Pubdate: Mon, 27 Dec 2004 Source: Watauga Democrat (NC) Copyright: 2004 Watauga Democrat Newspapers, Inc. Contact: http://www.wataugademocrat.com/ Details: http://www.mapinc.org/media/2322 Author: Jerry Sena Bookmark: http://www.mapinc.org/meth.htm (Methamphetamine) METH GROWTH PROMPTS SUDAFED CHANGES Pharmaceuticals giant Pfizer has announced a change to its popular Sudafed line in response to pressure from drug enforcement officials seeking to thwart the growing illegal methamphetamine trade. Phizer announced Friday it would begin U.S. sales of a decongestant product, Sudafed PE, Jan. 10. The product, which has reportedly been available in Europe for years, substitutes the drug phenylephrine for pseudoephedrine, the active ingredient crucial to the manufacture of methamphetamine. The company has been criticized for resisting legislation placing tighter restrictions on its over-the-counter cold medicines. The drugs have become prime targets for criminals who purchase or shoplift the products for meth cooks, who then extract the pseudoephedrine from the binding agents in tablets or capsules using a dangerous and highly toxic process. Pfizer said it will continue to market its original Sudafed formula along with Sudafed PE, leading some officials to wonder how effective the move might be in reducing the drug's availability for criminal use. By broadening its line, however, Pfizer has positioned itself to withstand a growing movement among legislatures throughout the country to restrict the sale of over-the-counter medicines containing pseudoephedrine. Both drugs work similarly to reduce nasal congestion by constricting blood vessels in nasal passages, according to information provided by the National Institutes for Health. Oregon and Oklahoma have already passed sweeping laws requiring retailers to place such drugs behind sales counters, collect signatures and IDs from customers at the time of purchase, and proof that purchasers are at least 18 years old. Oklahoma has passed the most restrictive legislation, mandating that Sudafed and like medicines be placed behind pharmacy counters. Oklahoma officials claim as many as 27 other states have shown keen interest in the effectiveness of their program with an eye toward adopting similar laws themselves. The trend toward restricting access to the popular cold and allergy remedies has attracted criticism from pharmaceutical and retail industry lobbyists who argue such laws are harder on legitimate consumers than on criminals. The National Association of Chain Drug Stores (NACDS) has argued that laws such as Oklahoma's primarily affect legitimate customers using the products for medicinal purposes, such as treatment of colds, allergies or sinus infections and does not address the larger issue of illegal pseudoephedrine use by criminals. "Without a multi-pronged approach to combat meth, it's like giving an aspirin to a patient with a broken leg -- it may be a step in the right direction, but it's not enough to solve the problem," Mary Ann Wagner, president of the NACDS told the House Subcommittee on Criminal Justice, Drug Policy and Human Resources last month. "We strongly encourage Congress and the subcommittee to explore all avenues before proposing final solutions." Wagner cited DEA statistics that trace the lion's share of the illicit meth supply to "super labs"--- labs producing more than 10 pounds of meth in one 24-hour cycle -- located most often in California and Mexico. Wagner noted that both Oklahoma and Drug Enforcement Agency (DEA) officials acknowledge that pseudoephedrine products have been sold by the caseload out of the back doors of rogue convenience stores and gas stations to such criminals. In further testimony, Wagner encouraged stronger state and federal laws. On the state level, she called for tougher restrictions and penalties for those convicted of meth-related offenses. On the federal level, she advocated for the potential creation of federal laws against meth-related offenses. No place in North Carolina has been harder hit by the growth of the illegal meth industry than Watauga County. District Attorney Jerry Wilson and Sheriff Mark Shook have taken creative steps to stem production of the drug. Wilson attempted to prosecute meth lab operators under laws meant for producers of weapons of mass destruction. His strategy, based on the toxicity of the labs and their inherent danger to first responders like firefighters and police, was foiled when a superior court judge ruled the charges unconstitutional. Shook, meanwhile, has been cooperating with federal authorities to direct a handful of the worst offenders through federal courts. The move, he says, lessens pressure on local courts and jails, while exposing offenders to longer sentences if convicted. A bill passed in the state General Assembly this year and enacted Dec. 1, stiffens penalties for meth production and adds to its list of precursor chemicals -- common household agents typically used by meth cooks to extract pseudoephedrine from over-the-counter medicines. Methamphetamine laboratories produce five to seven pounds of toxic waste for every pound of methamphetamine produced, according to the National Drug Intelligence Center. Most toxic residue from methamphetamine production is dumped near the laboratory, contaminating soil and groundwater and killing vegetation. Methamphetamine laboratory cleanup costs can range from several thousand dollars to millions of dollars, imposing a strain on state and local agency resources. Methamphetemines have been a problem in the U.S. since the mid-1980s wand the spread had been mostly confined to the West and Midwestern states. It did not make a significant appearance in North Carolina until about 2000. The N.C. Attorney General's office has reported that the State Bureau of Investigation investigated only nine meth-related labs in 1999. By 2003, that number had risen to 177. Phizer has not addressed questions of why it waited until now to introduce the new pseudoephedrine-free formula in the U.S. The company has said the new phenylephrine-based product has been used "safely and effectively" in Europe for years. Neither has it explained why it would continue to provide the original formula so essential to the manufacture of illegal methamphetamine. The prices of both formulas are comparable. Information available from the Food and Drug Administration indicated that many of the side effects linked to the two drugs are similar. Pseudoephedrine is listed by The American Academy of Pediatrics as "compatible" with breastfeeding, while phenylephrine has been linked to birth defects in animals, and authorities cite a lack of information regarding its secretion in breast milk. Calls to Phizer were not returned before publication of this article. - --- MAP posted-by: Jackl