1. Know the facts: Series IV
Where to Turn for Help

2. Conduct a Self-Risk Assessment
Prescription drug misuse warning signs:
Seeking prescriptions from more than one doctor (e.g., patient may reference seeing a civilian doctor in addition to a Navy Medicine facility)
Claiming prescription drugs were lost or stolen
Continually "losing" prescriptions, so more prescriptions must be written
Taking higher dosages than prescribed
Taking prescription medication more frequently
Complaining of increased pain and therefore a need for increased dosage
Behavioral Signs of Drug Abuse
Note: These warning signs should be relayed to caregivers and family members as something to watch for if prescription drug abuse is suspected
Excessive mood swings or hostility
Appearing to be unusually energetic or sedated
Increase or decrease in sleep

3. Signs of Rx Drug Abuse by Type of Drug
Opioids (e.g., painkillers)
CNS Depressants (e.g., sedatives and anti-anxiety medications)
Stimulants (e.g., ADD/ADHD medications)
Constipation
Depression
Low blood pressure
Decreased breathing rate
Confusion
Sweating
Poor coordination
Drowsiness
Unsteady walking
Poor judgment
Involuntary and rapid movement of the eyeball
Dizziness
Weight loss
Agitation
Irritability
Insomnia
High blood pressure
Irregular heartbeat
Restlessness
Impulsive behavior

4. Who can you talk to?
If you think you or someone you know may be abusing or misusing prescription drugs there are many people whom you can and should turn to:
Navy doctors
Navy chaplain
Substance Abuse Rehabilitation Program (SARP) advisors
Alcohol and Drug Control Officers (ADCOs) and Drug and Alcohol Program Advisors (DAPAs)
Other Resources
Substance Abuse and Mental Health Services Administration – Find Help
Prescription Medication Misuse Program – The War Back Home
Mobile apps for psychological health and stress reduction

5. What should I ask my doctor?
When you receive a prescription from your doctor make sure you know the proper dosage and form. You can ask you doctor the following questions:
How much/many am I supposed to take at one time?
How many times a day/week am I supposed to take that amount?
If I do not feel I need the drug any more should I continue to take it for the recommended amount of time?
If I feel I need to take more than the recommended amount, can I take an extra dose?
Is this prescription available for refill?
How long is this prescription valid?

6. Series IV: Review
If you are prescribed medication, periodically conduct a self-risk assessment to ensure you’re properly using your medications
Know the signs of prescription drug misuse and abuse and look out for friends and family who may need help
If you or someone you know may be abusing prescription drugs, talk to your Navy doctor, chaplain, or substance abuse prevention personnel/counselor
To avoid misuse, come prepared to your doctor’s visit with questions to ask your doctor about any prescribed medications

7. Prescription for Discharge Website
You can visit to learn more about the Prescription for Discharge campaign
On the site you can visit the following pages to learn more and download campaign materials:
Tips for safe Rx Use
Order Materials
National Take-Back Day
In the case of an emergency, call 911 or the resources below:
Military OneSource Confidential Counseling 
Military Crisis Line TALK (8255)