Session 13 Opioids a Comprehensive Review
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Introduced by Wayne, 13
LB617 LB617 2017 2017 LEGISLATURE OF NEBRASKA ONE HUNDRED FIFTH LEGISLATURE FIRST SESSION LEGISLATIVE BILL 617 Introduced by Wayne, 13. Read first time January 18, 2017 Committee: Agriculture 1 A BILL FOR AN ACT relating to agricultural promotion; to amend section 2 28-401, Reissue Revised Statutes of Nebraska, and section 2-5701, 3 Revised Statutes Cumulative Supplement, 2016; to adopt the 4 Industrial Hemp Act; to provide an exemption as prescribed; to 5 provide an operative date; and to repeal the original sections. 6 Be it enacted by the people of the State of Nebraska, -1- LB617 LB617 2017 2017 1 Section 1. Sections 1 to 14 of this act shall be known and may be 2 cited as the Industrial Hemp Act. 3 Sec. 2. (1) The purpose of the Industrial Hemp Act is to assist the 4 State of Nebraska in moving to the forefront of industrial hemp 5 production, development, and commercialization of hemp products in 6 agribusiness, alternative fuel production, and other business sectors, 7 both nationally and globally and to the greatest extent possible. These 8 purposes shall be accomplished, in part, through: 9 (a) The creation of the Industrial Hemp Commission; 10 (b) The industrial hemp research program overseen by the commission, 11 working in conjunction with the staff of selected Nebraska postsecondary 12 institution agricultural research programs, along with other research 13 partners. This research program shall include the planting, cultivation, 14 and analysis of industrial hemp demonstration plots by selected growers 15 that are licensed by the commission; and 16 (c) The pursuit of any federal permits or waivers necessary to allow 17 industrial hemp to be grown in Nebraska. -
The Evaluation of Drug Regulation - Economic Approaches Into the Valuation and Evaluation of the Drug Regulatory Framework
The Evaluation of Drug Regulation - Economic approaches into the valuation and evaluation of the drug regulatory framework Jacoline Bouvy The evaluation of drug regulation – Economic approaches into the valuation and evaluation of the drug regulatory framework Bouvy, JC. ISBN 000000 Author Jacoline Bouvy Cover photo Bigstock.com Printed by Drukkerij Mostert en Van Onderen! The evaluation of drug regulation – Economic approaches into the valuation and evaluation of the drug regulatory framework Evaluatie van geneesmiddelenregulering – Economische toepassingen in de waardering en evaluatie van het regulatoire geneesmiddelensysteem (met een samenvatting in het Nederlands) Proefschrift ter verkrijging van de graad van doctor aan de Universiteit Utrecht op gezag van de rector magnificus, prof.dr. G.J. van der Zwaan, ingevolge het besluit van het college voor promoties in het openbaar te verdedigen op woensdag 23 januari 2013 des middags te 12.45 uur door Jacoline Catharina Bouvy geboren op 27 maart 1985 te Rotterdam Promotor: Prof. dr. H. Schellekens Co-promotor: Dr. M.A. Koopmanschap The studies presented in this thesis were performed in the context of the Escher project (T6- 202), a project of the Dutch Top Institute Pharma. ‘It is our choices, Harry, that show what we truly are, far more than our abilities.’ Albus Dumbledore (In J.K. Rowling’s Harry Potter and the Chamber of Secrets) Glossary ADR Adverse drug reaction CBG-MEB Dutch Medicines Evaluation Board CKD Chronic Kidney Disease DCE Discrete Choice Experiment DHPC Direct Healthcare -
(12) United States Patent (10) Patent No.: US 8,603,526 B2 Tygesen Et Al
USOO8603526B2 (12) United States Patent (10) Patent No.: US 8,603,526 B2 Tygesen et al. (45) Date of Patent: Dec. 10, 2013 (54) PHARMACEUTICAL COMPOSITIONS 2008. O152595 A1 6/2008 Emigh et al. RESISTANT TO ABUSE 2008. O166407 A1 7/2008 Shalaby et al. 2008/0299.199 A1 12/2008 Bar-Shalom et al. 2008/0311205 A1 12/2008 Habib et al. (75) Inventors: Peter Holm Tygesen, Smoerum (DK); 2009/0022790 A1 1/2009 Flath et al. Jan Martin Oevergaard, Frederikssund 2010/0203129 A1 8/2010 Andersen et al. (DK); Karsten Lindhardt, Haslev (DK); 2010/0204259 A1 8/2010 Tygesen et al. Louise Inoka Lyhne-versen, Gentofte 2010/0239667 A1 9/2010 Hemmingsen et al. (DK); Martin Rex Olsen, Holbaek 2010, O291205 A1 11/2010 Downie et al. (DK); Anne-Mette Haahr, Birkeroed 2011 O159100 A1 6/2011 Andersen et al. (DK); Jacob Aas Hoellund-Jensen, FOREIGN PATENT DOCUMENTS Frederikssund (DK); Pemille Kristine Hoeyrup Hemmingsen, Bagsvaerd DE 20 2006 014131 1, 2007 (DK) EP O435,726 8, 1991 EP O493513 7, 1992 EP O406315 11, 1992 (73) Assignee: Egalet Ltd., London (GB) EP 1213014 6, 2002 WO WO 89,09066 10, 1989 (*) Notice: Subject to any disclaimer, the term of this WO WO91,040 15 4f1991 patent is extended or adjusted under 35 WO WO95/22962 8, 1995 U.S.C. 154(b) by 489 days. WO WO99,51208 10, 1999 WO WOOOf 41704 T 2000 WO WO 03/024426 3, 2003 (21) Appl. No.: 12/701,429 WO WOO3,O24429 3, 2003 WO WOO3,O24430 3, 2003 (22) Filed: Feb. -
American College of Epidemiology Annual Meeting Abstracts, September 7-10, 2019, Pasadena, California
Annals of Epidemiology 36 (2019) 66e78 Contents lists available at ScienceDirect Annals of Epidemiology journal homepage: www.annalsofepidemiology.org American College of Epidemiology Annual Meeting Abstracts, September 7-10, 2019, Pasadena, California Oral Presentations Exploring uniformity of gestational diabetes Methods: We estimated the percentage of overdose deaths reported in the screening and diagnosis using real-world National Vital Statistics System with missing toxicology results from 2010- ’ electronic health record data 2016, overall and by decedents demographic and geographic characteristics. We used a multi-level model to evaluate prevalence of missingness by decedent characteristics, accounting for geographic clustering. & J.M. Lawrence, X. Li. Department of Research Evaluation, Kaiser Results: One-fifth of 351,345 drug overdose deaths from 2010-2016 did not Permanente Southern California, Pasadena, CA indicate a specific drug, declining from 24.4% in 2010 to 14.6% in 2016. In a multi-level model controlling for all predictors, deaths were less likely to Purpose: Gestational diabetes (GDM) surveillance frequently relies on In- have missing information if they occurred in metro counties compared to ternational Classification of Disease (ICD) codes to identify cases. GDM di- rural counties (aOR: 0.31, 95%CI: 0.24, 0.41) and in counties with medical agnoses can be based on several criteria including Carpenter & Coustan examiners versus coroners (aOR: 0.57, 95%CI: 0.47, 0.69). Male decedents (C&C) and International Association of Diabetes in Pregnancy Group were less likely to have missing information than females (aOR: 0.73, 95% (IADPSG). Our objectives were to describe GDM testing patterns within one CI: 0.69, 0.77), and non-Hispanic whites were more likely to have missing large health system and evaluate how well diagnostic coding corresponds information than non-Hispanic blacks (aOR: 1.31, 95%CI: 1.2, 1.4). -
Methadone Maintenance Treatment and Its Psychosocial Effects on Individuals
St. Catherine University SOPHIA Master of Social Work Clinical Research Papers School of Social Work 5-2014 Methadone Maintenance Treatment and its Psychosocial Effects on Individuals Fatai Adeshina Popoola St. Catherine University Follow this and additional works at: https://sophia.stkate.edu/msw_papers Part of the Social Work Commons Recommended Citation Popoola, Fatai Adeshina. (2014). Methadone Maintenance Treatment and its Psychosocial Effects on Individuals. Retrieved from Sophia, the St. Catherine University repository website: https://sophia.stkate.edu/msw_papers/378 This Clinical research paper is brought to you for free and open access by the School of Social Work at SOPHIA. It has been accepted for inclusion in Master of Social Work Clinical Research Papers by an authorized administrator of SOPHIA. For more information, please contact [email protected]. Methadone Maintenance Treatment and its Psychosocial Effects on Individuals by Fatai Adeshina Popoola (BEd\ Political Science, LADC) Proposal for a Clinical Research Paper Presented to the Faculty of the School of Social Work St. Catherine University and the University of St. Thomas St. Paul, Minnesota in Partial fulfillment of the Requirements for the Degree of Master of Social Work Committee Members Rajean P. Moone Ph.D., LNHA, (Chair) Rashad Hameed, MA, LADC Neerja Singh, Ph.D., LICSW The Clinical Research Project is a graduation requirement for MSW students at St. Catherine University/University of St. Thomas School of Social Work in St Paul, Minnesota and is conducted within a nine-month time frame to demonstrate facility with basic social research methods. Students must independently conceptualize a research problem, formulate a research design that is approved by a research committee and the university Institutional Review Board, implement the project, and publicly present the findings of the study. -
Question of the Day Archives: Monday, December 5, 2016 Question: Calcium Oxalate Is a Widespread Toxin Found in Many Species of Plants
Question Of the Day Archives: Monday, December 5, 2016 Question: Calcium oxalate is a widespread toxin found in many species of plants. What is the needle shaped crystal containing calcium oxalate called and what is the compilation of these structures known as? Answer: The needle shaped plant-based crystals containing calcium oxalate are known as raphides. A compilation of raphides forms the structure known as an idioblast. (Lim CS et al. Atlas of select poisonous plants and mushrooms. 2016 Disease-a-Month 62(3):37-66) Friday, December 2, 2016 Question: Which oral chelating agent has been reported to cause transient increases in plasma ALT activity in some patients as well as rare instances of mucocutaneous skin reactions? Answer: Orally administered dimercaptosuccinic acid (DMSA) has been reported to cause transient increases in ALT activity as well as rare instances of mucocutaneous skin reactions. (Bradberry S et al. Use of oral dimercaptosuccinic acid (succimer) in adult patients with inorganic lead poisoning. 2009 Q J Med 102:721-732) Thursday, December 1, 2016 Question: What is Clioquinol and why was it withdrawn from the market during the 1970s? Answer: According to the cited reference, “Between the 1950s and 1970s Clioquinol was used to treat and prevent intestinal parasitic disease [intestinal amebiasis].” “In the early 1970s Clioquinol was withdrawn from the market as an oral agent due to an association with sub-acute myelo-optic neuropathy (SMON) in Japanese patients. SMON is a syndrome that involves sensory and motor disturbances in the lower limbs as well as visual changes that are due to symmetrical demyelination of the lateral and posterior funiculi of the spinal cord, optic nerve, and peripheral nerves. -
Drugs of Abuseon September Archived 13-10048 No
U.S. DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATION WWW.DEA.GOV 9, 2014 on September archived 13-10048 No. v. Stewart, in U.S. cited Drugs of2011 Abuse EDITION A DEA RESOURCE GUIDE V. Narcotics WHAT ARE NARCOTICS? Also known as “opioids,” the term "narcotic" comes from the Greek word for “stupor” and originally referred to a variety of substances that dulled the senses and relieved pain. Though some people still refer to all drugs as “narcot- ics,” today “narcotic” refers to opium, opium derivatives, and their semi-synthetic substitutes. A more current term for these drugs, with less uncertainty regarding its meaning, is “opioid.” Examples include the illicit drug heroin and pharmaceutical drugs like OxyContin®, Vicodin®, codeine, morphine, methadone and fentanyl. WHAT IS THEIR ORIGIN? The poppy papaver somniferum is the source for all natural opioids, whereas synthetic opioids are made entirely in a lab and include meperidine, fentanyl, and methadone. Semi-synthetic opioids are synthesized from naturally occurring opium products, such as morphine and codeine, and include heroin, oxycodone, hydrocodone, and hydromorphone. Teens can obtain narcotics from friends, family members, medicine cabinets, pharmacies, nursing 2014 homes, hospitals, hospices, doctors, and the Internet. 9, on September archived 13-10048 No. v. Stewart, in U.S. cited What are common street names? Street names for various narcotics/opioids include: ➔ Hillbilly Heroin, Lean or Purple Drank, OC, Ox, Oxy, Oxycotton, Sippin Syrup What are their forms? Narcotics/opioids come in various forms including: ➔ T ablets, capsules, skin patches, powder, chunks in varying colors (from white to shades of brown and black), liquid form for oral use and injection, syrups, suppositories, lollipops How are they abused? ➔ Narcotics/opioids can be swallowed, smoked, sniffed, or injected. -
Levacetylmethadol
Leflunomide/Lornoxicam 77 6. Maddison P, et al. Leflunomide in rheumatoid arthritis: recom- Levomethadone Hydrochloride (rINNM) ⊗ Lithium Salicylate mendations through a process of consensus. Rheumatology (Ox- ford) 2005; 44: 280–6. Correction. ibid.; 569. Hidrocloruro de levometadona; Levometadonhidroklorid; Lev- Lithium Salicylicum; Salicilato de litio. 7. Silverman E, et al. Long-term open-label preliminary study of ometadonhydroklorid; Levometadonihydrokloridi; Levometado- Лития Салицилат the safety and efficacy of leflunomide in patients with polyartic- no hidrochloridas; Lévométhadone, chlorhydrate de; Levometh- C H LiO = 144.1. ular-course juvenile rheumatoid arthritis. Arthritis Rheum 2005; adon-hydrochlorid; Levomethadoni hydrochloridum; (−)-Metha- 7 5 3 52: 554–62. CAS — 552-38-5. 8. Silverman E, et al. Leflunomide in Juvenile Rheumatoid Arthri- done Hydrochloride. (−)-6-Dimethylamino-4,4-diphenylheptan- tis (JRA) Investigator Group. Leflunomide or methotrexate for 3-one hydrochloride. juvenile rheumatoid arthritis. N Engl J Med 2005; 352: 1655–66. Левометадона Гидрохлорид HO Spondyloarthropathies. References to the use of leflunomide C21H27NO,HCl = 345.9. Li+ -O in ankylosing spondylitis and psoriatic arthritis (see Spondyloar- CAS — 125-58-6 (levomethadone); 5967-73-7 (levometh- thropathies, p.13). adone hydrochloride). 1. Cuchacovich M, Soto L. Leflunomide decreases joint erosions O and induces reparative changes in a patient with psoriatic arthri- tis. Ann Rheum Dis 2002; 61: 942–3. 2. Kaltwasser JP, et al. Treatment of Psoriatic Arthritis Study Profile Group. Efficacy and safety of leflunomide in the treatment of Lithium salicylate is a salicylic acid derivative (see Aspirin, psoriatic arthritis and psoriasis: a multinational, double-blind, randomized, placebo-controlled clinical trial. Arthritis Rheum p.20) that has been used in rheumatic disorders, but its use cannot 2004; 50: 1939–50. -
Alkaloid Profile in Relation to Different Developmental Stages of Papaver Somniferum L
ZOBODAT - www.zobodat.at Zoologisch-Botanische Datenbank/Zoological-Botanical Database Digitale Literatur/Digital Literature Zeitschrift/Journal: Phyton, Annales Rei Botanicae, Horn Jahr/Year: 2001 Band/Volume: 41_1 Autor(en)/Author(s): Shukla Sudhir, Singh S. P. Artikel/Article: Alkaloid Profile in Relation to Different Developmental Stages of Papaver somniferum L. 87-96 ©Verlag Ferdinand Berger & Söhne Ges.m.b.H., Horn, Austria, download unter www.biologiezentrum.at Phyton (Horn, Austria) Vol. 41 Fasc. 1 87-96 29. 6. 2001 Alkaloid Profile in Relation to Different Developmental Stages of Papaver somniferum L. By S. SHUKLA*)*) and S. P. SINGH*) With 2 figures Received January 17, 2000 Accepted August 28, 2000 Key words: Alkaloid, P. somniferum, morphine, codeine, thebaine, noscapine, papaverine. Summary SHUKLA S. & SINGH S. P. 2001. Alkaloid profile in relation to different develop- mental stages of Papaver somniferum L. - Phyton (Horn, Austria) 41 (1): 87-96, 2 figures. - English with German summary. The alkaloids variation and its synthesis were studied in two varieties (NBRI-1, NBRI-2) of opium poppy {Papaver somniferum L.) on fresh weight basis of different plant parts at different growth periods. In cotyledon stage (3-4 days after germina- tion) only morphine was present. In roots of two leave stage, thebaine was observed beside morphine. At bud initiation stage morphine, codeine and thebaine were pre- sent during 1994-95 but in 1995-96 thebaine was absent. During bud dropping stage (pendulous bud) the sepals, petals and anthers had morphine. When pendulous bud straightened before flowering it has morphine, codeine and thebaine in all parts in- cluding ovary. -
Opium Poppy' Cultivation and Heroin Processing in Southeast Asia
If you have issues viewing or accessing this file contact us at NCJRS.gov. u.s. Department of Justice Drug Enforcement Administration Office ofIntelligence September 1992 Opium Poppy' Cultivation and Heroin Processing in Southeast Asia . eC 7 7 s DEA- 92004 141189 U.S. Department of Justice National Institute of Justice This document has been reproduclld exactly as received from the person or organization originating It. Points of view or opinions stated In this document are those of the authors and do not necessarily represent the official position or policies of the National Institute of Justice. Permission to reproduce this : iLl i r material has been 9FUi3i~c Doroain/Drug Enforcerrent Adrm. U • S. Department of Justice to the National Criminal Justice Reference Service (NCJRS). Further reproduOllol1 outside of the NCJRS system requires permission of the ~ owner. U.S. Department of Justice Drug Enforcement Administration Office of Intelligence Washington, DC 20537 (202) 307-8100 September 1992 ADMINISTRATOR·S MESSAGE Opium Poppy Cultivation and Heroin Processing in Southeast Asia reviews in detail several complex natural and chemical procedures linked with heroin production. It further explains how the opium poppy plant of Southeast Asia is grown and harvested, how the poppy's opium is chemically converted into morphine, and fmally. how that morphine is then refmed into "China White" heroin by Southeast Asian "cooks" and "chemists." The report will interest a wide audience: those studying "source country" issues, those determining opium poppy crop estimates in mainland Southeast Asia, and those monitoring and controlling the intemational import and export of chemicals. Opium Poppy Cultivation and Heroin Processing in Southeast Asia also presents the technical relationship between opium poppy cultivation in the Golden Triangle (the moun tainous region where Burma, Laos, and Thailand share common borders) and heroin production in the laboratories of Southeast Asia. -
Supplement 1: Additional Tables and Figures
BMJ Publishing Group Limited (BMJ) disclaims all liability and responsibility arising from any reliance Supplemental material placed on this supplemental material which has been supplied by the author(s) BMJ Global Health Supplement 1: Additional tables and figures Box S1: Substances included and excluded from the International Narcotic Control Board (INCB) data on narcotic consumption, in alphabetical order. Opioids included in the opioid consumption calculation: 1. (+)-cis-3-methylfental 35. Bezitramide 2. 3-Acetylmorphine 36. Butyrfentanyl 3. 3-Methylfentanyl 37. Carfentanil 4. 3-Methylthiofentanyl 38. Carfentanyl 5. 3-Monoacetylmorphine 39. Clonitazene 6. 4-Fluoroisobutyrfentanyl 40. Codeine 7. 6-Acetylmorphine 41. Codeine-6GLUC 8. 6-Monoacetylmorphine 42. Codeine-6-glucuronide 9. Acetorphine 43. Codeine-Methyl 10. Acetyl-alpha-methylfentanyl 44. Codeine-N-oxide 11. Acetyldihydrocodeine 45. Codoxime 12. Acetylfentanyl 46. Conc. of poppy straw (C) ACA 13. Acetylmethadol 47. Conc. of poppy straw (C) AMA 14. Acetylmorphine 48. Conc. of poppy straw (C) AOA 15. Acrylfentanyl 49. Conc. of poppy straw (C) ATA 16. AH-7921 50. Conc. of poppy straw (C) GW 17. Alfentanil 51. Conc. of poppy straw (M) ACA 18. Allylprodine 52. Conc. of poppy straw (M) AMA 19. Alphacetylmethadol 53. Conc. of poppy straw (M) AOA 20. Alphameprodine 54. Conc. of poppy straw (M) ATA 21. Alphamethadol 55. Conc. of poppy straw (M) GW 22. alpha-Methylfentanyl 56. Conc. of poppy straw (N) GW 23. alpha-Methylthiofentanyl 57. Conc. of poppy straw (O) 24. Alphaprodine 58. Conc. of poppy straw (O) ACA 25. Anileridine 59. Conc. of poppy straw (O) AMA 26. Benzethidine 60. Conc. of poppy straw (O) AOA 27. -
Herbal Supplements and the Surgical Patient
Herbal Supplements and the Surgical Patient Karen Birmingham, PharmD, BCPS Group Health Objectives Review demographic and economic issues related to alternative supplement use Describe potential risks of herbal supplements for surgical patients Discuss impact of drug-herb interactions on post-anesthesia recovery “Plantaceuticals” Atropine (Atropa belladonna) Digoxin (Digitalis purpurea) Colchicine (Colchicum autumnale) Quinine (Cinchona officinalis) Codeine (Papaver somniferum) Vincristine (Catharansus roseus) Taxol (Taxus brevifolia) Physostigmine (Physostigma venenosum) Salicylin (Salix purpurea) Adapted from Archives of Internal Medicine 1998 1 Herbal History Lesson 2697 BC - China 400 BC - Hippocrates 1500’s - botanical gardens for medical schools 1700’s - herbals used for home health care 1800’s - scientists learn to extract and modify active ingredients from plants 1900’s - pharmaceutical use increases; herbal remedy use decreases 1960’s - renewed interest in “natural health”; nutraceuticals become popular 1992 - NIH establishes the Office of Alternative Medicine - now known as the National Center for Complementary and Alternative Medicine Worldwide Use of Alternative Medicine Used by >80% of the population in Asia and Africa Most popular = herbals Very lucrative in the global market Countries That Regulate CAM • Germany • The Netherlands • France • Portugal • Sweden • Japan • Denmark • China • Switzerland 2 Herbal Use in the U.S. Herbal supplements constitute the largest growing component of retail pharmacy. Usage has increased