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Our Location: Dot requires MET of 6 . Retired from driving (class A) let my medical card expire. the agency's prohibitions on drug and alcohol use, Search the internet using search terms such as DOT qualified SAP or DOT and SAP. 2015.Had the aortic valve replaced. I worked for UPS for 10 years as a driver and was diagnosed with LBBB (left Bundle Branch Blockage) no other history dealing with my heart. (HOS) Disqualifying Medications and Medications of Concern NRCME Practice Test Each section and its components contain page references (in parentheses) to "The CME's Guide to the DOT Physical Exam" so that the There is an exception: the prescribing doctor can write that the driver is safe to be a commercial driver while taking the medication. Commercial trucking is essential for a healthy national economy. individuals who are taking benzodiazepines should stop taking them long enough ahead of driving for them to be cleared from their systems before being allowed to drive a CMV (it takes seven half lives for a drug to be completely eliminated from the body) It is not unusual for me to see a patient on a dozen or more prescription medications. Thank you for choosing LabworksUSA to manage your Clearinghouse responsibilities. @ Donna W The Army published new guidance on the use of prescribed medications and controlled substances on May 19. Effective May 4, 2021, Congress extended the effective period for paragraph (h)(30) until October 22 . If the urinalysis is positive for one or more of the drugs on the 5 panel drug test, then the driver will be contacted in person by the Medical Review Officer. Some of these medications are defined by the U.S. Department of Transportation as Schedule I drugs and the list includes opiates, opium derivatives, hallucinogenic drugs, some depressants and stimulants, or Cannabimimetic agents (synthetic marijuana). DOT: Department Of Transportation. Attention Deficit Disorder and Commercial Motor Vehicle Driving Home Training Course About the Course Course Curriculum Accreditation The trucking industry enjoyed a banner year in 2018 hauling 6.6 percent more freight tonnage, a 70 percent increase over the prior year. ANY situation/injury/illness, etc. As always if you have questions drop me a message or a phone call and we will help you in any way we can: Wed love to hear from you. Anti-seizure medication and methadone are also specifically listed as disqualifying medications. If you have recurring episodes you should be evaluated by a cardiologist to see if the underlying cause of the ventricular tachycardia is disqualifying. A big reason for the DOT physical examinationis that commercial driving is a physically and mentally demanding job, one that requires a certain level of fitness. Washington, DC, DC 20590 Office of Drug & Alcohol Policy & Compliance, 1200 New Jersey Ave, SE This is a disqualifying medical condition, so once it is resolved, and before resuming operation of a CMV, you are responsible for obtaining re-certification from a Medical Examiner. Its important to note that even though marijuana use has been legalized in many states, it remains illegal on a federal level. So, why is a DOT physical exam necessary? Sleep apnea is a health issue for many, but truck drivers are becoming increasingly concerned that a sleep apnea diagnosis will prevent them from doing their job. After 3 months I had the Echochardiagram and renewed my medical card. Who pays for the DOT drug or alcohol test or SAP recommended treatment/education, the employer or employee? I'm pretty sure, although a DOT medical examiner will tell you for sure, that you wont be able to drive a CMV while taking this drug. However, DOT does require a medical examination for drivers to receive and maintain a CDL license. B. DoD civilian personnel with apparently disqualifying medical conditions could still possibly deploy based upon an individualized medical assessment (which shall be consistent with subparagraph 4.g. medications theyre taking, prescribed or otherwise. To get certified under Department of Transportation (DOT) regulations, commercial truck drivers are required to have a physical examination by a health care professional listed on the National Registry of Certified Medical Examiners (NRCME). To assure FAA medical eligibility call 405-787-0303 for a free consultation. impairs seriously affect a drivers ability to perform their job safely and If you still cant find a related answer, then you are welcome to In this case, the Medical Examiner may, but does not have to certify the driver. To learn more from the FMCSA on what drugs can disqualify a CMV driver, please click here. Unstable proliferative or unstable non- DOT disqualifying medical conditions include those that may lead to loss of consciousness or involve inadequate hearing or vision, a compromised nervous system, or physical limitations that interfere with driving ability. particularly important. 2023 Randall-Reilly, LLC. The defibrillator is designed to correct problems when they occur, but it still leaves a safety risk. The CME will have to take all available supporting medical documentation into consideration. Will I lose my job if I test positive or refuse a test? In the transportation industry, regulating drug use is 5 mins. Heart attacks, chest pain, and other forms of pain may indicate an underlying heart condition. Commercial Drivers License (CDL) drivers. P.S. A Substance My cardiologist said i was good to work and would write an letter if need be but the doctor was not having it. Medication must be well tolerated within harsh environmental . Give your Certified Medical Examiner all the information so he may contact and discuss with the prescribing doctor and if necessary get a .. To ensure that the medical examiner can complete the DOT physical exam at your appointment you should bring a Medical Release Opinion letter from your treating physician. Questions about the effects of many drugs and driver qualification are answered in the Frequently Asked Questions (FAQs) section. Now he is going to renew his physical but the doctor that is doing the physical will not do one until he has a stress test. When he was released, we were told it was a infection in the heart from his pneumonia. Driver has new onset Congestive heart failure 10/22. Certified DOT Medical Examiner If a driver uses a drug identified in 21 CFR 1308.11 (391.42(b)(12)) or any other substance such as amphetamine, a narcotic, or any other habit forming drug, The driver is medically unqualified. Commercial Driver's License Classes & Certifications Commercial drivers, firefighters, and noncommercial drivers with Class A and Class B licenses are required to meet federal medical standards in order to operate commercial motor vehicles. on the road. New dual-mode AM/FM CB radios. Your failure to provide such a list could result in sanctions issued by the DOT Modal Administration with jurisdiction over you. Wow, this is timely as my PCP suggested A SNRI to treat me for pain. I'm surprised there's drivers allowed on that. FMCSA waivers/exemptions from hearing, vision, or seizure standards. July 23, 2021 A DOT physical exam is a standard requirement for anyone wanting to obtain and maintain a commercial driver's license (CDL). They are super strict about mental illness of any kind, even more about what kind of medication you can be on. disqualification. High turnover rates. These are the medical conditions listed on the FMCSA long form for which you should have supporting documentation for the medical examiner: Illness or injury within the last 5 years Head/Brain injuries, disorders or illnesses Seizures, epilepsy Eye disorders or impaired vision (except corrective lenses) Ear disorders, loss of hearing or balance Heart disease or heart attack; other cardiovascular condition Heart surgery (valve replacement/bypass, angioplasty, pacemaker High blood pressure Muscular disease Shortness of breath Lung disease, emphysema, asthma, chronic bronchitis Kidney disease, dialysis Liver disease Digestive problems Diabetes or elevated blood sugar controlled by diet or pills or insulin Nervous or psychiatric disorders e.g. (12)(i) Does not use any drug or substance identified in 21 CFR 1308.11 Schedule I, an amphetamine, a narcotic, or other habit-forming drug. Merely said, the Medical Examiner Practice Test For Dot Test Pdf is universally compatible with any devices to read Our Nation's Highways - 1984 Social Work ASWB Masters Exam Guide - Dawn Apgar, PhD, LSW, ACSW 2015-05-11 "Dawn gave us the tools we needed to take the exam, and let me tell you - she was on point! The regulations only require that you meet the qualification and training outlined in 49 CFR Part 40 and maintain the necessary documents to prove your qualifications. Dot Medical Examiner Course Study Guide . Under FMCSA regulations (49 CFR 391.41), a medical examiner may not certify a driver who has a DOT disqualifying medical condition or uses a medication/substance that compromises the ability to drive safely. Hearing While FMCSA says benzodiazepines are. Other Questions, Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine MarylandMassachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); What you need to know about getting your Medical Card. Dr. Alexander E. Underwood works at KT Health Clinic, a mile from I-44s Exit 80 near Springfield, Missouri. Dr. Michael J. Tigges is originally from Dubuque, Iowa. About Dr. Tigges: The medical examiner may still require a stress test, based on his findings. Due to the nature of many of these conditions, they may disqualify an individual from being able to drive at all. A SAP qualified to act in the DOT drug and alcohol testing program must meet the SAP qualification requirements in 40.281. Mike Chapple 2021-06-02 . urine specimen collector, breath alcohol technician (BAT), screening test technician (STT), medical review officer (MRO), substance abuse professional (SAP), consortium/third-party administrator (C/TPA), or laboratory)? What this all basically boils down to is are you a risk on the road. Increased focus or confidence might not seem like a bad thing This is direct from the FMCSA website. Amphetamines are often used in prescription medications that treat conditions Always remember to be responsible for Metropolitan Transportation Authority is now hiring a Structure Maintainer E (Plumber) in New York State. It willassist you in determining whether or not you arecovered. I'm thinking if it really does throw up a flag, I'm not going near it. Is it just one more hoop to jump through or is there a reason it is required? As an employee, ask your employer for a list of SAPs in your area (even if the employer fired you or did not hire you). Psychotic Disorders My BM suggest PcP for recreation. and others on the road. Dr. Tigges is one of the first in TN to become a certified DOT Medical Examiner of the United States Federal Government. The following drugs are considered disqualifying and are prohibited by the DOT: Marijuana In recent years, many states have legalized marijuana for medicinal or recreational use, but the DOT still considers it a disqualifying drug. The FAA also has to consider the prevailing political and legal . DOT/FMCSA every two years stress test results are needed to maintain a class A cdl. Summer of 2022 had another Echochardiagram and all is well. 529 Hartsville Pike decision tree. To pass the physical, you are required to have 20/40 vision in each eye and both eyes together, with or without glasses or contact lenses, and a field of vision of at least 70 degrees in both eyes. What if I take nitroglycerine for angina? Had bypass surgery Jan 2011. Download Medical Release Opinion information here. Class A, you will not pass for a medical card unless you go intra-state only. ODAPC does not develop or maintain a list of qualified service agents. Generally, DOT regulations cover safety-sensitive transportation employers and employees. what employees must do before they may return-to-duty following a drug and/or alcohol violation. In most states, drivers spend hours each day for up to seven weeks or more to gain the knowledge they need to pass a series of written exams for a commercial drivers license (CDL). test during the pre-employment process, be sure to reference the above list responsibly. And this is what I consider a tame mental problem, hell all it means is I G.O.A.L a little more and pre-trip more careful.. You really need to see if you can get a dot medical before going into the field, definitely get a waiver from your therapist saying you're stable enough to drive. he has been off for 2.5 months. {{year}} Concentra, Inc. All rights reserved. The 391.41 CMV Driver Medication Form, MCSA-5895, requests additional information regarding medications prescribed by the treating physician as an optional tool for Medical Examiners to use in determining if a driver is medically qualified under 49 CFR 391.41. This includes having drivers pass DOT physical examsto receive certification, usually for up to two years. It is seeking to augment an aging workforce (primarily men over age 45) by attracting younger drivers.1. What if Ive have angioplasty surgery or stents? The Medical Examiner has 2 ways to determine if any medication a driver uses will adversely affect safe operation of a CMV: Review each medication - prescription, non-prescription and supplement, Request a letter from the prescribing doctor". He has been practicing for more than 25 years. You will need this documentation before you can be reconsidered for qualification for a medical certificate. Please see a qualified medical provider if you have any concerns about your state of health. Will Labor Shortages and Year-end Burnout Increase Workplace Injuries this Holiday Season? If a driver is using a narcotic, a decision to certify will be made only if the prescribing physician and the medical examiner agree the driver is without deleterious side effects. The decision is left to the medical examiner, with input from the prescribing physician. requirements, they must pass a return-to-duty drug test, after which point they DOT/FMCSA requires, for a class A cdl, a new stress test every two years from your last one. I've tried to do a little research myself to find an alternative, and the best I've discovered is an SNRI like Effexor instead of the SSRI 25mg Zoloft I'm taking right now. Given the functional impairments and increased crash risk associated with benzodiazepine use, the MEP believes that: Download Medical Release Opinion information here. The 391.41 CMV Driver Medication Form, MCSA-5895, requests additional information regarding medications prescribed by the treating physician as an optional tool for Medical Examiners to use in determining if a driver is medically qualified under 49 CFR 391.41. what should be my next steps. Prior to 2017, medications regarded as "absolute disqualifiers" included Chantix, Methadone, and Suboxone. For this reason, the DOT does not allow CDL drivers to use opioid So many people are on antidepressants these days it's ridiculous, don't worry about it. prohibited types of drugs in the drivers system. fitness to drive accordingly. An official website of the United States government Here's how you know. Taking nitroglycerine is, of itself, not a disqualifier. Your email address will not be published. APRIL 25, 2019 One question that comes up frequently on the blog is about the use of medications by CDL drivers and whether a particular drug will disqualify a driver from getting behind the wheel. @ Mark T As an employee or employer, how do I know if I am subject to DOT testing? Major Depressive Disorder with a history of psychosis, suicidal ideation, homicidal ideation or a suicide attempt FMCSA Regulations Employee had a heart attack on 2/12/22, had a stent put in. Army Directive 2021-21 implements a requirement for Commanders to ensure all Soldiers are . Its a common problem in the What Drugs Will Disqualify You from Operating a CMV? Dopamine agonists used for Parkinson's disease or other medical conditions: bromocriptine (Cycloset, Parlodel), pramipexole (Mirapex), ropinirole (Requip), and rotigotine (NeuPro) FDA (Food and Drug Administration) approved less than 12 months ago. @ Russ B The most common meds that create such issues are benzodiazepines, such as Klonopin and Xanax, and narcotics, such as Norco, Oxycodone or Tramadol. She said I should do my research to see if it would effect my license before moving forward at all with that form of treatment. Can this driver get 1 year certification? A driver put into any His current DOT medical certification doesnt expire until December of 2023. The DOT physical exam is an exam required by the Department of Transportation (DOT) to verify the health of commercial motor vehicle (CMV) drivers and determine if drivers are physically, mentally, and emotionally fit to operate a CMV. Extremities and Trunk DOT disqualifying medical conditions include those that may lead to loss of consciousness or involve inadequate hearing or vision, a compromised nervous system, or physical limitations that interfere with driving ability. The DOT physical also requires you to be able to distinguish signal and . This is because the effects of marijuana can create an unsafe environment on the road. After5 years I had to do a stress test. This is because the effects of marijuana can create an unsafe environment Here is an example. ODAPC does not maintain a listing of courses or training sessions. The symptoms of these illnesses can range from minor to severe and most are easily controlled with medication. The most common meds that create such issues are benzodiazepines, such as Klonopin and Xanax, and narcotics, such as Norco, Oxycodone or Tramadol. Many of the functions that marijuana ask your question in the comments section below. DOT/FMCSA has a two month waiting period following an MI. Find all Trucking Law installments via this link. Nor does the Department offer a certificate to participate in DOT's drug and alcohol testing program. While FMCSA says benzodiazepines are disqualifying, thats not always the case in extremely rare instances. Medical Examiners are required to give careful consideration to the effects of medications on a drivers ability to operate a CMV safely before rendering the driver qualified. Contact Us. If you have a question about the DOT drug and alcohol testing program rules, read the regulatory text. As such, the ODAPC staff thought that those subject to Department of Transportation (DOT) testing would benefit from the responses already provided. 2021 we are requiring all new MTA hires to be fully vaccinated against COVID-19 prior to their start date. He is now returning to work. Federal Motor Carrier Safety Administration, 391.41 CMV Driver Medication Form, MCSA-5895 (optional), United States Department of Transportation, National Registry of Certified Medical Examiners, ADA Requirements for Over-the-Road Bus Companies, Apply for a New USDOT Number and/or Authority, Pocket Guide to Large Truck and Bus Statistics, National Registry Technical Support Request Form. Can I get a DOT medical card if I have a defibrillator? Some medications listed may not be approved for a given individual and medications not listed may also be acceptable to the FAA. which takes a driver from behind the wheel requires a new medical certification examination. This system of regulating the use of Although medical marijuana is legal in many states, it is disqualified by FMCSA standards, as is CBD oil. DOT medical examiners now have either instant A1C in office test or, at worst, a two- to three-day send-out test. The illegal use of amphetamines is He needs a new medical certification examination before returning to driving, if he is a class A driver. Those individuals who are highly susceptible to frequent states of emotional instability (schizophrenia, affective psychoses, paranoia, anxiety or depressive neurosis) may warrant disqualification. . following effects: Amphetamine is a central nervous stimulant that causes Medical Conditions Phencyclidine, also known as PCP or angel dust, is an We have a CDL OTR driver the got pneumonia and then we were told he was hospitalized as it transferred to the heart. A SAP qualified to act in the DOT drug and alcohol testing program must meet the SAP qualification requirements in 40.281. The DOT Drug Testing Panel Drivers who are required to be enrolled in a DOT drug and alcohol testing program will be tested during the pre-employment process - and then periodically thereafter - for the following substances: Marijuana Cocaine Amphetamines (Amphetamine, Methamphetamine, MDMA, MDA) Secure .gov websites use HTTPS Regarding DOT disqualifying medical conditions, in this article, well discuss: Before turning to those topics, a quick word about the importance of the DOT physical examination illustrates the value of full disclosure of health history, even when a DOT disqualifying medical condition is involved. If you do take a medication on this list, youll need to get a letter from your doctor that clears you to drive before your next DOT physical. . I take all my medications at night and haven't observed any residual drowsiness. You will need to be off work for at least two months. Your examiner must know the differences. As an employer, you must provide employees with a list of SAPs qualified under 40.281. FRA, FMCSA, FTA, FAA, and PHMSA) and the USCG have specific drug and alcohol testing regulations, What happens to me when I test positive or refuse to test, How do I find a Substance Abuse Professional (SAP), https://www.daodas.sc.gov/treatment/sap-registry-for-commercial-drivers/, Do I need to be DOT certified to participate in DOTs drug and alcohol testing program as a service agent, National Laboratory Certification Program, As an employer, where do I find a list of qualified service agents, publish a list (monthly) of certified laboratories, Is there a list of prohibited drugs for being medically qualified to drive a commercial motor vehicle, Federal Motor Carrier Safety Administration's Medical Program website, Frequently Asked Questions (FAQs) section, Office of the Assistant Secretary for Research and Technology. duty. Dexedrine, and Vyvanse. Elevation to Stage 2 may result in a three-month certification and, if blood pressure goes below 140/90 within that time, a driver may receive certification for one year. Bipolar Disorders If you are going to be intra-state only you will fall under your states regulations. This will not apply to most but will apply if you've been diagnosed with severe non . Why would they require a stress test for this, or is there more than likely more that we are not being told? A medical examiner sometimes needs to consult with a prescribing doctor regarding the safety of using certain medications. Before posting, please make sure you are on the appropriate Category page, so that relevant questions and answers can be found by other drivers too. if they still come back positive, disciplinary action will be taken. You will need to bring supporting medical documentation from your cardiologist at the time of your re-certification. 1200 New Jersey Avenue, SE Each DOT agency (e.g. tested has the option of requesting a retest within 72 hours of receiving the On September 19, 2018, the U.S. Department of Transportation Federal Motor Carrier Safety Administration (FMCSA) published in the Federal Register a Final Rule on Diabetes. Any anti-seizure medication used for the prevention of seizures is disqualifying. DOT Disqualifying Medical Conditions For safety purposes, there are DOT disqualifying medical conditions which may take truckers off the road, but these conditions may not be a permanent roadblock for the driver or the employer. Can I get medical card for intrastate driving including: In addition to these effects, amphetamines are addictive, chronic users of benzodiazepines should wait an additional week after the drug has been cleared from the body (i.e., seven half lives plus one week) before driving a CMV to ensure that it has been completely eliminated. They may request a class A medical certification examination first. He serves his patients who live in surrounding communities in middle TN, or those passing through the area. Opioids are types of drugs that affect the opioid receptors Thats a lot of preparation to get behind the wheel. It will require a new medical examination, once released to return to work. All rights reserved. The patient might have a cardiologist treating heart problems, an endocrinologist treating diabetes and a primary care physician treating other conditions. There are only 2 times when medication use is always disqualifying. elevated levels of focus and confidence and that can cause euphoria. This is a disqualifying medical condition, so once it is resolved, and before resuming operation of a CMV, you are responsible for obtaining re-certification . Also, nearly all antidepressants are allowed, barring uncommon first-generation medications such as TCAs (tricyclic antidepressants) and MAOIs (monoamine oxidase inhibitors). If You Take These Medications, You Might Not Get A CDL. Cardiologist has given clearance letter with Ejection fraction between 40-45. random drug testing requirements, and they may also need to be tested after (3)(c) of DoDD 1404.10 and The Rehabilitation Act of 1973, as amended), if all . may clear a driver to drive despite being prescribed a prohibited medication. Chiropractic Physician. How do I find a Substance Abuse Professional (SAP) who is qualified to act in the U.S. Department of Transportation (DOT) drug and alcohol testing program? 49 CFR Part 40 (commonly referred to as "Part 40") states: The DOT Agency and the USCG specific regulations state: The DOT Agencies and the USCG incorporate Part 40 into their regulations and enforce compliance of all their respective regulations. split-second decisions while driving. Cardiovascular See Psychiatric Conference Report for specific recommendations on the use of these medications and potential hazards for driving., It is the opinion of the MEP that all individuals with a history of the following psychiatric disorders should undergo additional medical and psychiatric evaluation to further assess functional ability before being considered qualified to drive a CMV: Ongoing DOT Examiner Education, and DOT Exam Webinar Series learl@naohp.com progressively certiied based on their stability over time. Cardio has cleared me to return, and so has the DOT doctor i seen, have new physical card , yet company refuses to let me come back.what can i do? @ Dave McQ Always report all your medications to your CDL medical examiner, even if theres a chance it will restrict your career. A lock ( LockA locked padlock ) or https:// means youve safely connected to the .gov website. Suboxone and other opiate replacement therapies are examined on a case-by-case basis. The commonly prescribed cyclobenzaprine (Flexeril) is allowed if the driver does not show any sedating side effects. will be administered to the driver, testing for any trace of the five Phone: (202) 366-4001 However, amphetamines are often abused when used The DOT physical exam was mandated by the Federal Motor Carrier Safety Administration (FMCSA) to ensure the . 140 Huyshope Avenue Hartford, CT 06106 Phone: (860) 633-2660, Copyright 2023 Foley Carrier Services LLC All Rights Reserved. side effects. There might be stricter guidelines to come. your drug usage and to avoid any DOT prohibited drugs, especially when youre on I had to get a Pacemaker/defibrillator and was disqualified from DOT. A carrier can be more restrictive as a company policy but they cannot be more lenient, if your med is not on that list and doc still says no, your wings are clipped. Congress extended the effective period for paragraph (h)(30) until May 6, 2021, by Public Law 116-114. There are guidelines wherein discretion whether to grant certification or not. They often are not labeled correctly and can contain banned substances. If I want to become a service agent, where do I find a list of courses or training sessions? They are used to relieve pain, are present in many types of pain During the examination, a medical examiner will determine . recreationally. Open in the Concentra app. Does DOT require another echochardiagram before renewal? Right next to Sumner Regional Medical Center across from Perkins Drugstore. If you do not have the necessary documentation with you, for the DOT physical exam, the medical examiner may have to temporarily disqualify your medical certificate. Do I need to be DOT certified to participate in DOTs drug and alcohol testing program as a service agent (i.e. adulterate, or substitute my urine specimen, or decline to be tested)? which is it is my? Concentra has a clinical staff that includes more than 1,200 certified medical examiners listed on the NRCME at least one at each of our more than 520 community-based medical centers nationwide, so there is always one near you. According to the FMCSA, individuals who live under chronic emotional upsets may have deeply ingrained maladaptive or erratic behavior patterns. Yes, however, diabetes is one of the four conditions that have objective disqualifiers - that means that if your symptoms of diabetes meet one of their disqualifying conditions, you'll automatically fail the exam. CDL drivers and some basic information about DOT drug testing for drivers. Oklahoma trooper nabbed a semi driver for speeding, then discovered multiple substance use violations, Forklift and 18 wheeler rampage reported at Kansas City business, Fire destroys big rig of 44 year veteran driver on his last haul before retiring, Amphetamines (Amphetamine, Methamphetamine, MDMA, MDA), Opioids (Codeine, Morphine, Heroin, Hydrocodone, Hydromorphone, Oxycodone, Oxymorphone).

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