WASHINGTON — The Army is seeking permanent authority to accept unused or old prescription drugs from military healthcare beneficiaries who wish to get rid of them.
In January, Gen. Peter Chiarelli, Army vice chief of staff, asked that the Drug Enforcement Administration (DEA) permit the Army’s military-treatment facilities and pharmacies to accept excess prescription medicine for disposal, but the request was denied.
In 2010, Petty Officer 1st Class David Ochsenfeld, assigned to the security department at Naval Hospital
Col. Carol Labadie, the Army pharmacy consultant, said the Army is still very interested in getting that authority and is working on that issue with the DEA. The way the law is written, only DEA registrants that buy or distribute controlled substances can take back controlled substances from other DEA registrants, she said.
“So pharmacies could buy from a wholesaler because they are also registered with the DEA because they sell the drugs. They cannot take them back from a non-DEA registrant, which would be a patient,” she said. “So we cannot take them back from the patient once we have dispensed them to the patient.”
The only way that such “take-back” initiatives can be conducted is with the involvement of law enforcement.
The issue does not just affect the military. Congress passed legislation last year asking the U.S. Attorney General to look at ways that unwanted or unused medications could be returned. The DEA is working on developing a policy on how people should dispose of unwanted controlled substances medication nationwide.
The Army wants that authority as soon as possible, however, and would like beneficiaries to be allowed to turn in excess medications to military pharmacies.
“It would be a way ahead for us in the right direction to be able to get these medications back,” said Labadie.
The ability for consumers to give back prescription medications that they are not using at designated sites is part of larger effort in the U.S. to help prevent prescription drug abuse and to offer an environmentally responsible way to dispose of medications.
Recently, the U.S. Drug Enforcement Administration (DEA) held its third National Prescription Drug Take-Back Day on October 29, in which it said more than 377,086 pounds of unwanted or expired medications were disposed of by their owners at the 5,327 take-back sites available in all 50 states and U.S. territories.
Many military installations also participated that day, with DoD and medical leaders encouraging beneficiaries to take part in the anonymous collection events.
“The Army’s participation in the National Prescription Medication Take-Back Day is critical, because our soldiers and their families share many of the issues facing the nation at large,” said Col. Kevin Galloway, chief of staff of the Pain Management Task Force, in a news release promoting the recent Take-Back Day.
Still, the need for DoD to be able to collect these medications on an ongoing basis was highlighted in a recent report on military suicide. That report stated that prescription drug misuse is an “obstacle” to addressing military suicide and said DoD needed authority to be able to “accept and destroy excess prescription medication” from troops.
“When military doctors prescribe an alternative medication or dosage from what a servicemember was previously prescribed, there is no request made for the servicemember to return the remainder of his or her prior medication. Instead, military doctors dispense additional medications, because only law-enforcement personnel can conduct ‘take-back’ programs for medications,” Washington’s Center for New American Security report stated.
For injured troops who might be on multiple medications, the issue goes beyond getting rid of prescription drugs that might later be abused, Labadie said. It also is a patient-safety issue for patients who have no intention of abusing the medications.
“When you have got multiple medications and, if everything is mixed together, and some you are taking and some you are not taking, a patient can easily get confused about which one they are supposed to take,” she said. “Or, if there is a caregiver helping them, the caregiver may not realize that this medicine is no longer supposed to be taken and given in addition to the others. So there are patient-safety-issue reasons why we would want to get those medications back, in addition to the national issues of the potential abuse of medication.”