Identifying Concepts to Establish Problematic Medications in Active Duty Servicemembers (ProMADS).

This article focuses on identifying key medication-related concepts that make certain drugs problematic for active duty service members (ADSMs), potentially impacting their medical readiness and deployability. Through semi-structured interviews with eight key informants from various military branches and roles, five core elements were identified: adverse cognitive or behavioral effects, sustainment issues (such as supply and storage challenges), controlled substance compliance and risk mitigation, medication-related interference with hemostasis, and combat-readiness inhibitors affecting physical or immune function. These findings aim to inform the development of a consensus-driven list of Problematic Medications in Active Duty Servicemembers (ProMADS) to guide policy, optimize medication use, and enhance military readiness. The study emphasizes the need for a systematic, evidence-based framework to evaluate medications' operational impact and support informed prescribing decisions within military healthcare.