500
Three medications or medication classes that are considered non deployable?
What are:
1. Blood modifiers:
a. Therapeutic Anticoagulants: warfarin (Coumadin®), rivaroxaban (Xarelto®).
b. Platelet Aggregation Inhibitors or Reducing Agents: clopidogrel (Plavix®),
anagrelide (Agrylin®), Dabigatran (Pradaxa®), Aggrenox®, Ticlid (Ticlopidine®),
Prasugrel (Effient®), Pentoxifylline (Trental®), Cilostazol (Pletal®). Note: Aspirin
use in theater is to be limited to individuals who have been advised to continue
use by their healthcare provider for medical reasons; such use must be
documented in the medical record.
8c. Hematopoietics: filgrastim (Neupogen®), sargramostim (Leukine®),
erythropoietin (Epogen®, Procrit®).
d. Antihemophilics: Factor VIII, Factor IX.
2. Antineoplastics (oncologic or non-oncologic use): e.g., antimetabolites (methotrexate,
hydroxyurea, mercaptopurine, etc.), alkylators (cyclophosphamide, melphalan,
chlorambucil, etc.), antiestrogens (tamoxifen, etc.), aromatase inhibitors (anastrozole,
examestane, etc.), medroxyprogesterone (except use for contraception), interferons,
etoposide, bicalutamide, bexarotene, oral tretinoin (Vesanoid®).
3. Immunosuppressants: e.g., chronic systemic steroids.
4. Biologic Response Modifiers (immunomodulators) e.g., abatacept (Orencia®),
adalimumab (Humira®), anakinra (Kineret®), etanercept (Enbrel®), infliximab
(Remicade®), leflunomide (Arava®), etc.
5. Benzodiazepines: Chronic use or newly prescribed: lorazepam (Ativan), alprazolam
(Xanax), diazepam (Valium), clonazepam (Klonopin), etc.
6. CII Stimulants taken for treatment of ADHD/ADD: Ritalin, Concerta, Adderall,
Dexedrine, Focalin XR, Vyvanse, etc.
7. Sedative Hypnotics/Amnestics: Taken for greater than three months for treatment of
chronic insomnia: zolpidem (Ambien, Ambien CR), eszopiclone (Lunesta),zaleplon
(Sonata), estazolam (ProSom), triazolam (Halcion), temazepam (Restoril), flurazepam
(Dalmane), etc.
8. Antipsychotics. Including atypical antipsychotic medication.
9. Antimanic (bipolar) agents: e.g., lithium.
10. Anticonvulsants, used for seizure control or psychiatric diagnoses.
a. Anticonvulsants (except those listed below) which are used for non-psychiatric
diagnoses, such as migraine, chronic pain, neuropathic pain, and post-herpetic
neuralgia, are not deployment limiting as long as those conditions meet the
criteria set forth in this document and accompanying MOD TWELVE. No waiver
required.
b. Valproic acid (Depakote®, Depakote ER®, Depacon®, etc.).
c. Carbamazepine (Tegretol®, Tegretol XR®, etc.).
11. Varenicline (Chantix®). 12. Opioids, opioid combination drugs, or tramadol
(Ultram®) for chronic use (greater than 30 days).
12. Insulin and exenatide (Byetta®).
13. Injectable medications of any type.