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1 Bashore TM, Gardner TJ. Valvular heart disease. J Coll Cardiol 2003; 42: 388 Fox KM. Efficacy of perindopril in reduction of cardiovascular events among patients with stable coronary artery disease: randomised, double-blind, placebo-controlled, multicentre trial the EUROPA study ; . Lancet 2003; 362: 782788 Bistritz L, Amad H, Tandon P, et al. Use of angiotensinconverting enzyme inhibitors after coronary artery bypass grafting in patients with diabetes mellitus. J Cardiol 2003; 92: 7779 Pretorius M, Murphey LJ, McFarlane JA, et al. Angiotensinconverting enzyme inhibition alters the fibrinolytic response to cardiopulmonary bypass. Circulation 2003; 108: 3079 Warnica JW, Gilst WV, Baillot R, et al. Ischemia management with Accuprol post bypass graft via inhibition of angiotensin converting enzyme IMAGINE ; : a multicentre randomized trial - design and rationale. Can J Cardiol 2002; 18: 11911200 Bradshaw PJ, Jamrozik K, Gilfillan I, et al. Preventing recurrent events long term after coronary artery bypass graft: suboptimal use of medications in a population study. Heart J 2004; 147: 10471053 van Haelst PL, Tervaert JW, van Geel PP, et al. Long term.

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Alcohols ethanol and isopropanol or isopropyl alcohol ; If a restricted list of disinfectants must be selected, there are few advantages in choosing alcohols: their use is contraindicated on wounds and mucous membranes, they have no remanent effect. For indications where this effect is required, they must be used in combination with other disinfectants Clinogel, Sterilium, Hibisprint, etc. ; , they are expensive to transport by air, importation often requires complicated administrative procedures. However, if ethanol and isopropanol are available locally, they can be useful to disinfect intact skin before injection or taking a blood sample, as its action is rapid a few seconds ; . These products are more effective at 60-70 v v than at 90-95. Glutaral Glutaraldehyde Glutaraldehyde in 2% alkaline solution is a very potent disinfectant, non corrosive to metal. It may be used for the disinfection of semi-critical medical items 20 minutes ; that cannot be sterilised by heat e.g. laryngoscope blades ; , provided all recommendations are adequately followed: thorough cleaning before disinfection, complete immersion in "activated" glutaraldehyde solution, thorough rinsing to eliminate any residue, adequate drying. The "activation" consists in the addition of the activator supplied with the product, which is intended to raise the pH to the alkaline value necessary for the efficacy of the solution. The activated solution has a limited shelf-life, between 2 to 4 weeks depending on the brand. Glutaraldehyde solution is very useful for endoscopes but its price and the constraints for safe use make it of limited interest for facilities with limited resources. Glutaraldehyde solution releases toxic vapours and should therefore only be used in well ventilated wards air extractor recommended.

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575. M. Kalafatis, R. M. Bertina, M. D. Rand, and K. G. Mann. Characterization of the molecular defect in factor VR506Q. J Biol.Chem. 270 8 ; : 4053-4057, 1995. 576. B. P. Koeleman, D. van Rumpt, K. Hamulyak, P. H. Reitsma, and R. M. Bertina. Factor V Leiden: an additional risk factor for thrombosis in protein S deficient families? Thromb Haemost 74 2 ; : 580-583, 1995. 577. T. Koster, R. A. Small, F. R. Rosendaal, and F. M. Helmerhorst. Oral contraceptives and venous thromboembolism: a quantitative discussion of the uncertainties. J Intern.Med 238 1 ; : 31-37, 1995. 578. T. Koster, F. R. Rosendaal, E. Briet, F. J. van der Meer, L. P. Colly, P. H. Trienekens, S. R. Poort, P. H. Reitsma, and J. P. Vandenbroucke. Protein C deficiency in a controlled series of unselected outpatients: an infrequent but clear risk factor for venous thrombosis Leiden Thrombophilia Study ; . Blood 85 10 ; : 2756-2761, 1995. 579. T. Koster, A. D. Blann, E. Briet, J. P. Vandenbroucke, and F. R. Rosendaal. Role of clotting factor VIII in effect of von Willebrand factor on occurrence of deep-vein thrombosis. Lancet 345 8943 ; : 152-155, 1995. 580. W. C. Pieneman, P. P. Deutz-Terlouw, P. H. Reitsma, and E. Briet. Screening for mutations in haemophilia A patients by multiplex PCR-SSCP, Southern blotting and RNA analysis: the detection of a genetic abnormality in the factor VIII gene in 30 out of 35 patients. Br Haematol. 90 2 ; : 442-449, 1995. 581. B. M. Psaty, S. R. Heckbert, T. D. Koepsell, D. S. Siscovick, T. E. Raghunathan, N. S. Weiss, F. R. Rosendaal, R. N. Lemaitre, N. L. Smith, P. W. Wahl, E. H. Wagner, and C. D. Furberg. The risk of myocardial infarction associated with antihypertensive drug therapies. JAMA 274 8 ; : 620-625, 1995. 582. P. H. Reitsma, F. Bernardi, R. G. Doig, S. Gandrille, J. S. Greengard, H. Ireland, M. Krawczak, B. Lind, G. L. Long, S. R. Poort, and . Protein C deficiency: a database of mutations, 1995 update. On behalf of the Subcommittee on Plasma Coagulation Inhibitors of the Scientific and Standardization Committee of the ISTH. Thromb Haemost 73 5 ; : 876-889, 1995. 583. F. R. Rosendaal, T. Koster, J. P. Vandenbroucke, and P. H. Reitsma. High risk of thrombosis in patients homozygous for factor V Leiden activated protein C resistance ; . Blood 85 6 ; : 1504-1508, 1995. 584. P. Simioni, H. de Ronde, P. Prandoni, M. Saladini, R. M. Bertina, and A. Girolami. Ischemic stroke in young patients with activated protein C resistance. A report of three cases belonging to three different kindreds. Stroke 26 5 ; : 885-890, 1995. 585. C. A. Spek, T. Koster, F. R. Rosendaal, R. M. Bertina, and P. H. Reitsma. Genotypic variation in the promoter region of the protein C gene is associated with plasma protein C levels and thrombotic risk. Arterioscler.Thromb Vasc.Biol. 15 2 ; : 214-218, 1995. 586. C. A. Spek, J. S. Greengard, J. H. Griffin, R. M. Bertina, and P. H. Reitsma. Two mutations in the promoter region of the human protein C gene both cause type I protein C deficiency by disruption of two HNF-3 binding sites. J Biol.Chem. 270 41 ; : 24216-24221, 1995.
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Analgesics ACTIQ * COMBUNOX DURAGESIC * FENTORA * OXYCONTIN * REPREXAIN ULTRACET ULTRAM ER Alternatives Geq MS CONTIN Geq DARVOCET Geq TYLENOL #3 Geq ULTRAM Geq VICODIN ES Prior Auth Analgesics ARTHROTEC NAPRELAN Alternatives GENERIC NSAIDS nd 2 Line w Prior Auth CELEBREX Prior Auth Migraine Agents AXERT FROVA MAXALT & MLT ZOMIG & ZMT STADOL NS Alternatives AMERGE IMITREX RELPAX Prior Auth Muscle Relax. ALL SOMA PRODUCTS SKELAXIN ZANAFLEX CAPSULES Alternatives Geq FLEXERIL Geq ROBAXIN Geq NORFLEX Prior Auth Antibiotics AUGMENTIN XR DORYX FLAGYL ER KEFLEX 750mg ORACEA Alternatives AMOXICILLIN Geq AUGMENTIN Geq VIBRAMYCIN Geq FLAGYL Geq MACRODANTIN Geq MACROBID Prior Auth Quinolones AVELOX LEVAQUIN NOROXIN PROQUIN XR Alternatives Geq CIPRO Geq FLOXIN Prior Auth Antifungals PENLAC Alternatives Geq FULVICIN Geq NIZORAL Geq LOTRIMIN SOL. Geq LAMISIL TAB Geq SPORANOX Prior Auth Antivirals FAMVIR Alternatives Geq ZOVIRAX VALTREX Prior Auth Antihistamines ALLEGRA-D CLARINEX CLARINEX-D ZYRTEC ZYRTEC-D Alternatives Geq BENADRYL Geq CHLORTRIMETON OTC Geq CLARITIN OTC Geq CLARITIN D Geq ALLEGRA Prior Auth PPIs NEXIUM PREVACID PREVACID NAPRAPAC PRILOSEC RX ZEGERID Alternatives OTC PRILOSEC nd 2 Line w Prior Auth ACIPHEX PROTONIX Prior Auth Ulcerative Colitis COLAZAL DIPENTUM PENTASA Alternatives Geq AZULFIDINE ASACOL Prior Auth Anti-Spasmotics CANTIL Alternatives Geq BENTYL Geq LEVSINEX Geq LIBRAX Prior Auth Anti-Emetics ANZEMET * KYTRIL * ZOFRAN * Alternatives Geq COMPAZINE Geq REGLAN Geq TIGAN Prior Auth Hormone Replacement PREMARIN PREMPRO CENESTIN PROMETRIUM Alternatives Geq ESTRACE Geq OGEN Geq PROVERA Prior Auth For Cholesterol ADVICOR ALTOPREV CADUET PRAVIGARD PAC LOVAZA OMACOR ; TRICOR Alternatives Geq QUESTRAN Geq LOFIBRA Geq PRAVACHOL Geq ZOCOR ZETIA * nd 2 Line w Prior Auth LESCOL XL LIPITOR CRESTOR VYTORIN Prior Auth ACE Inhibitors ACEON ALTACE Alternatives Geq ACCUPRIL Geq CAPOTEN Geq MAVIK Geq PRINIVIL ZESTRIL Geq UNIVASC Geq VASOTEC Prior Auth ARBs ATACAND ATACAND HCT COZAAR HYZAAR MICARDIS MICARDIS HCT TEVETEN TEVETEN HCT Alternatives AVAPRO AVALIDE BENICAR BENICAR HCT DIOVAN DIOVAN HCT Prior Auth Beta Blockers CARTROL LEVATOL Alternatives Geq CORGARD Geq INDERAL Geq LOPRESSOR Geq TENORMIN Geq ZEBETA Geq TOPROL XL Prior Auth Cardiac Patches CATAPRES-TTS MINITRAN Geg NITRODUR PATCH Alternatives Geq CATAPRES-oral Geq IMDUR-oral Geq ISORDIL-oral Geq NITROBID-oral Prior Auth Antihyperglycemics FORTAMET GLUMETZA Alternatives Geq GLUCOPHAGE Geq GLUCOPHAGE XR Prior Auth Insulin Products ALL PREFILLED PENS OR PENFILLS Alternatives HUMULIN HUMALOG NOVOLIN NOVOLOG not pens or penfills ; APIDRA LEVEMIR Prior Auth Anticholinergics OXYTROL PATCH Alternatives Geq DITROPAN DETROL DETROL LA ENABLEX VESICARE Prior Auth Oral Contraceptives LYBREL ORTHO TRI-CYCLEN LO SEASONIQUE YASMIN YAZ Alternatives Geq ALESSE Geq LOESTRIN Geq NECON 7 GeqTRIVORA Geq TRI-NORINYL All GEQ Products Prior Auth Otic Preparations CIPRO HC COLY-MYCIN S CORTISPORIN-TC Alternatives Geq CORTISPORIN CIPRODEX FLOXIN Prior Auth Thyroid Preparations THYROLAR Alternatives Geq THYROID Geq SYNTHROID Geq LEVOTHROID Prior Auth SSRIs LEXAPRO PAXIL CR PEXEVA PROZAC WEEKLY SARAFEM Alternatives Geq PROZAC Geq CELEXA 18 Geq PAXIL 18 Geq ZOLOFT 18 Prior Auth SNRIs CYMBALTA LUDIOMIL NARDIL PARNATE SERZONE Alternatives Geq PROZAC Geq DESYREL Geq EFFEXOR Geq REMERON Geq REMERON SOLTAB Geq WELLBUTRIN SR WELLBUTRIN XL EFFEXOR XR Prior Auth Sedative Hypnotics AMBIEN CR LUNESTA ROZEREM SONATA Alternatives Geq BENADRYL Geq AMBIEN Geq DALMANE Geq HALCION Geq PROSOM Geq RESTORIL * max 15 per 30 days Prior Auth Anti-Anxiety XANAX XR NIRAVAM Alternatives Geq XANAX Prior Auth Opthalmics ELESTAT OPTIVAR Alternatives OTC NAPHCON NAPHCON-A nd 2 Line with Prior Auth PATANOL. 60 mg 80 mg propoxyphene, acetaminophen Protonix Prozac pseudoephedrine pseudoephedrine pseudoephedrine Questran Quinaglute propoxyphene, acetaminophen DarvocetN ; Protonix pantoprazole ; Prozac fluoxetine ; pseudoephedrine Sudafed 12 Hour ; pseudoephedrine Sudafed 24 Hour ; pseudoephedrine Sudafed ; Questran cholestyramine ; Quinaglute quinidine ; 50, 325 mg 100, 650 mg 40 mg 10 mg 20 mg 120 mg 240 mg 30 mg 60 mg 4 mg 9 mg 324 mg 5 mg quinapril quinapril Zccupril ; 10 mg 20 mg 40 mg 10, 12.5 mg quinapril, HCTZ quinapril, HCTZ Accuretic ; 20, 12.5 mg 20, 25 mg Quinidex Extentabs quinidine quinidine rabeprazole raloxifene Quinidex Extentabs quinidine ; quinidine Quinaglute ; quinidine Quinidex Extentabs ; rabeprazole Aciphex ; raloxifene Evista ; 300 mg 324 mg 300 mg 20 mg 60 mg 1.25 mg ramipril ramipril Altace ; 2.5 mg 5 mg 10 mg ranitidine Rapamune Reglan ranitidine Zantac ; Rapamune sirolimus ; Reglan metoclopramide ; 1 mg 5 mg 150 mg 300 mg and adalat.
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CANCER CHEMOTHERAPY * dacarbazine DTIC ; fluororacil 5-FU ; methotrexate Mexate ; procarbazine Matulane, Natulan ; vinblastine Velban, Belbe ; CARDIOVASCULARS see also Diuretics ; ACE INHIBITORS, eg., Capoten, Vasotec, Monapril, Accupril, Altace, Univasc * amiodarone Cordarone ; diltiazem Cardizem ; disopyramide Norpace ; losartan Hyzaar ; lovastatin Mevacor ; nifedipine Procardia ; pravastin Pravachol ; quinidine Quinaglute ; simvastatin Zocor ; sotalol Betapace ; DIURETICS see also Cardiovasculars ; acetazolamide Diamox ; amiloride Midamor ; furosemide Lasix ; metolazone Diulo, Zaroxolyn ; * THIAZIDES, eg., HydroDiuril, Naturetin, * HYPOGLYCEMIC SULFONYLUREAS acetohexamide Dymelor ; chlorpropamide Diabinese ; glimepiride Amaryl ; glipzide Glucotrol ; glyburide Diabeta, Micronase ; tolazamide Tolinase ; tolbutamide Orinase. Analytical toxicology is concerned with the detection, identification, and measurement of drugs and other foreign compounds xenobiotics ; and their metabolites in biologic and related specimens. The analytical toxicologist can play a useful role in the diagnosis and management of poisoning, but to do so, he or she should have a basic knowledge of emergency medicine and intensive care and must be able to communicate effectively with physicians. In addition, a good understanding of clinical chemistry, pharmacology, and toxicology is desirable. The analyst's dealings with a case of suspected poisoning are usually divided into preanalytical, analytical, and post-analytical phases Table 1 ; . Many acutely poisoned patients are treated successfully without any contribution from the laboratory other than routine clinical laboratory tests. The analytical toxicologist can only contribute to diagnosis and management if a physician, pathologist, or other person first suspects poisoning. Close collaboration between the analyst and the physician is then important if anything other than the simplest of analyses is to be useful. Many requests for emergency analytical toxicologic investigations are, in fact, requests for advice on the diagnosis or management of poisoning and are best handled by staff of a poisons information service, at least in the first instance. Toxicologic analyses can play a useful role if the diagnosis of poisoning or the nature of any poison s ; present is in doubt, the administration of antidotes or protective agents is contemplated, or the use of active elimination therapy is being consid and adderall.
BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association Registered marks of the BlueCross BlueShield Association, an Association of Independent BlueCross BlueShield Plans This document has been classified as public information BlueRx is a Regional Medicare prescription drug plan provided by Blue Cross and Blue Shield of Alabama and BlueCross BlueShield of Tennessee, Independent Licensee of the Blue Cross and Blue Shield Association.

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Flanking measures to mitigate severe effects: Where the implementation is anticipated to cause undue hardships on segments of the population, transitional measures need to be built into the initial policy package. Possibilities include phasing in limits more slowly to avoid sudden changes in prices or access rights; exemptions for groups who face high costs but are small contributors to the problem; or transitional subsidies to highly affected groups. Besides distributional effects, consideration for the capital stock should also be taken into account. As the introduction of, for example, a new environmental tax increases the production cost for the industry, the cost of capital might become unacceptably high given the current capital stock of the economy, which was put into place in the absence of such taxes. It may therefore be necessary to introduce taxes at a rate below the economically efficient level and then increase them over time as the capital stock is replaced in the expectation of increased tax levels in the future 39 and alesse. 2004; 95 2 ; : 59-65 issn: 1742-7835 ; liu cp; jan cr department of medicine, kaohsiung veterans general hospital, kaohsiung, taiwan 81 crjan isca, for example, dizziness.

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