Prescription and Over-the-Counter Medications Tool Kit ... - Home

162 AFI48-123 22 MAY 2001
A7.31.1.19. History of food-induced anaphylaxis.
A7.31.1.20. Other congenital or acquired abnormalities, defects or diseases which preclude satisfactory
performance of flying duty.
A7.31.1.21. Miscellaneous conditions such as porphyria, hemochromatosis, amyloidosis.
A7.31.1.22. Inflammatory idiopathic diseases of connective tissue.
A7.31.1.23. Lupus erythematosus (acute, subacute, or chronic).
A7.31.1.24. Active tuberculosis in any form or location, or substantiated history of active tuberculosis
within the previous 2 years.
A7.31.1.25. Sarcoidosis.
A7.31.1.26. History of malignancy.
A7.31.2. Flying Classes I and IA. In addition to the above:
A7.31.2.1. Motion sickness experienced in aircraft, automobiles, or water craft after the age of 12
with any significant frequency. Any history of motion sickness is completely explored.
A7.32. Medication. Use of any medication, except as described below is cause for medical disqualification
for flying duty until the grounding condition has been resolved, the medication is no longer required
and the effects of the drugs have dissipated.
A7.32.1. Aircrew members cannot fly for at least 8 hours after receiving a local or regional anesthetic
agent.
A7.32.2. Aircrew and individuals on the sensitive duty program are not cleared for a minimum of 3
weeks following the use of Ketamine.
A7.32.3. Medications which may be used without medical consultation.
A7.32.3.1. Skin antiseptics, topical antifungals, 1 percent Hydrocortisone cream (more potent
topical steroids require waivers), or benzoyl peroxide for minor wounds and skin diseases which
do not interfere with the performance of flying duties or wear of personal equipment.
A7.32.3.2. Single doses of over-the-counter aspirin, acetaminophen or ibuprofen to provide analgesia
for minor self-limiting conditions.
A7.32.3.3. Antacids for mild isolated episodes of epigastric distress.
A7.32.3.4. Hemorrhoidal suppositories.
A7.32.3.5. Bismuth subsalicylate for mild afebrile cases of diarrhea.
A7.32.3.6. Oxymetazoline or phenylephrine nasal sprays may be used by aircrew as "get me
downs" should unexpected ear or sinus block occur during flight. These should not be used to treat
symptoms of head congestion existing prior to flight.
A7.32.3.7. Multivitamin, no more than one per day.
A7.32.3.8. Dietary, herbal, and nutritional supplements can only be used with the approval of a
flight surgeon. The flight surgeon should consider aeromedical implications of the supplement as
well as the probability the supplement will actually enhance performance.