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Assessment and classification of CFS Subjects who agreed to participate were admitted to a Wichita hospital research unit for 2 days. Subjects brought all their current medications so that clinic staff could record this data and maintain medication profiles throughout the study. To identify medical conditions specified by the case definition as exclusionary for CFS [1, 11], participants provided a standardized past medical history, a review of current medications, underwent a standardized physical examination, and provided blood and urine for routine analysis [1, 11]. To identify psychiatric conditions exclusionary for CFS, licensed and specifically trained psychiatric interviewers administered the Diagnostic Interview Schedule for current Axis I disorders [20]. Exclusionary psychiatric illnesses specified by the case definition were current melancholic depression, current and lifetime bipolar disorder or psychosis, substance abuse within 2 years and eating disorders within 5 years. A panel of physicians and psychiatrists psychologists reviewed this information and identified subjects with disorders exclusionary for the diagnosis of CFS. Subjects with no exclusionary conditions were considered to be CFS if they met empirically measured parameters [19] of the 1994 CFS case definition [1]. Non-fatigued controls met none of the parameters. Medication use As noted, clinic staff reviewed all current prescription and over the counter ; medications that study participants were taking. Study investigators DBR, MJD, CH, JFJ, WCR ; , and other Emory University Department of Psychiatry and Behavioral Sciences collaborators, reviewed all medications and classified them as affecting inducing sleep, inhibiting sleep or with mixed effects ; or not affecting sleep. Those classified as affecting sleep included analgesics e.g., hydrocodone, Lortab, oxycodone, Propoxyphene ; , antidepressants e.g., CelexaTM, amitriptyline, imipramine, LexaproTM, WellbutrinTM, Effexor, ProzacTM, ZoloftTM, PaxilTM, fluoxetine ; , antianxiety Alprazolam ; , antihistamines e.g., diphenhydramine, chlorpheneramine, benadryl, promethazine ; , decongestants e.g., pseudoephedrine, guaifenesen ; , anticonvulsants e.g., Topamax, Neurotin, clonazepam ; , anti-sleep phase disorder melatonin ; , blood pressure controlling e.g., Clonidine, Proamatine ; , antipsychotics e.g., Seroquel, Zyprexa, Fluvoxamine ; , stimulants e.g., methylphenidate, Provigil ; , peristaltic stimulants Metoclopramide. Remeron & lexapro 8th december 2003.

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1. Welcome & Introductions a ; Committee Members and Staff 2. Approval of the minutes 3. Update a ; Legislation b ; Preferred Drug List PDL ; c ; Prior Authorization Criteria Pro-DUR edits See attachment 1 ; 4. Public Comment See attachment 2 for Conflict of Interest Disclosure ; 5. Closed Executive Session a ; Economic Review of the Iowa Medicaid Preferred Drug List, Newly Released Drugs, Newly Released Generic Drugs, New Dosage Forms, and Contracts. b ; Review and discussion of the confidential public comments. 6. Preferred Drug List PDL ; discussion and deliberation See attachment 3 for order of discussion ; 7. Final Recommendations by the P & T Committee on the Iowa Medicaid Preferred Drug List * Lunch Break 12: 15 p.m.-1: 00 p.m. * 8. Review of Newly Released Drugs by Dr. Thomas Kline See attachment 4 for order of discussion ; 9. Final Recommendations by the P & T Committee on Newly Released Drugs Open Session ; 10. Review of Newly Released Generics drugs and New Dosage Forms and Strengths by Dr. Tim Clifford See attachment 5 for order of discussion ; 11. Final Recommendations by the P & T Committee on Newly Released Generic Drugs and New Dosage Forms and Strengths Open Session and miconazole.

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