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Granisetron "Vianex"
EU‐RISK MANAGEMENT PLAN GRANISETRON VIANEX® 1 MG/ML, SOLUTION FOR INJECTION/ INFUSION precautionary measure, breast‐feeding should not be advised during treatment with Granisetron “Vianex”. Legal Status: Prescription only product. VI.2 Elements for a public summary VI.2.1 Overview of disease epidemiology Nausea and vomiting associated with chemotherapy and radiotheraphy: One of the most distressing symptoms for patients undergoing both surgery and chemotherapy is nausea and vomiting. These symptoms have a significant impact on quality of life and can lead to malnutrition, inability to respond to treatment and an increased length of hospitalization. Emesis is more commonly associated with chemotherapeutic agents; however, radiation‐induced nausea and vomiting (RINV) can affect a significant proportion of patients, depending on the treated area, dose fractionation, and volume of radiotherapy. The relative risk for developing nausea and vomiting with chemotherapy ranges from 30 to 90% and is dependent upon the chemotherapeutic agent used. Relative risk for nausea and vomiting with radiation therapy is approximately 40%.2,3,4,5 Post‐operative nausea and vomiting Postoperative nausea and vomiting (PONV) is a major source of patient dissatisfaction and is the leading cause of discharge delays and unanticipated postsurgical hospital admissions. In the absence of pharmacological treatment, the rate of PONV is approximately 30% in general population, and can be as high as 70% in patients at highest risk. Several risk factors as surgery type, female gender, non‐smoker status, history of postoperative nausea and vomiting or motion sickness and post‐operative opioid use have been acknowledged. Additionally, post‐ operative vomiting (POV) occurs twice as frequently in children as in adults, increasing until puberty and then decreasing to adult incidence rates. -
Michael H. Daub Attorney at Law 10249 Yellow Circle Drive Suite 102 Minnetonka, Mn 55343
MICHAEL H. DAUB ATTORNEY AT LAW 10249 YELLOW CIRCLE DRIVE SUITE 102 MINNETONKA, MN 55343 TELEPHONE: (612) 333-1943 E-MAIL: [email protected] February 16, 2021 Representative Zack Stephenson 509 State Office Building St. Paul, MN 55155 In Re: HF 600 Dear Representative Stephenson, I am a drug and substance use disorder policy expert. I am grateful for the opportunity to comment on HF 600 which proposes to regulate adult-use cannabis. There are aspects of HF 600 which I support and some that I oppose. Dr. Karen Randall, a Pueblo, Colorado emergency department physician who specializes in cannabis science and medicine states that “the legalization of marijuana has damaged, rather than helped,” her home state. She goes on to state that, “I think the public needs to know that we are not okay...the grand experiment is not going well. I don’t think the public is hearing about this as they should be.” She adds, “State government has not only ignored scientific findings about marijuana’s effects to push sales, but failed in the regulatory responsibility it promised would accompany legislation.” In support of her statements, she focused on high potency cannabis products, a marked increase in medical problems, misguided impressions of cannabis’ benefits, increased homelessness, and a growing population of chronic, cannabis dependent users. Minnesota sits at a crossroads. Cannabis legalization brings with it difficult legal and policy challenges. Although Minnesota partially decriminalized cannabis in 1976, the legalization movement never gained much momentum. In 2014, Minnesota legalized medical cannabis. Although the federal law criminalizing cannabis, the Controlled Substances Act of 1970 (“CSA”) remains in effect, the budding experiment to legalize cannabis has not withered on the vine. -
Report on Medical Cannabis Price Study
Minnesota Department of Health Office of Medical Cannabis Report on Medical Cannabis Price Study Version 1.2 Submitted by: Bill Brown, Principal Yoko McCarthy, Manager BerryDunn 2211 Congress Street Portland, ME 04102 Table of Contents Table of Contents ......................................................................................................................... i 1.0 Introduction .......................................................................................................................... 1 1.1 Project Background .......................................................................................................... 1 1.2 Office of Medical Cannabis (OMC) ................................................................................... 2 1.3 Registered Medical Cannabis Manufacturers.................................................................... 2 1.4 Products Offered in Minnesota and Definitions ................................................................. 3 2.0 Purpose and Scope .............................................................................................................. 4 2.1 Purpose ............................................................................................................................ 4 2.2 Scope ............................................................................................................................... 4 3.0 Results ................................................................................................................................ -
Subanesthetic Doses of Ketamine Transiently Decrease Serotonin Transporter Activity: a PET Study in Conscious Monkeys
Neuropsychopharmacology (2013) 38, 2666–2674 & 2013 American College of Neuropsychopharmacology. All rights reserved 0893-133X/13 www.neuropsychopharmacology.org Subanesthetic Doses of Ketamine Transiently Decrease Serotonin Transporter Activity: A PET Study in Conscious Monkeys 1 1 1 1 1 Shigeyuki Yamamoto , Hiroyuki Ohba , Shingo Nishiyama , Norihiro Harada , Takeharu Kakiuchi , 1 ,2 Hideo Tsukada and Edward F Domino* 1 2 Central Research Laboratory, Hamamatsu Photonics KK, Hamakita, Japan; Department of Pharmacology, University of Michigan, Ann Arbor, MI, USA Subanesthetic doses of ketamine, an N-methyl-D-aspartic acid (NMDA) antagonist, have a rapid antidepressant effect which lasts for up to 2 weeks. However, the neurobiological mechanism regarding this effect remains unclear. In the present study, the effects of subanesthetic doses of ketamine on serotonergic systems in conscious monkey brain were investigated. Five young monkeys 11 underwent four positron emission tomography measurements with [ C]-3-amino-4-(2-dimethylaminomethyl-phenylsulfanyl)benzoni- 11 trile ([ C]DASB) for the serotonin transporter (SERT), during and after intravenous infusion of vehicle or ketamine hydrochloride in a 11 dose of 0.5 or 1.5 mg/kg for 40 min, and 24 h post infusion. Global reduction of [ C]DASB binding to SERT was observed during ketamine infusion in a dose-dependent manner, but not 24 h later. The effect of ketamine on the serotonin 1A receptor (5-HT1A-R) and dopamine transporter (DAT) was also investigated in the same subjects studied with [11C]DASB. No significant changes were observed in either 5-HT -R or DAT binding after ketamine infusion. Microdialysis analysis indicated that ketamine infusion transiently increased 1A serotonin levels in the extracellular fluid of the prefrontal cortex. -
SENATE BILL No. 52
As Amended by Senate Committee Session of 2017 SENATE BILL No. 52 By Committee on Public Health and Welfare 1-20 1 AN ACT concerning the uniform controlled substances act; relating to 2 substances included in schedules I, II and V; amending K.S.A. 2016 3 Supp. 65-4105, 65-4107 and 65-4113 and repealing the existing 4 sections. 5 6 Be it enacted by the Legislature of the State of Kansas: 7 Section 1. K.S.A. 2016 Supp. 65-4105 is hereby amended to read as 8 follows: 65-4105. (a) The controlled substances listed in this section are 9 included in schedule I and the number set forth opposite each drug or 10 substance is the DEA controlled substances code which has been assigned 11 to it. 12 (b) Any of the following opiates, including their isomers, esters, 13 ethers, salts, and salts of isomers, esters and ethers, unless specifically 14 excepted, whenever the existence of these isomers, esters, ethers and salts 15 is possible within the specific chemical designation: 16 (1) Acetyl fentanyl (N-(1-phenethylpiperidin-4-yl)- 17 N-phenylacetamide)......................................................................9821 18 (2) Acetyl-alpha-methylfentanyl (N-[1-(1-methyl-2-phenethyl)-4- 19 piperidinyl]-N-phenylacetamide)..................................................9815 20 (3) Acetylmethadol.............................................................................9601 21 (4) AH-7921 (3.4-dichloro-N-[(1- 22 dimethylaminocyclohexylmethyl]benzamide)...............................9551 23 (4)(5) Allylprodine...........................................................................9602 -
THE HARD TRUTH ABOUT PROKINETIC MEDICATION USE in PETS Introduction Pathophysiology/Etiology to That Observed in Dogs
VETTALK Volume 15, Number 04 American College of Veterinary Pharmacists THE HARD TRUTH ABOUT PROKINETIC MEDICATION USE IN PETS Introduction Pathophysiology/Etiology to that observed in dogs. It can be The moving topic of this Vet Talk As with most diseases in the veteri- due to a trichobezoar, dehydration, newsletter will be prokinetic medica- nary world, the etiology and patho- obesity, old age, diabetes, immobility, tions. The availability of information physiology of constipation are varied pain from trauma to the low back, on the many prokinetic agents is var- depending on the species being dis- bladder infection, or an anal sac infec- ied at best so an overall consensus of cussed, where in their gastrointestinal tion. In cases that are more chronic, prokinetic medications will be as- tract the problem is occurring, and underlying disease such as colitis or sessed in this article, hopefully giving any accompanying comorbid condi- Irritable Bowel Syndrome (IBS) may better insight to practitioners about tions. be the culprit. On the other hand, the which agents to use in their patients. cause may be idiopathic which is Canines: In man’s best friend, consti- frustrating for both veterinarian and Prevalence pation has many origins. A dog’s patient since this form is most diffi- Chronic constipation and gastroin- digestive tract itself is complex but cult to treat. testinal stasis are highly debilitating ultimately the mass movements and conditions that not only affect human haustral contractions from the large Equines: Despite their large size, patients but our four legged patients intestine (colon), propel feces into the horses have incredibly delicate diges- as well! Though this condition is rectum stimulating the internal anal tive systems. -
Potential Cannabis Antagonists for Marijuana Intoxication
Central Journal of Pharmacology & Clinical Toxicology Bringing Excellence in Open Access Review Article *Corresponding author Matthew Kagan, M.D., Cedars-Sinai Medical Center, 8730 Alden Drive, Los Angeles, CA 90048, USA, Tel: 310- Potential Cannabis Antagonists 423-3465; Fax: 310.423.8397; Email: Matthew.Kagan@ cshs.org Submitted: 11 October 2018 for Marijuana Intoxication Accepted: 23 October 2018 William W. Ishak, Jonathan Dang, Steven Clevenger, Shaina Published: 25 October 2018 Ganjian, Samantha Cohen, and Matthew Kagan* ISSN: 2333-7079 Cedars-Sinai Medical Center, USA Copyright © 2018 Kagan et al. Abstract OPEN ACCESS Keywords Cannabis use is on the rise leading to the need to address the medical, psychosocial, • Cannabis and economic effects of cannabis intoxication. While effective agents have not yet been • Cannabinoids implemented for the treatment of acute marijuana intoxication, a number of compounds • Antagonist continue to hold promise for treatment of cannabinoid intoxication. Potential therapeutic • Marijuana agents are reviewed with advantages and side effects. Three agents appear to merit • Intoxication further inquiry; most notably Cannabidiol with some evidence of antipsychotic activity • THC and in addition Virodhamine and Tetrahydrocannabivarin with a similar mixed receptor profile. Given the results of this research, continued development of agents acting on cannabinoid receptors with and without peripheral selectivity may lead to an effective treatment for acute cannabinoid intoxication. Much work still remains to develop strategies that will interrupt and reverse the effects of acute marijuana intoxication. ABBREVIATIONS Therapeutic uses of cannabis include chronic pain, loss of appetite, spasticity, and chemotherapy-associated nausea and CBD: Cannabidiol; CBG: Cannabigerol; THCV: vomiting [8]. Recreational cannabis use is on the rise with more Tetrahydrocannabivarin; THC: Tetrahydrocannabinol states approving its use and it is viewed as no different from INTRODUCTION recreational use of alcohol or tobacco [9]. -
Exploring the Cocrystallization Potential of Urea and Benzamide
JMolModel (2016) 22:103 DOI 10.1007/s00894-016-2964-6 ORIGINAL PAPER Exploring the cocrystallization potential of urea and benzamide Piotr Cysewski1 & Maciej Przybyłek1 & Dorota Ziółkowska 2 & Karina Mroczyńska2 Received: 14 November 2015 /Accepted: 14 March 2016 # The Author(s) 2016. This article is published with open access at Springerlink.com Abstract The cocrystallization landscape of benzamide and defined by excess thermodynamic functions, and all known urea interacting with aliphatic and aromatic carboxylic acids cocrystals are outside of this range belonging to the third or was studied both experimentally and theoretically. Ten new fourth quartile. On the contrary, such a simple separation of cocrystals of benzamide were synthesized using an oriented positive and negative cases of benzamide miscibility in the samples approach via a fast dropped evaporation technique. solid state is not observed. The difference in properties be- Information about types of known bi-component cocrystals tween urea and benzamide R2,2(8) heterosynthons is also augmented with knowledge of simple binary eutectic mixtures documented by alterations of substituent effects. was used for the analysis of virtual screening efficiency Intermolecular interactions of urea with para substituted among 514 potential pairs involving aromatic carboxylic acids benzoic acid analogues are stronger compared to those of interacting with urea or benzamide. Quantification of intermo- benzamide. Also, the amount of charge transfer from amide lecular interaction was achieved by estimating the excess ther- to aromatic carboxylic acid and vice versa is more pronounced modynamic functions of binary liquid mixtures under for urea. However, in both cases, the greater the electron with- supercooled conditions within a COSMO-RS framework. -
Medical Cannabis in Minnesota
Medical Cannabis in Minnesota Tom Arneson, MD, MPH | Research Manager MN Employers Workers Comp. Alliance: June 8, 2017 Office of Medical Cannabis • 2014: MN became 22 nd state with full medical cannabis program Recreational and Medical (8) Medical (21) Low THC/High CBD Products (15) 6/14/2017 2 Office of Medical Cannabis However: • State medical cannabis programs are illegal under current federal law 6/14/2017 mn.gov/medicalcannabis 3 Office of Medical Cannabis Minnesota's program is different from most others • No smokeable or plant form marijuana (only liquids and oils in capsule, tincture, or vaporized form. Topical preparations of oils starting in August, 2017) • Commitment to learning from experience with the program (reports and observational studies on effectiveness, side effects, etc.) 6/14/2017 mn.gov/medicalcannabis 4 Office of Medical Cannabis Brief History • Documentation of therapeutic use of cannabis for thousands of years in India and China • 1839: William O’Shaughnessy – Irish physician working in India studied medical uses of cannabis; introduced it to European medicine when he returned to London • 1894: Queen Victoria’s physician praises therapeutic value of cannabis in the first issue of Lancet . (Queen Victoria was treated with cannabis for dysmenorrhea) • Sir William Osler, one of the founders of Johns Hopkins School of Medicine wrote the famous first textbook of internal medicine in 1892. it included his assessment that cannabis was the best treatment for migraine headache. 6/14/2017 mn.gov/medicalcannabis 5 Office of Medical Cannabis History (continued) • Recreational use of cannabis started in the Southwest around 1900, introduced by Mexican workers crossing the border • American doctors wrote millions of prescriptions for cannabis each year in the 1920s • 1937: Marijuana Tax Act: small annual tax on all involved with commercial use of cannabis, including physicians. -
The Rise and Decline of Cannabis Prohibition the History of Cannabis in the UN Drug Control System and Options for Reform
TRANSNATIONAL I N S T I T U T E THE RISE AND DECLINE OF CANNABIS PROHIBITION THE HISTORY OF CANNABIS IN THE UN DruG CONTROL SYSTEM AND OPTIONS FOR REFORM 3 The Rise and Decline of Cannabis Prohibition Authors Dave Bewley-Taylor Tom Blickman Martin Jelsma Copy editor David Aronson Design Guido Jelsma www.guidojelsma.nl Photo credits Hash Marihuana & Hemp Museum, Amsterdam/ Barcelona Floris Leeuwenberg Pien Metaal UNOG Library/League of Nations Archives UN Photo Printing Jubels, Amsterdam Contact Transnational Institute (TNI) De Wittenstraat 25 1052 AK Amsterdam Netherlands Tel: +31-(0)20-6626608 Fax: +31-(0)20-6757176 [email protected] www.tni.org/drugs www.undrugcontrol.info www.druglawreform.info Global Drug Policy Observatory (GDPO) Research Institute for Arts and Humanities Rooms 201-202 James Callaghan Building Swansea University Financial contributions Singleton Park, Swansea SA2 8PP Tel: +44-(0)1792-604293 This report has been produced with the financial www.swansea.ac.uk/gdpo assistance of the Hash Marihuana & Hemp Museum, twitter: @gdpo_swan Amsterdam/Barcelona, the Open Society Foundations and the Drug Prevention and Information Programme This is an Open Access publication distributed under (DPIP) of the European Union. the terms of the Creative Commons Attribution License The contents of this publication are the sole responsibility (http://creativecommons.org/licenses/by/2.0), which of TNI and GDPO and can under no circumstances be permits unrestricted use, distribution, and reproduction regarded as reflecting the position of the donors. in any medium, provided the original work is properly cited. TNI would appreciate receiving a copy of the text in which this document is used or cited. -
Cannabis in Africa
CANNABIS IN AFRICA An Overview November 2007 Cannabis in Africa The overview of the cannabis situation in Africa presented in this document was prepared by Denis Destrebecq in the context of "Data For Africa", the segment of UNODC's Trends Monitoring and Analysis Programme dedicated to Africa and funded by France and Sweden. UNODC reiterates its appreciation to the African Member States who responded to the UN Annual Report Questionnaire on drugs. This questionnaire, together with the data base on individual drug seizures, constitutes the core source of information on drugs for UNODC. The boundaries, names and designations used in all maps in this book do not imply official endorsement or acceptance by the United Nations. This publication has not been formally edited 1 Cannabis in Africa EXECUTIVE SUMMARY: Cannabis in Africa This paper summarizes the latest information available on cannabis in Africa. Information comes from the 2006 and the 2007 editions of the United Nation’s Office on Drugs and Crime’s (UNODC) World Drug Report. The World Drug Report 2006 contains an extended section on the global cannabis situation. The 2006 Report is still available at www.unodc.org or by request at [email protected] . The 2007 World Drug Report, which contains the most recent trends on cannabis in Africa, is available at the same address. The highest levels of cannabis production in the world take place on the African continent. Ten thousand five hundred metric tons or roughly 25 per cent of global production of cannabis herb is estimated to have taken place in Africa in 2005. -
Medical Cannabis in Minnesota
Medical Cannabis in Minnesota April 8, 2019 Jared R. Poe Sensible Minnesota History of Prohibition 1850 1930 The US The Federal Pharmacopeia Bureau of lists cannabis as Narcotics is a medicine formed and (removed in headed by Harry 1942) Anslinger 1937 1900-1910 The Marihuana States begin to regulate Tax Act of 1937 is cannabis under “poison” passed, placing a laws requiring labeling or tax on the sale of sometimes prescriptions. 1800’s cannabis. The UN Single 1961 Convention on Narcotic 1970 Drugs creates an international treaty that The Controlled Historyprohibits continued… production and Substances Act supply of different drugs. was passed, creating “schedules” for drugs. 1973 1938 Creation of the Drug “Pure Food, Drug & Enforcement Cosmetics Act” Administration. created FDA and labels cannabis a dangerous1800’s drug. Current Federal Law • Marijuana is a Schedule I drug under the Controlled Substances Act. • Schedule I drugs have a high potential for abuse and have no medical use in the United States. • Other Schedule I drugs include mescaline, MDMA, GHB, ecstasy, bath salts, LSD, and heroin. • Doctors cannot prescribe from Schedule I • Methadone, cocaine, methamphetamine, benzodiazepines, and morphine are all Schedule II substances, which a doctor can prescribe. ● The manufacture, sale, and/or distribution of cannabis (medical, industrial, or otherwise) violates federal law. • 46 states, plus the District of Columbia have legalized *some form* of medical cannabis. • 33 of those states, plus the District of Columbia have legalized