Opbouwschema: start 10 – 25 mg a.n., op te hogenmet 10 – 25 mg per 3 – 7 dagen tot gemiddeld 50 mg per 24 uur, max. 100mg/24uur, ouderen– Alternatieven: nortriptyline (Nortrilen®), doxepine (Sinequan ®), clomipramine (Anafranil ®)– duloxetine (Cymbalta ®), start 60 mg, na 1 – 2 weken ophogen, max. 120 mg/24 uur– venlafaxine (Efexor ®), start 37,5 mg, – gabapentine (Neuro
Document9Annexure - VII
POST MORTEM HEALTH INSPECTION
1. The poultry must be inspected immediately after slaughter under adequate 1.1.1 the surface of the bird's body, excluding head and feet save where these are intended for human consumption: 1.1.3 the body cavities, must be subjected to visual inspection and, 1.2.1 anomalies of consistency, colour and smell, in the carcases; 1.2.2 major anomalies resulting from slaughtering operations; 1.2.3 proper functioning of the slaughter equipment.
1.3 The official veterinarian must in any event; subject to a detailed inspection a random sample of thebirds rejected in the post mortem health inspection, themeat of which was declared unfit for humanconsumption in accordance with rule 1 of Annexure VIII; examine a random sample of birds taken from the entireconsignment which has undergone the post morteminspection, for an inspection of the viscera and the bodycavities; 1.3.3 carry out a special post mortem inspection of the poultry meat if there are other indications that the meatfrom that poultry could be unfit for humanconsumption.
In the case of partly eviscerated poultry whose intestines wereremoved immediately, the viscera and the body cavities of at least 58 ofthe slaughtered poultry from each consignment shall be inspectedafter evisceration. If during such inspection anomalies are discovered in anumber of birds, then all the birds in the consignment shall be inspected inaccordance with point 1.
the post mortem health inspection in accordance with point I of thisAnnexure shall take place at least 15 days after slaughter, duringwhich period it must be stored at a temperature not exceeding +4degree C; at the end of this period at the latest, it must be eviscerated in theslaughterhouse where the slaughtering was performed or inanother approved cutting plant fulfilling the hygiene requirementsand be accompanied by the health certificate.
the poultry meat must not bear the health mark referred to inAnnexure XI before the evisceration referred to in point 3 (b) of thisAnnexure has been performed.
4. The taking of samples to examine for residues must be carried out by spot checks and in any case in the event of justified suspicion. In the case ofexamination for residues by sampling, examination shall be carried outspecifically for the following residues.
TOLERANCE LEVELS OF RESIDUES FOR POULTRY STANDARD
(including Tetracycline Hydrochloride,Oxytetracycline Hydrochloride, For exports to the European Union, the residues may be tested as per The obligation to examine for residues of substances with pharmacological action referred to in Point 4 of this Annexure shall notapply to poultry from holdings under official veterinary control whereexamination for those residues is carried out on the holdings of origin.
Where a disease is suspected on the basis of the pre-slaughter or postmortem inspection, the official veterinarian may ask for the requisitelaboratory tests to be carried if he considers them necessary to substantiatehis diagnosis or to detect substances with pharmacological action likely to bepresent given the pathological condition observed.
In the event of doubt, the official veterinarian may perform the further cuts and inspections of the relevant parts of the poultry necessary in order toreach a definitive diagnosis.
6. The results of the pre-slaughter and post mortem inspections shall be recorded by the official veterinarian and, where transmissible diseasesare diagnosed, communicated to the competent authority responsible forsupervision of the holding from which the poultry originated, as well asto the owner of the holding of origin or his representative, who must takeaccount of and keep such information and submit it to the officialveterinarian carrying out the ante mortem inspection during the subsequentproduction period.
Organ derDeutschenOphthalmologischenGesellschaftD. Mojon, St. GallenD. Pauleikhoff, MünsterT. Kohnen, Frankfurt a. MainKatarakt und LinseRüdigerstraße 14D-70469 StuttgartPostfach 30 11 20D-70451 Stuttgart1863 von Karl Wilhelm v. Zehender imZusammenwirken mit Theodor Sämischund Albrecht von Graefe gegründet, umden Bedürfnissen des am Patienten tätigenAugenarztes in Klinik und Praxis zu d