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A Review of the Scientific Literature As It Pertains to Gulf War Illnesses

Volume 2: Pyridostigmine Bromide

Cover: A Review of the Scientific Literature As It Pertains to Gulf War Illnesses, Volume 2: Pyridostigmine Bromide

By: Beatrice A. Golomb

The United States and its allies in the Persian Gulf War (PGW) knew that Iraq had used nerve agents and chemical weapons in its previous conflicts and so took steps to protect their troops. Pyridostigmine bromide (PB) was distributed as a pretreatment that would enhance the effectiveness of postexposure treatments in the event that the nerve agent soman was used. This report examines the role that PB played in the ongoing chronic health problems documented in PGW veterans. After careful examination of the known effects of PB on the central and peripheral nervous systems, the author finds the evidence consistent with a possible role for PB as a contributor to the health complaints of some PGW veterans and calls for immediate attention in the form of additional investigation to clarify the role of PB.

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Paperback Cover Price: $30.00

Discounted Web Price: $27.00

Pages: 399

ISBN/EAN: 0-8330-2677-1

Contents

Preface PDF | HTML

Figures PDF | HTML

Tables PDF | HTML

Summary PDF | HTML

Acknowledgments PDF | HTML

Abbreviations PDF | HTML

Chapter One:
Introduction PDF | HTML

Chapter Two:
Fact Sheet: PB Pretreatment for Soman Exposure PDF | HTML

Chapter Three:
Characteristics of PB PDF | HTML

Chapter Four:
PB Use in the Persian Gulf War PDF | HTML

Chapter Five:
Health Problems in PGW Veterans PDF | HTML

Chapter Six:
Theories Linking PB to Illness in Pgw Veterans PDF | HTML

Chapter Seven:
Blood-Brain Barrier Passage PDF | HTML

Chapter Eight:
Individual Differences in Reactions to PB PDF | HTML

Chapter Nine:
Interactions Between PB and Other Exposures PDF | HTML

Chapter Ten:
Bromism PDF | HTML

Chapter Eleven:
Multiple Chemical Sensitivity PDF | HTML

Chapter Twelve:
Neuromuscular Junction Effects PDF | HTML

Chapter Thirteen:
Neurotransmitter Dysregulation PDF | HTML

Chapter Fourteen:
Chronic Effects PDF | HTML

Chapter Fifteen:
Other Considerations PDF | HTML

Chapter Sixteen:
Conclusions PDF | HTML

Addendum: Evidence for Neurotransmitter Dysregulation Identified or Published Since the Review Process PDF | HTML

Appendix A:
Pyridostigmine Pharmacokinetic Data PDF | HTML

Appendix B:
Effects of PB in Humans PDF | HTML

Appendix C:
Further Discussion of the Acetylcholine-Serotonin Relationship PDF | HTML

References PDF | HTML

This research was sponsored by RAND's National Security Research Division and RAND Health.

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