AFI 11-2C-130v3 - BITS

34 AFI11-2C-130V3 23 APRIL 2012
managing those cycles, strategic inflight and/or ground napping techniques, and proper diet
and exercise.
3.9.5. An additional fatigue CM tool available to aircrew is the No-Go Pill. The occasional
use of a No-Go Pill by MAF aircrew to improve sleep quality and/or adjust circadian rhythm
sleep/wake cycles is voluntary. Each individual aircrew member will, with the aid of their
home station flight surgeon, determine how/if to implement the use of No-Go Pills as a
fatigue CM.
3.9.6. The following directives concerning the use of No-Go Pills are as important and
unbreakable as the ―12 hour bottle to throttle‖ restriction for alcohol consumption:
3.9.6.1. Aircrew members on flight orders will not use No-Go Pills in flight.
3.9.6.2. Aircrew members will complete ground testing for any No-Go Pill they wish to
use for operational purposes and document using MAF No-Go Pill Form 1, Ground
Testing of No-Go Pills. In order to avoid possible drug interactions, aircrew members
will inform the flight surgeon of any over-the-counter medications and/or nutritional
supplements they are taking. During ground testing, aircrew members will be DNIF on
an AF Form 1042 for the minimum ‗DNIF‘ periods prescribed in paragraph 3.9.6.4.
After ground testing of a particular No-Go Pill, the flight surgeon will complete the
bottom half of the Form 1 and a ―return to fly‖ AF Form 1042. Successful ground testing
of a particular No-Go Pill establishes clearance to use it operationally.
3.9.6.3. Aircrew members may obtain NoGo Pills from any USAF or other authorized
flight surgeon while at home station or off-station while TDY/deployed. Offstation/deployed
flight surgeons can verify individual aircrew ground testing results via
the ―MAF Aircrew Medication Ground Test Card‖ all MAF aircrew members are
required to carry.
3.9.6.4. In no case will an individual perform aircrew duties while under the effects of
No-Go Pills. Individuals will use the mission report or legal for alert time to determine
the latest time to take a No-Go Pill. No-Go medications can affect individuals very
differently. To comply with the ―no aircrew duties while under the effects‖ restriction, it
is the responsibility of each individual aircrew member to be aware of their own
minimum ‗DNIF‘ period for any No-Go Pill they use, based on their ground trial results
and/or previous experiences. The following are the minimum ‗DNIF‘ periods (no AF
Form 1042 required) after consuming a No-Go Pill:
3.9.6.4.1. Sonata (Zaleplon) – 4 hours minimum ‗DNIF‘
3.9.6.4.2. Ambien (Zolpidem) – 6 hours minimum ‗DNIF‘
3.9.6.4.3. Restoril (Temazepam, Class IV Controlled Substance) – 12 hours
minimum ‗DNIF‘
3.9.6.5. Aircrew members will consider the following examples of missions prone to
causing fatigue and/or sleep disruptions in their decision to use a No-Go Pill:
3.9.6.5.1. Home station night launch missions with 2000-0530L show times and
greater than four hours‘ duration.