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

AFI48-123 22 MAY 2001 163
A7.32.4. Medication prescribed by a flight surgeon which may be used without removal from flying
duty once the potential for idiosyncratic reaction has been excluded.
A7.32.4.1. Isoniazid for prophylactic therapy of tuberculin converters who do not have active
tuberculosis. Minimum of 7 days ground trial.
A7.32.4.2. Oral contraceptives, implantable timed release progestin, injectable sustained duration
progestin (for contraception only), estrogen alone or with progestin, as replacement therapy. Minimum
of 28 days ground trial is required. Changes of dosage or brand requires an additional
28-day observation period.
A7.32.4.3. Chloroquine phosphate, primaquine phosphate, or doxycycline (100 mg daily) for
antimalarial prophylaxis. Single dose ground trial is advised.
A7.32.4.4. Pyridostigmine for chemical warfare prophylaxis. Single dose ground trial is advised.
A7.32.4.5. Scopolamine alone or in combination with dextroamphetamine or ephedrine for airsickness
in formal flying training programs. Not authorized for solo flight.
A7.32.4.6. Doxycycline (100mg) administered twice a day for 5 days may be used to treat mild
diarrhea. Doxycycline may also be used for prophylaxis against diarrhea in deployed personnel.
One hundred milligrams should be administered daily during the period of exposure and for at
least 2 days following exposure, with the total period of use not to exceed 2 weeks.
A7.32.4.7. Topical antibiotics for control of acne.
A7.32.4.8. Topical tretinoin for control of acne as long as local irritation does not interfere with
wear of the life-support equipment.
A7.32.4.9. Topical acyclovir.
A7.32.4.10. Completion of a course of oral penicillin, oxacillin, dicloxacillin, amoxicillin, erythromycin,
sulfamethoxazole-trimethoprim, tetracycline, ampicillin, doxycycline, or cephalexin,
once the acute infectious process is asymptomatic.
A7.32.4.11. Vaginal creams or suppositories for treatment of vaginitis once asymptomatic.
A7.32.4.12. Temazepam, or zolpidem if such use is essential for the safe performance of mission,
and only after MAJCOM/SG coordination and approval. MAJCOM/SG may delegate this
approval to wing and detachment level if unit mission so warrants. Single dose ground trial is
required for use.
A7.32.4.13. Dextroamphetamine use may be allowed for certain missions. Check with MAJ­
COM/SG prior to prescribing. Single dose grounding trial is required.
A7.32.4.14. Immunobiologics.
A7.32.4.15. Nicorette or transdermal nicotine. Minimum of 72 hours ground trial.
A7.32.4.16. Resin binding agents such as cholestyramine for control of hyperlipidemia. Note:
Niacin is not approved for use by flyers.
A7.32.5. Maintenance medication requiring waiver. Those medications for conditions listed below
may be waived by the MAJCOM surgeon. The use of other medications, singly or in combination
requires review by AFMOA/SGOA for rated officers and by the MAJCOM surgeon for non-rated flying
personnel.