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The Navy and Marine Corps' zero tolerance policies regarding drug misuse and abuse are well known among service members – any Sailor or Marine determined to be using, possessing, trafficking, manufacturing, or distributing drugs or drug abuse paraphernalia is required to be processed for ADSEP from the military.1,2 What some service members may not realize is that drug misuse and abuse not only includes the use of illegal drugs but also any inappropriate use of pharmaceuticals, even if they are prescribed by a health care provider. Understanding how to take prescription drugs appropriately can keep a Sailor or Marine safe and fit for duty, and also save their career.
What constitutes prescription drug misuse and abuse?
Drug misuse and abuse includes any inappropriate use of pharmaceuticals and use of any intoxicating substance not intended for human ingestion (such as glue or gasoline sniffing).1 Inappropriate use of pharmaceuticals includes taking a prescription medication3:
Any time a Sailor or Marine has a positive urinalysis for a controlled substance for which they do not have a current prescription in their medical record, and no other valid reason can explain the positive urinalysis, they are subject to a violation of the Uniform Code of Military Justice (UCMJ). Such a violation may lead to disciplinary action, such as reduction in rate or forfeiture of pay, and will result in ADSEP processing from military service.
What are the dangers of prescription drug misuse and abuse?
All medications have potential side effects. Health care providers recommend prescription medications after a careful analysis of the risks and benefits of taking the medications properly while also factoring in other considerations such as health status, medications already being taken, etc. Additionally, there is clinical oversight by the provider while the individual is taking the medication. Ultimately, however, it is the service member's responsibility to ensure they are taking prescription medicine properly. If a sailor misuses prescription drugs, examples of potential risks include 4:
The risk for health-related side effects is increased when medication misuse is combined with alcohol consumption.
How can a service member avoid prescription drug misuse and abuse?
Where can you go for more information?
There are many resources available if you have questions about the Navy drug abuse prevention policy:
Bureau of Medicine and Surgery
7700 Arlington Blvd. Ste. 5113 Falls Church, VA 22042-5113
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