PARTICIPANT HANDBOOKtacourts.com/images/FINAL_HANDBOOK.docx · Web viewFoods can contain trace...

TABLE OF CONTENTS

Welcome

Overview Page 3

The Treatment Team Page 4

Progress Reports Page 4

Court Hearings Page 5

Program Phases and Phase Requirements Page 5

AA/NA Meetings Page 10

Confidentiality and Attendance Page 11

Crisis Page 12

Medications

Inclement Weather

Program Rules

Page 13

Page 13

Page 14

Incentives and Sanctions Page 15

Termination from the Program Page 16

Search and Samples Page 17

Drug Testing

Curfew

Page 17

Page 18

Special Request Page 19

Program Fees Page 19

Appropriate Dress Page 20

Personal Hygiene Page 20

Employment Page 21

Graduation Page 21

Transportation Page 21

Conclusion Page 22

Veterans Resources

Community Resources

Page 23

Page 24

Contact Numbers & Emails Page 27

WELCOMEWelcome to the Towaliga Judicial Circuit Accountability Court Program. This Handbook is designed to answer your questions and provide overall information about the Accountability Court Program. As a participant, you will be expected to follow the instructions given in Court by the Judge and comply with the treatment plan developed for you by the treatment team. This Handbook will detail what is expected of you as a program participant and review general program information. If you are reading this Handbook it means that you have been accepted into the program based on your history of drug/alcohol use, a preliminary assessment of your treatment needs, and other interactions with law enforcement/court officials. Your acceptance into the program also means we are confident that this program will help you learn how to make successful choices and remain free of the influence of drugs and alcohol.

OVERVIEW

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The Accountability Court Program is a four-phase intervention program for adults who have pled guilty to one or more non-violent felony drug-related offenses and who are having difficulty staying clean and sober. It is a collaborative effort between the Superior Court, District Attorney's Office, Probation Office, Public Defender, Local Law Enforcement Agencies and Substance Abuse Treatment Providers. By working together, they seek to provide a variety of programs and consistent supervision geared toward supporting and helping you maintain a drug-free life. The Drug Intervention Program involves frequent court appearances, random drug testing as well as group and individual counseling. The Court awards incentives for compliant behavior and imposes sanctions for negative behavior. Participants who do not comply with the rules may be placed in short-term custody, moved back to the previous phase in the program or a variety of other sanctions. They may also be terminated from the program. All staff working within the program will assist you to be sure you understand what is expected of you.

THE TREATMENT TEAMThe Judge will make all decisions regarding your participation in the Accountability Court Program with input from the Treatment Team. In addition to the Judge, the Treatment Team consists of the following members: Program Director/CoordinatorCase Manager Treatment Provider/CounselorProbationLaw EnforcementPublic Defender District AttorneyPrior to each court appearance, the Drug Court Team members familiarize themselves with your progress so that they may discuss that progress with you during Court.

PROGRESS REPORTSBefore each Court appearance, the judge will be given a progress report presented by the Case Manager. This information is compiled by details gained from the treatment team and the participant. Therefore, it is very important for you (the participant) to meet with the case manager

weekly to make sure that accurate information is being obtained. The progress report will discuss your drug testing results, attendance, participation and cooperation in the treatment program, employment or other requirements. The judge may ask questions about your progress and discuss any problems you may be having. If your progress reports show that you are not doing well, the judge will discuss this with you and determine future action, which could include a sanction intended to help you remember your goals in the program.

DRUG COURT HEARINGS A.K.A. REPORT BACKAs a program participant, you will be required to appear in Court on a regular basis. Failure to appear may result in a court order for a sanction, or possibly result in a warrant being issued for your arrest and detention in jail until you can appear before the court. If you have questions about your court appearances you may contact the program director, or Case Manager. Unless otherwise specified, report back sessions are held on the 2nd and 4th Friday of every month at the Lamar County Court house at 326 Thomaston St. Barnesville, GA. You must be in the court room by 9:30AM. If your color is called on report back Friday, you will report to the TAC office between 8:00 and 9:00 AM for drug screen. These times are subject to change. You will exhibit behavior and dress deemed appropriate for court environment. If you have any questions regarding what this entails, please request a meeting with your case manager, counselor, or director to discuss. You will also be required to present your meeting sheet to the Judge when called up for review during each Report Back session.

PHASES AND PHASE REQUIREMENTSThe Accountability Court Program is a minimum 24-month program divided into four phases. You must successfully complete each phase before progressing to the next phase. It is your responsibility to keep up with your time in each phase. When you determine your phase-up date is drawing near, you will need to get a Phase-up request form from your case manager. Once this is complete, you will schedule and appointment with the Case Manager to determine the meeting of all requirements for moving up then follow up with an appointment with Treatment provider. All fees must be current in order to Phase-up. If you have missed any days in your class or have assigned work that has not been completed, this will need to be completely made up before phasing up. All requirements must be met and you must have a minimum of 8 weeks of negative drug screens in order to phase up. You will then request an appointment with the Counselor to update your treatment plan and goals. You will be in orientation for 1 week (2 sessions) before entering Phase 1. During this Orientation period, you are responsible for completing all paperwork and assignments issued to you. You are responsible for familiarizing yourself with the program and program handbook as well as calling

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the drug screen line daily. You are responsible for being in the classroom on time each day. Tardiness will not be tolerated in any class and may result in sanctions up to and including jail time. You will write in your journal for the first 30 minutes of every class period. There should be no talking or moving in, out, and around the classroom during this 30-minute period. This is your time for self-reflection. You must write at least one page every day. If there is no topic written on the white board in the classroom, there are jars in each class with topics you can choose from. You always have the option of writing anything you wish to write about. You must schedule an appointment to set up case management during orientation.

While in Phase 1 you will begin working on coping skills and will be provided with tools that will help in your continued recovery. You will be required to gain a sponsor while in Phase 1 and will not be able to move into Phase 2 without one. You will also be required complete the necessary phase up steps prior to advancing into Phase 2. You must be employed full time, actively seeking full time employment or be a full-time student unless otherwise approved by the Judge.

In Phase 2 you will spend several months learning about self reflection and the impacts substance abuse has had on you and those around you. You will also be given assignments that will assist you in determining who you are and how to move forward in your new life free from drugs and alcohol. As an additional part of Phase 2 you will also be required to complete an Phase 2.5-Anger Management course. If you do not have your GED or high school diploma, you must begin working on taking these classes during this time and will not be permitted to graduate until completed unless otherwise approved by the Judge.

During Phase 3 participants will spend at least 10 months working on an assortment of life and social skills designed to prepare them to become productive members of society. Topics covered in this Phase of the program may contain but are not limited to budgeting, finances, hygiene, parenting, relationships etc….

During Phase 4 you will spend approximately 3 months in Transitions before you graduate. During this time it is important for you to have a well defined network and be solid in your recovery.

We will have four graduating classes per year as program graduations are held quarterly. You will not move into Transitions until the previous class graduates. For example, if you complete the requirements of Phase 3 before the current Transitions class graduates, you will remain in Phase 3 until the current class exits the program. You must have at least 6 months clean time in order to move into Transitions. You must complete a Capstone project and all program fees must be paid in full 2 weeks prior to your scheduled graduation date. If fees are not paid in full, your graduation date will be post phoned to the next quarterly graduation date. You must be employed full time or be a full-time student unless otherwise approved by Accountability Court staff.

**Please note: Class schedules are subject to change. You are responsible for keeping up with and managing your own schedules during each phase. Please see the last page of your handbook for current class schedule. You are allowed two excused absences per phase. You must provide documentation for absence. All travel requests must be submitted to the Director for approval. Please allow at least one week between submission of travel request form and intended travel dates.

ORIENTATION and PHASE ONE

Length of phase: Approximately 5 months 🡪 Counselor will assign you to Seeking Safety class or Matrix for this phase.

Requirements: STAY CLEAN AND SOBER; ATTEND ALL REPORT BACK SESSIONS; ATTEND TREATMENT / GROUP SESSIONS 2 DAYS PER WEEK; ATTEND INDIVIDUAL TREATMENT AS INSTRUCTED BY TREATMENT PROVIDER; ATTEND AND DOCUMENT AT LEAST 2 NA OR AA MEETINGS PER WEEK (ONE OF WHICH CAN BE A CHURCH SERVICE); ESTABLISH A SPONSOR / COMMUNICATE WEEKLY; MEET WITH CASE MANAGER ONCE PER WEEK; PAY PROGRAM FEES; SUBMIT TO REQUIRED AND RANDOM DRUG TESTING; BEGIN SEARCH FOR EMPLOYMENT AND DOCUMENT ATTEMPTS; ABIDE BY CURFEW (9 PM); IF YOU HAVE A DIPLOMA OR GED, YOU ARE REQUIRED TO SUBMIT A COPY TO THE CASE MANAGER; COMPLETE ALL ASSIGNMENTS ON TIME; ARRIVE FOR CLASS AND BE SEATED IN YOUR CLASSROOM AND READY TO JOURNAL AT 5:30 PM. IF YOUR COLOR IS CALLED ON CLASS DAY, YOU NEED TO ARRIVE 30 MINUTES EARLY TO COMPLETE DRUG SCREEN PRIOR TO CLASS. FOR ALL VETERANS, PLEASE SUBMIT A COPY OF YOUR DD214 TO CASE MANAGER. Minimum requirements for successful completion of Phase 1

Complete written Treatment and Case Plan Update.

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No more than 2 absences during Phase 1.

A minimum of $580.00 paid in program fees.

No less than 8 consecutive weeks of negative urine screens.

No disciplinary problems.*Unsuccessful participants will attend Life Skills classes and be re-evaluated biweekly until they meet requirements to move to Phase 2.

PHASE TWO

Length of phase: Approximately 6 months

Requirements: STAY CLEAN AND SOBER; ATTEND ALL SCHEDULED REPORT BACK SESSIONS; ATTEND TREATMENT / GROUP SESSIONS 2 DAYS PER WEEK; ATTEND INDIVIDUAL SESSIONS AS DIRECTED BY TREATMENT PROVIDER; ATTEND AND DOCUMENT AT LEAST 2 NA OR AA MEETINGS PER WEEK (CHURCH SERVICE MAY BE SUBSTITUTED FOR 1 MEETING); MAINTAIN COMMUNICATION WITH SPONSOR WEEKLY; MEET WITH CASE MANAGER 1 TIME PER WEEK; PAY PROGRAM FEES OR $120 MONTHLY; SUBMIT TO REQUIRED AND RANDOM DRUG TESTING; MAINTAIN EMPLOYMENT or FULL TIME STUDENT STATUS; ABIDE BY SET CURFEW – 10 PM; COMPLETE ALL ASSIGNMENTS ON TIME; BE ON TIME FOR ALL CLASSES AND APPOINTMENTS. Minimum requirements for successful completion of Phase 2



A minimum of $690.00 paid in program fees.(total $1270.00)



ANGER MANAGEMENT (Phase 2.5)

Length of phase: 2 months minimum

Requirements: STAY CLEAN AND SOBER; ATTEND ALL SCHEDULED REPORT BACK SESSIONS; ATTEND TREATMENT / GROUP SESSIONS 1 DAY PER WEEK; ATTEND INDIVIDUAL SESSIONS AS DIRECTED BY TREATMENT PROVIDER; ATTEND AND DOCUMENT AT LEAST 2 NA OR AA MEETINGS PER WEEK (CHURCH SERVICE MAY BE SUBSTITUTED FOR 1 MEETING); MAINTAIN COMMUNICATION WITH SPONSOR WEEKLY; MEET WITH CASE MANAGER 1 TIME PER WEEK; PAY PROGRAM FEES $120 MONTHLY; SUBMIT TO REQUIRED AND RANDOM DRUG TESTING; MAINTAIN EMPLOYMENT or FULL TIME STUDENT STATUS; ABIDE BY SET CURFEW – 10 PM; COMPLETE ALL ASSIGNMENTS ON TIME; BE ON TIME FOR ALL CLASSES AND APPOINTMENTS. Minimum requirements for successful completion of Phase 2.5


No more than 2 absences during Phase 2.5.




PHASE THREE

Length of phase: 8 months minimum

Requirements: STAY CLEAN AND SOBER; ATTEND ALL REPORT BACK SESSIONS; ATTEND GROUP SESSIONS 1 TIME PER WEEK; ATTEND INDIVIDUAL SESSIONS AS DIRECTED BY TREATMENT PROVIDER; ATTEND AND DOCUMENT ATLEAST 2 NA / AA MEETINGS PER WEEK; MAINTAIN COMMUNICATION WITH SPONSOR WEEKLY; MEET WITH CASE MANAGER TWICE PER MONTH; PAY PROGRAM FEES $120.00; SUBMIT TO REQUIRED AND RANDOM DRUG TESTING; MAINTAIN EMPLOYMENT; COMPLETE ALL ASSIGNMENTS ON TIME; ABIDE BY SET CURFEW – 11:00 PM; BE ON TIME FOR ALL CLASSES AND APPOINTMENTS. ****ALL PROGRAM FEES MUST BE PAID BEFORE MOVING INTO TRANSITIONS.Minimum requirements for successful completion of Phase 3






PHASE FOUR - TRANSITIONS

Length of phase: Approximately 3 months

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Requirements: STAY CLEAN AND SOBER; ATTEND ALL REPORT BACK SESSIONS; ATTEND TREATMENT SESSIONS TWICE PER MONTH; ATTEND INDIVIDUAL SESSIONS AS DIRECTED BY TREATMENT PROVIDER; ATTEND AND DOCUMENT ATLEAST 2 NA / AA MEETING PER WEEK; MAINTAIN SPONSOR / WEEKLY COMMUNICATION; MEET OR CALL CASE MANAGER 1 TIME PER MONTH; SUBMIT TO REQUIRED AND RANDOM DRUG TESTING; MAINTAIN EMPLOYMENT; COMPLETE CAPSTONE PROJECT WEEKLY AS OUTLINED BY TRANSITIONS FACILITATOR. COMPLETE GRADUATION PACKET, INCLUDING A GRADUATION SPEECH. Minimum requirement for successful completion of TAC



No less than 6 consecutive months of negative urine screens.


AA/NA MEETINGS

While in orientation you will be required to begin attending 2 NA or AA meetings per week, one of which may be substituted for a church service. You are also required to participate actively in the meetings. This means sharing your experience, strength, and hope with others. You are required to have a sponsor. These are people with years of sobriety and clean experience who are there to help YOU. We encourage you to attend different meetings at different locations or times during your first phase. Each group has their own personality and perspective. One group may be composed primarily of younger adults, whereas others may feature members more advanced in age. Some groups have members with a lot of sober/clean time; others are geared more towards new members. Some meetings allow smoking, while others don’t. Shop around - meet people - and find a group you are comfortable with.Once you find a group, then ask someone to serve as your Sponsor. Your Sponsor will serve as a mentor and assist you in working the steps. These are people with years of sobriety and clean experience who are there to help YOU. Pick someone you feel comfortable with and who is the same gender as you. Sponsors must have at least 2 years clean time and cannot be a family member.To get credit for your meetings, the meeting facilitator will need to sign your meeting sheet. You will fill your meeting sheet out completely in order to receive credit for attending. You must arrive at the meeting on time and stay for the entire meeting. When you come in for class, write down your meeting dates in the space provided on your sign in sheets. Your counselor / facilitator will approve and initial. You will not receive credit for any meetings if 1. You do not record your meeting dates on your sign in sheet 2. You have not completed each section of the meeting form 3. You do not turn your meeting sheet in to your counselor / facilitator. *BRING YOUR MEETING SHEETS TO ALL CLASSES & TO COURT FOR REPORT BACK.

CONFIDENTIALITY

State licensing requires that your identity and privacy be protected. In response to these regulations, the Drug Court Team has developed policies and procedures that guard your privacy. You will be asked to sign an Authorization for Release of Information. This disclosure of information is for the sole purpose of your treatment and of hearings and reports concerning your specific court case.

ATTENDANCE

Consistent attendance to all scheduled treatment, case management, court appearances, and drug screenings are the foundation of our program. All participants are expected to be at sessions and appointments on time, regardless of circumstances. Treatment cannot be effective for participants if they aren’t there to participate. From time to time a situation may arise that would prevent you from attending a session or appointment. If such a situation occurs, contact a Drug Court Team member immediately. A list of important contacts and phone numbers are provided on the last page of your handbook.Decisions regarding the appropriateness of an absence is a joint decision and may be made by administration staff, Treatment Team, Director or Judge. In considering the consequences of an absence, the Team will consider several factors:Documentation from the participantParticipant’s resourcesParticipant’s family and social supportHistory of absenteeism

Please note that arriving 15 minutes or more late for sessions and appointments is considered an absence. It is important for you to attend, even if you are late, since this may help you avoid sanctions.

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CRISISFrom time to time, participants may experience difficulties, which may require emergency mental health or medical assistance. In cases like this, we encourage our program participants to use local community resources for assistance. For mental health issues or medical issues, especially withdrawal or seizure issues, proceed to the nearest Emergency Room as soon as possible. Please be sure to inform the E.R. doctors that you are a participant in the Drug Intervention Program.

MEDICATIONS

During your treatment, you may have the need to see a doctor for treatment of an illness or a dentist for dental work. It will be necessary for you to inform your doctor or dentist that you are in recovery for drug/alcohol addiction. Should it be necessary for a doctor to prescribe medication, knowledge of your potential sensitivity to drugs will be helpful in assisting your doctor to make an appropriate selection of a medication. Being in recovery doesn’t mean that you must suffer unnecessarily. It is permissible for Treatment Program participants to take prescribed

medications as long as the prescription has been approved by the Program Director or Treatment Team. The same concept applies to over-the-counter medications. For instance, products such as Nyquil contain alcohol and could potentially show positive on Drug/Alcohol tests. Painkillers for injuries or dental work could show up on a Morphine test. You must call the Treatment Director or staff member prior to

taking any medication if they are not listed on the “Class C-Safe to Take” guide! Medication approval forms are located above water

fountain. If you test positive for medications that have not been approved by the Treatment Team, it will be considered as an attempt to use

drugs and sanctions will be levied. Do not take medications that are prescribed for your family members. Do not exceed recommended dosage levels for over-the-counter (OTC) medications or prescription medications.

INCLEMENT WEATHERDuring winter months, some clients may experience difficulty attending a session due to ice and snow conditions or other weather conditions. The Drug Court Program generally follows open/close guidelines set forth by the Lamar County Government System. Participants should call the screening line for closer information, and listen to radio/TV to determine whether the courts will be closed that day. If the courts are closed, then participants are excused from attending scheduled sessions.

PROGRAM RULESAs a participant you will be required to abide by the rules outlined in the participant contract, including, but not limited to the following:1. Totally abstain from the use of alcohol, illegal drugs, and any illegally obtained / abused prescription drugs.2. Inform your treating physicians that you are a recovering addict and may not take narcotic or addictive medications or drugs.

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3. Attend court sessions, treatment sessions and all appointments as scheduled, submit to random alcohol and drug testing, remain clean, sober and law abiding. 4. Do not associate with people who use or possess drugs. 5. Do not bring any weapons onto the TAC property, or inside the facility while in the TAC Program. 6. Keep the Drug Court Team informed of your current address, phone number, employment changes and up to date vehicle information at all times. 7. As a condition of participation in the TAC Program, your person, property, place of residence, vehicle or personal effects may be searched at any time with or without a warrant, and with or without reasonable cause, when required by a probation officer or other law enforcement officer. Your Surveillance Officer will visit you at your home, place of employment, community service, etc., to ensure that you are abiding by the rules of the program. 8. Dress appropriately for court and treatment sessions.9. No VAPE DEVICES or E CIGARRETTES.10. No fraternizing between participants. 11. No Outside food or Drink permitted inside the building.12. No Cell phones permitted in class.13. No loud music or spinning tires in parking lot.14. All medications must be approved prior to consumption!!

Abide by all other rules and regulations imposed by the Program Director, and Drug Court Team.

INCENTIVESUpon the recommendation of the Drug Court Team, participants may be given rewards or incentives for compliant behavior. Common incentives are as follows: Praise by the Court/Judge Pizza Party for each Phase for complying for 30 days Gift Card Certificates of Recognition

“A List”***If at any time, it is determined by

the treatment team you are not

appropriately progressing in the

program (ex: fees not being paid,

lack of employment or

stable employment, not

attending meetings or

consistent positive screenings

or dilutes) you may be moved into

residential treatment or RSAT.

If stipulated, you will return to

Towaliga Accountability

Court for 15 months aftercare.

Upon your return, you will go straight

into Phase 2 and continue

accordingly.

SANCTIONSEXAMPLES -SANCTIONS

Essay Community Service

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“A List” RequirementsHave Been in the Phase 1 at least 2 monthsPerfect attendance to groupAttending required support group meetingsGreat AttitudeAll Negative drugs screensNo DilutesMaking Regular PaymentsEmployed or actively seeking employmentAttending all scheduled appointments

Warning/Admonishment from JudgeIncreased court appearancesIncreased treatment sessionsNo transition to next phaseIncrease meetingsIncarceration

Termination from programSanction will be at the discretion of the Program

Director/Team/Judge

The sanctions and incentives listed are to be used as a guide. All cases will be viewed on a case by case basis .** The Judge will make all final

decisions.

TERMINATION FROM THE PROGRAMWarrants, new arrests or a violation of any aspect of your treatment plan may result in your being terminated from the Drug Intervention Program. Other violations, which could result in termination, include the following: ∙ Missing and/or positive drug tests; Altered drug test; ∙ Violence or threat of violence directed at treatment staff, other participants of the program or other clients of the treatment providers;

● Fraternizing

● Absconding

● Failure to progress

SEARCH AND SAMPLES

As a participant in the TAC Program, you are required to submit your person, vehicle and place of residence to search and seizure of narcotics, drugs or other contraband at any time of the day or night with or without a search warrant, without prior notice and without probable cause by any peace officer or probation officer. The Drug Court Staff may also search any and all social media accounts including your cell phone. Surveillance may also collect samples for drug testing and perform breathalyzer tests randomly throughout the week. You will be given 1 hour from the time the Surveillance Officer requests a drug test to produce a urine sample. Failure to produce a sample in the specified time will result in the test being considered missed and dirty.

DRUG TESTINGYou will be drug tested randomly throughout your entire participation in the TAC Program. ****YOU MUST CALL THE SCREENING LINE DAILY (770-358-5098). You must listen to the ENTIRE message and hang up (make sure you are hanging up the phone before you hear the “beep” to leave a message). You will be issued a color on your first day of orientation. If your color is called, you must report to the TAC office between the screening hours listed on the screen line. Test times on Report Back days are 8:00am-9:00am. These times are subject to change on weekends and holidays. Any changes in screening times will be so noted in the screen line message. Again, you are responsible for listening to the ENTIRE message. If you miss a screen due to a time change, you will be held responsible for a missed drug screen. You will be observed to ensure freedom from errors. If you miss a test, it will count as a positive (dirty) test. If you have a positive test in any drug court phase, the Judge, based on recommendations from the Director and/or the Drug Court Team, will apply immediate sanctions which may include time in jail.Participants will be given up to 20 minutes to produce a specimen for testing after signing in- if you can’t produce enough urine within this time then the test will be termed as a missed (dirty) test.

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Participants may dispute positive test results. Such tests will be sent to a laboratory that is approved by the Towaliga Judicial Ciruit for a retest. The participant will be responsible for the cost of retesting and must submit a non-refundable blank $35.00 money order within the first 48 hours. The lab will transmit back to us written confirmation on each test detailing which drugs are present and an approximate quantity level. Random tests will be performed during the week and selected weekends and holidays. Every participant will be responsible for calling the Drug Court Screen/Information Line (770) 358-5098 after a designated time to see if you are required to report for testing. Random testing may also be done at any point or anytime of TAC choosing even if your color is not called on the screen line. Failure to appear or refusal of a drug test will automatically be considered as testing positive. Any efforts to dilute, modify, substitute, or alter

specimen in an effort to pass a drug screen will be considered an automatic positive and will be subject to automatic termination

from program.Once a participant has signed in for a drug test he or she will not be permitted to leave the building until a sample is produced.

Leaving the building without producing a sample will be considered as a positive. CurfewCurfews are as follows. Your curfew goes into effect the day you start orientation. For any reason that you will be out past curfew you must have prior approval. Exceptions would be work or meeting but must be approved prior. Being caught out after curfew will result in automatic

sanction.

Phase 1-9:00pmPhase 2-10:00pmPhase 3-11:00pmPhase 4-No curfew

PROGRAM FEES All Drug Court Program participants will be required to pay a total program fee of $2400.00. These fees can be paid weekly, monthly or as a lump sum. Fees must be completely paid in full 2 weeks prior to graduation otherwise graduation will be moved to the next quarterly graduation date. All fees are to be paid in by money order only. No personal checks will be accepted. Fees are non-refundable. All Payments must be placed in payment box located by the check in window. In order to make the A List participant fees must not exceed a balance of more than $100. If balance owed exceeds the amount of $250 a discussion with the Director will be scheduled and possible sanctions may occur depending on the circumstances. These sanctions may include but are not limited to being pulled from current class, attending additional finance and budgeting classes or being terminated for failure to progress.Part of the recovery process is to acquire and maintain financial budgeting and management skills. Should a participant encounter an extreme circumstance, he or she should discuss the issue with the Program Coordinator or Case Manger to consider other options.

SPECIAL REQUESTS1. All travel requests or any other special requests must be submitted to your program director a minimum of one week in advance.2. All requests must have verified documentation attached. (For example: all documents provided by doctors, school, work, or court must be on letterhead explaining the situation and signed by a person in authority, including a phone number.)3. The Program Director or the Drug Court Team will screen requests and recommend whether they be presented to the Judge for consideration.4. The Judge will grant or deny requests.Only legitimate excuses will be considered. For example, birthdays, anniversaries, vacations, concerts, etc... are not legitimate. In the event of a sudden illness and or death of an immediate family member, of course, proceed as needed. (Immediate family includes spouse, children, siblings, parents, and grandparents only). Contact the program Coordinator by phone on the next working day and submit proof of relationship, medical records or an obituary upon your return to treatment. You may be asked by the Team to obtain an attendance form and have it signed by an employee of the Funeral Service location.

APPROPRIATE DRESSClothing Treatment Facility Court

Hats/Worn correctly OK Never

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Sunglasses Never Never

Tank tops Never Never

Shirts depicting alcohol products, tobacco products, illicit drugs Never Never

Ladies - See thru blouses Never Never

Ladies - Skirts w/ long slits Never Never

Ladies - mini-skirts Never Never

Shorts/ touching knees when standing OK Never

Skirts, dresses/touching knees standing OK Ok

Jeans/no holes, rips or tears ok ok

While we understand that some participants may be coming directly from work to attend group, or may be going to work directly from group, it is important to be dressed properly both in group and during Court. Keep additional approved clothing in vehicle if needed. Attention should be paid to ensure that your clothing is tasteful and appropriate - if you have any questions - ask the staff. Participants who appear for group or Court inappropriately dressed will be asked to leave and will be charged with an absence for that session.

Personal Hygiene

Bathe, wash your hair, brush your teeth, wash your hands, wash your clothes, wear deodorant. Groom yourself. You are no longer living a life of active addiction………act like it.

*See case manager if you need a personal care kit.

Proven fact: When you look good, you feel good. EMPLOYMENT

All participants are required to be employed full-time (32 Hours per week) unless otherwise approved by the Judge. If unemployed or not enrolled as a full time student, you will be required to complete and submit minimum of 12 job searches weekly to the case manager. You are also required to perform community service of 20 hours weekly. This process will be required weekly until suitable employment is obtained. Employment verification forms will be sent to each participants employer to verify legitimate employment. Not gaining employment may result in sanctions and viewed as lack of progression in the program. This can result in possible termination.

GRADUATIONGraduation from the program is recognized as a very important event. Your loved ones will be invited to join you at a special ceremony as the Drug Court Team congratulates you for successfully completing Phases 1 – 4 of the program and achieving your goal to establish a drug-free life. In order to graduate the Towaliga Accountability Courts Program a participant must meet all required goals and have all negative drug screens for a minimum of 6 months prior to graduation date. All program fees must be paid in full 2 weeks prior to scheduled graduation date. All graduation ceremonies are held quarterly. Participant’s program completion dates must fall within a two week window of a graduation ceremony to determine closest graduation date. You will be required to remain in the program until the next graduation ceremony is held if you do not fall into the two week window.

TRANSPORTATIONWe provide transportation to and from drug testing, group and court. If available other appointments can be scheduled but must be approved by Yeadon Enterprises owner. You must schedule your pick up the night before pickup is needed. Transportation is free for all participants during the first 6 months of the program. Transportation waiver must be signed prior to use of transportation.

CONCLUSION

The goal of the Towaliga Judicial Circuit Accountability Drug Court Program is to help you achieve a life free of drugs and alcohol. The Judge, court staff and the TAC Team are here to guide and assist you, but the final responsibility is yours. To succeed, you

must be motivated to make this commitment to a drug free life. 11

Your best life starts today!!

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Community ResourcesCOMMUNITY RESOURCES

Dental Lamar Co. Dental Clinic

770-358-7047 or 770-317-8335Only open on Wed. Call to make Appt.

Drivers

License

DDS-Jackson, GA DDS-Griffin, GA

149 Riverview Park Rd 1313 Arthur K. Bolton PkwyJackson GA 30233 Griffin GA 30223678-413-8400 770-229-3415Online: www.dds.ga.gov

Food Butts Co. DFCS

770-504-2383 Food StampsApply through www.COMPASS.ga.gov. Paper applications at local DFCS officeDonovan’s Dream

770-358-7721306 Rogers St.Barnesville, GA 30204Pleasant Grove Church – Grove Food Bank

678-544-2428Lamar Co.-Hope Tree Ministries Food Pantry

770-358-3127Contact: Jimmy FambroLamar County DFCS- Food Stamps770-358-5170M-F 8:00-5:00pmApply through www.COMPASS.ga.gov. Paper applications at local DFCS officeSalvation Army

770-775-2940Has a food pantry. Call for more informationWIC (Women, Infants, Children)

1-800 228-9173

www.fns.usda.gov/wic

Health\

Medical

Butts County Health Department

463 Ernest Biles Dr.

Jackson, GA 30233

770-504-2230

Lamar County Health Department

118 Academy Dr., Ste. B

Barnesville, GA 30204

770-358-1483

Monroe County Health Department

106 Martin Luther King Jr. Dr.

Forsyth, GA 31029

478-992-5082

Your Towne Health

101 Commerce Pl, Ste. 1

Barnesville, Ga 30204

770-358-4408

Southside Medical Center

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176 Lyons StreetJackson, GA 30233(404) 341-6686

GED/Adult

Education

Southern Crescent Technical College

Adult Education/GED

Barnesville Housing Authority

285 Indian Trail

Barnesville, GA 30204

770-358-4859

Southern Crescent Technical College

Adult Education/GED

Butts County Center

1578 Hwy 16W

Jackson, GA 30233

770-504-2185

Central Georgia Technical College

Adult Education/GED

Monroe County AECOC

433 Hwy 41 S

Forsyth, GA 31029

478-992-2880

Approved Community Service Locations(Must be 501-3C Non-profit Organization Court Approved)

Lamar County Senior Center

106 Veterans Dr.Barnesville, GA 30204

770-358-5361Lamar County Recreation Center

112 Andrews Rd.Barnesville, GA 30204

770-358-5800Salvation Army

178 Benton St.Jackson, GA 30233

770-775-2940High Falls State Park

76 High Falls Park Dr.Jackson, GA 30233

478- 993-3053Indian Springs State Park

678 Lake Clark Rd,Flovilla, GA 30216

770-504-2277Towaliga Accountability Court

130 Library St.Barnesville, GA 30204

770-358-5029Monroe County Animal Shelter

157 L Cary Bittick Drive Forsyth, GA 31029

478-994-7976

Contact Numbers and Email Addresses

***Remember…Communication is key!!

Never hang up without leaving a message. Once you leave a message, send a text. Our office stays extremely busy and it is very important that we are aware of things going on and that you are keeping us informed.

This could mean the difference in having to write and essay or going to jail.

Our office is open from 9:00-5:30 5 days a week. Don’t wait till the last minute. Our staff is here and willing to help.

14

To report absences or ask questions about your requirements, text or call the director: Jeff Dawson office: 770-358-5029, cell: 706-819-2978 or email: [email protected] questions about times and dates of classes or when you need to talk to someone about a situation or current feelings you may be having contact your counselor: Jasmine Copeland : office 770-358-5029 email: [email protected] questions related to drug screening or medications, contact the lab manager: Scott Duke: office 770-358-5029 or by email: [email protected] questions or inquiries related to housing, employment, appointments, needs, concerns or payments, please contact your case manager: Becky Patterson :office 770-358-5029 email: [email protected] other questions related to payments contact the Financial Assistant Sandra Carter : office 770-358-5029 or by email [email protected]

TALBOTT RECOVERY CAMPUS

15

Medication GuideFor A Safe Recovery

A guide to maintaining sobriety while receiving treatment for other health problems.

Revision 2.0 -June 2014

Table of Contents

16

Introduction………………………………………………………………………..30

How to Use this Guide……………………………………………………….32

Class A Drugs (Absolutely Avoid)…………………………………………33

Class B Drugs……………………………………………….39

(With Addiction Medicine Specialist/Doctor Approval Only)

Class C Drugs (Generally Safe to Take)………………………….43

Alcohol-Free Products…………………………………………………………….50

Incidental Exposure…………………………………………57

17

Introduction

From the Talbott Recovery Campus

Welcome to the Talbott Recovery Campus guide for a safe and sustained recovery. This document was developed through a collaborative effort between some of the best minds in addiction care today

and will help you make wise decisions, ensuring that medications you may be prescribed and incidental exposure to alcohol do not threaten your hard won recovery.

This guide is divided into three sections and is based on the drug classification system developed nearly 20 years ago by Dr. Paul Earley and recently expanded on by Bruce Merkin, M.D., Renee Enstrom,

Nicholas Link and the staff at Glenbeigh hospital. Part one provides a way of categorizing medications according to their safety. Part two offers a list of liquid medications that do NOT contain alcohol.

Section three was developed by Greg Skipper, M.D., FASAM and provides a list of common household products that contain ethyl alcohol and could produce a false positive on testing for alcohol.

Avoiding these products will decrease the likelihood you will absorb or ingest small quantities of alcohol that could sensitize your system and threaten recovery.

Please remember that this guide is only intended as a quick reference and never as a substitute for the advice of your own personal physician. It is essential that you inform all of your personal physicians,

dentists and other health care providers of your chemical dependency history so that medications can be prescribed safely and appropriately when they are deemed necessary. Never discontinue or make

any changes in the doses of medication that you may have been prescribed. Doing so may result in unexpected problems such as withdrawal reactions, which in some cases can be life-threatening. The

bottom line is that a recovering addict or alcoholic needs to become a good consumer. Remember that "Recovery Is Its Own Reward." Being healthy and regaining a happy life is your responsibility!

18

How to Use this Guide

How to Use this Guide

There are many types of medications that may present a hazard to a person beginning the journey of recovery from chemical dependency. These include prescription and over-the-counter medications. The

danger is not always that a recovering addict may develop a new addiction (though this certainly can happen), but that one can be led back into dependence on their drug of choice. The latest scientific

research has proven that all the dependenceproducing drugs act on the brain in the same way to produce addiction, despite having different effects or a different kind of "high" when taken.

In addition, if urine drug screening is part of the recovering person's continuing treatment program, use of many types of medications can result in falsely positive tests for the more highly addictive

classes of drugs, resulting in negative consequences. Therefore, it is very important for a recovering person to learn about the different types of medications and drugs, as well as which ones present a

special risk to continuing recovery and sobriety. The commonly available medications and drugs are divided into three classes —A, B and C — to indicate three levels of risk.

Class A drugs must be avoided completely, as they are well known to produce addiction and are the most dangerous of all. Only under very unusual conditions can Class A drugs be taken by a recovering

addict or alcoholic, and only when given by a physician or dentist and with the consent of the addiction medicine physician that follows your care. These exceptional circumstances can include severe

illness and injuries, including major surgery, car accidents and other trauma, and tests or procedures that can only be done under sedation or anesthesia. Medication treatments for certain psychiatric

conditions are in this category as are medications used for drug detoxification. The street names for relevant drugs are also included in Class A.

The medications in Class B are also potentially dangerous, especially when taken by recovering persons without the guidance of a physician or another health care professional. However, under certain

circumstances, the Class B group can be taken safely under a physician's care. We strongly urge you to have an addiction medicine specialist follow your treatment when you are prescribed these

medications.

Class C medications are generally safe from the point of view of addiction recovery. However, overuse of any medication, even the common over-the-counter remedies, can result in unwanted side effects.

People who have struggled with drug addiction or alcoholism must remain aware of the tendency to look for external solutions for internal problems and should avoid taking any of these medications on

their own in order to medicate emotions and feelings. The tools of recovery, including participation at 12-Step fellowship meetings, working the Steps, or talking with a sponsor, counselor or doctor,

provide safe and healthy ways to deal with the strong feelings that can come up at any time in early sobriety.

The three classes of medications that appear on the following pages include both the brand name (i.e. "Valium"), as well as the generic name (i.e. "diazepam"), as the maj ority of prescription bottles are

labeled with the generic name. On the following pages, look for the brand name listed first, followed by the (generic name) in parentheses. For street drugs, the common name is listed first, and the

chemical name or street name is in parentheses. For each drug

group in Class A and B, there is also a brief explanation of the dangers associated with taking the medication or street drug. At the end of the document there are two reference guides. The first is a list of

alcohol-free products grouped by therapeutic category. The manufacturer is listed next to each product name. The second is the Incidental Exposure Index, which details common OTCs and products that

contain alcohol.

Alcohol:

Ale Malt Beverage

Beer (including "near bear" & "non-alcoholic" forms) Whiskey

Brandy Wine

Liqueur Wine Cooler

Alcohol consumption reduces social inhibitions and produces pleasure and a sense of well-being. It is a stimulant (raises blood pressure and heart rate) and a depressant. Alcohol atTects the brain's

reward pathways and appears to be related to interactions with dopamine, GABA, serotonin, opioid and NMDA neurotransmitter systems. The

19

Class A Drugs

Absolutely Avoid'non-alcohol" or "NA" forms of beer should not be consumed because there is a small amount of alcohol present and research shows that smell may be enough to trigger cravings and a subsequent

relapse among certain alcoholics. Please note that there is a variety of cough and cold preparations that contain alcohol and that medications which can be taken in tablet form will not contain ethyl

alcohol. Certain topical products, soft-gels and capsules contain ethyl alcohol and should be avoided. Please refer to the table at the end of the document for a list of alcohol-containing products to avoid.

Antitussives/Expectorants:

Ambenyl (codeine/bromodiphenhydramine) Hydromet (hydrocodone/homatropine)

Duratuss HD (hydrocodone/dextromethorphan) Mytussin (codeine/pseudoephedrine/guaifenesin)

Guiatuss (codeine/pseudoephedrine/guaifenesin) Nucofed (codeine/pseudoephedrine/guaifenesin)

Hycodan Tablets (hydrocodone/homatropine) Phenergan with Codeine (codeine/promethazine)

Hycodan Syrup (hydrocodone/homatropine) Robitussin AC (codeine/guaifenesin)

Hycomine (hydrocodone/chlorpheniramine/ Tussionex PennKinetic (hydrocodone/chlorpheniramine)

phenylephrine/acetaminophen/caffeine) Vicodin Tuss (hydrocodone/guaifenesin)

Hycotuss (hydrocodone/guaifenesin)

Any cough medications containing narcotics such as codeine or hydrocodone should not be used. These medications bind to opiate receptors in the central nervous system, altering the perception of and

response to pain and produce generalized central nervous system depression and may alter mood or cause sedation.

Barbiturates:

Amytal (amobarbital) Esgic (acetaminophen/butalbital/caffeine)

Barbita (phenobarbital) Fioricet (butalbital/acetaminophen/caffeine)

Butisol (butabarbital) Fiorinal (butalbital/aspirin/ caffeine)

Donnatal (phenobarbital/atropine/hyoscyamine/ Nembutal (pentobarbital) scopolamine) Seconal (secobarbital)

These medications can produce central nervous system depression ranging from mild (sedation) to hypnotic (sleep induction). As the dose is increased, coma and death can occur. These medications can

also lead to an unusual excitatory response in some people.

Benzodiazepines:

Ativan (lorazepam) Restoril (temazepam)

Centrax (prazepam) Serax (oxazepam)

Dalmane (flurazepam) Tranxene (chlorazepate)

Doral (quazepam) Valium (diazepam)

Halcion (triazolam) Versed (midazolam)

Klonopin (clonazepam)

Librium (chlordiazepoxide)

Xanax (alprazolam)

These medications can produce an immediate change in mood or affect and can cause central nervous system depression (dose related) resulting in sedation, dizziness, confusion or ataxia, which may

impair physical and mental capabilities. Abrupt discontinuation or a large decrease in dose can lead to seizures, coma or death.

20

Class A Drugs

Absolutely Avoid

Hallucinogens:

Cannabis (grass, green marijuana, pot, weed) Mescaline (peyote)

DMT (dimethyltryptamine) PCP (angel dust, phencyclidine)

Ketamine (special K) Psilocybin (magic mushroom, 'shrooms)

LSD (acid, blotter, paper, sunshine, window pane) 2-CB

Kratum (Mitragyna speciosa-ketum, kratom or kratum, Thai)

Marinol (dronabinol) 5-MeO-DIPT (foxy methoxy)

MDMA (E, eckies, ecstasy, love drug, X, XTC) STP (DOM)

Hallucinogens act in the central nervous system. Using these substances can possibly lead to memory disturbances, psychosis and vivid hallucinations. Marinol is the psychoactive substance in marijuana

and may cause withdrawal symptoms if stopped suddenly. *The above is only a partial list of Hullucinogens.

Inhalants:

Aerosols (hair sprays, deodorants) Nail Polish Remover (acetone)

Airplane Glue Paint (butane, propane, toluene)

Amyl Nitrate (poppers) Solvents (paint thinner, gasoline, glue, correction

Butyl Nitrate (room deodorizer) fluid, felt tip marker)

Gases (ether, chloroform, nitrous oxide, butane Varnish (xylene, toluene)

lighters, propane tanks, whipped cream dispensers)

Inhalants are central nervous system depressants. Use of inhalants can cause sedation and loss of inhibitions possibly leading to liver, kidney, nerve, heart, brain, throat, nasal and lung damage

up to and including coma and death.

21

Class A Drugs

Absolutely Avoid

Opioids:

Actiq (fentanyl oral transmucosal) OxyContin (oxycodone)

Buprenex (buprenorphine) OxyIR (oxycodone)

Combunox (oxycodone/ibuprofen) Percocet (oxycodone/acetaminophen)

Darvocet (propoxyphene napsylate/acetaminophen) Percodan (oxycodone/aspirin)

Darvon (propoxyphene hydrochloride) Roxanol (morphine sulfate)

Demerol (meperidine) Roxicet (oxycodone/acetaminophen)

Dilaudid (hydromorphone) Roxicodone (oxycodone)

Dolophine (methadone) Soma Compound with Codeine

Duragesic (fentanyl transdermal) (codeine/carisoprodol/aspirin)

Endocet (oxycodone/acetaminophen) Stadol (butorphanol)

Heroin (down, H, horse, smack) Suboxone (buprenorphine/naloxone)

Kadian (morphine sulfate) Subutex (buprenorphine)

Lorcet (hydrocodone/acetaminophen) Talacen (pentazocine/acetaminophen)

Lortab (hydrocodone/acetaminophen) Talwin (pentazocine lactate)

Methadose (methadone) Tylenol #2, #3 or #4 (codeine/acetaminophen)

MS Contin (morphine sulfate) Ultram (tramadol) (a non-opioid analgesic)

Norco (hydrocodone/acetaminophen) Vicodin (hydrocodone/acetaminophen)

Nubain (nalbuphine HCI)

Opioids bind to opiate receptors in the central nervous system causing inhibition of ascending pain pathways and altering the perception of and response to pain. Generalized central nervous system

depression is also produced. Tolerance or drug dependence may result from extended use. Buprenorphine binds to mu receptors in the brain leading to a suppression of withdrawal and cravings but also

feeling of euphoria. Most of the drugs in this class have the potential for drug dependency and abrupt cessation may precipitate withdrawal.

Gastrointestinal (Anti-Diarrheals):

Lomotil (atropine/diphenoxylate) Motofen (atropine/difenoxin)

Diphenoxylate is a member of the opioid class of drugs. Atropine is added to discourage abuse for recreational purposes. At recommended doses, the atropine causes no effects but in larger doses,

unpleasant symptoms are experienced. These medications should not be used because high doses may cause physical and psychological dependence with prolonged use.

Other Central Nervous System Depressants:

GHB (G, gamma-hydroxybutyrate, everclear)

22

Class A Drugs

Absolutely AvoidThis category depresses the central nervous system possibly leading to confusion, psychosis, paranoia, hallucinations, agitation, depression, seizures, respiratory depression, decreases in level of

consciousness, coma and death.

Other Sedative-Hypnotics:

Ambien (zolpidem) Noctec (chloral hydrate)

Doriden (glutethimide) Placidyl (ethchlorvynol)

Librax (chlordiazepoxide/clidinium) Quaalude, Sopor (methaqualone)

Lunesta (eszopiclone) Soma (carisoprodol)

Midrin (acetaminophen/dichloralphenazone/ Soma Compound (carisoprodol/aspirin)

isometheptene)

Miltown (meprobamate)

Sonata (zaleplon)

These drugs act on the central nervous system and have the potential for drug dependency and abuse. Withdrawal symptoms can be seen if stopped suddenly.

Stimulants:

Adderall (amphetamine/dextroamphetamine) Meridia (sibutramine)

Adipex-P (phentermine) Metadate (methylphenidate)

Cocaine (blow, coke, crack, rock, snow, white) Methamphetamine (crank, crystal meth, glass, ice,

Concerta (methylphenidate) speed)

Cylert (pemoline) Methylin (methylphenidate)

Dexedrine (dextroamphetamine) Preludin (phenmetrazine)

Fastin (phentermine) Ritalin (methylphenidate)

Focalin (dexmethylphenidate) Tenuate (diethylpropion)

Stimulants cause physical and psychological addiction, impair memory and learning, hearing and seeing, speed of information processing, and problem-solving ability.

Addiction Treatments:***NOTE: Although the medications listed in this Addiction Treatments section are specifically intended to be taken for prevention of relapse to dependence upon one or more drugs, none of them are habit-forming

or addictive themselves and should therefore be considered safe for recovering people to take. However, their proper use in the context of a recovery program requires monitoring by a health care professional, and it

is for this reason that we place them in Class B.***

Antabuse (disulfiram) Revia (naltrexone)

Campral (acamprosate) Symmetrel (amantadine)

Catapres (clonidine)

Chantix (varenicline)

Zyban (bupropion)

Naltrexone may precipitate intense withdrawal symptoms in patients addicted to opiates. Clonidine acts via autoreceptors in the locus coeruleus to suppress adrenergic hyperactivity there that is involved

in the expression of the opioid withdrawal syndrome. Disulfiram is dangerous if taken with alcohol. Amantadine can cause decreased mental alertness or altered coordination. Chantix and Zyban are

medications to help with nicotine (cigarettes, cigars, chewing tobacco, snuff) addiction.

23

Class A Drugs

Absolutely Avoid

Cough and Cold Preparations:

Antihistamines (Sedating) Periactin (cyproheptadine)

Atarax (hydroxyzine hydrochloride) Polarmine (dexchlorpheniramine)

Benadryl (diphenhydramine) OTC Tavist (clemastine) OTC

Chlor-Trimeton (chlorpheniramine) OTC Teldrin (chlorpheniramine) OTC

Dimetane (brompheniramine) OTC Efidac (chlorpheniramine) OTC Vistaril (hydroxyzine pamoate)

Sedating antihistamines should be used with caution because they have the potential to alter judgment and cause fatigue or sedation.

Antitussives/Expectorants

Benylin Cough (dextromethorphan) OTC Nyquil (dextromethorphan/alcohol) OTC

Comtrex (dextromethorphan) OTC Phenergan DM (promethazine/dextromethorphan)

Contac (dextromethorphan) OTC Robitussin DM (dextromethorphan/guaifenesin)

Delsym (dextromethorphan) OTC Vicks Formula 44D (dextromethorphan) OTC

Mucinex DM (dextromethorphan/guaifenesin) OTC

Any preparation containing dextromethorphan should be used with caution because dextromethorphan acts on opioid receptors in the brain. Respiratory depression and perceptual distortions can also

be seen in those people taking large doses.

24

Class B DrugsWith Addiction Medicine Specialist/Doctor Approval Only

Decongestants (Many are Combination Products)

Actifed (pseudoephedrine/triprolidine) OTC Mucinex D (pseudoephedrine/guaifenesin) OTC

AH-chew D (phenylephrine) OTC Nalex-A (phenylephrine) OTC

Alavert D (loratadine/pseudoephedrine) OTC Novafed (pseudoephedrine) OTC

Allegra D (fexofenadine/pseudoephedrine) Profen (pseudoephedrine) OTC

Benzedrex Nasal Inhaler (propylhexamine) OTC Prolex-D (phenylephrine) OTC

Bromfed (phenylephrine/brompheniramine) R-Tannate Pediatric (phenylephrine/

Bromfed DM (pseudoephedrine/ chlorpheniramine/pyrilamine)

brompheniramine/dextromethorphan) Rondec (phenylephrine/chlorpheniramine)

Cardec DM (pseudoephedrine/ Rondec DM (phenylephrine/chlorpheniramine/

carbinoxamine/dextromethorphan) dextromethorphan)

Clarinex D (desloratadine/pseudoephedrine) Rynatan-S (phenylephrine/chlorpheniramine/

Claritin D (loratadine/pseudoephedrine) OTC pyrilamine)

Deconamine SR (pseudoephedrine/ Semprex-D (pseudoephedrine/acrivastine)

chlorpheniramine) OTC Sinutuss DM (phenylephrine) OTC

Dimetapp (pseudoephedrine/brompheniramine)OTC Sudafed (pseudoephedrine) OTC

Duratuss (pseudoephedrine/guaifenesin) Tussafed-EX (phenylephrine) OTC Entex LA (phenylephrine/guaifenesin) Zyrtec D (cetirizine/pseudoephedrine)

Entex PSE (pseudoephedrine/guaifenesin)

Humibid DM (pseudoephedrine/ dextromethorphan/ potassium guaiacolsulfonate)

Decongestants should be used with caution because they are stimulating and can trigger relapse.

Nasal Sprays

Afrin (oxymetazoline) OTC Neo-synephrine (phenylephrine) OTC

Astelin (azelastine) Nostrilla (oxymetazoline) OTC

Dristan (oxymetazoline) OTC Rhinocort Aqua (budesonide)

Flonase (fluticasone) Vicks Nasal Inhaler (desoxyephedrine) OTC

Nasacort AQ or HFA (triamcinolone) Vicks Sinex (phenylephrine) OTC

Nasonex (mometasone) 4-Way Nasal Spray (phenylephrine) OTC

All OTC nasal sprays should be used for a short period of time. If used for a long period of time symptoms may worsen. Use for a maximum of 5 days. Intranasal corticosteroids (non-OTC) may

cause a reduction in growth velocity in pediatric patients.

Muscle Relaxants:

Flexeril (cyclobenzaprine) Robaxin (methocarbamol)

Norflex (orphenadrine) Skelaxin (metaxalone)

25


Parafon Forte (chlorzoxazone) Zanaflex (tizanidine)

Muscle relaxants can cause central nervous system depression (sedation, dizziness), which may impair physical or mental abilities.

Neuropathic Pain:

Lyrica (pregabalin)

Lyrica acts in the central nervous system as a depressant and can lead to withdrawal symptoms upon discontinuation. It also produces euphoria in certain individuals.

Sleep Aids:

Excedrin PM (diphenhydramine) OTC Sominex (diphenhydramine) OTC

Nytol (diphenhydramine) OTC Tylenol PM (diphenhydramine/acetaminophen) OTC

Sleep-eze (diphenhydramine) OTC Unisom (diphenhydramine) OTC

Sleep aids act in the central nervous system and can alter judgement and cause sedation.

Others:

Asthma

Primatene Mist (epinephrine) OTC

Primatene Mist can cause nervousness, restlessness, sleeplessness, palpitations, tachycardia, chest pain, muscle tremors, dizziness and flushing.

Steroids

Decadron (dexamethasone) Medrol (methylprednisolone)

Deltasone (prednisone)

It is important to take steroids exactly as directed. Long term use requires a taper off of the drug. Steroid use can decrease the immune system leading to increased infections. Insomnia, nervousness and a

variety of other side effects are also common.

Asthma/COPD/Pulmonary (Inhaled Corticosteroids/Long-Acting Beta 2 Agonists)

Advair Diskus (fluticasone/salmeterol) Pulmicort (budesonide)

Azmacort (traimcinolone) Serevent Diskus (salmeterol) Flovent (fluticasone) QVAR (beclomethasone)

26

Class B DrugsWith Addiction Medicine Specialist/Doctor Approval OnlyParticular care is required when patients are transferred from systemic corticosteroids to inhaled products due to possible adrenal insufficiency or withdrawal from steroids, including an increase in

allergic symptoms. Regular use may suppress the immune system. Orally-inhaled corticosteroids may cause a reduction in growth velocity in pediatric patients. Advair and Serevent can cause central

nervous system excitement.

Gastrointestinal (Constipation)

Dulcolax (bisacodyl) OTC Senokot (senna) OTC

Ex-Lax (senna) OTC

Continued use of laxatives can lead to dependency for colon function. Use for only a short period of time.

Gastrointestinal (Nausea/Vomiting)

Compazine (prochlorperazine) Tigan (trimethobenzamide)

Phenergan (promethazine) Zofran (ondansetron)

These medications affect the central nervous system and can cause sedation.

Vertigo/Motion Sickness

Antivert (meclizine) Transderm Scop (scopolamine)

Dramamine (dimenhydrinate) OTC

These medications affect the central nervous system and can cause dizziness, drowsiness or blurred vision.

27


Alzheimer's:

Aricept (donepezil) Namenda (memantine)

Exelon (rivastigmine)

Analgesics (Migraine):

Razadyne (galantamine)

Amerge (naratriptan) Maxalt (rizatriptan)

Axert (almotriptan) Relpax (eletriptan)

Frova (frovatriptan)

Imitrex (sumatriptan)

Zomig (zolmitriptan)

Analgesics (Other):

Tylenol (acetaminophen) OTC

Anti-Convulsants (Also Mood Stabilizers):

Carbatrol (carbamazepine) Neurontin (gabapentin)

Depakote (divalproex sodium) Tegretol (carbamazepine)

Dilantin (phenytoin) Topamax (topiramate)

Keppra (levetiracetam) Trileptal (oxcarbazepine)

Lamictal (lamotrigine)

Antihistamines (Non-sedating):

Zonegran (zonisamide)

Alavert (loratadine) OTC Claritin (loratadine) OTC

Allegra (fexofenadine)

Clarinex (desloratadine)

Antibiotics/Antivirals:

Zyrtec (cetirizine)

Amoxil (amoxicillin) Levaquin (levofloxain)

Augmentin (amoxicillin/clavulanate) Lorabid (loracarbef)

Avelox (moxifloxacin) Macrobid (nitrofurantoin monohydrate/macrocrystals)

Bactrim (sulfamethoxazole/trimethoprim) Macrodantin (nitrofurantoin macrocrystals)

Biaxin (clarithromycin) Minocin (minocycline)

Ceclor (ceflacor) Omnicef (cefdinir)

Ceftin (cefuroxime) Pen-Vee K (penicillin)

Cefzil (cefprozil) Relenza (zanamavir)

Cipro (ciprofloxacin) Sporanox (itraconazole)

Cleocin (clindamycin) Sumycin (tetracycline)

28

Class C Drugs

Generally Safe to TakeDiflucan (fluconazole) Tamiflu (oseltamavir)

Doryx (doxycycline) Tequin (gatifloxacin)

Duricef (cefadroxil) Valtrex (valacyclovir)

E-Mycin (erythromycin) Vantin (cefpodoxime)

Flagyl (metronidazole) Vibramycin (doxycycline)

Accupril (quinapril) Isordil (isosorbide dinitrate)

Aldactone (spironolactone) Lanoxin (digoxin)

Altace (ramipril) Lasix (furosemide)

Aspirin Lipitor (atorvastatin)

Atacand (candesartan) Lopid (gemfibrozil)

Avalide (irbesartan/hydrochlorothiazide) Lopressor (metoprolol)

Avapro (irbesartan) Lotensin (benazepril)

Benicar (olmesartan) Lotrel (amlopidine/benazepril)

Betapace (sotalol) Lovenox (enoxaparin)

Bumex (bumetadine) Monopril (fosinopril)

Calan (verapamil) Niaspan (Niacin)

Cardizem (diltiazem) Nitro-Bid (nitroglycerin)

Coreg (carvedilol) Norvasc (amlopidine)

Coumadin (warfarin) Plavix (clopidogrel)

Cozaar (losartan) Pravachol (pravastatin)

Crestor (rosuvastatin) Prinivil (lisinopril)

Demadex (torsemide) Sular (nisoldipine)

Diovan (valsartan) Tenormin (atenolol)

Dyazide (hydrochlorothiazide/triamterene) Tricor (fenofibrate)

Heparin Vasotec (enalapril)

Hydrodiuril (hydrochlorothiazide) Vytorin (ezetimibe/simvastatin)

Hyzaar (losartan/hydrochlorothiazide) Zestril (lisinopril)

Imdur (isosorbide mononitrate) Zetia (ezetimibe)

Anti-Parkinsonians:

Mirapex (pramipexole)

Requip (ropinirole)

Antitussives/Expectorants:

Sinemet (carbidopa/levodopa)

Humibid LA (guaifenesin/potassium Mucinex (guaifenesin) OTC

guaiacolsulfonate) Tessalon Perles (benzonatate)

29

Class C Drugs

Generally Safe to Take

Asthma/COPD/Pulmonary:Accolate (zafirlukast) Singulair (montelukast)

Atrovent (ipratropium) Spiriva (tiotropium)

Combivent (albuterol/ipratropium) Theo-24 (theophylline)

Proventil/Ventolin (albuterol) Xopenex (levalbuterol)

Benign Prostatic Hypertrophy (Also Cardiovascular):

Cardura (doxazosin) Hytrin (terazosin)

Flomax (tamsulosin) Proscar (finasteride)

Cardiovascular (Antihypertensives, Anticoagulants, Antiplatelets, Cholesterol Lowering, Diuretics):

30

Class C Drugs


Diabetes Mellitus:

Actos (pioglitazone) Humalog (insulin lispro)

Amaryl (glimepiride) Humulin L,N,R,U (insulin)

Avandia (rosiglitazone) Lantus (insulin glargine)

Diabeta (glyburide) Novolin 70/30, N or R (insulin)

Glucophage (metformin)

Glucotrol (glipizide)

Erectile Dysfunction:

Novolog (insulin aspart)

Cialis (tadalafil)

Levitra (vardenafil)

Viagra (sildenafil)

Gastrointestinal (Antacids, Anti-diarrheals, Anti-Spasmosdics, Anti-Ulcers, Constipation, Nausea/

Vomiting):

Aciphex (rabeprazole)

Bentyl (dicyclomine)

Colace (docusate sodium) OTC

Emetrol (phosphorylated carbohydrate) OTC

Imodium (loperamide) OTC

Kaopectate (bismuth subsalicylate) OTC

Maalox OTC

Mylanta OTC

Nexium (esomeprazole)

Genitourinary:

Detrol (tolterodine)

Glaucoma:

Alphagan P (brimonidine)

Azopt (brinzolamide)

Cosopt (dorzolamide/timolol) Lumigan (bimatoprost)

Gout:

Zyloprim (allopurinol)

Antacids/Reflux:

Atrovent (ipratropium)

Pepcid (famotidine) OTC

Pepto-Bismol (bismuth subsalicylate) OTC

Prevacid (lansoprazole)

Prilosec (omeprazole) OTC

Protonix (pantoprazole)

Reglan (metoclopramide)

Simethicone OTC

Tums OTC

Zantac (ranitidine) OTC

Ditropan (oxybutinin)

Timoptic (timolol)

Travatan (travoprost)

Trusopt (dorzolamide)

Xalatan (latanoprost)

31

Class C Drugs

Generally Safe to TakeNasal (saline) OTC

32

Class C Drugs


Non-Steroidal Anti-Inflammatory Drugs:

Advil (ibuprofen) OTC Mobic (meloxicam)

Aleve (naproxen) OTC Motrin (ibuprofen) OTC

Anaprox (naproxen) Naprosyn (naproxen)

Cataflam (diclofenac potassium) Orudis (ketoprofen)

Daypro (oxaprozin) Relafen (nabumetone)

Indocin (indomethacin) Toradol (ketorlac)

Lodine (etodolac) Voltaren (diclofenac sodium)

COX-2 inhibitors:

Celebrex (celecoxib)

Osteoporosis (Calcium Metabolism):

Actonel (risedronate) Evista (raloxifene)

Boniva (ibandronate) Fosamax (alendronate)

Psychotropics:

Abilify (aripiprazole) Pamelor (nortriptyline)

Buspar (buspirone) Paxil (paroxetine)

Celexa (citalopram) Prozac (fluoxetine)

Clozaril (clozapine) Remeron (mirtazapine) Cymbalta (duloxetine) Risperdal (risperidone)

Depakote (divalproex sodium) Seroquel (quetiapine)

Desyrel (trazodone) Serzone (nefazodone)

Effexor (venlafaxine) Sinequan (doxepin)

Elavil (amitriptyline) Sinequan (doxepin)

Eskalith (lithium) Strattera (atomoxetine)

Geodon (ziprasidone) Wellbutrin (bupropion)

Haldol (haldoperidol) Zoloft (sertraline)

Lexapro (escitalopram) Zyprexa (olanzapine) Luvox (fluvoxamine)

Sleep Aid:

Rozerem (ramelteon)

Thyroid:

TALBOTT RECOVERY CAMPUS 33

www.talbottcampus.com

34

Armour thyroid (thyroid desiccated) Levoxyl (levothyroxine)

Levothroid (levothyroxine) Synthroid (levothyroxine)

The following is a selection of alcohol-free products grouped by therapeutic category. The list is not comprehensive. Manufacturers change product ingredients and brand names frequently. Always check

product labeling for definitive information on specific ingredients. Manufacturers are listed after each product name. Please note that some of these medications, while alcohol-free, do contain compounds

with addiction liability and are thus Class B medications. Such products are preceded by an asterisk (*).

Analgesics:

Acetaminophen Infants Drops Ivax

Actamin Maximum Strength Liquid (acetaminophen) Cypress

Addaprin Tablet (ibuprofen) Dover

Advil Children's Suspension (ibuprofen) Wyeth Consumer

Aminofen Tablet (acetaminophen) Dover

Aminofen Max Tablet (acetaminophen) Dover

APAP Elixir (acetaminophen) Bio-Pharm

Aspirtab Tablet (aspirin) Dover

Genapap Children Elixir (acetaminophen) Ivax

Genapap Infant's Drops (acetaminophen) Ivax

Motrin Children's Suspension (ibuprofen) McNeil Consumer

Motrin Infants' Suspension (ibuprofen) McNeil Consumer

Silapap Children 's Elixir (acetaminophen) Silarx

Silapap Infant's Drops (acetaminophen) Silarx

Tylenol Children's Suspension (acetaminophen) McNeil Consumer

Tylenol Extra Strength Solution (acetaminophen) McNeil Consumer

Tylenol Infant's Drops (acetaminophen) McNeil Consumer

Tylenol Infant's Suspension (acetaminophen)

Anti-Asthmatic Agents:

McNeil Consumer

Dilor—G Liquid (guaifenesin/dyphylline) Savage

Elixophyllin—GG liquid (guaifenesin/theophylline)

Anti-Convulsants:

Forest

Zarontin Syrup (Ethosuximide)

Antiviral Agents:

Pfizer

Epivir Oral Solution (Lamivudine)

Cough/Cold/Allergy Preparations:

GlaxoSmithKline

*Accuhist Pediatric Drops (brompheniramine/pseudoephedrine) Propst

*Alka Seltzer Plus Day Cold (acetaminophen, dextromethorphan, phenylephrine) Bayer

34

35

Alcohol-FreeCreomulsion Complete Syrup (chlorpheniramine/pseudoephedrine/dextromethorphan) Summit Industries

*Creomulsion Cough Syrup (dextromethorphan) Summit Industries

*Creomulsion For Children Syrup (dextromethorphan) Summit Industries*Creomulsion Pediatric Syrup (chlorpheniramine/pseudoephedrine/dextromethorphan) Summit Industries*Delsym Cough Suppressant (dextromethorphan) Cell Tech

*Despec Liquid (chlorpheniramine/pseudoephedrine/dextromethorphan/guaifenesin/ phenylephrine) International Ethical

*Diabetic Tussin Allergy Relief Liquid (chlorpheniramine) Healthcare Products

*Diabetic DIM Liquid (guaifenesin/dextromethorphan) Healthcare Products

*Diabetic Tussin DM Maximum Strength Liquid (guaifenesin/dextromethorphan) Healthcare Products

*Diabetic Tussin DM Maximum Strength Capsule (guaifenesin/dextromethorphan) Healthcare Products

Diabetic Tussin EX Liquid (guaifenesin) Healthcare Products

*Diabetic Tussin Nighttime Formula Cold/Flu Relief (dextromethrophan, acetaminophen, diphenhydramine) Healthcare Products

*Dimetapp Cold & Fever Children's Suspension (ibuprofen/pseudoephedrine) Wyeth Consumer

Liquid (guaifenesin/dextromethorphan) Reese

*Dynatuss Syrup (carbinoxamine/pseudoephedrine/dextromethorphan) Breckenridge

*Dynatuss EX Syrup (guaifenesin/dextromethorphan/pseudoephedrine) Breckenridge

(cont):*Alka Seltzer Plus Night Cold (acetaminophen, dextromethorphan, phenylephrine, chlorpheniramine, doxylamine) Bayer

*Allergy Relief Medicine Children's Elixir (diphenhydramine) Hi-Tech Pharmacal*Andehist DM Drops (carbinoxamine/ dextromethorphan) Cypress

35

36

*Andehist DM Syrup (carbinoxamine/ dextromethorphan) Cypress

*Andehist DIM NR Liquid (carbinoxamine/dextromethorphan/pseudoephedrine) Cypress

*Andehist DIM Syrup (carbinoxamine/dextromethorphan/pseudoephedrine) Cypress

*Andehist NR Syrup (carbinoxamine/pseudoephedrine) Cypress

*Bayer Alka Seltzer Plus Cold & Cough (acetaminophen, dextromethrophan, phenylephrine, chlorpheniramine) Bayer

*Benadryl Allergy Solution (diphenhydnmine) Pfizer Consumer

*Biodec DM Drops (carbinoxamine/dextromethorphan/pseudoephedrine) Bio-Pharm

*Biodec DM Syrup (carbinoxamine/dextromethorphan/pseudoephedrine) Bio-Pharm

*Broncotron Liquid (pseudoephedrine) Seyer Pharmatec*Buckleys Mixture, (dextromethorphan) Novartis

Carbatuss Liquid (phenylephrine/guaifenesin) GM

Cepacol Sore Throat Liquid (benzocaine) J.B. Williams

*Children 's Benadryl Allergy, (diphenhydramine) Pfizer

*Chlor-Trimeton Allergy Syrup (chlorpheniramine) Schering Plough

Syrup (dextromethorphan/phenylephrine/pyrilamine) Cypress

*Entex Syrup (phenylephrine/guaifenesin)

36

Alcohol-Free Products

Cough/Cold/Allergy Preparations (cont):

*Father John's Medicine Plus Drops (chlorpheniramine/ phenylephrine/ dextromethorphan/ guaifenesin/ammonium chloride) Oakhurst

*Friallergia DIM Liquid (brompheniramine/pseudoephedrine/dextromethorphan) R.I.D.

*Friallergia Liquid (brompheniramine/pseudoephedrine) R.I.D.

NR Liquid (guaifenesin/dextromethorphan) Cypress

*Genahist Elixir (diphenhydramine) Ivax

Pediatric Liquid

(guaifenesin/dextromethorphan/pseudoephedrine)

Gil

*Giltuss Liquid (guaifenesin/dextromethorphan/pseudoephedrine) Gil

*Guaicon Liquid (guaifenesin/dextromethorphan) Textilease Medique

* Guai—Dex Liquid (guaifenesinfdextromethorphan) Alphagen

*Guaifed Syrup (phenylephrine/pseudoephedrine/guaifenesin) Muro*Hayfebrol Liquid (chlorpheniramine/pseudoephedrine) Scot-Tussin

*Histex Liquid (chlorpheniramine/pseudoephedrine) TEAMM

Histex PD Drops (carbinoxamine) TEAMM

Histex PD Liquid (carbinoxamine) TEAMM

*Hydramine Elixir(diphenhydramine)

DIM Elixir (guaifenesin/dextromethorphan)

Ivax

*Kita La TOS Liquid (guaifenesin/dextromethorphan) R.I.D.

*Lodrane Liquid (brompheniramine/pseudoephedrine) ECR*Medi-Brom Elixir (brompheniramine/pseudoephedrine/dextromethorphan) Medicine Shoppe

*Motrin Cold Children's Suspension (ibuprofen/pseudoephedrine) McNeil Consumer

alex—A Liquid (chlorpheniramine/phenylephrine) Blansett Pharmacal

*Nalspan Senior DIX Liquid (guaifenesin/dextromethorphan) Morton Grove

Liquid (chlorpheniramine/pseudoephedrine/dextromethorphan/guaifenesin) A.G. Marin

*Norel DIM Liquid (chlorpheniramine/phenylephrine/ dextromethorphan) U.S. Pharmaceutical

Orgadin Liquid (guaifenesin) American Generics

Organidin NR Liquid (guaifenesin) Wallace

Syrup (carbinoxamine/pseudoephedrine) Pamlab

*Panmist DIM Syrup (guaifenesin/dextromethorphan/pseudoephedrine) Pamlab*Panmist-S Syrup (guaifenesin/pseudoephedrine) Pamlab*PediaCare Cold + Allergy Children's Liquid (chlorpheniramine/pseudoephedrine) Pharmacia*PediaCare Cough + Cold Children's Liquid (chlorpheniramine/ pseudoephedrine/ dextromethorphan) Pharmacia

*PediaCare Nightrest Liquid (chlorpheniramine/pseudoephedrine/dextromethorphan) Pharmacia

*Pediahist DM Syrup (brompheniramine/pseudoephedrine/dextromethorphan/guaifenesin) Boca

Ped Liquid (chlorpheniramine/pseudoephedrine/dextromethorphan) Major

Pediatex Liquid (carbinoxamine) Zyber

37


Phanatuss Syrup (guaifenesin) PharmakonLiquid (chlorpheniramine/phenylephrine) GM

DM Syrup (chlorpheniramine/phenylephrine/dextromethorphan) Poly

*Primsol SolUtion(trimethoprim) Medicis

*Prolex DM Liquid (guaifenesin/dextromethorphan) Blansett Pharmacal

Quinte.x Syrup (phenylephrine/guaifenesin) Qualitest

*Robitussin Cough & Congestion Liquid (chlorpheniramine/pseudoephedrine/ dextromethorphan/guaifenesin/acetaminophen) Wyeth Consumer

*Robitussin Cough & Cold Nightime (chlorpheniramine, dextromethorphan, phenylephrine) Wyeth

*Robitussin Cough & Allergy (chlorpheniramine, dextromethorphan, phenylephrine Wyeth

*Robitussin Cough & Cold CF (dextromethorphan, guaifenesin, phenylephrine) Wyeth

*Pediatex-D Liquid (carbinoxamine/pseudoephedrine) *Robtiussin Cold & Flu Nightime (acetaminophen, chlorpheniramine, dextromethorphan, Wyeth phenylephrine)

*Robitussin DIM Liquid (guaifenesin/dextromethorphan) Wyeth Consumer

*Robitussin PE Syrup (pseudoephedrine/guaifenesin) Wyeth Consumer

*Robitussin Pediatric Drops (guaifenesin/dextromethorphan/pseudoephedrine) Wyeth Consumer

*Robitussin Pediatric Night Relief Liquid (chlorpheniramine/dextromethorphan/ pseudoephedrine) Wyeth Consumer

*Scot-Tussin Allergy Relief Formula Liquid (diphenhydramine) Scot-Tussin

DIM Liquid (chlorpheniramine/dextromethorphan/guaifenesin) Scot-Tussin

*Scot-Tussin Expectorant Liquid (guaifenesin) Scot-Tussin

*Scot-Tussin Original Syrup (phenylephrine) Scot-Tussin

*Scot-Tussin Senior Liquid (guaifenesin/dextromethorphan) Scot-Tussin

*Sildec Liquid (brompheniramine/pseudoephedrine/carbinoxamine) Silarx*Sildec Syrup (brompheniramine/pseudoephedrine/carbinoxamine) Silarx

(brompheniramine/pseudoephedrine/carbinoxamine/dextromethorphan) Silarx

Syrup (brompheniramine/pseudoephedrine/ carbinoxamine/dextromethorphan) Silarx

38


*Siltussin DM DAS Cough Formula Syrup (guaifenesin/dextromehtorphan) Silarx

Siltussin SA Syrup (guaifenesin) Silarx

*Simply Cough Liquid (dextromehtorphan) McNeil Consumer

*Sudatuss DM Syrup (chlorpheniramine/dextromethorphan/pseudoephedrine) Pharmaceutical Generic*Tussafed Syrup (chlorpheniramine/carbinoxamine/ pseudoephedrine/dextromethorphan) Everett

Syrup (pseudoephedrine/dextromethorphan/guaifenesin) EverettLiquid (chlorpheniramine/phenylephrine/guaifenesin/dextromethorphan Seatrace

*Tussi-Organidin DM NR Liquid (guaifenesin/dextromethorphan) Wallace

Liquid (guaifenesin/dextromethorphan/pseudoephedrine) Kramer-Novis

*Tylenol Cold Children's Liquid (chlorpheniramine/pseudoephedrine/acetaminophen) McNeil Consumer

*Tylenol Cold Infants' Drops (acetaminophen/pseudoephedrine) McNeil Consumer

*Tylenol Flu Children's Suspension (chlorpheniramine/pseudoephedrine/ dextromethorphan/acetaminophen) McNeil Consumer

*Tylenol Flu Night Time Max Strength Liquid (acetaminophen/ doxylamine/ diphenhydramine/pseudoephedrine/dextromethorphan) McNeil Consumer

*Tylenol Sinus Children's Liquid (acetaminophen/pseudoephedrine) McNeil Consumer

*Vicks Dayquil Multi-symptom cold/flu relief (acetaminophen, dextromethorphan, phenylephrine) Procter & Gamble

*Vicks 44E Pediatric Liquid (guaifenesin/dextromethorphan) Procter & Gamble*Vicks 44M Pediatric Liquid (chlorpheniramine/pseudoephedrine/dextromethorphan) Procter & Gamble

* Z—Cof DM Syrup (guaifenesin/dextromethorphan/pseudoephedrine)

Ear/Nose/Throat Products:

Zyber

4-Way Saline Moisturizing Mist Spray Bristol-Myers

Ayr Baby Saline Spray Ascher, B.F.

Bucalcide Solution (benzocaine) Seyer PharmatecBucalcide Spray (benzocaine) Seyer Pharmatec

Bucalsep Solution (benzocaine) Gil

Bucalsep Spray (benzocaine) Gil

Cepacol Sore Throat Liquid (benzocaine) Combe

Gly—oxide Liquid (carbamide peroxide) GlaxoSmithKline

Consumer Orasept Mouthwash/GargIe Liquid (benzocaine) Pharmakon Labs

Zilactin Baby Extra Strength Gel (benzocaine)

Gastrointestinal Agents

Zila Consumer

Imogen Liquid (loperamide) Pharmaceutical

Kaopectate (bismuth subsalicyate)

Generic

Ethex

39


Kaopectate Suspension (bismuth subsalicylate)

Consumer

Pharmacia

Liqui-Doss Liquid (mineral oil) Ferndale

Hematinics

40

Products

Alcohol-FreeMiscellaneous

Cytra-2 Solution (sodium citrate salts) Cypress

Cytra-K Solution (sodium citrate salts) Cypress

Emetrol Solution (phosphorated carbohydrate)

Psychotropics

Pharmacia Consumer

*Thorazine Syrup (chlorpromazine)

Topical Products

GlaxoSmithKline

Aloe Vesta 2-N-I Antifungal Ointment (miconazole) Convatec

Fleet Pain Relief Pads (pramoxine) Fleet

Neutrogena Acne Wash Liquid Neutrogena

Neutrogena Antiseptic Liquid Neutrogena

Neutrogena Clear Pore Gel Neutrogena

Neutrogena T/Derm Liquid Neutrogena

Neutrogena Toner Liquid Neutrogena

Podiclens Spray (benzalkonium chloride) Woodward

Sea Breeze Foaming Face Wash Gel

Vitamins/Minerals/Supplements

Clairol

Apetigen Elixir (vitamins A & E/multivitamin) Pharmaceutical GenericLiquid (multivitamin) Pharmaceutical Generic

Genetect Plus Liquid (multivitamin/iron) Pharmaceutical Generic

Multi-Delyn w/lron Liquid (multivitamin/iron) Silarx

Poly-Vi-S01 Drops (multivitamin) Mead JohnsonPoly-Vi-Sol w/lron Drops (multivitamin/iron) Mead JohnsonStrovite Forte Syrup (multivitamin/iron/folic acid) EverettSupervite Liquid (multivitamin/B complex/folic acid/multivitamin) Seyer PharmatecSuplevit Liquid (multivitamin/iron) Gil

41

Incidental Exposure IndexAlcohol-Containing Products Table

Tri-Vi—Sol Drops (multivitamin) Mead Johnson

Tri-Vi-Sol w/lron Drops (multivitamin/iron) Mead Johnson

Vitafol Syrup (multivitamin/iron/folic acid/vitamin E/calcium salts) Everett

New markers for alcohol use, ethylglucuronide (EtG), ethylsulfate

(EtS) and others, have added tremendous value to routine drug

testing by their capacity to better document abstinence (allowing for

more authoritative advocacy) and sensitively to detect early relapse

(allowing for earlier assistance). Since these new markers are highly

sensitive, it's important that individuals being tested try to avoid

exposure to products containing alcohol that might cause positive

tests. This issue is identical to that of avoiding poppy seeds to avoid a

positive test for morphine. However, there are many more products

containing alcohol. ***Please note that this list is not exhaustive,

therefore it is recommended that patients check labels or with

manufacturers before using.

Possible Sources of Incidental Exposure

Foods

Foods can contain trace amounts or large quantities of alcohol. Avoid

desserts and other foods cooked with or containing alcoholic

beverages such as vodka, sherry, wine, etc. Also avoid foods

containing significant amounts of vanilla extract (especially if added

to drinks), wine vinegar, soy sauces and other condiments with

alcohol content on their labels.

Hygiene Products

Many hygiene related products, such as mouthwashes, contain

alcohol and should be avoided. For a comprehensive list of

hygiene products that contain alcohol, please read the Alcohol-

Containing Products Table on the following pages.

42


Over-the-Counter Medications

Over-the-counter medications, such as cough syrup and tinctures,

contain alcohol and should be avoided. Please review the Over-the-

Counter Medications Alcohol Content Table on the following pages

for a more detailed breakdown of OTCs that contain alcohol.

Prescription Medications

Many prescription medications, including asthma inhalers, contain

alcohol or ethanol. Always ask your health care provider prior to

taking any prescription medications.

Other Sources ofAlcohol

Alcohol can be found in many common products including

communion wine and "alcohol-free" beer and wine. Recovering

patients should also avoid products like hand sanitizers, deodorant

sprays, cosmetics and insecticides that contain ethanol vapor and

can be inhaled or absorbed through skin application.

Alcohol-Containing Products Table

The following is a list of products and their alcohol contents. Not all

of these would actually be likely to be sources of incidental exposure

and some would result in very toxic effects if there was much

exposure (i.e. Clorox).

Product

ABIN Primer & Sealer

Afta After Shave Skin Conditioner 3 OZ.

Afta Pre-Electric Shave Lotions

Ajax Antibacterial Dishwashing Liquid 19 OZ.

Ajax Dishwashing Liquid Antibacterial Hand Soap 38 OZ.

Aqua Mix Laminate Plus

Aqua Mix Tile Plus More Cleaner-IO/31/2000

43


Ariel Liquid Laundry Detergent

Armor All Odor Eliminator

Armor All Odor Eliminator-01/01/2001

Arrid Total Gel-All Scents

Avon Black Suede After Shave

Avon Black Suede Cologne Spray

Avon Clearskin Targeted Blemish Remover

Avon Dreamlife Eau de Parfum Spray

Avon Far Away Sensual Embrace Eau de Parfum Spray

Avon Ginger Scents Spray Ginger Fresh Body Mist

Avon Haiku Eau de Parfum Spray

Avon Imari Eau de Cologne Spray

Avon Intrigue Cologne Spray

Avon Lil Hugs Gentle Splash

Avon Little Black Dress Eau de Parfum Spray

Avon Memorable Eau de Parfum Spray

Avon Mesmerize for Men Cologne Spray

Avon Midnight Frost Fragrance Spray

Avon Moisture Effective Eye Makeup Remover Lotion

Avon MUSK FOR BOYS

Avon NAIL EXPERTS Strong Results

Avon NATURALS Body Spray, Almond

Avon NATURALS Body Spray, Cucumber Melon

Avon NATURALS Body Spray, Gardenia

Avon NATURALS Body Spray, Lily

Avon NATURALS Body Spray, Peach

Avon NATURALS Body Spray, Plumeria

Avon NATURALS Body Spray, Raspberry

44

Products

Product Alcohol %

Avon NATURALS Body Spray, Sea 60-98

Avon NATURALS Body spray, Vanilla 60-98

Avon Night Evening Magic Cologne Spray 60-98

Avon Passion Dance for Men 60-98

Avon Passion Dance for Women 60-98

Avon Perceive Eau de Parfum Spray for Women 60-98

Avon Perceive For Men Cologne Spray 60-98

Avon Pink Suede Eau de Toilette Spray 60-98

Avon Planet Spa White Tea Energizing Face and Body Mist 60-98

Avon Prospect Eau de Toilette Spray 60-98

Avon Radiant Moments Body Spray 60-98

Avon RARE GOLD Eau de Parfum Spray 60-98

Avon RARE PEARLS Eau de Parfum Spray 60-98

Avon Simply Radiant Shimmering Body Spray 60-98

Avon Vintage Cologne Spray 60-98

Avon WILD COUNTRY After Shave 60-98

Avon WILD COUNTRY Cologne spray 60-98

Avon Wild Country Outback After Shave Lotion 60-98

Avon Wild Country Outback Eau De Toilette Spray 60-98

Bath & Body Instant Anti-Bacterial Hand Gel-Freesia 60

Bay Rum After Shave Balm 30

Bold Liquid Laundry Detergent 1-5

Bravo Platinum Series Metered Air Freshener 15-25

Bulls Eye Clear Shellac 55

Cascade Crystal Clear Plus Shine Shield Rinse Agent 8.45 fl oz 3-7

Cheer Liquid Laundry Detergent 1-5

Clorox Dual Action Toilet Bowl Cleaner 1 Pt. 9 Fl. Oz. (Chambered Bottle) 1-5

Clorox Spring Mist Disinfecting Spray-Floral Fresh 18 Oz. (aerosol) 60-80

Cutter All Family Insect Repellent 2 Aerosol 35

Cutter All Family Insect Repellent Mosquito Repellent Pump Spray 39

Cutter Insect Repellent 17

Cutter Skinsations Insect Repellent 1, Aloe & Vitamin E, Clean Fresh Scent 50

Cutter Unscented Backwoods Insect Repellent, Water-Resistant Sport Formula, Aerosol 35

Cutter Unscented Backwoods Mosquito Wipes 29

Cutter Unscented Insect Repellent 37

Cutter Unscented Outdoorsman Insect Repellent Il Pump Spray 44

Cutter Unscented Outdoorsman Insect Repellent, Water-Resistant Sport Formula, Aerosol 20

Product Alcohol %

DAP Easy Bond Adhesive 1.0-5.0

45


Dawn Manual Pot and Pan Detergent 5-10

Dawn Manual Pot and Pan Detergent (Professional Line) 5-10

Deep Woods OFF! 50-60

Deep Woods Off! Pump Spray 30—40

Dermassage Dishwashing Hand Liquid - Regular 1-5

Downy Advanced w/Wrinkle Control Fabric Softener (Clean Breeze,Mountain Spring) 1-5

Downy Enhancer 1-5

Downy Enhancer (Invigorating Burst and Calming Mist) 1-5

Downv Premium Care 1-5

Dreft Liquid Laundry Detergent 1-5

Easy Off Heat Activated Microwave Wipes 5-10

Era Liquid Laundry Detergent 1-5

Fab Color Plus Ultra Power 1-5

Farnam Cologne & Deodorant for Pets 20

Febreze Air Effects 9.7 oz Blossoms and Breeze 3-7

Febreze Air Effects 9.7 oz Citrus and Light 3-7

Febreze Air Effects 9.7 oz Spring and Renewal 3-7

Febreze Concentrated Fabric Refresher 12-17

Febreze Fabric Refresher 1-5

Fire Up 11 Firestarter <85

Gain Liquid Laundry Detergent 1-5

Giant Auto Dish Detergent 75 OZ BOX 1-5

Giant Pure Power Auto Dish Detergent Lemon 45 OZ BOX 1-5

Glade Fragrant Mist Country Garden 7-13

Glass Mates 4.0-6.0

Glass Mates-05/16/2000 4.0-6.0

HOUSE SAVER Pet Stain & Odor Remover 20

Invisible Shield Surface Protectant-04/11/2002 78

Ivory Snow Liquid Laundry Detergent 1-5

KimCare Instant Hand Sanitizer 60

Lady Speed Stick Clear Antiperspirant Deodorant Gel 15-20

Listerine Antiseptic Mouthwash 26.9

Listerine Cool Mint Antiseptic Mouthwash 23

Listerine Fresh Burst Antiseptic Mouthwash 23

Listermint Mouthwash

Loctite Crafter's All Purpose Adhesive 3-5

Product Alcohol %

Loctite Fabric Glue 3-5

Loctite Outdoor Fixture Adhesive 1-5

46


LOreal Pumping Curls for Curly Hair 41

Lysol Brand Antibacterial Hand Gel 63

Lysol Brand Disinfectant Spray, Antibacterial, Original Scent 79.0

Lysol Brand Il Disinfectant Plus Fabric Refresher 12 oz 85

Lysol Brand Il Disinfectant Spray-Country Scent (aerosol) 79

Lysol Brand Sanitizing Wipes-Citrus Scent 8-10

Lysol Brand Sanitizing Wipes-Spring Waterfall 52 oz 8-10

Lysol Brand Scrubbing Wipes-Orange Breeze Scent 8-12

Martin Weber Blue Label Fixatif Spray 60-70

Martin Weber Cleaning Solution 31

Mr Muscle Pot & Pan Detergent 3-7

Nair Hair Remover Kit, Cold Wax Strips Pretreatment Towelette 5-20

New-Skin Liquid Bandage 5

Nilodor Air Freshener-Floral 0.5-3.5

Nilodor Carpet Care Deodorizing Spot/Stain Remover 2-6

Nilodor Deodorizing Carpet Extractor 2-6

Nilodor Odor Neutralizer 0.5-3.5

Nilotex Carpet Care 2-6

Off Skintastic Insect Repellent for Kids

Off! Deep Woods for Sportsmen Insect Repellent IV, Aerosol 50-60

Off! Deep Woods Insect Repellent V Spray, Unscented 50-60

Off! Skintastic IV 90-95

Old English Furniture Wipes 4-8

Oust Air Sanitizer, Outdoor Scent 60-70

Oust Bathroom Citrus Scent Fan .40 oz. 40-60

Oust Bathroom Outdoor Scent Fan 40-60

Palmolive Original Hand Dishwashing Liquid 4.3

Paul Mitchell Freeze & Shine Super Spray >60

Paul Mitchell Freeze & Shine Super Spray (New)

Paul Mitchell Soft Sculpting Spray Gel

Pine Power Disinfectant Cleaner <5.0

Purell Instant Hand Sanitizer 62

Purell Instant Hand Sanitizer Dry Hands Formula 62

Purell Instant Hand Sanitizer Packets 62

Purell Instant Hand Sanitizer with Aloe, Moisturizers & Vitamin E 62

Purell Instant Hand Sanitizer, Original 62

Product Alcohol %

Purell Kids Own Berry Blast 62

47


Radio Shack 951 Low Residue Soldering Paste Flux 73

Radio Shack Cleaner/Degreaser 27

Radio Shack Professional Tape Head Cleaner 15-20

Rain X Marine Windshield Treatment 70-95

Rain X The Invisible Windshield Wiper 86

Rain-X Anti-Fog 70-99

Rain-X Windshield Wax 70-95

Repel Hunters' Insect Repellent with Earth Scent, 55 Percent DEET

Repel Insect Repellent Family Formula Spray Pump, 23 Percent DEET 44

Repel Insect Repellent Scented Family Formula Aerosol, 23 Percent DEET 48.3

Repel Insect Repellent Sportsmen Formula Spray Pump, 25 Percent DEET 55

Repel Insect Repellent Sportsmen Max Formula, 40 Percent DEET 43.7

Repel Lemon Eucalyptus Insect Repellent Lotion

Repel Lemon Eucalyptus Insect Repellent Spray Lotion

Soft Soap Hand Sanitizer - Gel 60-65

Spic and Span IOX Concentrate Disinfecting All Purpose Spray 12-25

Spic and Span Floor and Multi Surface Cleaner 0-5

Spray N Wash Laundry Stain Remover 2-3

Static Guard 70-72

Survivor Lemon Eucalyptus Insect Repellent Lotion

TEN O SIX Medicated Deep Pore Cleanser

Time Mist Air Freshener W/Odor Counteractant 15-25

Ultra Downy Liquid Fabric Softener 1-5

Valspar One & Only Interior/Exterior Multi Purpose Flat Black Finish 5-10

Valspar One & Only Multi Purpose Gloss Enamel, Almond 5-10

Valspar One & Only Multi Purpose Gray Metal Primer 5-10

Viadent Advanced Care Rinse 5-10

Wet Ones Antibacterial Moist Towelettes, Citrus 9.6

Wet Ones Antibacterial Moist Towelettes, Travel Pack, Citrus 9.6

Wet Ones Antibacterial Portable Washcloths, Ultra 0-9.6

Wet Ones Kids Antibacterial Wipes, Wild Watermelon & Ballistic Berry 0-9.6

Wet Ones Moist Towelettes with Aloe, Travel Pac 0-10.5

Wet Ones Moist Towelettes with Vitamin E & Aloe 0-10.5

Wet Ones Portable Washcloths with Vitamin E & Aloe, Ultra 0-10.5

Wet Ones Ultra Portable Antibacterial Wash Cloths 9.6

Wet Ones, Antibacterial Moist Towelettes, Thick Cloths 9.6

Zep Tile and Terrazzo Cleaner 5-15

48

ProductsOver-the-Counter

Over-the-Counter Medications Alcohol Content Table

Item Use Manu acturer Alcohol %

Am benyl cough suppressant Forest 5

Ambenyl-D expectorant, nasal decongestant, cough suppressant Forest 9.5

Anesol oral antiseptic, anesthetic Whitehall 70

AsbronG Elixir anti-asthmatic Sandoz 15

Bayer children's Cough Syrup cough suppressant, nasal decongestant Glenbrook 5

Benadryl Decongestant Elixir antihistamine Parke-Davis 5

Benadryl Elixir antihistamine Parke-Davis 14

Benylin Cough Syrup cough suppressant Parke-Davis 5

Benylin DM cough suppressant Parke-Davis 5

Bronkolixir bronchodilator, decongestant Winthrop 19

Cepacol/Cepacol Mint mouthwash, gargle Lakeside 14.5

Ce-Vi-S01 vitamin C drops (infant) Mead-Johnson 5

Cheracol D cough suppressant, decongestant Upjohn 4.75

Cheracol Plus cough suppressant, decongestant Upjohn 8

Chlor-Trimeton Allergy Syrup antihistamine Schering 7

Choedyl Elixir bronchodilator Parke-Davis 20

Colace Syrup laxative Mead-Johnson 1Colgate Mouthwash mouthwash/gargle Colgate-Palmolive 15.3

CONTAC Nighttime antihistamine, analgesic, cough suppressant, decongestant SmithKline 25

Dilaudid Cough Syrup cough suppressant, analgesic Knoll 5

Dimetane Elixir antihistamine A. H. Robins 3

Dimetane Decongestant Elixir antihistamine, decongestant A. H. Robins

Dimetapp Elixir decongestant, antihistamine A. H. Robins 2.3

Diural Oral Suspension diuretic, antihypertensive Merck Sharp & Dohme 0.5

Donnatal Elixir anti-spasmodic A. H. Robins 23

Elixophyllin-Kl Elixir anti-asthmatic Forest 10

Feosol Elixir iron supplement SmithKline 5

Fergon Elixir iron supplement Winthrop 7

Geriplex-FS vitamins (geriatric) Parke-Davis 18

Geritol Liquid vitamins Beecham 12

Geritonic Liquid vitamins Geriatric 20

Gevrabon vitamins Lederle 18

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Incidental Exposure IndexMedications Alcohol Content Table

Hycotuss expectorant DuPont 10

1.L.XB12 Elixir iron supplement Kenwood 8

Iberet Liquid vitamins Abbott 1

Over-the-Counter

Item Use Manufacturer Alcohol %

Imodium A-D anti-diarrheal McNeil 5.25

Incremin vitamins Lederle 0.75

Indocin Oral Suspension analgesic Merck Sharp & Dohme 1

Kaochlor S-F potassium supplement Adria 5

Kaon-CL potassium/chloride supplement Adria 5

Kaon Elixir potassium supplement Adria 5

Kay Ciel Oral Solution potassium supplement Forest 4

Klorvess 10% Liquid potassium/chloride supplement Sandoz 0.75

Lanoxin Elixir Pediatric cardiac medication Burrougfhs Wellcome 10

Lasix Oral Solution diuretic Hoechst-roussel 11.5

Listerine Antiseptic mouthwash/gargle Warner-Lambert 26.9

Lomotil Liquid anti-diarrheal G. D. Searle & Co. 15

Lufyllin Elixir bronchodilator Wallace 20

Marax-DF Syrup bronchodilator Roerig 5

May-Vita Elixir vitamins Mayrand, Inc. 13

Mediatric Liquid estrogen replacement Wyeth-Ayerst 15

Mellaril Oral Solution antipsychotic Sandoz 3-4.2

Mestinon Syrup treatment of myasthenia ravis Roche 5

Naldecon DX Pediatric Drops decongestant Bristol 0.6

Nicotinex niacin supplement Fleming & Co. 14

Niferex Elixir iron supplement Center Labs 10

Novahistine Elixir antihistamine, decongestant Lakeside 5

Novahistine Expectorant cough suppressant, decongestant, expectorant Lakeside 7.5

Nucofed Expectorant cough suppressant, decongestant, expectorant Beecham 12.5

Nucofed Pediaric Expectorant cough suppressant, expectorant, decongestant Beecham 6

Nu-lron Elixir iron supplements Mayrand, Inc. 10

Nystex Oral Suspension antifungal antibiotic Savage 1

Organidin Elixir expectorant Wallace 21.75

50


PBZ Elixir antihistamine 12

Pamelor Oral Solution anti-depressant Sandoz 3-5

Peri Colace Syrup laxative Mead-Johnson 10

Permitil Oral Concentrate anti-psychotic Schering 1

Phenergan Syrup Plain antihistamine Wyeth-Ayerst 7

Phenergan Syrup Fortis antihistamine Wyeth-Ayerst 1.5

Phenobarbital Elixir sedative Rosane 13.5

Polaramine Syrup antihistamine Schering 6

Over-the-Counter

Item Use Manufacturer Alcohol %

Poly-Histine Elixir cough suppressant Bock 4

Prolixin Elixir anti-psychotic Princeton 14

Quelidrine Syrup cough suppressant Abbott 2

Robitussin expectorant A. H. Robins 3.5

Robitussin A-C cough suppressant, expectorant A. H. Robins 3.5

Robitussin CF cough suppressant, decongestant, expectorant A.H. Robins 3.5

Robitussin DAC expectorant, decongestant, cough suppressant A. H. Robins 1.9

Robitussin Night Relief analgesic, cough suppressant, decongestant A. H. Robbins 25

Robitussin PE decongestant, expectorant A. H. Robbins

Sandimmune immunosuppressant Sandoz 12.5

Scot-Tussin Sugar-Free Expectorant expectorant Scott-Tussin 3.5

Sominex Liquid sleep aid Beecham 10

Sudafed Cough Syrup decongestant Burroughs Wellcome 2.4

Tacaryl Syrup antihistamine Westwood 7.37

Tagamet Liquid ulcer medication Smith Kline & French 2.8

Tavist Syrup antihistamine Sandoz 5.5

Theo-Organidin Elixir bronchodilator, expectorant Wallace 15

Triaminic Expectorant expectorant, decongestant Sandoz 5.5

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Tussar-2 cough suppressant Rorer 5

Tussar SF cough suppressant Rorer 12

Tussend cough suppressant Lakeside 5

Tussend Expectorant cough suppressant, decongestant, expectorant Lakeside 12.5

Tylenol Adult Liquid Pain Reliever analgesic McNeil 7

Tylenol Cold Medication Liquid analgesic, decongestant, cough suppressant, antihistamine McNeil 7

Tylenol with Codeine Elixir analgesic McNeil 7

Vicks Daycare Liquid decongestant, analgesic, expectorant, cough suppressant Richardson-Vicks 10

Vicks Formula 44 cough suppressant, antihistamine Richardson-Vicks 10

Vicks Formula 44D cough suppressant, decongestant Richardson-Vicks 10

Vicks Formula 44M cough suppressant, decongestant, analgesic Richardson-Vicks 20

Vicks Nyquil decongestant, cough suppressant, antihistamine, analgesic Richardson-Vicks 25

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Products Containing AlcoholPlease note: Some prescription nasal sprays used for allergic rhinitis and some other forms of nasal/sinus congestion contain alcohol. Alcohol-containing nasal sprays that should be avoided by recovering

persons, especially those taking Antabuse, include Flonase and Nasonex nasal sprays. The majority of mouthwashes contain alcohol also.

These should all be avoided.

5% Alcohol (10-Proof)

Diphenhydramine Elixir

Benylin Cough Syrup

Cheracol-D Cough Syrup (guaifenesin/dextromethorphan)

Dihstine DH Elixir

(chlorpheniramine/pseudoephedrine/eodeine)

Dilaudid Cough Syrup (hydromorphone)

Dramamine Liquid (dimenhydrinate)

Feosol (iron) Elixir

Imodium A—I) (loperamide) Kaon Liquid (potassium)

Alcohol (20-Proof)

Excedrin PM Liquid

(acetaminophen/diphenhydramine)

Geritol Tonic Liquid (multivitamin)

Hycotuss Expectorant Syrup(hydrocodone/guaifenesin)

Niferex Elixir (iron)

Alcohol (30-Proof)

Cepacol Mouthwash

Gerivite Elixir (multivitamin)


Gevrabon Liquid (vitamins)

Listerine Mouthwash (flavored)


Listerine Mouthwash (regular)

Kay Ciel Liquid (potassium)

Guiatuss AC Syrup (guaifenesin/codeine)

Phenergan VC Syrup (promethazine/phenylephrine)

Tussend Syrup

(guaifenesin/chlorpheniramine/pseudoephedrine/hydrocodone)

Tylenol Extra Strength Liquid

Tylenol with Codeine Elixir

Vicks 44 D (dextromethorphan/pseudoephedrine)

Vicks 44 E (guaifenesin/dextromethorphan)

Nucofed Expectorant Syrup(guaifenesin/pseudoephedrine/codeine)

Nu-lron Elixir (iron)

Vicks Nyquil

(doxylamine/pseudoephedrine/dextromethorphan/acetaminophen)

Vicks Formula 44M

(chlorpheniramine/pseudoephedrine/dextromethorphan/acetaminophen)

Lomotil Liquid (diphenoxylate/atropine)

Lufyllin Elixir (theophylline)

Theophylline Elixir

N'ice Throat Spray

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