Pubdate: Mon, 08 Aug 2005 Source: Sun Herald (MS) Copyright: 2005, The Sun Herald Contact: http://www.sunherald.com Details: http://www.mapinc.org/media/432 Author: Janet McConnaughey, Associated Press Bookmark: http://www.mapinc.org/meth.htm (Methamphetamine) LA. LIMITS ON SOME COLD DRUGS TAKE EFFECT AUG. 15 Anti-Meth Measure Draws Some Ire NEW ORLEANS - Louisiana's new law regulating the sale of Sudafed and similar cold medicines takes effect Aug. 15, and pharmacists who will have to enforce it see it as just another rock on an existing mountain of regulation. Thirty-three states, including Mississippi, restrict the amount of ephedrine or pseudoephedrine pills people can buy and sell because the drug is a major ingredient for illegal methamphetamine labs, according to the National Association of Chain Drug Stores. A stricter federal bill also is in the works for such medicines, which include Procter & Gamble Co.'s Nyquil as well as Pfizer Inc.'s Sudafed. And drug companies are changing their ingredients to eliminate those which can be used for meth. Louisiana's new law also requires stores to limit boxes on their display shelves, to keep those shelves in easy eyeshot or keep a videocamera on them, and to check customers' photo IDs and make them sign a receipt or log book. "We don't sell that much, and don't see that it's that much of a problem," said Leonard Sullivan of Sullivan's Pharmacy in Zachary. It might be a burden on chain drug stores, which sell more of everything, said Gerlando "Gerry" Messina, owner of Messina's Pharmacy in Baton Rouge. It's overall record keeping, for insurance companies and physicians as well as the state, that's the real problem, Sullivan said. "With the consulting and all the record keeping, it pretty much gets to the point that it makes our life miserable," he said. "They keep cutting our fees... and they keep demanding that we do more." He followed news reports about the law while it was still in the Legislature. Randy Carr of Carr Drugs on New Orleans' West Bank and other independent pharmacists also said they didn't sell large amounts of the drugs. Still, Carr said he isn't looking forward to the new record-keeping. "It's going to be a pain," he said. "People are not going to want to have to do one more thing - sign a log book, show your ID." The records must be kept only for 15 days. "Then what?" he asked. "Are we supposed to shred it? File it? Are we responsible to do the cross-referencing? It's going to be interesting to see how it's all interpreted." He hadn't heard about that requirement for logbooks or signed receipts. The state Board of Pharmacy plans to have mailed bulletins reach pharmacists statewide by Aug. 12, the Friday before the regulations go into effect. Asked if that was short notice, executive director Malcolm Broussard said, "The public is on notice whenever the Legislature passes a law." Some chains got word out to their franchises considerably earlier. "Our stores were all notified of that in mid-July," said Mike DeAngelis, spokesman for CVS Corp. in Woonsocket, R.I. He said CVS already required its stores to keep all pills or liquids in which ephedrine or pseudoephedrine was the only active ingredient behind the druggist's counter, and limited sales to 9 grams per customer. Louisiana is moving to an even stricter limit: 9 grams per customer, per month. And that's not the strictest state law. Alabama and Minnesota restrict sales or purchases to two packages, or 6 grams. The state of Washington allows only pharmacists or pharmacy employes or practitioners to sell products in which pseudoephedrine or ephedrine is the only active ingredient, and they have to keep their log books for two years. In Oregon, which already had a 9-gram limit, a bill requiring a physician's prescription for ephedrine or pseudoephedrine has been sent to the governor, who supports it. It will take effect next July. When it returns from its recess, the U.S. Senate is likely to vote on a federal bill that is stricter than Louisiana's. It would limit customers to 7.5 grams - about 250 30-milligram pills - in 30 days, require customers to sign a log book, and use computer tracking to keep people from going store-to-store. And legal drug makers are changing many of their formulas. Pfizer plans to be using phenylephrine, rather than pseudoephedrine, in up to half of its products by January. Leiner Health Products, which supplies generic cold and allergy drugs to retail chains such as Costco, Target, Walgreens and Wal-Mart, began shipping new products containing phenylephrine in June. Every Louisiana pharmacist interviewed agreed that something must be done to keep the ingredients out of the hands of people who want to misuse them to make meth. "We need to keep the drugs off the street. No question," Carr said. "The problem is, is everybody else doing this? Is Canada doing this? Is Mexico doing this? How easy is it going to be to get the chemicals from other places?" - --- MAP posted-by: Larry Seguin