Combat methamphetamine epidemic act cmea regulatory. Pseudoephedrine is approved to be taken up to 240 mg per day. The combat methamphetamine epidemic act of 2005 cmea was signed into law on march 9, 2006 to regulate, among other things, retail overthecounter sales of ephedrine, pseudoephedrine, and phenylpropanolamine products. Pseudoephedrine is a sympathomimetic drug that acts directly on. If your store already has an account, check your instore procedures to get your stores account credentials. Do you need to log a prescription pseudoephedrine like a btc pseudoephedrine sale. Treat it like a regular control prescription and not log the pseudo sale in the pseudo log book. Pseudoephedrine is formulated in medications to treat cold and allergies as both otc and prescription products. Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Freeman, phd, rph jeffery talbert, phd suzanne troske, ms institute for pharmaceutical outcomes and policy. The combat methamphetamine epidemic act of 2005, or cmea for short, details the federal regulation of the retail of chemicals that are used to make methamphetamine. This new part was created by act 314 of the 2009 legislature. The seller must enter into the logbook the name of the product, and quantity sold. Pseudoephedrine laws by state following are summaries of enacted state laws and rules establishing sales limits, restrictions, reporting and recordkeeping requirements for the sale of overthecounter products containing pseudoephedrine pse and ephedrine eph.
The log book may be maintained in either written or electronic form. A grocery storebased pharmacy chain maintained pseudoephedrine log books containing phi in a manner so that individual phi was visible to the public at the pharmacy counter. Retail provisions include daily sales limits and monthly purchase limits, placement of product. Frequently, pseudoephedrine is combined with a variety of antihistamines such as diphenhydramine and chlorpheniramine, among others. Efficacy and safety of single and multiple doses of. Faced with the limitations of handwritten log books, some states have turned to an electronic log book system. The immediate effects of methamphetamine include increased activity and. How to mail order pseudoephedrine educated guesswork. A a retailer or terminal distributor of dangerous drugs that sells, offers to sell, holds for sale, delivers, or otherwise provides a pseudoephedrine product or ephedrine product to the public shall maintain a log book of all purchases of pseudoephedrine products or ephedrine products made without a valid prescription. Pseudoephedrine is excreted through urine, and concentration in urine of this drug shows a large interindividual spread.
The purpose of this act is to reduce the harm that methamphetamine manufacturing and manufacturers are inflicting on individuals, families, communities, first responders, the economy, and the environment in illinois, by making it more difficult for persons engaged in the unlawful manufacture of methamphetamine and. You must keep a logbook which contains a written or electronic list of sales of drug products containing ephedrine, pseudoephedrine, and phenylpropanolamine. Doxylamine is an antihistamine that reduces the effects of natural chemical histamine in the body. Pseudoephedrine logbook, letter size signed into law march 9, 2006, the combat methamphetamine epidemic act of 2005 cmea regulates, among other things, retail overthecounter sales of ephedrine, pseudoephedrine, and phenylpropanolamine products.
Pseudoephedrine associated ischemic colitis article pdf available in american journal of therapeutics 255. Pseudoephedrine is available under the following different brand names. The dea should be able to get all the necessary patient info through the. In april 2011, the board of pharmacy implemented the national precursor log exchange nplex as the states electronic precursor monitoring program.
Realtime electronic logbook for a pharmacy to record purchases. The managers red book pharmacy signature logbook notebook, 8. Ephedrine, pseudoephedrine, and phenylpropanolamine. Pseudoephedrine is a member of the class of the class of phenylethanolamines that is 1s2methylamino1phenylethan1ol in which the pros hydrogen at position 2 is replaced by a methyl group. Department of justice drug enforcement administration. The skype access code will be available here the morning of the meeting. A purchaser entering false statements or misrepresentations in this logbook shall be subject to criminal penalties under 18 u. All products containing ephedrine eph, pseudoephedrine pse, and.
Easy to read fda package insert, drug facts, dosage and administration, and adverse effects for sudafed pseudoephedrine skip to. It also has weak activity at betaadrenergic receptors. The laws of many states, and now the federal government, restrict the sale of pseudoephedrine by limiting the amount purchased per month and by requiring photo identification and the signing of a log at the pharmacy or retail outlet. Ephedrine, pseudoephedrine, and phenylpropanolamine monitoring act editors note. Pseudoephedrine 60 mg is widely used as an oral decongestant taken in tablet or syrup formulations every 46 hours for the treatment of nasal congestion associated with common cold and allergy. Pages are alphabetically marked for ease of use at the counter.
This combination medication is used to treat symptoms caused by the common cold, flu, allergies, hay fever, or other breathing illnesses e. Pseudoephedrine is a member of the class of the class of phenylethanolamines that is 1s2 methylamino1phenylethan1ol in which the pros hydrogen at position 2 is replaced by a methyl group. A logbook of sales of pseudoephedrine products in the form. Fillinblanks logbooks make accurate record keeping a snap. Dea has developed training materials regarding selfcertification training for regulated sellers of nonprescription drug products containing ephedrine, pseudoephedrine, and phenylpropanolamine as required by the combat methamphetamine epidemic act of 2005. Breathe easy and maintain federal compliance with this log book. The advent of a new pseudoephedrine product to combat. This part may be referred to and may be cited as the ephedrine, pseudoephedrine, and phenylpropanolamine monitoring act. Duty to report adult or child abuse, neglect or exploitation.
Any pseudoephedrine containing product listed as a schedule v controlled. Hb 1889 realtime electronic log book for pseudoephedrine. Pseudoephedrine is found in brand name medications as well as generics. Pseudoephedrine is a tough product to challenge as a nasal. Update on privacy and security issues for retail pharmacies. Department of justice drug enforcement administration office ofdiversion control. Methamphetamine trends in the united states the white house. Our preprinted books include fields for all the necessary information required by cmea for each sale. Pseudoephedrine is a drug found in numerous prescription and behindthecounter medications, including sudafed congestion but not sudafed pe, zyrtecd, and claritind its used to temporarily. Pseudoephedrine also temporarily relieves sinus congestion and pressure. Products sold pursuant to a prescription not subject to electronic log requirement. In conjunction with the log book requirement, retailers will be required to ask for photo identification, issued by either a state or the federal government or other appropriate identification. Oct 10, 2012 cetirizine is the carboxylated metabolite of hydroxyzine, and has high specific affinity for histamine h1 receptors.
In 1980, a study of pseudoephedrine was published which showed comparable effects of pseudoephedrine 60mg, 120mg and 180mg in reducing the effect of histamine on nasal airway resistance nar, all of which were significantly greater than with placebo p pseudoephedrine, ephedrine, or phenylpropanolamine single dose sales excepted. An rct comparing the efficacy and safety of cetirizine 5 mg, pseudoephedrine 120 mg bid, and their combination found that insomnia was the most common complaint in patients taking pseudoephedrine bertrand et al. Initially, the pharmacy chain refused to acknowledge that the log books contained protected health information. Meadows subject to appropriations, this bill requires the state highway patrol to provide all pharmacies in the state access to a realtime electronic log book to enter sales of pseudoephedrine products. Sellers must maintain a logbook, written or electronic, to record sales of products containing ephedrine, pseudoephedrine, or phenylpropanolamine.
An attempt was made to quantify pseudoephedrine in a solid formulation with microcrystalline cellulose. Retailer must maintain completed log sheets for two 2 years for law. Poisons and therapeutic goods regulation 2008 the regulation requires that a pharmacist in a community pharmacy in nsw who supplies pseudoephedrine to a person without a prescription must, at the time of the supply, record the details of the. Convenience packages may be sold by nonpharmacy retailers so long as the requirements of. It has a role as a sympathomimetic agent, an antiasthmatic drug, a bronchodilator agent, a vasoconstrictor agent, a central nervous system drug, a. Pseudoephedrine temporarily relieves nasal congestion due to the common cold, hay fever or other upper respiratory allergies, and nasal congestion associated with sinusitis. Front and back covers are uv coated for water resistence, providing needed durability bound with durable plastic coil so book lays conveniently flat when open.
Pseudoephedrine and phenylpropanolamine are orally effective nasal decongestants and sympathomimetics. Methamphetamine users feel a short yet intense rush when the drug is initially administered. Realtime electronic logbook for a pharmacy to record. Signature log pharmaceutical, f6858 this lettersized log is designed to aid pharmacies in maintaining compliance with the combat methamphetamine epidemic act of 2005. Dilated blood vessels can cause nasal congestion stuffy nose doxylamine and pseudoephedrine is a combination. Retail provisions of the cmea include daily sales limits and monthly purchase limits, placement of product out of direct. Methamphetamine trends in the united states overview methamphetamine is a highly addictive central nervous system stimulant that can be injected, snorted, smoked, or ingested orally. Department of health, health systems quality assurance, office of health professions and facilities, board of pharmacy subject. Front and back covers are uv coated for water resistence, providing needed durability.
It has a role as a sympathomimetic agent, an antiasthmatic drug, a bronchodilator agent, a vasoconstrictor agent, a central nervous system drug, a nasal decongestant, a xenobiotic and a plant. Impact of state laws regulating pseudoephedrine on. Legal requirements for the sale and purchase of drug products. The feds have cracked down on pseudoephedrine sales but its still possible to order it from amazon. Drug enforcement agency restrictions on the sale of products containing pseudoephedrine pse, the web store is now required to obtain additional information from customers who order pse products. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose. The north carolina statute requires that retailers record the name and address of every purchaser, each pseudoephedrine product purchased, including the number of grams the product contains, and the date of the transaction. The act bans overthecounter sales of cold medicines that. Training required to sell drug products containing ephedrine. Pseudoephedrine pse is a sympathomimetic drug of the phenethylamine and amphetamine chemical classes.
Illinois compiled statutes illinois general assembly. A grocery store based pharmacy chain maintained pseudoephedrine log books containing protected health information in a manner so that individual protected health information was visible to the public at the. Record all sales of pseudoephedrine, ephedrine, or phenylpropanolamine single dose. The combat methamphetamine epidemic act of 2005 has been incorporated into the patriot act signed by president bush on march 9, 2006. Indiana state police approved ephedrinepseudoephedrine. These states, which include kentucky, oklahoma, arkansas, louisiana, illinois, missouri, kansas, washington, and alabama, all have implemented systems to track pseudoephedrine product sales. Products containing ephedrine or pseudoephedrine, their salts or optical isomers, or salts of optical isomers. Record all sales of pseudoephedrine, ephedrine, or phenylpropanolamine single dose sales excepted. Office of diversion control dea has developed training materials regarding selfcertification training for regulated sellers of nonprescription drug products containing ephedrine, pseudoephedrine, and phenylpropanolamine as required by the combat methamphetamine epidemic act of 2005 title vii of public law 109177. The state of ohio board of pharmacy may 2020 meeting will be held via skype. A maintain a written or electronic log or receipts of transactions involving the sale of ephedrine, pseudoephedrine, or phenylpropanolamine. Use of a concentrated sodium hydroxide solution ph 14 is necessary to ensure complete conversion of the pseudoephedrine hydrochloride into the base, with subsequent extraction into the organic chloroform layer.
Poisons and therapeutic goods regulation 2008 the regulation requires that a pharmacist in a community pharmacy in nsw who supplies pseudoephedrine to a person without a prescription must. Updated federal and state methamphetamine law summary. It is chemically related to ephedrine, but with less central nervous system activity. Retail transaction log products containing ephedrine. Indiana state police approved ephedrine pseudoephedrine signature log i. Pseudoephedrine pse in many cold and allergy medication. The national precursor log exchange nplex is a realtime electronic logging and compliance system that tracks sales of overthecounter otc cold and allergy medications containing pseudoephedrine pse, precursors to the illegal drug, methamphetamine. Initially, the pharmacy chain refused to acknowledge that the log books contained phi.
The act went into effect on march 9, 2006 as part of title vii of the usa patriot improvement and reauthorization act of 2005 i. Each individual who must sign their name in the log book. Gain the efficiency of realtime, electronic data entry for tracking pseudoephedrine pse sales. Pseudoephedrine logbook, letter size devine medical.
House bill 17, passed by the 2011 texas legislature, requires all pharmacies that sell overthecounter medications containing ephedrine andor pseudoephedrine pse to participate in a statewide, realtime electronic pse monitoring program. By law, the persons licensed as health care practitioners have a duty to report to the virginia department of social. When referring to accepting transactions from other states pse log book, does that mean calculating a persons ability to purchase based upon previous. Retail distributors must maintain a logbook in written or electronic form s. Mar 23, 2020 pseudoephedrine is a decongestant that constricts shrinks dilated blood vessels within the nose, relieving congestion. Only register if your store sells otc pseudoephedrine, ephedrine, or phenylpropanolamine. Retail transaction log products containing ephedrine, pseudoephedrine or phenylpropanolamine author. Realtime electronic logbook for a pharmacy to record purchases of.
Pseudoephedrine logbook, letter size 17350 signed into law march 9, 2006, the combat methamphetamine epidemic act of 2005 cmea regulates, among other things, retail overthecounter sales of ephedrine, pseudoephedrine, and phenylpropanolamine products. The customer must write or enter into the logbook their name, address, date, and time of sale. Apr 18, 2016 impact of state laws regulating pseudoephedrine on methamphetamine production and abuse a white paper of the national association of state controlled substance authorities april 18, 2016 prepared by. Section 1001 of title 18, united states code, states that whoever, with respect to the logbook, knowingly and willfully falsifies, conceals, or covers up. Ocr issued a written analysis and a demand for compliance. Hb 1889 realtime electronic log book for pseudoephedrine sales sponsor.
May i keep track of pseudoephedrine sales in my cv controlled substances log. Questions and answers arkansas pharmacy electronic. Cetirizinepseudoephedrine 5120mg twice daily was significantly more effective than intranasal budesonide 10. For more information on board meeting dates, click here in order to help contain the spread of the coronavirus covid19, the state of ohio board of pharmacy has closed its offices to the general public and board staff will be. As required by the cmea, pharmacies must record all sales of otc pseudoephedrine products in a logbook. It causes vasoconstriction by stimulating primarily alphaadrenergic receptors.
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