Guest guest Posted March 22, 2011 Report Share Posted March 22, 2011 XLS] CENTCOM (CONSOLIDATED) - RxNET Home Page File Format: Microsoft ExcelWill be in CENTCOM formulary until May 2007. Not a BCF or UF item. 355, 681200, Hormones, Contraceptive, ETHINYL ESTRADIOL/DROSPIRENONE 0.02-3(24) TABLET ...https://rxnet.army.mil/.../CENTCOM%20Formulary%20IAW%20SEP%2009. xls >> http://www.nextgov.com/nextgov/ng_20110118_8944.php?oref=spotlight> > Military's drug policy threatens troops' health, doctors say> > By Bob Brewin 01/18/2011> > > > This is the first story in an ongoing series.> > Army leaders are increasingly concerned about the growing use and abuse of prescription drugs by soldiers, but a Nextgov investigation shows a U.S. Central Command policy that allows troops a 90- or 180-day supply of highly addictive psychotropic drugs before they deploy to combat contributes to the problem.> > The CENTCOM Central Nervous System > â Drug formulary includes drugs like Valium and Xanax, used to treat depression, as well as the antipsychotic Seroquel, originally developed to treat schizophrenia, bipolar disorders, mania and depression.> > Read the entire Broken Warriors series.> > Although CENTCOM policy does not permit the use of Seroquel to treat deploying troops with these conditions, it does allow its use as a sleep aid, and allows deployed troops to be provided with a 180-day supply, even though the drug has been implicated in the deaths of two Marines who died in their sleep after taking large doses of the drug.> > The Army endorsed Seroquel as a sleep aid in the May 2010 report of its Pain Management Task Force, which, among other things, called for a reduction in the number of prescription drugs given to troops. An appendix to that report recommended taking Seroquel in either 25- or 50-milligram doses for sleep disorders.> > A June 2010 internal report from the Defense Department's Pharmacoeconomic Center at Fort Sam Houston in San showed that 213,972, or 20 percent of the 1.1 million active-duty troops surveyed, were taking some form of psychotropic drug: antidepressants, antipsychotics, sedative hypnotics, or other controlled substances.> > Dr. Grace , a former Navy psychiatrist, told Nextgov she resigned her commission in 2002 "out of conscience, because I did not want to be a pill pusher." She believes psychotropic drugs have so many inherent dangers that "the CENTCOM CNS formulary is destroying the force," she said.> > Dr. Greg , who runs the Los Angles-based Comprehensive Pain Relief Group, which treats chronic pain and prescription drug abuse through an integrative medical approach called the Nutrition, Emotional/Psychological, Social/Financial and Physical program, said he was shocked by CENTCOM's drug policy for deployed troops. "If I was a commander I'd worry about what these troops would do," as a result of their medications, said.> > Dr. Breggin, an Ithaca, N.Y., psychiatrist who testified before a House Veterans Affairs Committee last September on the relationship between medication and veterans' suicides, said flatly, "You should not send troops into combat on psychotropic drugs." Medications on the CENTCOM CNS formulary can cause loss of judgment and self-control and could result in increased violence and suicidal impulses, Breggin said.> > The Army implicated prescription drugs as contributing to suicides in a July 2010 report, which said one-third of all active-duty military suicides involved prescription drugs.> > When the suicide report was released, Gen. Chiarelli, the Army's vice chief of staff, said the service needed to develop better controls for prescription drugs. "Let's make sure when we prescribe that we put an end date on that prescription, so it doesn't remain an open-ended opportunity for somebody to be abusing drugs," Chiarelli said.> > But when it comes to the CENTCOM CNS formulary -- which for some drugs allows a 180-day supply when troops deploy, followed by a 180-day refill in theater, according to an October 2010 update to the psychotropic drug policy -- neither the Army nor CENTCOM sees a need for change.> > In an e-mailed statement to Nextgov, Col. Stasinos, chief of> â addiction medicine for the Army surgeon general, and Col. Carol Labadie, pharmacy program manager in the Directorate of Health Policy and Services for the surgeon general, said soldiers are supplied with up to 180 days of medications because they "serve in remote areas without easy access to pharmacies. It is important that soldiers on chronic medications do not run out of them during combat operations, because not taking the medications can be as dangerous as taking too much medication."> > Abuse of prescription drugs, Stasinos and Labadie said, can be prevented by improved communication among health care providers, soldiers and commanders. Comprehensive reviews of soldiers' medication profiles by pharmacists are another way to prevent abuse, they said.> > The statement from Stasinos and Labadie added that it is possible that troops could receive a 180-day supply of more than one psychotropic medication.> > Navy Lt. Cmdr. Speaks, a CENTCOM spokesman, echoed comments from the Army. He said the drug-supply policy for deployed troops was "established to ensure personnel who required these medications had an adequate supply before deployment to last through pre-deployment activities and training as well as travel to theater and initial deployment phase."> > He added, "Some of these medications can cause duty-limiting side effects if they are withdrawn abruptly [i.e. if the individual runs out]. This policy prevents that from occurring."> > Speaks said, "Abuse is always a possibility the prescribing clinician must consider ... demonstration of clinical stability, medication quantity limits and in-theater review of prescriptions reduces the potential for abuse."> > Suicide and Drug Abuse> > The Army's suicide report drew a link between a significant increase in prescription drug use among troops and the service's rising suicide rate. It also raised serious concerns about troops trafficking in prescription drugs.> > , the former Navy psychiatrist, now has a civilian practice in Greensboro, N.C. She said at least one drug on the CENTCOM formulary -- Depakote, an anticonvulsant, which military doctors prescribe for mood control -- carries serious physical risks for troops. Depakote is toxic to certain cells, including hair cells in the ears, and can lead to hearing loss. Troops in a howitzer battery who already run the risk of hearing loss should not take Depakote, she said.> > The medication also can cause what she calls "cognitive toxicity," also known as Depakote dementia, impairing a person's ability to think and make decisions. said that while Depakote has been investigated as an adjunct therapy for cancer, its use has been limited due to the drug's effects on cognition.> > The antidepressant Wellbutrin, also on the CENTCOM formulary, likely poses a long-term risk of Parkinson's disease, especially for older troops, said , author of Drug-Induced Dementia: A Perfect Crime (AuthorHouse, 2009).> > and Breggin both expressed deep concerns about Xanax, perhaps the most addictive of all benzodiazepines, a class of depressant medications used to treat anxiety, on the CENTCOM formulary.> > Breggin, author of Medication Madness: The Role of Psychiatric Drugs in Cases of Violence, Suicide and Crime (St. 's , 2009), called Xanax "solid alcohol" and said all the benzodiazepines on the CENTCOM formulary "amount to a prescription for abuse." He also said there is no rationale for prescribing multiple psychotropic drugs to troops.> > said he was "flabbergasted" that military doctors prescribed Seroquel as a sleep aid, as the Food and Drug Administration has not approved such a use and other drugs are more effective. Breggin agreed, calling Seroquel "very dangerous, expensive and not proven to be more beneficial than other drugs."> > noted Seroquel has the addictive potential of opioids, such heroin.> > CENTCOM's allowance of Seroquel as a sleep aid also seems to fly in the face of a high-level Defense policy set in November 2006. In a memo titled "Policy Guidance for Deployment Limiting Pyschiatric Conditions and Medications," Winkenwerder, then assistant secretary of Defense for health affairs, said psychotropic medications that would prohibit troops from deployment included those used to treat chronic insomnia.> > Asked if prescribing Seroquel to aid sleep violated this policy, Stasinos and Labadie said in an e-mail, "Seroquel is not prescribed for chronic insomnia. Lower doses have been used to aid soldiers with troubled sleep for anxiety-related nightmares." They added while other sleep medications are on the CENTCOM formulary, none appears to relieve nightmares as effectively as Seroquel.> > Woodin, a spokeswoman for the U.S. division of London-based AstraZeneca, which makes Seroquel, said the drug is not approved by the FDA as a sleep aid or to treat post-traumatic stress disorder. But, she added, mental health professionals often prescribe it to treat conditions not approved by the FDA. "Like patients, we trust doctors to use their medical judgment to determine when it is appropriate to prescribe medications," Woodin said.> > Nightmare> > Stan White, a retired high school teacher who lives in the small town of Cross Lanes, W.Va., has observed the effects Seroquel can have. When his son returned from a tour in Iraq with the Marine Reserve 4th Combat Engineer Battalion in 2007, he was diagnosed with post-traumatic stress disorder and was prescribed three psychotropic drugs, including Seroquel, by the Huntington Veterans Affairs Medical Center, White said.> > VA started on 25 milligrams of Seroquel a day and upped the dose to 1,600 milligrams a day (the CENTCOM-approved dose is 25 milligrams a day). White died in his sleep Feb. 12, 2008, six months after seeking help.> > White said was so befuddled by his drug cocktail, which included Klonopin, a benzodiazepine, and hydrocodone, an opiate, that his wife, Shirley, had to dole them out for. White said Seroquel did not diminish 's nightmares at even such a high dosage.> > While talk therapy is widely viewed as one of the most effective treatments for some mental health problems, including PTSD, White said had only a few such sessions, primarily with a local veterans' peer therapy group. It was not until the week died that a VA psychiatrist decided to begin intensive sessions with him.> > Stan White says his mission in life today is to expose the dangers of Seroquel. The drug, he said, "turns people unto zombies. I cannot imagine going into battle on Seroquel." > Sent via BlackBerry by AT & T> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2011 Report Share Posted March 22, 2011 XLS] CENTCOM (CONSOLIDATED) - RxNET Home Page File Format: Microsoft ExcelWill be in CENTCOM formulary until May 2007. Not a BCF or UF item. 355, 681200, Hormones, Contraceptive, ETHINYL ESTRADIOL/DROSPIRENONE 0.02-3(24) TABLET ...https://rxnet.army.mil/.../CENTCOM%20Formulary%20IAW%20SEP%2009. xls >> http://www.nextgov.com/nextgov/ng_20110118_8944.php?oref=spotlight> > Military's drug policy threatens troops' health, doctors say> > By Bob Brewin 01/18/2011> > > > This is the first story in an ongoing series.> > Army leaders are increasingly concerned about the growing use and abuse of prescription drugs by soldiers, but a Nextgov investigation shows a U.S. Central Command policy that allows troops a 90- or 180-day supply of highly addictive psychotropic drugs before they deploy to combat contributes to the problem.> > The CENTCOM Central Nervous System > â Drug formulary includes drugs like Valium and Xanax, used to treat depression, as well as the antipsychotic Seroquel, originally developed to treat schizophrenia, bipolar disorders, mania and depression.> > Read the entire Broken Warriors series.> > Although CENTCOM policy does not permit the use of Seroquel to treat deploying troops with these conditions, it does allow its use as a sleep aid, and allows deployed troops to be provided with a 180-day supply, even though the drug has been implicated in the deaths of two Marines who died in their sleep after taking large doses of the drug.> > The Army endorsed Seroquel as a sleep aid in the May 2010 report of its Pain Management Task Force, which, among other things, called for a reduction in the number of prescription drugs given to troops. An appendix to that report recommended taking Seroquel in either 25- or 50-milligram doses for sleep disorders.> > A June 2010 internal report from the Defense Department's Pharmacoeconomic Center at Fort Sam Houston in San showed that 213,972, or 20 percent of the 1.1 million active-duty troops surveyed, were taking some form of psychotropic drug: antidepressants, antipsychotics, sedative hypnotics, or other controlled substances.> > Dr. Grace , a former Navy psychiatrist, told Nextgov she resigned her commission in 2002 "out of conscience, because I did not want to be a pill pusher." She believes psychotropic drugs have so many inherent dangers that "the CENTCOM CNS formulary is destroying the force," she said.> > Dr. Greg , who runs the Los Angles-based Comprehensive Pain Relief Group, which treats chronic pain and prescription drug abuse through an integrative medical approach called the Nutrition, Emotional/Psychological, Social/Financial and Physical program, said he was shocked by CENTCOM's drug policy for deployed troops. "If I was a commander I'd worry about what these troops would do," as a result of their medications, said.> > Dr. Breggin, an Ithaca, N.Y., psychiatrist who testified before a House Veterans Affairs Committee last September on the relationship between medication and veterans' suicides, said flatly, "You should not send troops into combat on psychotropic drugs." Medications on the CENTCOM CNS formulary can cause loss of judgment and self-control and could result in increased violence and suicidal impulses, Breggin said.> > The Army implicated prescription drugs as contributing to suicides in a July 2010 report, which said one-third of all active-duty military suicides involved prescription drugs.> > When the suicide report was released, Gen. Chiarelli, the Army's vice chief of staff, said the service needed to develop better controls for prescription drugs. "Let's make sure when we prescribe that we put an end date on that prescription, so it doesn't remain an open-ended opportunity for somebody to be abusing drugs," Chiarelli said.> > But when it comes to the CENTCOM CNS formulary -- which for some drugs allows a 180-day supply when troops deploy, followed by a 180-day refill in theater, according to an October 2010 update to the psychotropic drug policy -- neither the Army nor CENTCOM sees a need for change.> > In an e-mailed statement to Nextgov, Col. Stasinos, chief of> â addiction medicine for the Army surgeon general, and Col. Carol Labadie, pharmacy program manager in the Directorate of Health Policy and Services for the surgeon general, said soldiers are supplied with up to 180 days of medications because they "serve in remote areas without easy access to pharmacies. It is important that soldiers on chronic medications do not run out of them during combat operations, because not taking the medications can be as dangerous as taking too much medication."> > Abuse of prescription drugs, Stasinos and Labadie said, can be prevented by improved communication among health care providers, soldiers and commanders. Comprehensive reviews of soldiers' medication profiles by pharmacists are another way to prevent abuse, they said.> > The statement from Stasinos and Labadie added that it is possible that troops could receive a 180-day supply of more than one psychotropic medication.> > Navy Lt. Cmdr. Speaks, a CENTCOM spokesman, echoed comments from the Army. He said the drug-supply policy for deployed troops was "established to ensure personnel who required these medications had an adequate supply before deployment to last through pre-deployment activities and training as well as travel to theater and initial deployment phase."> > He added, "Some of these medications can cause duty-limiting side effects if they are withdrawn abruptly [i.e. if the individual runs out]. This policy prevents that from occurring."> > Speaks said, "Abuse is always a possibility the prescribing clinician must consider ... demonstration of clinical stability, medication quantity limits and in-theater review of prescriptions reduces the potential for abuse."> > Suicide and Drug Abuse> > The Army's suicide report drew a link between a significant increase in prescription drug use among troops and the service's rising suicide rate. It also raised serious concerns about troops trafficking in prescription drugs.> > , the former Navy psychiatrist, now has a civilian practice in Greensboro, N.C. She said at least one drug on the CENTCOM formulary -- Depakote, an anticonvulsant, which military doctors prescribe for mood control -- carries serious physical risks for troops. Depakote is toxic to certain cells, including hair cells in the ears, and can lead to hearing loss. Troops in a howitzer battery who already run the risk of hearing loss should not take Depakote, she said.> > The medication also can cause what she calls "cognitive toxicity," also known as Depakote dementia, impairing a person's ability to think and make decisions. said that while Depakote has been investigated as an adjunct therapy for cancer, its use has been limited due to the drug's effects on cognition.> > The antidepressant Wellbutrin, also on the CENTCOM formulary, likely poses a long-term risk of Parkinson's disease, especially for older troops, said , author of Drug-Induced Dementia: A Perfect Crime (AuthorHouse, 2009).> > and Breggin both expressed deep concerns about Xanax, perhaps the most addictive of all benzodiazepines, a class of depressant medications used to treat anxiety, on the CENTCOM formulary.> > Breggin, author of Medication Madness: The Role of Psychiatric Drugs in Cases of Violence, Suicide and Crime (St. 's , 2009), called Xanax "solid alcohol" and said all the benzodiazepines on the CENTCOM formulary "amount to a prescription for abuse." He also said there is no rationale for prescribing multiple psychotropic drugs to troops.> > said he was "flabbergasted" that military doctors prescribed Seroquel as a sleep aid, as the Food and Drug Administration has not approved such a use and other drugs are more effective. Breggin agreed, calling Seroquel "very dangerous, expensive and not proven to be more beneficial than other drugs."> > noted Seroquel has the addictive potential of opioids, such heroin.> > CENTCOM's allowance of Seroquel as a sleep aid also seems to fly in the face of a high-level Defense policy set in November 2006. In a memo titled "Policy Guidance for Deployment Limiting Pyschiatric Conditions and Medications," Winkenwerder, then assistant secretary of Defense for health affairs, said psychotropic medications that would prohibit troops from deployment included those used to treat chronic insomnia.> > Asked if prescribing Seroquel to aid sleep violated this policy, Stasinos and Labadie said in an e-mail, "Seroquel is not prescribed for chronic insomnia. Lower doses have been used to aid soldiers with troubled sleep for anxiety-related nightmares." They added while other sleep medications are on the CENTCOM formulary, none appears to relieve nightmares as effectively as Seroquel.> > Woodin, a spokeswoman for the U.S. division of London-based AstraZeneca, which makes Seroquel, said the drug is not approved by the FDA as a sleep aid or to treat post-traumatic stress disorder. But, she added, mental health professionals often prescribe it to treat conditions not approved by the FDA. "Like patients, we trust doctors to use their medical judgment to determine when it is appropriate to prescribe medications," Woodin said.> > Nightmare> > Stan White, a retired high school teacher who lives in the small town of Cross Lanes, W.Va., has observed the effects Seroquel can have. When his son returned from a tour in Iraq with the Marine Reserve 4th Combat Engineer Battalion in 2007, he was diagnosed with post-traumatic stress disorder and was prescribed three psychotropic drugs, including Seroquel, by the Huntington Veterans Affairs Medical Center, White said.> > VA started on 25 milligrams of Seroquel a day and upped the dose to 1,600 milligrams a day (the CENTCOM-approved dose is 25 milligrams a day). White died in his sleep Feb. 12, 2008, six months after seeking help.> > White said was so befuddled by his drug cocktail, which included Klonopin, a benzodiazepine, and hydrocodone, an opiate, that his wife, Shirley, had to dole them out for. White said Seroquel did not diminish 's nightmares at even such a high dosage.> > While talk therapy is widely viewed as one of the most effective treatments for some mental health problems, including PTSD, White said had only a few such sessions, primarily with a local veterans' peer therapy group. It was not until the week died that a VA psychiatrist decided to begin intensive sessions with him.> > Stan White says his mission in life today is to expose the dangers of Seroquel. The drug, he said, "turns people unto zombies. I cannot imagine going into battle on Seroquel." > Sent via BlackBerry by AT & T> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2011 Report Share Posted March 22, 2011 XLS] CENTCOM (CONSOLIDATED) - RxNET Home Page File Format: Microsoft ExcelWill be in CENTCOM formulary until May 2007. Not a BCF or UF item. 355, 681200, Hormones, Contraceptive, ETHINYL ESTRADIOL/DROSPIRENONE 0.02-3(24) TABLET ...https://rxnet.army.mil/.../CENTCOM%20Formulary%20IAW%20SEP%2009. xls >> http://www.nextgov.com/nextgov/ng_20110118_8944.php?oref=spotlight> > Military's drug policy threatens troops' health, doctors say> > By Bob Brewin 01/18/2011> > > > This is the first story in an ongoing series.> > Army leaders are increasingly concerned about the growing use and abuse of prescription drugs by soldiers, but a Nextgov investigation shows a U.S. Central Command policy that allows troops a 90- or 180-day supply of highly addictive psychotropic drugs before they deploy to combat contributes to the problem.> > The CENTCOM Central Nervous System > â Drug formulary includes drugs like Valium and Xanax, used to treat depression, as well as the antipsychotic Seroquel, originally developed to treat schizophrenia, bipolar disorders, mania and depression.> > Read the entire Broken Warriors series.> > Although CENTCOM policy does not permit the use of Seroquel to treat deploying troops with these conditions, it does allow its use as a sleep aid, and allows deployed troops to be provided with a 180-day supply, even though the drug has been implicated in the deaths of two Marines who died in their sleep after taking large doses of the drug.> > The Army endorsed Seroquel as a sleep aid in the May 2010 report of its Pain Management Task Force, which, among other things, called for a reduction in the number of prescription drugs given to troops. An appendix to that report recommended taking Seroquel in either 25- or 50-milligram doses for sleep disorders.> > A June 2010 internal report from the Defense Department's Pharmacoeconomic Center at Fort Sam Houston in San showed that 213,972, or 20 percent of the 1.1 million active-duty troops surveyed, were taking some form of psychotropic drug: antidepressants, antipsychotics, sedative hypnotics, or other controlled substances.> > Dr. Grace , a former Navy psychiatrist, told Nextgov she resigned her commission in 2002 "out of conscience, because I did not want to be a pill pusher." She believes psychotropic drugs have so many inherent dangers that "the CENTCOM CNS formulary is destroying the force," she said.> > Dr. Greg , who runs the Los Angles-based Comprehensive Pain Relief Group, which treats chronic pain and prescription drug abuse through an integrative medical approach called the Nutrition, Emotional/Psychological, Social/Financial and Physical program, said he was shocked by CENTCOM's drug policy for deployed troops. "If I was a commander I'd worry about what these troops would do," as a result of their medications, said.> > Dr. Breggin, an Ithaca, N.Y., psychiatrist who testified before a House Veterans Affairs Committee last September on the relationship between medication and veterans' suicides, said flatly, "You should not send troops into combat on psychotropic drugs." Medications on the CENTCOM CNS formulary can cause loss of judgment and self-control and could result in increased violence and suicidal impulses, Breggin said.> > The Army implicated prescription drugs as contributing to suicides in a July 2010 report, which said one-third of all active-duty military suicides involved prescription drugs.> > When the suicide report was released, Gen. Chiarelli, the Army's vice chief of staff, said the service needed to develop better controls for prescription drugs. "Let's make sure when we prescribe that we put an end date on that prescription, so it doesn't remain an open-ended opportunity for somebody to be abusing drugs," Chiarelli said.> > But when it comes to the CENTCOM CNS formulary -- which for some drugs allows a 180-day supply when troops deploy, followed by a 180-day refill in theater, according to an October 2010 update to the psychotropic drug policy -- neither the Army nor CENTCOM sees a need for change.> > In an e-mailed statement to Nextgov, Col. Stasinos, chief of> â addiction medicine for the Army surgeon general, and Col. Carol Labadie, pharmacy program manager in the Directorate of Health Policy and Services for the surgeon general, said soldiers are supplied with up to 180 days of medications because they "serve in remote areas without easy access to pharmacies. It is important that soldiers on chronic medications do not run out of them during combat operations, because not taking the medications can be as dangerous as taking too much medication."> > Abuse of prescription drugs, Stasinos and Labadie said, can be prevented by improved communication among health care providers, soldiers and commanders. Comprehensive reviews of soldiers' medication profiles by pharmacists are another way to prevent abuse, they said.> > The statement from Stasinos and Labadie added that it is possible that troops could receive a 180-day supply of more than one psychotropic medication.> > Navy Lt. Cmdr. Speaks, a CENTCOM spokesman, echoed comments from the Army. He said the drug-supply policy for deployed troops was "established to ensure personnel who required these medications had an adequate supply before deployment to last through pre-deployment activities and training as well as travel to theater and initial deployment phase."> > He added, "Some of these medications can cause duty-limiting side effects if they are withdrawn abruptly [i.e. if the individual runs out]. This policy prevents that from occurring."> > Speaks said, "Abuse is always a possibility the prescribing clinician must consider ... demonstration of clinical stability, medication quantity limits and in-theater review of prescriptions reduces the potential for abuse."> > Suicide and Drug Abuse> > The Army's suicide report drew a link between a significant increase in prescription drug use among troops and the service's rising suicide rate. It also raised serious concerns about troops trafficking in prescription drugs.> > , the former Navy psychiatrist, now has a civilian practice in Greensboro, N.C. She said at least one drug on the CENTCOM formulary -- Depakote, an anticonvulsant, which military doctors prescribe for mood control -- carries serious physical risks for troops. Depakote is toxic to certain cells, including hair cells in the ears, and can lead to hearing loss. Troops in a howitzer battery who already run the risk of hearing loss should not take Depakote, she said.> > The medication also can cause what she calls "cognitive toxicity," also known as Depakote dementia, impairing a person's ability to think and make decisions. said that while Depakote has been investigated as an adjunct therapy for cancer, its use has been limited due to the drug's effects on cognition.> > The antidepressant Wellbutrin, also on the CENTCOM formulary, likely poses a long-term risk of Parkinson's disease, especially for older troops, said , author of Drug-Induced Dementia: A Perfect Crime (AuthorHouse, 2009).> > and Breggin both expressed deep concerns about Xanax, perhaps the most addictive of all benzodiazepines, a class of depressant medications used to treat anxiety, on the CENTCOM formulary.> > Breggin, author of Medication Madness: The Role of Psychiatric Drugs in Cases of Violence, Suicide and Crime (St. 's , 2009), called Xanax "solid alcohol" and said all the benzodiazepines on the CENTCOM formulary "amount to a prescription for abuse." He also said there is no rationale for prescribing multiple psychotropic drugs to troops.> > said he was "flabbergasted" that military doctors prescribed Seroquel as a sleep aid, as the Food and Drug Administration has not approved such a use and other drugs are more effective. Breggin agreed, calling Seroquel "very dangerous, expensive and not proven to be more beneficial than other drugs."> > noted Seroquel has the addictive potential of opioids, such heroin.> > CENTCOM's allowance of Seroquel as a sleep aid also seems to fly in the face of a high-level Defense policy set in November 2006. In a memo titled "Policy Guidance for Deployment Limiting Pyschiatric Conditions and Medications," Winkenwerder, then assistant secretary of Defense for health affairs, said psychotropic medications that would prohibit troops from deployment included those used to treat chronic insomnia.> > Asked if prescribing Seroquel to aid sleep violated this policy, Stasinos and Labadie said in an e-mail, "Seroquel is not prescribed for chronic insomnia. Lower doses have been used to aid soldiers with troubled sleep for anxiety-related nightmares." They added while other sleep medications are on the CENTCOM formulary, none appears to relieve nightmares as effectively as Seroquel.> > Woodin, a spokeswoman for the U.S. division of London-based AstraZeneca, which makes Seroquel, said the drug is not approved by the FDA as a sleep aid or to treat post-traumatic stress disorder. But, she added, mental health professionals often prescribe it to treat conditions not approved by the FDA. "Like patients, we trust doctors to use their medical judgment to determine when it is appropriate to prescribe medications," Woodin said.> > Nightmare> > Stan White, a retired high school teacher who lives in the small town of Cross Lanes, W.Va., has observed the effects Seroquel can have. When his son returned from a tour in Iraq with the Marine Reserve 4th Combat Engineer Battalion in 2007, he was diagnosed with post-traumatic stress disorder and was prescribed three psychotropic drugs, including Seroquel, by the Huntington Veterans Affairs Medical Center, White said.> > VA started on 25 milligrams of Seroquel a day and upped the dose to 1,600 milligrams a day (the CENTCOM-approved dose is 25 milligrams a day). White died in his sleep Feb. 12, 2008, six months after seeking help.> > White said was so befuddled by his drug cocktail, which included Klonopin, a benzodiazepine, and hydrocodone, an opiate, that his wife, Shirley, had to dole them out for. White said Seroquel did not diminish 's nightmares at even such a high dosage.> > While talk therapy is widely viewed as one of the most effective treatments for some mental health problems, including PTSD, White said had only a few such sessions, primarily with a local veterans' peer therapy group. It was not until the week died that a VA psychiatrist decided to begin intensive sessions with him.> > Stan White says his mission in life today is to expose the dangers of Seroquel. The drug, he said, "turns people unto zombies. I cannot imagine going into battle on Seroquel." > Sent via BlackBerry by AT & T> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2011 Report Share Posted March 22, 2011 XLS] CENTCOM (CONSOLIDATED) - RxNET Home Page File Format: Microsoft ExcelWill be in CENTCOM formulary until May 2007. Not a BCF or UF item. 355, 681200, Hormones, Contraceptive, ETHINYL ESTRADIOL/DROSPIRENONE 0.02-3(24) TABLET ...https://rxnet.army.mil/.../CENTCOM%20Formulary%20IAW%20SEP%2009. xls >> http://www.nextgov.com/nextgov/ng_20110118_8944.php?oref=spotlight> > Military's drug policy threatens troops' health, doctors say> > By Bob Brewin 01/18/2011> > > > This is the first story in an ongoing series.> > Army leaders are increasingly concerned about the growing use and abuse of prescription drugs by soldiers, but a Nextgov investigation shows a U.S. Central Command policy that allows troops a 90- or 180-day supply of highly addictive psychotropic drugs before they deploy to combat contributes to the problem.> > The CENTCOM Central Nervous System > â Drug formulary includes drugs like Valium and Xanax, used to treat depression, as well as the antipsychotic Seroquel, originally developed to treat schizophrenia, bipolar disorders, mania and depression.> > Read the entire Broken Warriors series.> > Although CENTCOM policy does not permit the use of Seroquel to treat deploying troops with these conditions, it does allow its use as a sleep aid, and allows deployed troops to be provided with a 180-day supply, even though the drug has been implicated in the deaths of two Marines who died in their sleep after taking large doses of the drug.> > The Army endorsed Seroquel as a sleep aid in the May 2010 report of its Pain Management Task Force, which, among other things, called for a reduction in the number of prescription drugs given to troops. An appendix to that report recommended taking Seroquel in either 25- or 50-milligram doses for sleep disorders.> > A June 2010 internal report from the Defense Department's Pharmacoeconomic Center at Fort Sam Houston in San showed that 213,972, or 20 percent of the 1.1 million active-duty troops surveyed, were taking some form of psychotropic drug: antidepressants, antipsychotics, sedative hypnotics, or other controlled substances.> > Dr. Grace , a former Navy psychiatrist, told Nextgov she resigned her commission in 2002 "out of conscience, because I did not want to be a pill pusher." She believes psychotropic drugs have so many inherent dangers that "the CENTCOM CNS formulary is destroying the force," she said.> > Dr. Greg , who runs the Los Angles-based Comprehensive Pain Relief Group, which treats chronic pain and prescription drug abuse through an integrative medical approach called the Nutrition, Emotional/Psychological, Social/Financial and Physical program, said he was shocked by CENTCOM's drug policy for deployed troops. "If I was a commander I'd worry about what these troops would do," as a result of their medications, said.> > Dr. Breggin, an Ithaca, N.Y., psychiatrist who testified before a House Veterans Affairs Committee last September on the relationship between medication and veterans' suicides, said flatly, "You should not send troops into combat on psychotropic drugs." Medications on the CENTCOM CNS formulary can cause loss of judgment and self-control and could result in increased violence and suicidal impulses, Breggin said.> > The Army implicated prescription drugs as contributing to suicides in a July 2010 report, which said one-third of all active-duty military suicides involved prescription drugs.> > When the suicide report was released, Gen. Chiarelli, the Army's vice chief of staff, said the service needed to develop better controls for prescription drugs. "Let's make sure when we prescribe that we put an end date on that prescription, so it doesn't remain an open-ended opportunity for somebody to be abusing drugs," Chiarelli said.> > But when it comes to the CENTCOM CNS formulary -- which for some drugs allows a 180-day supply when troops deploy, followed by a 180-day refill in theater, according to an October 2010 update to the psychotropic drug policy -- neither the Army nor CENTCOM sees a need for change.> > In an e-mailed statement to Nextgov, Col. Stasinos, chief of> â addiction medicine for the Army surgeon general, and Col. Carol Labadie, pharmacy program manager in the Directorate of Health Policy and Services for the surgeon general, said soldiers are supplied with up to 180 days of medications because they "serve in remote areas without easy access to pharmacies. It is important that soldiers on chronic medications do not run out of them during combat operations, because not taking the medications can be as dangerous as taking too much medication."> > Abuse of prescription drugs, Stasinos and Labadie said, can be prevented by improved communication among health care providers, soldiers and commanders. Comprehensive reviews of soldiers' medication profiles by pharmacists are another way to prevent abuse, they said.> > The statement from Stasinos and Labadie added that it is possible that troops could receive a 180-day supply of more than one psychotropic medication.> > Navy Lt. Cmdr. Speaks, a CENTCOM spokesman, echoed comments from the Army. He said the drug-supply policy for deployed troops was "established to ensure personnel who required these medications had an adequate supply before deployment to last through pre-deployment activities and training as well as travel to theater and initial deployment phase."> > He added, "Some of these medications can cause duty-limiting side effects if they are withdrawn abruptly [i.e. if the individual runs out]. This policy prevents that from occurring."> > Speaks said, "Abuse is always a possibility the prescribing clinician must consider ... demonstration of clinical stability, medication quantity limits and in-theater review of prescriptions reduces the potential for abuse."> > Suicide and Drug Abuse> > The Army's suicide report drew a link between a significant increase in prescription drug use among troops and the service's rising suicide rate. It also raised serious concerns about troops trafficking in prescription drugs.> > , the former Navy psychiatrist, now has a civilian practice in Greensboro, N.C. She said at least one drug on the CENTCOM formulary -- Depakote, an anticonvulsant, which military doctors prescribe for mood control -- carries serious physical risks for troops. Depakote is toxic to certain cells, including hair cells in the ears, and can lead to hearing loss. Troops in a howitzer battery who already run the risk of hearing loss should not take Depakote, she said.> > The medication also can cause what she calls "cognitive toxicity," also known as Depakote dementia, impairing a person's ability to think and make decisions. said that while Depakote has been investigated as an adjunct therapy for cancer, its use has been limited due to the drug's effects on cognition.> > The antidepressant Wellbutrin, also on the CENTCOM formulary, likely poses a long-term risk of Parkinson's disease, especially for older troops, said , author of Drug-Induced Dementia: A Perfect Crime (AuthorHouse, 2009).> > and Breggin both expressed deep concerns about Xanax, perhaps the most addictive of all benzodiazepines, a class of depressant medications used to treat anxiety, on the CENTCOM formulary.> > Breggin, author of Medication Madness: The Role of Psychiatric Drugs in Cases of Violence, Suicide and Crime (St. 's , 2009), called Xanax "solid alcohol" and said all the benzodiazepines on the CENTCOM formulary "amount to a prescription for abuse." He also said there is no rationale for prescribing multiple psychotropic drugs to troops.> > said he was "flabbergasted" that military doctors prescribed Seroquel as a sleep aid, as the Food and Drug Administration has not approved such a use and other drugs are more effective. Breggin agreed, calling Seroquel "very dangerous, expensive and not proven to be more beneficial than other drugs."> > noted Seroquel has the addictive potential of opioids, such heroin.> > CENTCOM's allowance of Seroquel as a sleep aid also seems to fly in the face of a high-level Defense policy set in November 2006. In a memo titled "Policy Guidance for Deployment Limiting Pyschiatric Conditions and Medications," Winkenwerder, then assistant secretary of Defense for health affairs, said psychotropic medications that would prohibit troops from deployment included those used to treat chronic insomnia.> > Asked if prescribing Seroquel to aid sleep violated this policy, Stasinos and Labadie said in an e-mail, "Seroquel is not prescribed for chronic insomnia. Lower doses have been used to aid soldiers with troubled sleep for anxiety-related nightmares." They added while other sleep medications are on the CENTCOM formulary, none appears to relieve nightmares as effectively as Seroquel.> > Woodin, a spokeswoman for the U.S. division of London-based AstraZeneca, which makes Seroquel, said the drug is not approved by the FDA as a sleep aid or to treat post-traumatic stress disorder. But, she added, mental health professionals often prescribe it to treat conditions not approved by the FDA. "Like patients, we trust doctors to use their medical judgment to determine when it is appropriate to prescribe medications," Woodin said.> > Nightmare> > Stan White, a retired high school teacher who lives in the small town of Cross Lanes, W.Va., has observed the effects Seroquel can have. When his son returned from a tour in Iraq with the Marine Reserve 4th Combat Engineer Battalion in 2007, he was diagnosed with post-traumatic stress disorder and was prescribed three psychotropic drugs, including Seroquel, by the Huntington Veterans Affairs Medical Center, White said.> > VA started on 25 milligrams of Seroquel a day and upped the dose to 1,600 milligrams a day (the CENTCOM-approved dose is 25 milligrams a day). White died in his sleep Feb. 12, 2008, six months after seeking help.> > White said was so befuddled by his drug cocktail, which included Klonopin, a benzodiazepine, and hydrocodone, an opiate, that his wife, Shirley, had to dole them out for. White said Seroquel did not diminish 's nightmares at even such a high dosage.> > While talk therapy is widely viewed as one of the most effective treatments for some mental health problems, including PTSD, White said had only a few such sessions, primarily with a local veterans' peer therapy group. It was not until the week died that a VA psychiatrist decided to begin intensive sessions with him.> > Stan White says his mission in life today is to expose the dangers of Seroquel. The drug, he said, "turns people unto zombies. I cannot imagine going into battle on Seroquel." > Sent via BlackBerry by AT & T> Quote Link to comment Share on other sites More sharing options...
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