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Logic PS4.SCSI Arrays Series.Optimised Performance and Connectivity.With tight integration into common application environments, each model in the series is flexible enough to use with various operating systems and is designed to increase performance and connectivity options for small to mid sized businesses with Better performance of up to six times the performance with new hybrid flash arrays compared to previous generation arrays.Dual 1. 0Gb. 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And here comes the FDA In a first of its kind, the FDA has removed a previously approved opioid medication Opana ER oxymorphone hydrochloride from the market because the benefits of the drug may no longer outweigh its risks.We are facing an opioid epidemic a public health crisis, and we must take all necessary steps to reduce the scope of opioid misuse and abuse, said FDA Commissioner Scott Gottlieb, M.D. We will continue to take regulatory steps when we see situations where an opioid products risks outweigh its benefits, not only for its intended patient population but also in regard to its potential for misuse and abuse.First it was CDCs pressure on doctors and stigmatizing patients that led to tight restrictions and decreased availability of opioids for those who take them legally and with necessity to manage pain.And now, its the regulatory arm of government swinging to the fences.The agency said that data showed a significant shift in the route of abuse from nasal to injection following the products reformulation.The agency added that injection abuse of reformulated Opana ER has been associated with a serious outbreak of HIV and hepatitis C, as well as cases of a serious blood disorder thrombotic microangiopathy.So, the FDA has pulled a pain medication from the hands of those who had been legally prescribed the medication because it is associated with outbreaks of HIV and hepatitis C due to addicts sharing needles.Perhaps a better course of action would be to focus on the problem of sharing needles.Certainly, pulling Opana ER from the market will result in addicts turning to other sources of a high, while the individuals who used the medication legally and responsibly have to suffer or try to find alternative ways to manage their pain.The FDAs decision follows a March 2.Share your stories of how chronic opioid use changed your life in a positive or negative way.PROMPT is doing this for patients specifically because of the July 25.Oxycodone withdrawal side effects are usually benign but uncomfortable.Flulike in nature, withdrawal side effects affect the GItract and central nervous.Hearst Television participates in various affiliate marketing programs, which means we may get paid commissions on purchases made through our links to retailer sites.McuOf6CxIY/TxUIS87OOfI/AAAAAAAAAWw/DFyxEmg-ofE/s1600/Lou+Bergier+Pichin.JPG' alt='Taking Fentanyl Patch Off Putting Back The Pieces Quotes' title='Taking Fentanyl Patch Off Putting Back The Pieces Quotes' />Taking Fentanyl Patch Off Putting Back The Pieces Of My LifeDiatomaceous Earth Testimonials benefits you have seen using both Food Grade for human and pet health and Crawling Insect Control DE.FDA advisory committee meeting where a group of independent experts voted 1.Opana ER no longer outweigh its risks.According to an FDA press release, Opana ER was first approved in 2.In 2. 01. 2, Endo Pharmaceuticals replaced the original formulation of Opana ER with a new formulation intended to make the drug resistant to physical and chemical manipulation for abuse by snorting or injecting.While the product met the regulatory standards for approval, the FDA determined that the data did not show that the reformulation could be expected to meaningfully reduce abuse and declined the companys request to include labeling describing potentially abuse deterrent properties for Opana ER emphasis added.Now, with more information about the risks of the reformulated product, the agency is taking steps to remove the reformulated Opana ER from the market.The abuse and manipulation of reformulated Opana ER by injection has resulted in a serious disease outbreak.When we determined that the product had dangerous unintended consequences, we made a decision to request its withdrawal from the market, said Janet Woodcock, M.D., director of the FDAs Center for Drug Evaluation and Research.This action will protect the public from further potential for misuse and abuse of this product.More from the FDA press release The FDA has requested that the company voluntarily remove reformulated Opana ER from the market.Should the company choose not to remove the product, the agency intends to take steps to formally require its removal by withdrawing approval.In the interim, the FDA is making health care professionals and others aware of the particularly serious risks associated with the abuse of this product.The FDA will continue to examine the risk benefit profile of all approved opioid analgesic products and take further actions as appropriate as a part of our response to this public health crisis.Chronic pain sufferers and healthcare providers should take notice of this last statement.Shares of Endo Pharmaceuticals NASDAQ ENDP have plummeted 1.In a press release, the company had this to say Endo International plc NASDAQ ENDP is aware of todays announcement by the U.S. Food and Drug Administration FDA requesting that Endo voluntarily withdraw OPANA ER oxymorphone hydrochloride extended release from the market.Endo is reviewing the request and is evaluating the full range of potential options as we determine the appropriate path forward.Release3.0/Images/static_web_tinyimagesdataset/f/fentanyl/fentanyl_000001.jpg' alt='Taking Fentanyl Patch Off Putting Back The Pieces Claudia' title='Taking Fentanyl Patch Off Putting Back The Pieces Claudia' />While the benefits of opioids in treating and managing pain are widely recognized, the misuse and abuse of these products have increased greatly in the U.S. As a pharmaceutical company with a demonstrated commitment to the improvement of pain management, Endo feels a strong sense of responsibility to improve the care of pain for patients while at the same time taking comprehensive steps to minimize the potential misuse of its products.Despite the FDAs request to withdraw OPANA ER from the market, this request does not indicate uncertainty with the products safety or efficacy when taken as prescribed.Endo remains confident in the body of evidence established through clinical research demonstrating that OPANA ER has a favorable risk benefit profile when used as intended in appropriate patients.FDA Drug Safety Risk Management and Anesthetic and Analgesic Drug Products Advisory Committees Meeting Outcome.On March 1. 3 and 1.U. 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Food and Drug Administrations FDA Drug Safety Risk Management and Anesthetic and Analgesic Drug Products Advisory Committees were convened to discuss pre and post marketing data about the abuse of OPANA ER, the products overall risk benefit profile, as well as the abuse of generic oxymorphone ER and oxymorphone immediate release IR products.While the Advisory Committee members voted 1.OPANA ER no longer outweigh its risks, more than half expressed their preference that OPANA ER remain on the market, but with additional regulatory restrictions to mitigate the risks of misuse and abuse.Whats next We want to hear from you.Frequently Asked Questions Medications and DOT Physical Requirements.Please read through the Q A before posting a question.This will help everyone to not have duplicate questions.Thank you If you still cant find a related answer, then you are welcome to ask your question in the comments section below.Does the DOT physical include a drug test What drugs are tested for, if a DOT drug test is requested What if the DOT drug screen tests positive Why do I have to have a urine test for my DOT physical Is protein in the urine a disqualifier Is sugar in the urine a disqualifierIs blood in the urine a disqualifier Can I get a medical certificate if Im being treated for a medical condition by my doctor Is diabetes a disqualifier What if I take insulin by injection and my diabetes is under control What are the requirements for blood sugar limitsI just found a job driving school bus.I am a diabetic, non insulin dependant. 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When I took the test my blood sugar was 3.Ive gotten it down to about 1.I have never had a low or high blood sugar blackout.Will I have to get an exemption My doctor put me on Metformin.Can I still drive truck Im a CDL driver.I had to start insulin for my diabetes.My medical card expires in a month.Will the doctor know Im taking insulin when he does my tests What medications disqualify me from getting a medical card Can I be qualified if I have a prescription for medical marijuanaWhat if I take Methadone What if I take nitroglycerine for angina Can I still drive if I take prescription Paxil, Imitrex, and Zonisamide Can I take Xanax and still drive truck My doctor put me on it and I dont want to lose my job.I take Prozac for anxiety and I no longer have anxiety attacks.Will this be a problem for my DOT physical I have been diagnosed with panic attacks.I dont have them often but I do take Lorazepam for them on a PRN basis.Can this disqualify me from driving a school bus I want to keep my CDL but I have anxiety and need to get on some medication.I dont want to lose my license.What anti anxiety medication in okay to take and still be safe to drive Can I still drive if I take a blood thinner Can I still drive while taking Provigil Modafinil Does the DOT physical include a drug test The DOT physical exam to get your medical card, does not include a drug test.This does not mean that any Company you want to work for, will not request a pre employment drug test they most likely will.But the DOT physical exam requirements do not include a drug test.What drugs are tested for, if a DOT drug test is requested The 5 Panel drug test analyzes urine for the following drugs Marijuana THC metaboliteCocaine.Amphetamines. Opiates including heroinPhencyclidine PCPWhat if the DOT drug screen tests positive The DOT drug screen is looking for illegal or non prescription drugs.Yet, sometimes normal prescription medications can trip a positive test.If the urinalysis is positive for one or more of the drugs on the 5 panel drug test, then the driver will be contacted in person by the Medical Review Officer.The MRO will interview the driver to determine if there is an alternative medical explanation for the drugs found in the urine specimen.If the driver provides appropriate documentation from a prescribing physician, a confirmation test with a split sample is performed for each identified drug.Confirmation ensures that over the counter medications or preparations are not reported as positive results.If the MRO determines that it is a legitimate medical use of the prohibited drug, the drug test result is reported as negative to the employer.Otherwise the drug test will be reported as positive.Why do I have to have a urine test for my DOT physicalThe urine test is just a kidney screen to test for sugar and protein.Its done to determine that there is no early onset of conditions like high blood pressure breaking down the kidneys, or early signs of diabetes, or kidney infection.Is protein in the urine a disqualifier No, not necessarily.Protein in the urine may indicate kidney disease.The medical examiner will make a decision based on the amount of protein in the urine.The medical examiner may certify, time limit your certification or temporarily disqualify your medical certificate while you have the condition checked by a specialist.Is sugar in the urine a disqualifier Yes, it is an indicator of the onset of diabetes or already a diabetic that does not have the condition under control.The driver would be disqualified until the condition is under control, either with medications or diet.Is blood in the urine a disqualifier No, not necessarily.If the medical examiner believes that the blood in the urine may indicate a condition that affects the ability of the commercial driver to safely, the driver may be referred to a primary care physician or specialist for further evaluation.The medical examiner may certify, time limit your certification or temporarily disqualify your medical certificate while you have the condition checked by a specialist.Can I get a medical certificate if Im being treated for a medical condition by my doctor Depending on the risk posed by the condition and treatment, the medical examiner may require documentation from your doctor.To assist in the preparation of the documentation, you can get more information here, courtesy of Trucker Docs.Even though your prescribing physician may be of the opinion that your condition and treatment is safe to drive, the decision to certify still rests with the medical examiner.Is diabetes a disqualifier If you have non insulin treated diabetes the medical examiner will check that your diabetes is adequately controlled.If it is controlled, you will get a time limited certification and most likely need to re certify annually.If your diabetes is treated with insulin, you will be disqualified for inter state driving.You may be able to drive intra state.The DOT does have a few, very stable insulin dependent drivers testing on insulin waivers, but you would have to check with the FMCSA on this issue.What if I take insulin by injection and my diabetes is under control Without a DOT Diabetes exemption waiver the answer is No, not for interstate driving, even if your condition is stable.You may be able to drive intra state.Each state has its own rules.What are the requirements for blood sugar limits I just found a job driving school bus.I am a diabetic, non insulin dependent.When I took the test my blood sugar was 3.Ive gotten it down to about 1.I have never had a low or high blood sugar blackout.Will I have to get an exemption The medical examiner needs to see your blood sugar levels below 1.That is the level for blood sugar spillover into the urine.The concern is not whether you have ever had a blood sugar blackout, its Could you have a blood sugar blackout while driving a bus full of little people Safety first for you, the driver, and for the public at large.My doctor put me on Metformin.Can I still drive truck The Metformin is to control your blood sugar as a borderline diabetic.It will limit your DOT medical certificate to one year at a time.Im a CDL driver. I had to start insulin for my diabetes.My medical card expires in a month.Will the doctor know Im taking insulin when he does my testsIt does not matter whether he knows or not.On the DOT medical examination form that you fill out, it will ask if you are a diabetic and also how you control the condition.So you are the one who is going to tell him about the insulin.Your examining doctor should ask quite a few questions regarding your insulin usage to help determine your options.What medications disqualify me from getting a medical cardAny habit forming drug methadone anti seizure medication, is disqualifying.The medical examiner will review every medication prescription, non prescription, and supplement to determine if its use will adversely affect the safe operation of a commercial vehicle.The medical examiner may require documentation from your prescribing physician.In this case the medical examiner may, but is not required to grant you a medical card.Can I be qualified if I have a prescription for medical marijuana No.Marijuana is a disqualifier, even if you have a prescription.What if I take Methadone A CMV driver cannot be qualified if on Methadone.There are exceptions to the rule regarding other drugs prescribed by a physician, but this does NOT apply to Methadone. 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