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LAW AND PUBLIC SAFETY NEW JERSEY RACING COMMISSION Harness Racing Medication and Testing Procedures Proposed Amendment: N.J.A.C. 13:71-23.8
New Jersey Racing Commission,Frank Zanzuccki, Executive Director
Calendar Reference: See Summary below for explanation of
Proposal Number: PRN 2008-97______________
Submit written comments by June 6, 2008 to:
Michael Vukcevich, Deputy DirectorDepartment of Law and Public SafetyNew Jersey Racing CommissionP.O. Box 088Trenton, New Jersey 08625-0088
N.J.A.C. 13:71-23, (Medication and Testing Procedures)
sets forth the rules of the New Jersey Racing Commission concerning
the administration of medication and foreign substances to
standardbred race horses. On May 21, 2007, the Commission amended
N.J.A.C. 13:71-23.8 to authorize the use of aminocaproic acid
(AMICAR(R)) with Furosemide (LASIX(R)) as an adjunct bleeder
medication for horses that have been placed on the Furosemide List.
See 38 N.J.R. 4820(b), 39 N.J.R. 2135(a). At the time of the
adoption of this amendment to the rule, because of uncertainties
concerning the efficacy of AMICAR(R) in the treatment of Exercise
Induced Pulmonary Hemorrhage (EIPH), the Commission authorized the
use of AMICAR(R) only until December 31, 2007.
To accomplish this limitation, the Racing Commission
added subparagraph ii to paragraph (a)4 of rule N.J.A.C. 13:71-
23.8. See 39 N.J.R. 2135(a). This subparagraph specifically
provided that “[t]he administration of AMICAR(R), pursuant to this
paragraph, is only approved through December 31, 2007." As a result
of a subsequent amendment to N.J.A.C. 13:71-23.8, paragraph (a)4,
which addressed the use of AMICAR(R), was moved to paragraph (a)6.
See 39 N.J.R. 5365(a)(effective December 17, 2007). In adopting
this sunset provision, the Racing Commission expressed concern over
the lack of conclusive scientific data at that time which either
established the efficacy of AMICAR(R) in treating EIPH or showed
proof of harm to those horses to whom AMICAR(R) is administered. By
authorizing the administration of AMICAR(R) until December 31, 2007,
the Commission hoped for the development of valid, cognizable
scientific evidence that would either support the medical use of
AMICAR(R) or oppose it. However, to date, scientific data regarding
the therapeutic value of AMICAR(R) or its harmful side effects have
In proposing this current amendment to N.J.A.C. 13:71-
23.8, which would allow for the continued use of AMICAR(R), the
Commission anticipates that the industry's experience in using
AMICAR(R) in 2007 will generate meaningful and important public
comment as to whether the use of AMICAR(R) in this jurisdiction has
been positive or negative. The comment period would also allow
interested parties to submit research studies from other
jurisdictions that are published, or otherwise recognized as
completed by the academic community. Following the 60-day comment
period for this proposed amendment, the Commission will evaluate
all available information and decide whether to reauthorize,
through adoption, the use of AMICAR(R) pursuant to the terms and
conditions set forth in the rule. As a result of this 60-day
comment period, this notice is excepted from the rulemaking
calendar requirements in accordance with N.J.A.C. 1:30-3.3(a)5.
The Commission looks forward to and welcomes further
study and industry input into the efficacy of AMICAR(R). It is
important to note that to date, the Commission has not received any
information which establishes that the negative impact of allowing
the use of AMICAR(R) outweighs the benefit to those horses to whom
it is administered. As a result, the Commission has decided to
propose, obtain comments and consider the continued use of
It is also important to note, however, that should the
Commission obtain sufficient, valid evidence that the use of
AMICAR(R) is harmful to the animal or it is otherwise
contraindicated, it is the intent of the Commission to act
expediently to propose the repeal of that portion of this rule that
authorizes the use of this drug. In doing so, provision will be
made in accordance with the Administrative Procedure Act, N.J.S.A.
52:14B-1 et seq., to afford all interested parties an opportunity
to submit data, comments or arguments regarding the discontinuance
Finally, it is also important to note that by all
appearances, the Commission's decision to allow the use of AMICAR(R)
in 2007 was beneficial to the racing industry and horsemen who
participate in New Jersey's "racing circuit" and neighboring
states. Maryland, Pennsylvania, Delaware, West Virginia, Virginia,
Kentucky and Ohio permit the administrative of AMICAR(R) to horses
who race there. New Jersey's decision to allow the use of AMICAR(R)
in this State means that horses who have a therapeutic need for
this medication can move freely within these states to compete.
Thus, because the use of AMICAR(R) is consistent with the racing
practice in neighboring states, allowing its use in this State has
had a positive impact on the racing industry in that regard. Social Impact
It is anticipated that the proposed amendment will more
likely have a positive social impact on horse racing in this state
by ensuring that horses with a medical need for AMICAR(R) can
receive it on race day. Of course as discussed above, further
study regarding the therapeutic value of AMICAR(R) or its harmful
side effects is necessary before its benefit can be conclusively
established. If the bulk of compiled data were to establish that
AMICAR(R) harms horses or does not assist horses suffering from
EIPH, permitting the race day administration this drug would
clearly have a negative social impact. However, as set forth
above, if such data were to materialize, it is the intention of the
Commission to act expediently to repeal the use of AMICAR(R) in this
Economic Impact
It is expected that the proposed amendment will have a
positive economic impact for the New Jersey racetracks. The
proposed amendment, if adopted, allows the New Jersey racetracks to
continue to accommodate horsemen from other states that permit the
use of AMICAR(R). Of course, an owner or trainer who decides to
treat his or her horse with AMICAR(R) will be responsible for the
Federal Standards Statement
A Federal standards analysis is not required because the
rules of racing are authorized by State statute, N.J.S.A. 5:5-22 et
seq., and the proposed amendment is not subject to any Federal
Jobs Impact
The proposed amendment will not result in either the
generation or loss of jobs. Although the proposed amendment will
impose additional job responsibilities on Racing Commission staff
and the Commission's equine testing laboratory, the data from the
2007 administration of AMICAR(R) indicates that these additional job
responsibilities can likely be handled by its existing staff without
the need to hire additional personnel. Agriculture Industry Impact
The proposed amendment will have no impact on the
Regulatory Flexibility Analysis
The proposed amendment does not impose any reporting or
recordkeeping requirements on small businesses as defined by the
Regulatory Flexibility Act, N.J.S.A. 52:14B-1 et seq. The proposed
amendment to N.J.A.C. 13:70-14A.9 imposes minimal additional
compliance responsibilities on racetrack veterinarians since the
administration of AMICAR(R) takes place at the same time the horse
is dosed with Furosemide. The only recordkeeping caused by the
proposed amendment would require veterinarians to note the co-
administration of AMICAR(R) on the currently-required Furosemide
medication slips. Although some owners and trainers operate as
small businesses, the proposed amendment does not impose any
additional responsibility upon them. Costs related to the
administration of AMICAR(R) are discussed above in the Economic
Smart Growth Impact
The proposed amendment will have no impact on the
achievement of smart growth or the implementation of the State
Full text of the proposal follows (deletions indicated in
13:71-23.8 Administering medication to respiratory bleeders;standards for the administration of non steroidal anti-inflammatorydrugs (NSAID) and anti-ulcer medications; environmentalcontaminants.
(a) The Board of Judges may permit the administration of
medication to control respiratory bleeding under the following
6. If a horse is approved to receive Furosemide, the
use of aminocaproic acid (AMICAR(R) injectable only ) as
an adjunct bleeder medication may be co-administered by
a licensed veterinarian only when the horse receives
Furosemide. Dose: AMICAR(R) injectable 10 ml (2.5 gram)
[ii. The administration of AMICAR(R) pursuant to
this paragraph, is only approved through December
PATIENT MEDICAL HISTORY 1. Are you currently being treated by your physician for any medical condition? ____________________ ________________________________________________________________________________ 2. Physician’s Name _________________________________ 3 .Please list ALL medications you are currently taking: ______________________________________ ________________________________
Grupo de Vías Respiratorias de la AEPap (GVR-AEPap). CAP La Mina, San Adrià del Besós. Rev Pediatr Aten Primaria. 2005;7 Supl 2:S79-95 María José Torregrosa Bertet, jtorregrosa.pbcn@ics.scs.es Resumen La vía inhalatoria es la de elección en el tratamiento del asma en la edad pediátrica. Esta vía aporta una serie de ventajas con respecto a la oral o parenteral, entre las que