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CVS removing decongestant from shelves after FDA panel says it's ineffective_我的网站

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A | CVS Health is planning to remove one type of a common decongestant from shelves after an advisory committee to the U.S. Food and Drug Administration said it was ineffective earlier this year.The products contain the oral formulation of phenylephrine (PE), which is found in several over-the-counter (OTC) medications.Although PE has been used as a decongestant for nearly a century, experts have been questioning its efficacy for years.The FDA Nonprescription Drugs Advisory Committee unanimously voted in September that PE did not improve nasal congestion any more than a placebo at the dosage given for OTC use.In response, CVS said it is removing products, in which PE is the only active ingredient from store shelves. This means products like Dayquil, which used a combination of active ingredients, will remain available for purchase."We are aware of the FDA Advisory Committee's position on oral phenylephrine (PE) and will follow direction from the FDA to ensure products we sell comply with all laws and regulations," CVS Health said in a statement. "We are removing certain oral cough and cold products that contain phenylephrine as the only active ingredient from CVS Pharmacy stores. Other oral cough and cold products will continue to be offered to meet consumer needs."CVS did not give specifies on brands that will be removed.The FDA told ABC News it has not yet determined whether it no longer considers PE to be a safe and effective medication and has not ordered the product to be removed from shelves. CVS's move is voluntary."The FDA has no further information to provide at this time regarding the timing of any decision the agency may make following the advisory committee meeting," the federal health agency said.The Consumer Healthcare Products Association told ABC News that the advisory committee's recommendation is a non-binding decision and not a change in regulation."FDA is currently in the process of reviewing the regulatory status of oral phenylephrine (PE) following September's advisory committee meeting," CHPA said in a statement. "Until FDA makes a determination on the committee's recommendation, oral PE remains a Category 1 OTC ingredient, which is generally recognized as safe and effective."Concerns were first raised about PE in 2007. Since then, evidence has accumulated showing that the drug offers little to no relief for nasal congestion.Experts believe this is because the body processes the drug before it reaches the nasal passages where it needs to work.It's unclear if other major retail pharmacy chains will follow in CVS's footsteps.Walgreens Boots Alliance would not disclose whether it was planning to remove products with PE from store shelves and said it would defer to the FDA."Walgreens follows FDA regulations. We are closely monitoring the situation and actively partnering with the Walgreens Office of Clinical Integrity and suppliers on appropriate next steps," a Walgreens spokesperson told ABC News.Other major pharmacy chains including Albertsons, Costco and Kroger did immediately reply to ABC News' request for comment. Walmart did not have an answer immediately available.ABC News' Sasha Pezenik and Sony Salzman contributed to this report.。说到新加坡国父李光耀先生，相信大家对他都不陌生。他曾一手创建人民行动党（People's Action Party，简称PAP），在1959年当选为新加坡第一任总理。并且，李光耀在1965年以极大的勇气与马来西亚“分家”，带领新加坡独立，把新加坡建设成了一个繁华的岛国。今天笔者向大家介绍的地点，就是李光耀先生曾与其爱人柯玉芝小姐“约会”的地方，同时也是新加坡17个蓄水池之一——麦里芝蓄水池。 ·地理位置及历史麦里芝蓄水池是新加坡最古老的蓄水池，于1868年建成。建造者詹姆斯·麦里芝（James MacRitchie）是一位独具特色的市政工程师，曾在印度，日本和巴西等地工作过，因此他拥有丰富的设计经验。因此，麦里芝蓄水池便于1922年以詹姆斯的姓氏命名。

B | 麦里芝蓄水池位于新加坡中部，靠近玛丽蒙地铁站。同时与贝雅士蓄水池、实里达蓄水池等一同位于中央集水自然保护区。据说新加坡政府划出了一条海岸到海岸的旅行路线（“Coast-to-Coast Trail”），可以从西海岸一直走到榜鹅海岸，全长36公里，而麦里芝蓄水池就位于其中，说不定有些徒步爱好者可以挑战一下。·公园环境麦里芝蓄水池公园作为一所开放性的露天公园，自然是少不了各种野生动物。

C | 一进公园，笔者就看到许多走地鸡在草地上四处觅食，甚至还有一些鸡直接在人行道上散步，仿佛那才是为它们修的一样。鉴于新加坡严格的法律，没有人敢把它们抓走或者给它们喂食，任由它们四处“嚣张跋扈”。笔者不禁感叹这人与自然如此和谐的场面在国内已经几乎见不到了，是悲哀还是幸运呢？继续往里走，便可一睹蓄水池的全貌。麦里芝蓄水池与笔者曾去过的勿洛蓄水池不相同，形状没有那么规整。但或许正是这种不太完美，诞生了麦里芝蓄水池独有的韵味。虽是休息日，游客却并没有那么多，这也给拍摄与观赏带来了方便。

D | 相比人头攒动的“网红打卡地”，笔者更享受在闲暇时光独自一人游览冷门景点的乐趣。笔者认为，只有在一个人自己游览这些景点时，才有空停下来细细品味景点的特色与魅力。好了，废话到此结束，下面真正开始介绍。笔者从南边进入公园，一开始打算向东游览。没走多久，就有一座桥，从上面可以一览蓄水池的美景。桥上刻着一些铭文，大意是记载了麦里芝蓄水池的历史（见上图）。过了桥再走百来米，便可以看到一所皮划艇租赁处。

E | 游客可以在此处租一艘皮划艇，泛舟湖上，感受那水天一色的壮丽画面。望着无边无垠的天空与水面，无论是什么烦恼或是忧愁，顷刻间便化作乌有，剩下的只是恬静与安然。

F | 蓄水池周围皆有茂密的植被覆盖，宛如一座天然氧吧，几次深呼吸，定能让你心旷神怡。再往东走，路岔成了两条。

G | 一条是木板路，另一条是林间小路。两条路各有特色，但最大的共同点是静谧且狭窄。由于笔者游览时人烟稀少，虽然选择了木板路，但却无人相伴。再加上路旁的警示牌提示有猴子出没，竟让笔者感觉到一阵刺骨的诡异。

H | 还好，笔者并没有那么“幸运”到遇见野兽出没。事实上，如果有人一起游览，两条路都是散步的不二之选。

I | 木板路林间碎石路·林谋盛墓从东边散步回来后，笔者便去拜访了林谋盛先生的墓。

J | 林谋盛是一位抗日英雄，并且还出现在了新加坡的历史课本里。林谋盛出生在福建，16岁时移居新加坡并就读于莱佛士书院。后去往香港大学深造，攻读商学系。1937年卢沟桥事变后中国正式抗日，林谋盛参与募捐并支持中国抗战。1942年新加坡沦陷后，林谋盛加入了大名鼎鼎的中英游击队“136部队”并在日占马来亚地区执行破坏和间谍工作。