injection to a soldier who is incapacitated by nerve agent poisoning. It is an adjunct to
the nerve agent antidote kit.
1-10. NERVE AGENT PRETREATMENT
The nerve agent pyridostigmine pretreatment tablet set (NAPP) consists of 21
pyridostigmine bromide (30 mg) tablets packed in a blister pack (figure 1-1). The tablets
are to be taken only when the corps or division commander orders that pyridostigmine
pretreatment be started. A soldier must swallow one tablet (with water) every eight
hours for seven days unless directed to discontinue the medication sooner. Although
the pyridostigmine itself does not provide protection against nerve agents, it does
enhance the efficiency of the medications contained in Mark I nerve agent antidote set.
If a dose of pyridostigmine is missed, do not try to make it up. Taking two tablets at
once does not provide additional protection and can result in adverse side effects.
A-Sample outer wrapper
B-Sample pyridostigmine bromide tablet
Figure 1-1. Nerve agent pyridostigmine pretreatment tablet set (NAPP).
1-11. PROTECTIVE ENSEMBLE
Each soldier has individual protective equipment including mask and hood,
overgarment, battledress overgarment, chemical protective glove set, chemical-
protective footwear covers, chemical-protective helmet cover, and protective mask. The
MOPP gear also consists of an individual decon kit, detection equipment, and antidotes.
Before soldiers can protect against NBC hazards, they must first know what individual
protective equipment is available and how to use it.