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Wednesday, 18 April 2012
I Heart Cupcakes on Tour - Brighton
The third and final part of my recent travels takes us to the lovely coastal town of Brighton. I know not quite as glamorous as Paris but I love Brighton.
Alas I did not love their cakes - this final part is the 'downright ugly' of the trilogy.
I had wanted to visit Choccywoccydoodah for years. Every time we went to Brighton we seemed to get swayed by other things - usually the pub - however we finally made it on Valentines day this year. I really wished I hadn't bothered.
First we visited the chocolate store.
The cakes in the window were amazing and the shop has some lovely things in it but I'm afraid I find myself unable to justify paying £20 for a chocolate kitten or a tenner for a pair of chocolate lips. I actually toyed with buying a small cake but decided to go to the Bar du Chocolat first. Thank f**k I did.
I'd read online about the intimate boudoir where sumptuous hot chocolate is served - however when walking in we were faced with a modern looking cafe which smelt a lot of cheese and oil. We were shown to the back room, aka the boudoir, which was very cramped and rather shabby.
We ordered their luxury (sumptuous?) hot chocolate and some cakes; a chocolate coconut cupcake for me and for Manny lemon cake as strangely they had no chocolate cake available. Not a great start for a chocolate cafe.
Our hot chocolate was ok - nothing luxury or sumptuous about it though. It tasted less chocolate'y than a Starbucks hot chocolate, was covered in masses of cream and contained a LOT of really cheap tasting marshmallows which added nothing to it at all and made it all gloopy. If I was to guess I'd say no real chocolate was involved in the making of this hot chocolate. It tasted like it was from a packet. My home made hot chocolate is nicer than this and, even using expensive chocolate, cheaper.
Manny liked his cake with ice cream. I tried some and it was quite nice, nothing spectacular.
My cupcake was in fact a cake covered in melted chocolate with some dessicated coconut on top. The cake itself was rock hard and tasted of nothing. The chocolate was hard and rather unpleasant. But nothing was unpleasant as taking a bite and finding....a hair. A longish curly hair that did not belong to me.
Now normally I would've pointed this out to staff, however we had a charming couple and their children squashed into the area next to us - he was threatening to beat the crap out of her for not eating any of their, frankly disgusting looking Rocky Road, and being incredibly unpleasant to the staff who were young and I felt had enough on their plate. However I did email Choccywoccydodah afterwards and tell them I was disappointed to find hair in their cakes and mention how old/stale the cakes were but received no response.
Next time I'm in Brighton I'll stick to the pub.
13 comments:
- Denise said...
ooo how disappointing about Choccy..I follow their shows on the telly, amazed by their cakes. Maybe it was an off day?
- 18 April 2012 at 19:41
- Kelly Buhler said...
I went to the one in London the other week. The cake is definitely not cakey tasting if that makes any sense.
They were very friendly when I went in though.
- 18 April 2012 at 20:13
Yeah, it was a bit of a let-down, as a chocolate lover I was expecting great things. My cake was OK, but not a patch on a Starbucks choccy cake, let alone one of yours! At least we went to the cafe before you splashed out on something from the shop :)
- 19 April 2012 at 13:54
p.s. I meant to say, I LOVE the picture!!
- 19 April 2012 at 14:08
- Katie said...
Oh dear. No one wants a hiar in their cakes!
There is a cupcake bakery in The Lanes in Brighton. Called Angel bakery (I think) Not tried them myself, but my sister said they were nice
- 19 April 2012 at 15:28
- Marcus said...
Love the blog. Always interesting posts and I learn something new every time I visit you. The baked goods from Brighton look fantastic!
Have you guys heard about the campaign Taste Success? The aim is to encourage younger people to explore an education and/or a career in the Food and Drink industry. We want to show everyone that the sector involves so much more than chefs and restaurants like for example scientists, manufacturers and technologists. Follow this link to get some more information: http://bit.ly/fdftastesuccess - The campaign also features a range of videos, the most popular is the Chilli Baby --> http://bit.ly/ChilliBaby. Please share and spread the word! :)
- 19 April 2012 at 16:57
Have you ever been to the Angelfood bakery in the Lanes? I've been a couple of times and their cupcakes are delicious, though no room for eating in really.
- 21 April 2012 at 11:53
- Cupcakes Betty said...
So tasty chocolate cupcakes, nom nom nom. Great looking cakes! Cake envy.
- 14 May 2012 at 08:27
- Swirls Cup~Cakes said...
I really enjoyed reading the first bit of your blog and will be back for more as time allows!
There's not many things more disappointing to me than a 'substandard' cupcake ;o(
I just began my blog 'Swirls Cup~Cakes' almost for the same reasons your began your journey! I LOVE baking cupcakes and hope to make a living at it. I love photography too, so I'm just having too much fun doing both! Stop in for a visit, would love your opinion(s)... http://www.swirls-cup-cakes.blogspot.com/
Take care and have lot's of fun~
Holly E.
- 16 May 2012 at 19:21
- Sarah, Maison Cupcake said...
Oh dear oh dear, good job I've not made a special trip to go there, I was quite intrigued after seeing the TV show. It does sound a big disappointment - I'll check out the London one instead I think.
- 19 May 2012 at 23:26
- Made With Pink said...
I've never been that impressed with the cakes and chocolate on show at ChoccyWDD. When watching their show something kinda stuck out to me that their cakes wouldn't be that good - I just think there are so many others that look better out there. With regards to the Angelfood bakery - I've tried them before and wasn't very impressed. It was a few years ago, but they're swiss meringue buttercream just tasted slimy. I've been told the same thing by my friends, so would be interested to hear your thoughts on it whenever you do try them.
- 19 May 2012 at 23:36
- I heart cupcakes said...
Denise - I have to say watching the show I've often thought that the cakes looked incredibly dry.
Kelly - our staff were nice at the Brighton one (not in the choc shop) but the place was so dingy and smelt of old oil. I've heard the cake in London isn't very good
Manny - so true!
Katie/Anon - I've been to Angel Food - first time was quite nice, but last time the cake was greasy. Thanks though
Cupcakes Betty - I'm not sure you meant to comment here - unless you like dry hairy cake?
Sarah - yeah best to pop to the London one. I've not been yet but may pop by on Monday as am going into town.
MWP - yeah I had a good cake at Angel Food years ago but recent visits were rubbish so we never went back. The cake we had last time was days old for sure! I agree re the show - the cakes always looked overcooked. I hate cakes that are all decoration not about flavour - unfortunately a lot of people seem to fall for pretty cakes that taste like crap!
- 19 May 2012 at 23:50
- Shona Wallace said...
Erghh that cupcake does NOT look good!! I thought it would have been amazing watching the show!
Your blog is a GODSEND! I've spent waaay too long on here!
- 24 June 2012 at 23:04


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Loving Again
"I thought I loved him, but he had to break my heart for me to know what true love really is." Edward never comes back and Bella is left alone in Forks. 10 years later vampire Bella meets Edward again in a small classroom in the middle of nowhere. But there's a little catch... Bella has changed, internally and externally. She is no longer the self-sacrificing, clumsy girl Edward fell in love with. She goes by the name Anna. This time Bella- no Anna- has a secret, but what happens when the truth is revealed? Banner by the absolutely amazing Vatina!
1. Chapter 1
Rating 5/5 Word Count 1541 Review this Chapter
The kiss was long and heavy, awakening a sensation I thought long extinct. His arms pulled me closer to him, and that was all I wanted to do, to be near to him after being away for so long. I finally found him again, but this time I wasn't searching. He didn't know…there was so much he didn't know. Familiar guilt rose in me, making my head burst. I pulled away from him, and his sigh ran through my ears.
"Don't you love me?" he asked, his voice cracking. I looked away from him, unwilling to let him see my face, since all my emotions would be laid right across it. I could hear the shuffle of his jeans as he turned away from me, walking a few paces in the opposite direction.
"You don't love me," I stated, knowing that if I was human, tears would be pooling down my cheeks. He loved another, someone he lost. I knew exactly who that was, due to him describing her in great detail. He described her as if she was a goddess. He told me why he left her, why he let her wither away and die in the small town she banished herself to. He told me how heart broken he was when her future disappeared and how his family had to restrain him when he tried to end his existence. He didn't love me, he loved her. And she was dead, in a way. But she was coming back, and I was scared to see her return to the surface with all the feelings and emotions I tried to keep buried.
"Why do you say that?" he asked, frustration evident in his voice. But I loved him. I thought I could never forgive him, never let him hurt me again. But I knew it was all a lie the moment I saw him in that class room, his bronze hair in its casual disarray and his liquid topaz eyes gleaming. I remembered the way my dead heart leaped out of my chest when I saw him for the first time in years. I thought I was going to let him go, let him live his life like I was trying to live mine. But then…I couldn't help myself. I wanted him. All I ever wanted was him.
"Because I'm not Bella," I whispered. Even though her emotions were taking me over, I had changed. I wasn't the carefree, cautious girl who he fell in love with. I was the gloomy, risk taking woman who he thought he loved. I knew why he left her. I knew exactly why, now. He didn't want to hurt her, didn't want to damn her. His efforts were in vain in the end, but his heart was in the right place, even if his body wasn't. How could I be angry at him when he only wanted what was best for me?
There she was again! Her thoughts, her feelings, invading me, taking me over. My body was different, my mind was different, she should be gone. I wasn't Bella anymore, I was…I didn't know who I was. I tried not to fall in love with him again. I tried desperately. But he had a hold on me. A hold that could never be broken.
"Anna," he whispered, grief overwhelming him. "I'm sorry." He turned away from me, preparing to run out of my life, away from me. My heart was already breaking again, the hole was carving it's self out. I wasn't going to be able to keep myself together this time. I was certain of that. I thought I was strong, but I was wrong. Dead wrong. Because I was Bella. I was that clumsy, average girl who fell in love with a vampire. I was that girl who only wanted what was best for other people. I was that girl who threw caution into the wind when it came to her own safety. I was the girl that fell in love with Edward Cullen, and I was the girl who was broken by him. And there was no way I was going to let him slip through my fingers again.
"No," I yelled, my discovery fueling my words. I wasn't going to let him go again. I wasn't going to let him pry himself out of my life. "I do love you," I said, his smile almost dislodging it's self from his face. "But I don't think you will love me after I tell you…everything."
He left me in those woods, promising to stay out of my life. Never to return. He thought I was going to be safe without any vampires in my life. Ha, but he forgot one thing, though. He forgot that I was a danger magnet, attracting every form of danger in a thousand mile radius. That was probably how Victoria found me, the huge red target sign floating above me screaming 'Attack here! Attack here!'. And that's what she did. Attack me, torture me, bite me. I woke up in a small room after days of pain, a pile of ashes in the corner. It took me a split second to realize who the ashes belonged to. Victoria… I looked at my hands and saw the pale rock they have become. I looked at my surroundings, recognizing them at once. It was the house I used to seek refuge in, the house I visited when the pain was too much to bear. The musky smell hit my nose then, making me crinkle my nose in distaste. It was the smell of them. The werewolves. My pack. The door slammed open then, a large figure squeezing in the doorway.
"Run, Bella!" it commanded. I recognized him as Jake, my Jake. He had a look of pure panic on his face, his hands blistering warm as he grabbed my wrists. The difference of out temperatures didn't seem to faze him, though. "Run," he yelled again. I then heard footsteps leading up the stairs. "I don't know what they'll do, but you just have to run before they find you…like this." I nodded, opening the small window.
"Jake," I croaked, my voice sounding very normal…not like the velvet I was used to. He turned his back on me and locked his door, even though that would add little resistance. I wiped a non-existent tear from my face and leaped out the window, my hair flying in the breeze. I didn't look back, I couldn't, because I would see everything I would have lost. Everything.
I wasn't extraordinary. I was stunning, yes, but not like he was. My voice was sweet, but it was too much like my old one, the human one. My brown hair shined, but it was the same color and length as my human hair. My facial features were perfect, but the same. I looked like Bella. No one wouldn't be able to recognize me. But then I found out how to change that. I could 'steal' vampire powers. If I concentrated hard enough, I could take any vampire power as my own. It was very handy, especially when I came across a vampire that could change his appearance.
I was walking down the sidewalk, my hair black and my facial features slightly altered. I applied makeup, masking any remaining evidence of Bella Swan. I didn't want to be her. I didn't want to live with the heart break she faced.
I rounded the corner, the school approaching. I looked up at it and sighed, it was like my personal prison, but I needed to feel like I belonged somewhere, even if that wasn't actually the case. I was tired of being lonely, and school was a fantastic way to surround myself with people. But it was more of a chore now, something to waste my time on. I didn't have a family, or any friends. But I needed company. Any company.
But I didn't expect him. I didn't expect him to be sitting at my table, his topaz eyes sad and perfect. I didn't expect the wave of emotion to take me over. I wasn't ready for any of it.
I introduced myself as Anna. That was what I went by. He seemed to buy it, not even considering that I may have been lying to him. I kept the conversation light, trying not to get too close. But I was drawn to him like a fly to an unusually light lantern. I met his family, my family. The one that should have been mine. They all seemed to like me, even Rosalie. Alice especially. She treated me like a long lost friend. I was curious to know if she knew who I was, but she didn't, none of them did. I didn't like that for some reason. Not at all.
He loved Anna. He loved Bella. He loved me. But he didn't know the truth. He didn't know any of it. So I was going to have to tell him. I had to. Because I loved him. I wanted to be with him. And he had to know that when he fell in love with Anna, he fell in love with Bella all over again. He had to know that a lost love could return…and that she did.
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- TheLionAndTheLamb
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I love Munny dolls. And Dunny dolls. And all those weird vinyl toys etc. I'd start a collection if I didn't feel so guilty about wasting money and space. Here's my first Munny sketch. Done in pencil then in ink. I think I should get some 4 inch dolls to do with my daughter this summer.
Here he is colored in photoshop and made into a dorky wallpaper for my desktop. heeIn Amigurumi news... here's a little guy I started yesterday. No plans. No direction. I just wanted to feel the calming rhythm of hook and yarn being stitched into something. ANYTHING. This so far. It has green cat eyes I bought online eons ago, but I'm not sure I really intend for it to become a cat. We'll see.Oh yea, we were also watching Cardcaptor Sakura again. Kero-chan CHECK! I also made this crocheted flower with beads for a hair tie. Woot. The yarn is cotton. I've not done much with cotton before but I'm thinking I want to do lots more.I hope you're all doing well out there. Live long and prosper. (Yes I saw the new Star Trek and I loved it! Casting was great. I'm excited for the future of the series.)
What else have I been wasting my time with instead of making amigurumi and writing patterns? Watching too much Heroes. Watched all of Season 3 in a few days. Whew. Addicting.
Stay cool! (^_^)v


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WorldPoint is a leading international supplier of educational materials and products for healthcare training. In addition to being proud partners of the American Heart Association, American Association of Pediatrics and Military Training Network, we carry a wide variety airway management tools, AED trainers, barrier devices, life-like manikins and models and task trainers.
WorldPoint takes a consultative approach to our business by understanding our customers and recommending the most appropriate products to support CPR, advanced cardiac life support, pediatric and neonatal resuscitation and simulation training.
As always, we remain focused on providing our customers with "most memorable service" and products that meet our high standards of excellence.
Contact WorldPoint at:
1326 S. Wolf Road
Wheeling , IL 60090-6467
Phone: 888-322-8350 (7:30am to 5:30pm CST)
Fax: 888-281-2627 Fax: 847-419-1802
Email: firstname.lastname@example.com


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On this form, you can search for a BGS faculty member by name, group affilation, research area, research keyword, or any combination of these fields.
Simply fill out the criteria below and click SEARCH.
Once your search results are listed, click on any person's name to see detailed information about them.
Hyphenated last names must be in quotes, e.g. "smith-jones".


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Introducing the Chanel Boy Bag with HandleCategories:Other Brands
Chanel is constantly churning out new bags, many of them being new takes on classic bags for the house. The Chanel Boy Bag quickly turned into a staple for the brand, with many opting for a version of the Boy Bag over the Classic Flap (I know I am more of a Boy Bag lover than Flap at the moment). While there is rendition after rendition, sometimes a new version stands out.
Introduced for Chanel's Metiers d'Art Paris in Rome 2016 collection, the Chanel Boy Bag with Handle grabbed everyone's attention from the get-go. The Boy Bag has always had a a chain shoulder strap, that can be doubled to make the bag shorter if you choose, but this was the first time the top handle was added. I love the addition of the handle, it gives this bag a sophisticated touch but remains super cool and casual at the same time.
I reached out to Chanel to see if the Boy Bag with Handle would be made a permanent part of the collection and were told that they do not have further information at this time if this bag will be offered in future collections. If you love this bag, it was bought in 3 sizes and currently available at Chanel boutiques worldwide.
What do you think about the Chanel Boy Bag with Handle?
Chanel Boy Bag with Handle in Calfksin + Ruthenium Metal Hardware
Chanel Boy Bag with Handle in Metallic Calfskin and Ruthenium Hardware
Chanel Boy Bag with Handle in Python, Lambskin and Bronze Metal Hardware
Tags: bag Chanel Boy the Introducing with Handle
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Introducing the Brand New Bottega Veneta Bucket BagCategories:Other Brands
A sure fire way to make me feel like I've been doing this for a really long time, is realizing that my first Bottega Veneta bag I bought after I started PurseBlog was in 2007 on a trip to Venice, Italy. Another way to realize we've grown a lot is checking out the pictures we took of that bag – those few pics were taken by Vlad and I think we can all agree his photography has also evolved quite a bit!
When I started PurseBlog, I really started delving into handbags and researching brands to learn more. I immediately fell for Bottega Veneta and the brands beautifully made products. I loved the meticulous attention to detail, the intrecciato and the beyond divine leather that's used. I've been a part of not one but two special orders (here and here) and always had a very special place in my heart for the brand.
I think it's easy to sometimes get lured away from the classics into the what's new and trendy, but I never want to forget Bottega Veneta. A couple weeks ago, Bottega Veneta launched a new shape for the house, the Bottega Veneta Bucket Bag. Tomas Maier designed this bag with intrecciato nappa leather which is finished with smooth leather drawstrings with metal loops and chain. The bag is rather slender though the interior has plenty of space with smartphone and zip pockets and is lined in suede. Just like most bags that I love, this bag comes with an adjustable and detachable shoulder strap along with the double handles which allows for cross-body or over the shoulder wear. The Bucket Bag is available in Nero (black), Pacific (deep blue), Vesuvio (orange), and Peony (pink).The price on this bag is really reasonable especially for the quality that Bottega Veneta provides – $3,550 via Bottega Veneta and the Madison Avenue Bottega Veneta store.
Tags: bag Bottega Veneta the Introducing New Bucket Brand
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Louis Vuitton Introducing New Backpack CollectionCategories:Louis Vuitton
The trend of backpacks continue to climb, in fact, it's so popular that Louis Vuitton decided to launch an entire new line. Obviously, they couldn't ignore the fact that, backpacks have become hotter than the volcano.
Perhaps Chanel started this hype, with their graffiti backpacks that changed the way we dress. I mean, what's cooler in the summer than carrying a graffiti-painted, self-made charms (the ones you put together when you get bored in the classroom) bag on your back and combined with street style fashion? I was skeptical at first until I spotted a few bloggers styling it, and they looked darn good.
Naturally, three of the four new Louis Vuitton backpacks need to be printed with the iconic monogram canvas. The design is strenghtend with two buckles non the front. It features two side pockets and a handle on the top. Are you read to climb the mountain?
Another one that Louis Vuitton is going to be released, is much more streamlined. Monogram Canvas is prohibited and it features a simple bucket closure on the front. It doesn't even have side pockets. If you belief as much as I do, that simplicity is ultimate sophistication, then here you go.
Btw, the last Louis Vuitton backpack is also perfect for work. It's easy and effortless.
Tags: Louis Vuitton Backpack Introducing New


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Hi everyone, I'm André Brown. I've lurked around here for ages, figured it was about time I posted something.
I work in a small videogame company in Portugal, which has been a great learning experience, but it does suck up a lot of time, and I've sorta been neglecting my personal work, I'm hoping this sketchbook will help fix that.
So yeah, this is the first of hopefully many posts.
I'll kick things of with some goblin guys, not sure I'll ever get around to rendering the bottom four.


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"IT'S A domestic fuel. It's renewable. It's cleaner burning than petroleum."
That's how Tim Morse, director of the travel management division for the State of Minnesota's Department of Administration, sums up the advantages of E85. Farmers understand those basic benefits, but they add one more to the list: E85 expands their market.
To support that expansion, you might want to run your own vehicles on E85. Perhaps you are considering converting an existing vehicle to run on E85. Or maybe you are considering buying a new flex-fuel vehicle that can run on either E85 or traditional 10% ethanol-blend unleaded gasoline. Both schemes have pros and cons, and with either approach, you may run into trouble down the road.
The big appeal of conversion is reduced up-front cost. By retrofitting an existing vehicle to run as a flex-fuel vehicle, only the cost of conversion is involved. The other advantage is that, theoretically at least, you can convert a vehicle that already meets your needs. Despite growth in the availability of new flex-fuel vehicles, it can still be difficult to spec one exactly as you want it.
The big downside of conversion is that you're asking the vehicle to do something it was never intended to do — burn a fuel that is mostly alcohol. The chemical properties of alcohol are very different from those of gasoline, and that can lead to expensive failures unless the conversion process is thorough. Every system involved in the combustion process must be adapted for exposure to alcohol. This includes fuel lines, fuel pumps, fuel injectors, oxygen sensors and exhaust after-treatment. Even the electronic engine control module must be reprogrammed to match the characteristics of ethanol.
Conversion kits are rumored to be available, but they're not the sort of thing you can pick up at NAPA. At this time, there are no vehicle-conversion companies, at least none that are legal.
Whether doing your own conversion or subbing out the work to the local garage, you are at risk of violating Memorandum 1A. In June 1974, the U.S. EPA issued Mobile Source Enforcement Memorandum 1A (Memo 1A) to enforce the tampering prohibitions under Section 203(a)(3) of the Clean Air Act.
Although Memo 1A does allow for conversion, "for a company to come to market with a conversion kit, they must go through a rigorous process," says Tim Gerlach, director of outdoor air programs with the American Lung Association of Minnesota. "That certification process is lengthy and can be costly. The kits are subjected to high-mileage duration testing that can be very costly."
Buying new
The big appeal of buying a new flex-fuel vehicle is that it's the simplest way to start using E85 fuel. Cut a check to the dealer and you'll be handed the keys to a vehicle that runs on E85 from the start.
But will it be the right vehicle? More flex-fuel vehicles are available each year, but manufacturers tend to make only passenger vehicles and light trucks that run on E85. Of the dozen or so 2006 flex-fuel vehicles offered by the Big Three automakers, few are suitable for farm work. Dodge offers its 1500 series Ram pickup and Ford has its 5.4-liter F150. GM tops the list. Flex fuel is an option on Chevrolet and GMC pickups and SUVs with the 5.3-liter engine.
"If I were buying half-ton pickups and Chevy Tahoes, the 5.3 would probably be fine," says Bill Roberts, director of fleet services at the University of Minnesota. "But a lot of our departments have three-quarter or one-ton pickup trucks. In the GM they want the 6-liter engine. They're not about to drop down to the 5.3 to get flex fuel."
Morse says his location has a fleet of about 1,900 vehicles, both passenger vehicles and light trucks, of which some 1,100 are flex fuel. They've been using E85 since the early '90s. He says that, when helping department heads select vehicles, he tells them, "You need to acquire the vehicle that is suitable to the job you have at hand." He says, "If there's a flex-fuel vehicle available, we steer them in that direction. We help them understand the benefits of having a flex-fuel vehicle and of using the [E85] fuel."
Potential problems
The 1,500 vehicles that Daniel Utes manages see a variety of duty cycles. Utes, fleet service representative with the U.S. General Services Administration, says, "We have vehicles that will sit for a week or two weeks without moving. We have vehicles that get driven hundreds of miles a day. Generally, our experience with flex-fuel vehicles has been very good."
He says Ford Tauruses were an exception. "In cold weather they either wouldn't start or were hard to start," he says. "Finally Ford issued a technical service bulletin. They reflashed the EPROM [reprogrammed the engine computer]. But the Chevys and Dodges have all been really good."
Roberts says his experience was different: "We haven't had a problem with the Fords, but when it gets down to 15 below or colder we've had starting problems with the Chrysler products."
Morse's experience also was different. "I can't identify any problems unique to the flex-fuel vehicles that we haven't had with our gasoline-only vehicles," he says.
Although those issues of hard starting may be restricted to a few vehicles on a few days of the year, a bigger issue for all flex-fuel vehicles is residual value. The amount you get for your truck when you go to sell it or trade it in has a big impact on the total cost of ownership. Poor residual value takes money right out of your pocket.
A do-it-yourself conversion to flex fuel will certainly be an anchor on residual value. The fate of factory flex-fuel vehicles is less clear. "Based on our experience at our own auctions [of used fleet vehicles] I haven't seen any difference as far as flex fuel," Roberts says. "People aren't going to pay any more or any less for them" than they will for equivalent gas-only vehicles. "If gas got above $3.00 a gallon and E85 stayed low, I think people might start actively looking for used E85 vehicles. But I don't see that yet."
Supply and demand
And he may not. Ethanol prices may prove to be even more volatile than gas prices. Although domestic production is increasing, demand is expected to outpace supply, resulting in higher costs. It's conceivable that E85 may cost as much as gasoline — perhaps more — in the near future. E85's 10 to 15% lower fuel economy compared to gas makes it less attractive as its price nears that for gasoline.
As typically happens in any marketplace, the prospect of profit from shortages is fueling increased production. American farmers welcome this burgeoning growth, but it may not play out quite like they hope.
Brazil has been building its ethanol production for more than 30 years. It now produces so much ethanol that its exports have dramatically increased. The 684 million gallons Brazil exported last year is a 10-fold increase over its exports of 2000. The country has the physical capacity to export 2.2 billion gallons of ethanol each year, but cost-effective means of getting ethanol onto ships is lacking. Export levels will continue to increase as its pipeline infrastructure grows to more closely match its production capacity and more ethanol flows to the coast.
But world demand is also increasing. Asia, especially Japan, is thirsty for ethanol. It's possible that ethanol production will feather the nests of capitalists for decades to come, as oil has for the past century. Those capitalists could well be America's farmers.
Despite the issues, E85 offers key advantages for America and its farmers. "[Using E85] is something people can do right now," Gerlach says. "It's not 30 years away. You can do it today. And if people are drawn to it by the lower price, that's okay. But we hope they'll stick with it for all the other reasons. We hope they see the bigger picture in this."
And that bigger picture, as Morse emphasizes, is that ethanol is domestic, renewable, and cleaner than gasoline. That it's an opportunity for farmers just makes it that much more appealing.


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Electronic Records Express is an initiative by Social Security and state Disability Determination Services (DDS) to offer electronic options for submitting health and school records related to disability claims.
When you receive a request for health or school records or other information about a person who has applied for Social Security disability benefits, you can choose the method of sending the information that works best for you:
- online to Social Security's secure website; or
- by fax to your state DDS or to Social Security.
The records you send are automatically associated with the applicant's unique disability claim folder.
What are the benefits of sending records electronically?
- Send patient, client and student records at your convenience;
- Submit information directly to your state DDS or Social Security, helping to expedite the decision on your patient's or student's disability claim;
- Save copying and postage costs;
- Eliminate need for follow-up due to mail transit time; and
- Start reimbursement process sooner.
Who can send electronic records?
- Medical providers (including hospitals, clinics, doctors and health information managers);
- School professionals; and
- Third parties, such as attorneys and claimant representatives.
What Electronic Records Express options are available?
The Electronic Records Express options are online via Social Security's secure website or by fax.
Social Security's Secure Website - Individual Patient or Student Records: Allows you to transfer records online using your Internet connection.
Social Security's Secure Website - Multiple Patient or Student Records: Allows you to send batches of records online in a single operation using a scanner and your Internet connection.
Fax: Allows you to use your fax to send records anytime day or night.
Are there any out-of-pocket costs for the Electronic Records Express options?
All Electronic Records Express options are free of charge. In fact, you may save time and money by transmitting your records electronically.
Are there any other options for sending records electronically?
In addition to the Electronic Records Express options, high volume operations can use Secure Bulk File Transfer. This option requires commercial software and is not free of charge. It allows you to transfer records in an automated machine-to-machine mode, with workflow management, monitoring and reporting features.
How secure is Social Security's Electronic Records Express website?
The website has restricted access. Only authorized users can access the secure website by using their assigned user ID and password. Also, data transmission is protected by employing 128-bit or higher secure socket layer (SSL) encryption, which is the industry encryption standard for providing network security.
Just call the Social Security Electronic Records Express Help Desk at


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BUY IT NOW: $60 off Snore Circle Smart Sleep Mask with free shipping
"Hallelujah! It works!" That's a quote from my wife. Just in time for Valentine's Day 2019, not only have I stopped my snoring almost entirely but I sleep better than ever before. You can thank today's deal and this gadget straight from CES.
I realize that I'm composing this article at a time when sleep deprivation deals and anti-snoring advertisements are cluttering your social media feeds. Let me set the record straight on the competition before we get to the bargain.
Anti-snoring nasal strips are ineffective, especially if your nasal passage isn't the problem. C-Pap machines are great but very expensive, the machine is loud, and not everyone wants a piece of medical equipment in their bedroom. Anti-snoring mouthpieces are not good for your jaw over time and they hurt my teeth - and I'm very protective of my teeth.
The alternative and the clear winner in my book is the Snore Circle Smart Eye Mask. At its core, this highly adjustable mask that helps you and your partner get better sleep. Paired with an app that allows you to customize sensitivity based on how deep you sleep and how loud you snore, this mask trains your body to stop snoring.
With 36 levels of light to moderate physical intervention, the Snore Circle Eye Mask will stop your snoring with a light or moderate vibration. You can set it to begin after you're in a deep sleep or delay the anti-snoring intervention to halfway through the night. The mask took just over a week for me to get accustomed to, as it does wake you up when you snore with a gentle vibration. After three weeks my snoring was barely audible and now almost a month in, my snoring has stopped!
If you don't snore, this plush lightweight sleep mask blocks out disturbing light or the screens of smart devices. I travel with it now everywhere and the smartphone app to further analyze my sleeping habits is very helpful.
Click the play button to see the Snore Circle in action.
Features of the Snore Circle Smart Sleep Mask:
- Bluetooth smart mask pairs with your smartphone and free app
- Intelligent analysis determines your sleep and snore patterns
- Gentle tiny vibration trains your body to stop snoring
- Plush, soft, washable mask is ideal for deep sleep and travel
- Guaranteed to diminish snoring after 3 weeks of continuous use
- Helps improve your overall breathing and heart health
- Lowest-recorded price today as part of Valentine's Day promotion
BUY IT NOW: $60 off Snore Circle Smart Sleep Mask with free shipping
Was: $149.99
Now: $89.99
- Amazon's smart microwave is $66 today
- This Shark vacuum is cheaper than a Dyson but just as powerful
- How to protect your lips for this Valentine's Day
- A trending skincare deal in time for Valentine's Day
- This Valentine's Day deal can outperform Beats by Dre at a fraction of the price
Who is Matt Granite?
- Matt Granite is a freelance consumer reporter who produces stories and video for this Station, Amazon and others. He is not compensated by the brands featured here. This Station and its parent company may receive a share of the revenue from the site that sells the product if you purchase one of these products using the link on this page.


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So i know that the amount of gold, which one gets after a dungeon run consists of four parts:
1) Trophy
2) Cash on hand
3) Loot (some items, but which)
4) Special (new class / badge and quests)
So for the mechanic:
1) Is clear, there is only the trophy
4) Is also clear (ok, the actual amount for new lass / badge i don't remember (~20 or 50?) , but it doesn't interest me much
2) Cash on hand at the end of the run; minus the amount of gold one carried into the dungeon (so if i start with 20 gold, but only carry 10 gold out, this would net 0 gold)
And now the part which interests me:
3) Loot / items: Are this only the items in the inventory or also stuff in shops? And how much money one gets for these items 1:1 or does one sells them for less? For the items one brings into the dungeon, i assume there is no loot-gold (similar to the 'cash on hand')


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Allie Bentley is a sophomore in college. Near the end...
falling in love with the enemy [z.m. love story/au]
- por narryxcashton
- Classificação:
- Publicado: 5 jan 2014
- Últimas Atualizações: 21 fev 2014
- Status: Movella acabada
Mari DeSanta and Zayn Malik. Both involved in the gang life in which their parents led. The DeSanta's and the Malik's are the two most powerful gangs in Jersey, both involved in the same line of work-the drug business. A rivalry was formed between the two families years ago. But what happens when both leaders of each gang die? Their children become leaders and continue their family legacy. Mari is just a 21 years old, wishing she could escape the gang life. But, she cannot leave her older brother Will behind who is trying to avenge their parents' deaths. Zayn who is 22, wishes to avenge his parents' deaths as well. But, what happens when both sides blame each other for the murdering of their loved ones? Bad things. But what they don't know is that there's an even darker force out there, watching their every move...And to make it a whole lot better, what happens when Mari lays eyes on Zayn and can't seem to forget about him? Read and find out! Copyright © 2013 Kayla S.
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Business Activities and Environmental Impact
Material Flow
< Covered Sites >
● Japanese Domestic sites are following 2 sites:
■ Saitama Site (Saitama-shi, Saitama)
● Clarion Co., Ltd. Head Office and Technology Center
● Headquarters-Annex Office
● Clarion Sales and Marketing Co., Ltd.
■ Fukushima Site (Koriyama-shi, Fukushima)
● Clarion Co., Ltd., Tohoku Office
● Clarion Manufacturing and Service Co., Ltd.
< Relevant Period >
● The relevant period is as follows:
From April 1, 2012 to March 31, 2013
Fifty representatives of Clarion Thailand (CAT) participated for the first time in mangrove tree planting as a part of promotion of environmental preservation. Even in Thailand, mangrove forests are decreasing year by year and preservation of biodiversity is getting more difficult. Needs for enhancing regenerative power of global environment as well as promotion of environmental preservation are widely appealed there. The experience of planting, struggling with mud and getting so dirty, made the participants realize the difficulty of mangrove tree planting. At the same time, though, they all felt sense of satisfaction and achievements. We also learned that the changes in the environment are deteriorating the valuable forest environment, although Thailand has been boasting summery climate all the year around and evergreen country. CAT plans to continue these environmental activities (including those for contributing the local community) at a rate of twice every year.


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House Committee on Ways and Means, Subcommittee on Social Security Hearing on SGA Levels for the Blind and Work Incentives Deputy Commissioner, Susan M. Daniels testified,
March 23, 2000
Mr. Chairman and Members of the Subcommittee:
Thank you for inviting me to discuss current work incentives for blind individuals and other people with disabilities. This is an important issue, and the Social Security Administration looks forward to working with you on finding ways to help more Americans with disabilities successfully return to work.
Today I would like to discuss the definition of disability and how work activity for both blind and non-blind individuals relates to it; our current work incentives and the recent changes in the law; and some pending proposals in that area.
Definition of Disability
The Social Security Act (the Act) defines disability as the inability to engage in any substantial gainful activity (SGA) because of a medically determinable physical or mental impairment(s):
- That can be expected to result in death, or
- That has lasted or, that we can expect to last for a continuous period of not less than 12 months.
We use earnings guidelines to evaluate whether the work activity is SGA and whether we may consider someone disabled under the law. While this is only one of the tests used to decide if a person is disabled, it is a critical threshold in disability evaluation.
Blindness (sometimes referred to as statutory blindness) is the only impairment defined in the Act; all other impairments are defined in regulations. Blindness is defined as central visual acuity of 20/200 or less in the better eye with best correction, or a limitation in the field of vision in the better eye so that the widest diameter of the visual field subtends an angle of 20 degrees or less (tunnel vision).
Blind individuals do not have to meet the "recency of work" test (generally, work in 20 out of the last 40 quarters) to be eligible for disability benefits. Approximately 120,000 of our beneficiaries meet the statutory definition of blindness. (About 50,000 are Supplemental Security Income beneficiaries aged 18 to 64; approximately 100,000 are Social Security beneficiaries; about 30,000 are concurrently receiving benefits under both programs.)
Substantial Gainful Activity (SGA)
The Act requires the Commissioner to prescribe in regulations the criteria for determining when earnings demonstrate an individual's ability to engage in SGA. The Act also specifies that a different definition of SGA applies to blind individuals. With an impairment other than blindness, effective July 1999 earnings over $700 a month generally demonstrate SGA. For someone who is blind, effective January 2000, earnings over $1,170 a month generally demonstrate SGA.
Prior to 1978, the SGA amount was the same for both blind and non-blind individuals. The Social Security Amendments of 1977 made the SGA threshold for blind individuals the same as the monthly exempt amount under the retirement earnings test (RET) for individuals at or above the normal retirement age (NRA), an amount which has generally been indexed that amount to average wage growth. At the time, Senator Birch Bayh indicated that blindness was a "distinct and unique condition" and that "The blind, as a group, suffer largely artificial impediments when they seek to enter and compete in the labor market." The two thresholds (the exempt amount and SGA) rose together from $334 a month in 1978 to $940 a month in 1995, while the non-blind SGA amount rose from $260 a month in 1978 to $500 a month in 1990.
The Contract with America Advancement Act of 1996, enacted March 29, 1996, significantly increased the RET exempt amount (rising to $2,500 a month in 2002 for individuals at NRA). It de-coupled the SGA amount for blind individuals from the RET, and instead continued to index the then-existing SGA amount for average wage growth. Meanwhile, SSA increased the regular SGA amount in regulations to $700 a month effective July 1999.
For individuals who are blind and age 55 or older, if their work requires a lower level of skill and ability than the work that they did before age 55, benefits are suspended, not terminated, when earnings demonstrate SGA. Benefits are then payable for any subsequent month that earnings fall below SGA.
Work Incentive Provisions
Congress enacted work incentive provisions that were strongly supported by the Administration to provide beneficiaries with the support they need to move from benefit dependency to independence. Work incentives assist beneficiaries with disabilities to enter or reenter the workforce by protecting entitlement to cash payments and/or health care until this goal is achieved.
Some work incentives are common to both the Social Security Disability Insurance (SSDI) and Supplemental Security Income Program (SSI), while some are unique to one program or the other. Because even the common work incentives may be treated differently by either program, I would like to briefly discuss work incentives as each program treats them. I would also like to point out the special work incentives that apply only to blind beneficiaries of either program. SSDI Work Incentives
There are several work incentives for SSDI beneficiaries built into the Act, most notably impairment-related work expenses (IRWE), the trial work period (TWP), the extended period of eligibility for reinstatement of benefits (EPE), and continuation of Medicare. These are dependent upon the disabled beneficiary continuing to have a disabling impairment.
When determining SGA, we deduct from gross earnings the cost of certain impairment-related work expenses. We deduct beneficiaries' IRWE paid during a period of work when:
- The item or service enables them to work;
- They need the item or service because of their disabling impairment;
- They pay the cost and are not reimbursed by another source (e.g., Medicare, Medicaid, private insurance);
- The expense is "reasonable"--that is, it represents the standard charge for the item or service in their community.
The TWP allows disabled beneficiaries to test their ability to work for at least 9 months. During the TWP, beneficiaries receive full benefits regardless of how high earnings might be. The TWP continues until the accumulation of 9 months (not necessarily consecutive) of "services" performed within a rolling 60-consecutive-month period. We use this "services" rule only to control when the TWP stops. "Services" means any activity in employment or self-employment for pay or profit or of the kind normally done for pay or profit (whether or not it is SGA). We currently consider work to be services if earning are more than $200 a month (or more than 40 self-employed hours in a month).
Once benefits have been ceased due to SGA, the EPE allows automatic reinstatement of benefit payments for any month in which earnings fall below SGA. Benefits can be reinstated anytime during the 36-month period following the end of the TWP, and will continue as long as requirements are met. Currently, Medicare coverage continues during this period and for three additional months. At that point, disabled individuals can buy Medicare coverage. Effective October 1, 2000, based on the new Ticket to Work Incentives Improvement Act, premium-free Medicare is extended an additional 4 years.
In addition to providing incentives to work, we also refer disabled beneficiaries to their local State Vocational Rehabilitation (VR) agency, or to other service providers in the public and private sector who try to help beneficiaries return to work. In fiscal year 1999, SSA paid State VR agencies about $120 million for their services provided to over 11,000 beneficiaries with disabilities who worked at least 9 months at the substantial gainful activity level. Although this was a record year for reimbursements, we look forward to much more progress in this area.
SSI Work Incentives
Some general information about the SSI program is useful to explain the work incentive provisions as they apply to that program. The SSI program differs from Social Security in that the monthly Federal benefit standard (currently, $512 for an individual and $769 for an individual with an eligible spouse) is reduced dollar-for-dollar by the amount of the individual's "countable" income--i.e., income less all applicable exclusions. The result of this computation determines whether the individual (or couple) is eligible and the amount of the benefit payable.
SSI law defines two kinds of income: earned and unearned. Earned income is wages, net income from self-employment, remuneration for work in a sheltered workshop, royalties on published work, and honoraria for services. All other income (including income received in kind) is unearned.
When determining an individual's countable income, exclusions are taken for various types of income. There is a general $20 exclusion, generally applied to an individual's for unearned income. In the case of earned income, we exclude a portion of the $20 general exclusion that has not been used, and then exclude the first $65 and one-half of the remainder of the earnings. This greater exclusion for earned income acts as a work incentive for all SSI recipients.
In determining the benefits of disabled individuals, we exclude IRWEs. For the disabled, we exclude work expenses directly related to the individual's disability, such as attendant care services, assistance in travelling to and from work and personal assistance related to work. I will discuss allowable deductions for blind SSI beneficiaries in greater detail later.
Under SSI we also exclude income set aside or being used to pursue a plan for achieving self-support (PASS) that has been established by a disabled or blind person. These plans are established to help blind and disabled individuals become self-supporting by excluding income that is set aside to help the individual reach a specific occupational goal. In December 1999, there were 1,045 SSI recipients with a PASS established, although not all of those individuals reported earnings for that month.
Finally, the laws governing SSI contain provisions that enable blind and disabled individuals to continue working and receiving income beyond the limit that would normally result in ineligibility.
Under section 1619(a), a disabled beneficiary who would cease to be eligible because of earnings over the SGA limit (currently $700 a month) can continue to receive cash benefits until the amount of earnings would cause him or her to be ineligible for benefits under SSI income counting rules. Being a recipient of this special benefit equals being an "SSI recipient" for Medicaid eligibility purposes.
Section 1619(b) provides "SSI recipient" status for Medicaid eligibility purposes for certain SSI recipients. These individuals have earnings which preclude the payment of an SSI benefit but are not sufficient to provide a reasonable equivalent of the SSI, social services, and Medicaid benefits that the individuals would have in the absence of earnings. For these individuals, the loss of the social service and Medicaid benefits would seriously inhibit their ability to continue working. However, these individuals have to be otherwise eligible except for their earnings.
According to SSA's Office of Research, Evaluation and Statistics, there were approximately 340,000 SSI disability beneficiaries (or 6.4 percent) who were working In December 1999. About 70,000 of these individuals were receiving benefits under section 1619(b). These beneficiaries do not receive an SSI payment but retain their Medicaid coverage. Almost three-fourths of those who received this type of SSI benefit had amounts of earned income below the substantial gainful activity level.
Blind Work Incentives
I have already discussed how the SGA level differs for blind beneficiaries and how it applies to SSDI beneficiaries who are blind and age 55 or older. SSA also does not count any earned income a blind SSI beneficiary receives that is used to meet any expenses needed to earn that income in determining SSI eligibility and payment amount. Unlike IRWE, blind work expenses (BWE) do not have to be related to blindness. As a result, any expense reasonably attributable to work is to be excluded, dollar for dollar, not simply those related to the impairment.
Some examples include guide dog expenses; transportation to and from work; Federal, state, and local income taxes; Social Security taxes, attendant care services, professional association fees; and union dues.
Ticket to Work and Work Incentives Improvement Act of 1999
As you know, the President signed the Ticket to Work and Work Incentives Improvement Act of 1999 (the "Ticket") into law last December. I want to express my thanks, Mr. Chairman, to you, and the members of the Subcommittee, for your support in getting the "Ticket" passed. This legislation will help disabled individuals who want to work by lessening their fears about losing health care coverage and income during attempts to work. It improves and expands their VR choices, providing enhanced work incentives, outreach activities and new service structures.
The provisions most pertinent to today's discussion include:
- The Ticket to Work and Self-Sufficiency Program--which provides beneficiaries with opportunities to get vocational rehabilitation services, employment services or other support services from approved providers that they can choose, and which will be phased in beginning 2001.
- Part A premium-free Medicare coverage for disability beneficiaries who return to work is extended for four and one-half years beyond the current limit effective Oct. 1, 2000.
- Quick reinstatement within five years without filing a new application for beneficiaries with a disabling condition whose benefits have ended because of earnings from work.
- Prohibition against initiation of a continuing disability review (CDR) while a beneficiary is "using a ticket" or based on the work activity of an individual receiving benefits for at least 24 months.
Ever since the "Ticket" was enacted, we have been actively engaged in the hard work of implementing its various provisions. We again look forward to working with you as the different provisions take shape and begin to show the results we anticipate-more people with disabilities entering or reentering the workforce.
Pending Legislation
Legislation has been introduced in both the House (H.R. 1601) and the Senate (S. 285) that would equate the SGA amount for blind individuals with the RET exempt amount at NRA. Currently that amount is $1,417 a month, which is scheduled to rise to $2,500 a month in 2002 (30,000 per year), and to be indexed to average wage growth thereafter. I would like to point out that approximately 60 percent of workers today earn $30,000 per year or less. If these bills were enacted effective 2000, we estimate 5-year costs of $0.9 billion and long-term costs to the Social Security trust funds at -0.01 percent of taxable payroll; in other words, passage of such a provision would have a detrimental impact on long-term solvency. Any consideration of these proposals should be done in the context of Social Security solvency legislation.
H.R. 5 as passed by the House would eliminate the RET at NRA effective this year. As you know, the President has promised to sign a clean bill to eliminate the RET at NRA. Obviously, such enactment would affect the preceding SGA proposal; that proposal, if combined with H.R. 5, would completely eliminate the SGA amount for blind individuals, thus permitting a blind individual to earn any amount and still be eligible for benefits. Under this scenario, effective 2000, we estimate 5-year costs of $2.6 billion and long-term costs at -0.03 percent of taxable payroll, an even greater negative impact on long-term solvency. Note that the elimination of the RET at NRA has no impact on long-term solvency, but there are additional Medicare and Medicaid costs as well.
Mr. Chairman, we want to build on the momentum provided by the enactment of the "Ticket" and to increase incentives to work for all people with disabilities. Our commitment is to make every effort to enrich the lives of all people with disabilities and to help all those who want to work do so.
As Commissioner Apfel testified before this Subcommittee last year, as a nation, we are best served when all our citizens have the opportunity to contribute their talents, ideas, and energy to the workforce. We look forward to working together with the Subcommittee and Congress to achieve the proper equilibrium of equity and actuarial balance in the area of disability work incentives. I will be happy to answer any questions the Members may have.


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UK Edition. Click here for US version.
Active substance(s): CARBAMAZEPINE
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PDF Transcript
Tegretol 400mg Tablets
Patient Information Leaflet
What you need to know about Tegretol Tablets
Your doctor has decided that you need this medicine to help treat your
Please read this leaflet carefully before you start to take your medicine.
It contains important information. Keep the leaflet in a safe place because
you may want to read it again.
If you have any other questions, or if there is something you don't
understand, please ask your doctor or pharmacist.
This medicine has been prescribed for you. Never give it to someone else.
It may not be the right medicine for them even if their symptoms seem to be
the same as yours.
If any of the side effects gets serious, or if you notice any side effects not
listed in this leaflet, please tell your doctor or pharmacist.
You should also ask yourself these questions before taking Tegretol
Tablets. If the answer to any of these questions is YES, discuss your
treatment with your doctor or pharmacist because Tegretol Tablets
might not be the right medicine for you.
* Are you pregnant or planning to become pregnant?
* Are you breastfeeding?
* Do you suffer from the sort of epilepsy where you get mixed seizures
which include absences?
* Do you have any mental illness?
* Are you allergic to an epilepsy medicine called phenytoin?
* Do you have liver problems?
* Do you have kidney problems associated with low sodium blood level or
do you have kidney problems and you are taking certain medicines that
lower sodium blood levels (diuretics such as hydrochlorothiazide,
* Are you elderly?
* Do you have any eye problems such as glaucoma (increased pressure in
the eye) or do you have difficulty retaining your urine?
1 What Tegretol Tablets are and what they are used for
Are you taking other medicines?
Because of the way that Tegretol works, it can affect, and be affected by, lots
of other things that you might be eating or medicines that you are taking. It is
very important to make sure that your doctor knows all about what else you
are taking, including anything that you have bought from a chemist or health
food shop. It may be necessary to change the dose of some medicines, or
stop taking something altogether.
2 Things to consider before you start to take Tegretol Tablets
3 How to take Tegretol Tablets
* Hormone contraceptives, e.g. pills, patches, injections or implants. Tegretol
Your medicine is called Tegretol 400mg Tablets but will be referred to as
Tegretol Tablets throughout this leaflet. Please note that the leaflet also
contains information about other strengths of the medicine, Tegretol 100mg
Tablets and Tegretol 200mg Tablets
In this leaflet:
4 Possible side effects
5 How to store Tegretol Tablets
6 Further information
What Tegretol Tablets are and what they are used for
Carbamazepine, the active ingredient in Tegretol Tablets, can affect the body
in several different ways. It is an anti-convulsant medicine (prevents fits), it
can also modify some types of pain and can control mood disorders.
Tegretol is used
* To treat some forms of epilepsy
* To treat a painful condition of the face called trigeminal neuralgia
* To help control serious mood disorders when some other medicines don't
Things to consider before you start to take Tegretol
Some people MUST NOT take Tegretol Tablets. Talk to your doctor if:
* you think you may be hypersensitive (allergic) to carbamazepine or similar
drugs such as oxcarbazepine (Trileptal), or to any of a related group of
drugs known as tricyclic antidepressants (such as amitriptyline or
imipramine). If you are allergic to carbamazepine there is a one in four
(25%) chance that you could also have an allergic reaction to
* you think you may be allergic to any of the other ingredients of Tegretol
Tablets (these are listed at the end of the leaflet). Signs of a
hypersensitivity reaction include swelling of the face or mouth
(angioedema), breathing problems, runny nose, skin rash, blistering or
* you have any heart problems,
* you have ever had problems with your bone marrow,
* you have a blood disorder called porphyria,
* you have taken drugs called monoamine oxidase inhibitors (MAOIs), used
to treat depression, within the last 14 days.
A small number of people being treated with anti-epileptics such as
carbamazepine have had thoughts of harming or killing themselves. If at any
time you have these thoughts, immediately contact your doctor.
Serious skin rashes (Stevens- Johnson syndrome, toxic epidermal
necrolysis) have been reported with the use of carbamazepine. Frequently,
the rash can involve ulcers of the mouth, throat, nose, genitals and
conjunctivitis (red and swollen eyes). These serious skin rashes are often
preceded by influenza-like symptoms fever, headache, body ache (flu-like
symptoms). The rash may progress to widespread blistering and peeling of
the skin. The highest risk for occurrence of serious skin reactions is within
the first months of treatment.
These serious skin reactions can be more common in people from some
Asian countries. The risk of these reactions in patients of Han Chinese or
Thai origin may be predicted by testing a blood sample of these patients.
Your doctor should be able to advise if a blood test is necessary before
taking carbamazepine.
If you develop a rash or these skin symptoms, stop taking carbamazepine
and contact your doctor immediately.
Tell the doctor if you are taking:
affects the way the contraceptive works in your body, and you may get
breakthrough bleeding or spotting. It may also make the contraceptive less
effective and there will be a risk of getting pregnant. Your doctor will be
able to advise you about this, and you should think about using other
* Hormone Replacement Therapy (HRT). Tegretol can make HRT less
* Any medicines for depression or anxiety.
* Corticosteroids ('steroids'). You might be taking these for inflammatory
conditions such as asthma, inflammatory bowel disease, muscle and joint
* Anticoagulants to stop your blood clotting.
* Antibiotics to treat infections including skin infections and TB
(e.g. ciprofloxacillin).
* Antifungals to treat fungal infections.
* Painkillers containing paracetamol, dextropropoxyphene, tramadol,
methadone or buprenorphine.
* Other medicines to treat epilepsy.
* Medicines for high blood pressure or heart problems.
* Antihistamines (medicines to treat allergy such as hayfever, itch, etc).
* Diuretics (water tablets).
* Cimetidine or omeprazole (medicines to treat gastric ulcers).
* Isotretinoin (a medicine for the treatment of acne).
* Metoclopramide or aprepitant (anti-sickness medications).
* Acetazolamide (a medicine to treat glaucoma - increased pressure in the
* Danazol or gestrinone (treatments for endometriosis).
* Theophylline or aminophylline (used in the treatment of asthma).
* Ciclosporin, tacrolimus or sirolimus (immunosuppressants used after
transplant operations, but also sometimes in the treatment of arthritis or
* Drugs to treat schizophrenia (e.g. paliperidone. aripiprazole).
* Cancer drugs (e.g. temsirolimus, cyclophasphamide, lapatinib).
* The anti-malarial drug, mefloquine.
* Drugs to treat HIV.
* Levothyroxine (used to treat hypothyroidism).
* Tadalafil (used to treat impotence).
* Albendazole (used to treat worms).
* Bupropion (used to help stop smoking).
* A herbal remedy called St John's Wort or Hypericum.
* Drugs or supplements containing Vitamin B (nicotinamide).
Pregnancy and breastfeeding
You must discuss your epilepsy treatment with your doctor well before you
become pregnant. If you do get pregnant while you're taking Tegretol Tablets
you must tell the doctor straightaway. It is important that your epilepsy
remains well controlled, but, as with other anti-epilepsy treatments, there is a
risk of harm to the foetus. Make sure you are very clear about the risks and
the benefits of taking Tegretol Tablets.
Mothers taking Tegretol Tablets can breastfeed their babies, but you must tell
the doctor as soon as possible if you think that the baby is suffering side
effects such as excessive sleepiness, skin reaction or yellow skin and eyes,
dark urine or pale stools.
Will there be any problems with driving or using machinery?
Tegretol Tablets can make you feel dizzy or drowsy, or may cause blurred
vision, double vision, or you may have a lack of muscular coordination,
especially at the start of treatment or when the dose is changed. If you are
affected in this way, or if your eyesight is affected, you should not drive or
operate machinery.
Other special warnings
* Drinking alcohol may affect you more than usual. Discuss whether you
should stop drinking with your doctor.
* Eating grapefruit, or drinking grapefruit juice, may increase your chance of
experiencing side effects.
* Your doctor may want you to have a number of blood tests before you start
taking Tegretol and from time to time during your treatment. This is quite
usual and nothing to worry about.
Ref: 0234/271114/1/B
Tegretol 400mg Tablets
Patient Information Leaflet (continued)
How to take Tegretol Tablets
The doctor will tell you how many Tegretol Tablets to take and when to
take them. Always follow his/her instructions carefully. The dose will be
on the pharmacist's label. Check the label carefully. It is important to
take the tablets at the right times. If you are not sure, ask your doctor
or pharmacist. Keep taking your tablets for as long as you have been
told, unless you have any problems. In that case, check with your
Your doctor will usually start Tegretol at a fairly low dose which can then be
increased to suit you individually. The dose needed varies between patients.
You can take Tegretol Tablets during, after or between meals. Swallow the
tablets with a drink. You are usually told to take a dose two or three times a
day. If necessary you may break the tablets in half along the scored line.
To treat epilepsy the usual doses are:
Adults: 800-1,200 mg a day, although higher doses may be necessary. If
you are elderly you might require a lower dose.
Aged 5-10 years: 400-600 mg a day
Aged 10-15 years: 600-1,000 mg a day.
Tegretol Tablets are not recommended for children under 5.
To treat trigeminal neuralgia the usual dose is:
600-800 mg a day. The maximum dose is 1200mg a day. If you are elderly
you might require a lower dose.
To treat mood swings the usual dose is: 400-600 mg a day.
What if you forget to take a dose?
If you forget to take a dose, take one as soon as you remember. If it is
nearly time for your next dose, though, just take the next dose and forget
about the one you missed.
What if you take too many tablets?
If you accidentally take too many Tegretol Tablets, tell your doctor or your
nearest hospital casualty department. Take your medicine pack with you so
that people can see what you have taken.
Possible side effects
Up to 1 in 10,000 people have reported:
Changes to the composition of the blood including anaemia; porphyria;
meningitis; swelling of the breasts and discharge of milk which may occur in
both male and females; abnormal thyroid function tests; osteomalacia (which
may be noticed as pain on walking and bowing of the long bones in the
legs); osteoporosis; increased blood fat levels; taste disturbances;
conjunctivitis; glaucoma; cataracts; hearing disorders; heart and circulatory
problems including deep vein thrombosis (DVT), the symptoms of which
could include tenderness, pain, swelling, warmth, skin discoloration and
prominent superficial veins; lung or breathing problems; severe skin
reactions including Stevens-Johnson syndrome (These reactions may be
more frequent in patients of Chinese or Thai origin); sore mouth or tongue;
liver failure; increased sensitivity of the skin to sunlight; alterations in skin
pigmentation; acne; excessive sweating; hair loss; increased hair growth on
the body and face; muscle pain or spasm; sexual difficulties which may
include reduced male fertility, loss of libido or impotence; kidney failure;
blood spots in the urine; increased or decreased desire to pass urine or
difficulty in passing urine.
The following have also been reported, but the frequency cannot be
estimated from the available information:
Severe skin reactions, accompanied by feeling unwell and changes in blood
results. Diarrhoea, abdominal pain, and fever (signs of inflammation of the
colon), reactivation of herpes virus infection (can be serious when immune
system is depressed), complete loss of nails, fracture, decrease in the
measure of the bone density, drowsiness, memory loss, purple or
reddish-purple bumps that may be itchy.
Do not be alarmed by this list. Most people take Tegretol Tablets
without any problems.
If any of the symptoms become troublesome, or if you notice anything
else not mentioned here, please go and see your doctor. He/she may
want to give you a different medicine.
There have been reports of bone disorders including osteopenia and
osteoporosis (thinning of the bone) and fractures. Check with your doctor or
pharmacist if you are on long-term antiepileptic medication, have a history of
osteoporosis, or take steroids.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This
includes any possible side effects not listed in this leaflet. You can also
report side effects directly via the Yellow Card Scheme at
www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide
more information on the safety of this medicine.
Tegretol Tablets do not usually cause problems, but like all medicines, they
can sometimes cause side effects.
Some side effects can be serious
Stop taking Tegretol Tablets and tell your doctor straight away if you
* Serious skin reactions such as rash, red skin, blistering of the lips, eyes or
mouth, or skin peeling accompanied by fever. These reactions may be
more frequent in patients of Chinese or Thai origin
* Mouth ulcers or unexplained bruising or bleeding
* Sore throat or high temperature, or both
* Yellowing of your skin or the whites of your eyes
* Swollen ankles, feet or lower legs
* Any signs of nervous illness or confusion
* Pain in your joints and muscles, a rash across the bridge of the nose and
cheeks and problems with breathing (these may be the signs of a rare
reaction known as lupus erythematosus)
* Fever, skin rash, joint pain, and abnormalities in blood and liver function
tests (these may be the signs of a multi-organ sensitivity disorder)
* Bronchospasm with wheezing and coughing, difficulty in breathing, feeling
faint, rash, itching or facial swelling (these may be the signs of a severe
allergic reaction)
* Pain in the area near the stomach.
The side effects listed below have also been reported.
More than 1 in 10 people have experienced:
Leucopenia (a reduced number of the cells which fight infection making it
easier to catch infections); dizziness and tiredness; feeling unsteady or
finding it difficult to control movements; feeling or being sick; changes in liver
enzyme levels (usually without any symptoms); skin reactions which may be
Up to 1 in 10 people have experienced:
Changes in the blood including an increased tendency to bruise or bleed;
fluid retention and swelling; weight increase; low sodium in the blood which
might result in confusion; headache; double or blurred vision; dry mouth.
Up to 1 in 100 people have reported:
Abnormal involuntary movements including tremor or tics; abnormal eye
movements; diarrhoea; constipation.
How to store Tegretol Tablets
Do not store above 25°C.
Store in the original package in order to protect from moisture.
Do not take Tegretol Tablets after the expiry date shown on the blister label
or carton. If your doctor tells you to stop using this medicine, take any
remaining medicine back to the pharmacist for safe disposal. Only keep this
medicine if your doctor tells you to.
If your medicine becomes discoloured or shows any other signs of
deterioration consult your pharmacist who will tell you what to do.
Medicines should not be disposed of via wastewater or household waste.
Ask your pharmacist how to dispose of medicines no longer required.
These measures will help to protect the environment.
Further information
Each tablet contains 400mg of carbamazepine.
The tablets also contain the inactive ingredients colloidal anhydrous silica,
microcrystalline cellulose, magnesium stearate, and carmellose sodium.
The tablets are white, rod shaped marked 'CG / CG' on one side and 'LR /
LR' on the other side. Both sides are marked with a score line.
Each blister pack contains 28 or 100 tablets
Manufacturer and Licence Holder
This medicine is manufactured by Novartis Farma S.p.A. Via Provinciale
Schito 131, I-80058 Torre Annunziata, Italy and is procured from within the
EU and repackaged by the Product Licence Holder: Lexon (UK) Limited, Unit
18, Oxleasow Road, East Moons Moat, Redditch, Worcestershire, B98 0RE.
If you have any questions or are not sure about anything, ask your doctor or
pharmacist. They will have additional information about this medicine and
will be able to advise you.
PL 15184/0234 Tegretol 400mg Tablets
Tegretol is a registered trademark of Novartis AG.
Up to 1 in 1,000 people have reported:
Disease of the lymph glands; folic acid deficiency; a generalised allergic
reaction including rash, joint pain, fever, problems with the kidneys and other
organs; hallucinations; depression; loss of appetite; restlessness;
aggression; agitation; confusion; speech disorders; numbness or tingling in
the hands and feet; muscle weakness; high blood pressure (which may
make you feel dizzy, with a flushed face, headache, fatigue and
nervousness); low blood pressure (the symptoms of which are feeling faint,
light headed, dizzy, confused, having blurred vision); changes to heart beat;
stomach pain; liver problems including jaundice; symptoms of lupus.
Revision date: 27/11/14
Blind or partially sighted?
Is this leaflet hard to see or read?
Phone Lexon (UK) Limited, Tel: 01527 505414
for help.
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.


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Former Scotland Lucas Nogueira Youth jersey captain Greig Laidlaw will make his first Test start in nearly a year after being recalled for Sunday's Six Nations match with France.The scrum-half, 32, replaces Ali Price, who drops to the bench in one of six changes to the side beaten by Wales.
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Laidlaw, who featured as a second-half replacement against Wales, has only recently returned from a broken leg.Scotland's third-highest all-time points scorer missed his country's summer tour while he toured with the British http://www.avalancheofficialauthenticshop.com/Patrik_Nemeth_Jersey_Adidas & Irish Lions.
His last Scotland start came in http://www.seahawkshopfootballofficial.com/WOMENS-CHRISTINE-MICHAEL-JERSEY.html the Six Nations against France on 12 February last year, when he suffered ankle ligament damage in the first half of a 22-16 loss in Paris."Greig has a lot of experience having captained the side for the last couple of seasons, and he drives a lot of the standards on and off the field," explained head coach Gregor Townsend.
"Having him back in the group was already a positive. Seeing him play so well and be desperate to be back in the squad and in the team, we should get his experience on the field, which should help others around him.
"We are all aware that last http://www.floridapanthersofficialonline.com/Adidas-Jason-Demers-Jersey week we didn't perform anything like we are capable of, and even it was the same team going back out, I am sure we would have got a better performance. But these changes we believe will make us stronger."
Edinburgh lock Gilchrist Malik McDowell Jersey is in for Authentic Josh Gordon Jersey club-mate Toolis, who drops to the bench, alongside Jonny Gray in the second row. Gray's brother Richie is still sidelined by injury.Number eight Du Preez drops out of the 23 altogether with the return of Glasgow's Wilson, who is named as one of two vice-captains along with Laidlaw.
Prop Berghan returns from suspension and takes over at tight-head from Welsh, who is among the replacements.The versatile Horne, who scored Scotland's only try in Cardiff as a replacement, takes the number 12 jersey with Huw Jones reverting to outside centre and Harris dropping to the bench.
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BLACKSBURG, Va. (AP) Erick Green tied a career high with 25 points to lift Virginia Tech past Rhode Island 69-50 on Monday night.
Green scored 17 of his 25 in the first half, as the Hokies (2-0) jumped out to a 13-0 lead and never trailed. Rhode Island missed its first seven shots from the floor and didn't score in the first 5:08 of the game.
The Rams (0-2) cut the lead to 28-24 on a basket by Xavier Munford with 1:59 left in the first half. But the Hokies scored the last eight points of the half - six of those coming on two Green 3-pointers - to take a 36-24 lead at halftime. Rhode Island got no closer than 11 the rest of the game.
Green hit 8 of 15 from the floor, including four 3-pointers.
Munford led the Rams with 24 points.


text:
No New Sentencing Hearing for Prison Guard Killer Rodney Berget
SIOUX FALLS - A South Dakota judge has denied a new sentencing hearing for a man sentenced earlier to die for his role in killing a prison guard two years ago.
Rodney Berget was sentenced to death last year for killing prison guard Ronald "RJ" Johnson in April 2011. But the state Supreme Court overturned Berget's death sentence earlier this year, ruling that the circuit judge improperly considered a statement Berget made to a psychiatrist.
Berget then sought a new sentencing hearing in front of a jury. State Circuit Judge Brad Zell denied the request Tuesday.
Copyright 2013 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text:
The repeal Obamacare chorus quiets
Washington's repeal-Obamacare crowd is feeling a little lonely these days, abandoned by an increasing number of Republicans who have bowed to the political reality that the law isn't going anywhere anytime soon.
First, the Supreme Court upheld the law last year. Then, voters returned President Barack Obama to office in the face of GOP vows to scrap his plan — and possibly replace it. Now, a growing number of Republican governors are embracing controversial components of the law, including its Medicaid expansion and its health care exchanges.
Story Continued Below
The latest Republican to buy in is New Jersey Gov. Chris Christie, who is in the top tier of 2016 Republican presidential candidates. In unveiling his state budget on Tuesday, Christie became the eighth Republican governor to say he wants to implement Obamacare's Medicaid expansion and take the federal money that comes with it.
( PHOTOS: The eight GOP governors who said yes to Medicaid expansion)
"It's not helpful. I'm disappointed that they're doing it. I think that they're obviously making the wrong decision." Sen. Ron Johnson (R-Wis.) said of Republican governors who are signing up. "Let's face it, our best shot was the Supreme Court, then the Nov. 6 election, and we are behind the 8-ball on this."
But even many hard-and-fast repeal advocates on Capitol Hill have begun to acknowledge that the best they can hope for in the next four years is to make minor adjustments and wait for the chance to elect a Republican president whose purity on Obamacare hasn't been compromised by participation in it at the state level.
The result is that a Republican Party once unified and energized by the prospect of overturning Obamacare is now arrayed across a spectrum of positions that range from pursuing full repeal of the law to signing up for parts of it.
"Republicans in many states are shifting their messaging from 'How do we repeal this law?' to 'How do we implement this law in the least-damaging way?'" Kristen Soltis Anderson, a pollster and strategist with The Winston Group, said. "A lot of the friction you're seeing within the Republican Party on this issue stems from that divide and the question of how best to push back against the law. Is it better to reject it as much as possible, or is it better to accept parts of the law and try to implement them as best you can in accordance with your principles?"