for a driver and his family. It often results in extended periods of unemployment, due to the time necessary to complete the “return-to-duty” process with a qualified SAP and the tendency of employers not to hire drivers with drug or alcohol histories. 3 Even after completing the “return- to-duty” process and finding employment, the additional return- to-duty and follow-up testing often adds increased stress and financial strain on the driver. For additional research and reading on the Federal Motor Carrier Safety Administration’s Drug and Be a Alcohol Testing Regulations, please visit our web site at: www.fmcsa.dot.gov/ Driver In rules-regulations/topics/drug/drug.htm the Know... FMCSA-E-06-003 Revised July 2010 The U.S. Department of Transportation (DOT) whenever they are involved in a fatal accident, or professional (SAP) drug and alcohol testing regulations for receive a traffic citation resulting from an injury or who signs the return- commercial driver licensed (CDL) employees are vehicle-disabling accident. -
TRANDATE® (Labetalol Hydrochloride) Tablets
NDA 18716/S-026 Page 2 PRODUCT INFORMATION TRANDATE® (labetalol hydrochloride) Tablets DESCRIPTION: Trandate Tablets are adrenergic receptor blocking agents that have both selective alpha1-adrenergic and nonselective beta-adrenergic receptor blocking actions in a single substance. Labetalol hydrochloride (HCl) is a racemate chemically designated as 2-hydroxy-5-[1-hydroxy-2-[(1 methyl-3-phenylpropyl)amino]ethyl]benzamide monohydrochloride, and it has the following structure: Labetalol HCl has the empirical formula C19H24N2O3•HCl and a molecular weight of 364.9. It has two asymmetric centers and therefore exists as a molecular complex of two diastereoisomeric pairs. Dilevalol, the R,R′ stereoisomer, makes up 25% of racemic labetalol. Labetalol HCl is a white or off-white crystalline powder, soluble in water. Trandate Tablets contain 100, 200, or 300 mg of labetalol HCl and are taken orally. The tablets also contain the inactive ingredients corn starch, FD&C Yellow No. 6 (100- and 300-mg tablets only), hydroxypropyl methylcellulose, lactose, magnesium stearate, pregelatinized corn starch, sodium benzoate (200-mg tablet only), talc (100-mg tablet only), and titanium dioxide. CLINICAL PHARMACOLOGY: Labetalol HCl combines both selective, competitive, alpha1-adrenergic blocking and nonselective, competitive, beta-adrenergic blocking activity in a single substance. In man, the ratios of alpha- to beta-blockade have been estimated to be approximately 1:3 and 1:7 following oral and intravenous (IV) administration, respectively. Beta2-agonist activity has been demonstrated in animals with minimal beta1-agonist (ISA) activity detected. In animals, at doses greater than those required for alpha- or beta-adrenergic blockade, a membrane stabilizing effect has been demonstrated. -
Pain Management Opioid Safety a Quick Reference Guide (2014)
Pain Management Opioid Safety A Quick Reference Guide (2014) VA Academic Detailing Service Real Provider Resources Real Patient Results Your Partner in Enhancing Veteran Health Outcomes VA Academic Detailing Service Email Group: [email protected] VA Academic Detailing Service SharePoint Site: https://vaww.portal2.va.gov/sites/ad Opioids: A Practical Guide for Clinicians Example Risk Assessment Tool: Opioid Risk Tool (ORT)1 Item Score if Female Item Score if Male Alcohol 1 3 1. Family history of substance abuse Illegal drugs 2 3 Prescription drugs 4 4 Alcohol 3 3 2. Personal history of substance abuse Illegal drugs 4 4 Prescription drugs 5 5 3. Age (mark box if 16–45) 1 1 4. History of preadolescent sexual abuse 3 0 Attention deficit disorder obsessive compulsive disorder 2 2 5. Psychological disease Bipolar Schizophrenia Depression 1 1 Total Risk Category: 0–3 Low Risk of aberrant behaviors; 4–7 Moderate Risk of aberrant behaviors; ≥8 High Risk of aberrant behaviors Assess risk of aberrant behaviors before initiating opioid medications; the ORT or other rating tools can assist with this process but can overestimate risk thus should not be used as only reason to decline opioid prescription. 1 Opioids Risk Classification10-11 Risk Condition/Situation • Diagnosis with concordant physical exam, medical imaging, laboratory findings • High levels of pain acceptance and active coping strategies Low • Well motivated patient willing to participate in multimodal treatment plan (no moderate to high risk • Attempting to function -
Temporary Class Drug Order Report: 5-6APB and Nbome Compounds
ACMD Advisory Council on the Misuse of Drugs Chair: Professor Les Iversen Secretary: Rachel Fowler 3rd Floor (SW), Seacole Building 2 Marsham Street London SW1P 4DF Tel: 020 7035 0555 [email protected] Home Secretary Rt Hon. Theresa May MP Home Office 2 Marsham Street London SW1P 4DF 29 May 2013 Dear Home Secretary, I am writing to formally request that you consider laying a temporary class drug order (TCDO) pursuant to section 2A of the Misuse of Drugs Act 1971 on the following two groups of novel psychoactive substances (NPS). We consider the laying of TCDOs is appropriate as a pre-emptive measure in advance of the summer music festival season. Both classes of drugs have been associated with serious harm and drug-related deaths. ‘Benzofury’ compounds 5- and 6-APB and related substances are phenethylamine-type materials, related to ecstasy (MDMA). There have been several deaths and hospitalisations in the UK associated with these NPS, although poly-substance use often complicates the case. Research indicates that there is a potential risk of cardiac toxicity associated with the long-term use of 5- and 6-APB. Anecdotal user reports suggest that the consumption of these substances can cause insomnia, increased heart rate and anxiety, with some users reporting MDMA like symptoms. The related compound 5-IT has been subject to an EMCDDA-Europol joint report and an EMCDDA risk assessment exercise. [www.emcdda.europa.eu/publications/joint-reports/5- IT] 1 The substances recommended for control are: 5- and 6-APB: (1-(benzofuran-5-yl)-propan-2-amine and 1-(benzofuran-6-yl)-propan- 2-amine) and their N-methyl derivatives.