QUADRIPARTITE STANDARDIZATION AGREEMENT
(QSTAR) 471
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B-1. The Armies of the United States, United Kingdom, Australia, and the Canadian
Forces have agreed to use supplementary labels for dispensed medicines within a
wartime theater of operations in which members of two or more participating armies are
deployed. The subscribing armies further agree to consult and in every possible case
reach mutual agreement before introducing changes that affect the use of
supplementary labels. The criteria to determine whether a supplementary label is
necessary for a dispensed medicine is to prevent or allay drug reactions and to ensure
that medication is taken in the most effective manner, when there is some specified
requirement concerning dosage regimen.
B-2. Some examples of possible areas of drug reactions and suggested wording of
supplementary labels are as follows:
Drug Group--Areas of Reaction Labels
1.
(a)
Sedatives, tranquilizers,
1.
"This medication may cause
antidepressants
drowsiness. If affected, do
(b)
Antihistamines
not drive a vehicle or
(c)
Narcotic analgesics
operate machinery. AVOID
ALCOHOL."
2.
(a)
Hypnotics and sedatives
2.
"Avoid taking alcohol with
when they are ordered as
this medication unless
a night-time dose
advised by prescriber."
(b)
(c)
Monoamine Oxidase
inhibitors
(d)
Disulfiram
3.
To apply to oral antibiotics
3.
with the exception of
one hour before food and three
doxycycline, minocycline, -
hours after the evening meal."
clindamycin and Amoxicillin
Table 3-2. Supplementary labels (from AR 40-2, 3 March 1978). (continued)
MD0810
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