CAN’T BE TOO CAREFUL –
Feb. 5, 2026 – “Recent reporting has raised serious concerns about the prevalence of polypharmacy—or multiple medication use—among veterans,” wrote the senators. “Polypharmacy, while not inherently bad, can result in dangerous drug interactions, overreliance, abuse, and even death…Given these concerns, it is imperative that VA ensure it is offering effective treatment, including medication as well as non-pharmacologic options such as therapy, to reduce the risk of negative outcomes.”
Dear Mr. Dodaro,
Veterans with mental health conditions may require the use of medication, and ensuring they have safe and effective treatments is a critical component of care with the Department of Veterans Affairs’ (VA) health system. Recent reporting has raised serious concerns about the prevalence of polypharmacy—or multiple medication use—among veterans. Polypharmacy, while not inherently bad, can result in dangerous drug interactions, overreliance, abuse, and even death. For example, research suggests that prescribing both opioids and benzodiazepines—a type of medication used to treat anxiety or post-traumatic stress disorder (PTSD) —can increase veterans’ risk of death from suicide. Given these concerns, it is imperative that VA ensure it is offering effective treatment, including medication as well as non-pharmacologic options such as therapy, to reduce the risk of negative outcomes.
As a Senate Veterans’ Affairs Committee hearing examining medication management at VA on December 3, 2025, we discussed VA’s efforts to promote safe prescribing and expand access to alternative treatments, including psychedelics. The hearing highlighted the importance of mental health treatment planning for veterans to include treatment from VA and community care providers, especially given the nationwide shortage of mental health providers. Furthermore, information discussed at the hearing highlighted the importance of comprehensive medication management and oversight across providers to ensure veterans’ access to safe and effective mental health care.
