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

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DISCUSSION: Medication side effects are very hard to predict. They occur with irregularity and often differently in any given population group. The side effects relating to central nervous, cardiogenic, ophthalmologic, and labyrinthine systems are understandably the most troubling in the aircrew member. One must also consider the unique environmental considerations present in the aviation environment, i.e., G- forces, hypoxia, pressure changes, noise, heat, cold, acute and chronic fatigue; and how these effect the medication or the underlying medical condition. REFERENCE: Physicians Desk Reference, 56th Edition, Medical Economics, Montvale, NJ, 2002. American Hospital Formulary Service Drug Information 2001, American Society of Health System Pharmacists, Bethesda, MD, 2001. - 136 -
CLASS 1: OVER-THE-COUNTER MEDICATIONS Revised: Jan 2002 AEROMEDICAL CONCERNS: Self-medication in anyone on flight status is prohibited by AR 40-8 . Over-the-counter (OTC) medications frequently are combination medications, with one or more components contra- indicated for safety of flight. Many OTC medications do not provide a listing of ingredients on the package and often giveonly sketchy information on side effects. WAIVER: The OTC medications listed below are Class 1 medications. If a flight surgeon is not immediately available, the below listed medications can be used on a short term basis until a flight surgeon can be seen for appropriate evaluation and treatment. Combination medications are acceptable only when each component in the combination is separately acceptable. Any prohibited component makes the combination a prohibited medication. Antacids: (Tums, Rolaids, Mylanta, Maalox, Gaviscon, etc.) When used occasionally or infrequently. Chronic use is Class 3. Artificial Tears: Saline or other lubricating solution only. Visine or other vasoconstrictor agents are prohibited for aviation duty. Aspirin/Acetaminophen: When used infrequently or in low dosage. Cough Syrup Or Cough Lozenges: [Guaifenesin (Robitussin plain)]. Many OTC cough syrups contain sedating antihistamines or Dextromethorphan (DM) and are prohibited for aviation duty. Decongestant: Pseudoephedrine (Sudafed). When used for mild nasal congestion in the presence of normal ventilation of the sinuses, and middle ears (normal valsalva). Pepto Bismol: If used for minor diarrhea conditions and free of side effects for 24 hours. Multiple Vitamins: When used in normal supplemental doses. Mega-dose prescriptions or individual vitamin preparations are prohibited. Nasal Sprays: Saline nasal sprays are acceptable without restriction. Phenylephrine HCL (Neosynephrine) may be used for a maximum of 3 days. Long-acting nasal sprays [oxymetazoline (Afrin)] are restricted to no more than 3 days. Use of neosynephrine or oxymetazoline for longer than the above time must be validated and approved by a flight surgeon. Recurrent need for nasal sprays must be evaluated by the flight surgeon. Use requires the aircrew member to be free of side effects. Psyllium Mucilloid: (Metamucil). When used to treat occasional constipation or as a fiber source for dietary reasons. Long term use (over 1 week) must be coordinated with the flight surgeon due to possible side effects such as esophageal/bowel obstructions. Throat Lozenges: Acceptable provided the lozenge contains no prohibited medication. Benzocaine (or similar analgesic) containing throat spray or lozenge is acceptable. Long term use (more than 3 days) must be approved by the local flight surgeon. DISCUSSION: The aviator requires constant alertness with full use of all of his senses and reasoning powers. Many OTC medications as well as most prescribed medications cause sedation, blurred vision, disruptions of vestibular function, etc. Often the condition for which the medication is used is mild; however, it can produce very subtle effects which may also be detrimental in the flight environment. Just like the subtle deterioration of cognitive ability that occurs with hypoxia and alcohol intoxication, medication effects may not be appreciated by the individual taking the medicine. These effects may have disastrous results in situations requiring full alertness and rapid reflexes. - 137 -
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U.S. Department of Transportation F
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REPORT DOCUMENTATION PAGE Form Appr
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Introduction The National Transport
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Policy The “Dear Colleague” let
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Policy System Name: Utah Transit Au
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UTA Management Drug & Alcohol Polic
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POLICY Number 1C1 Effective Date: 3
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Release To Work Form 1C1 Maryland T
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ALCOHOL AND DRUG POLICY 2001 Revisi
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ALCOHOL AND DRUG POLICY Alcohol Pos
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OVER-THE-COUNTER MEDICATION To be C
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Subject: Substance Abuse- Drug Free
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SECTION XXX MEDICATION Applicants -
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Policy System Name: ATC/Vancom of N
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PROCEDURES
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In the third approach, the employer
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MEDICATION APPROVAL FORM (For Safet
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Procedures System Name: Maryland Tr
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Maryland Transit Administration SAF
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Procedures System Name: Orange Coun
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OVER-THE-COUNTER MEDICATION To be C
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Subject: Substance Abuse- Drug Free
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Disadvantages: Neither employees no
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Los Angeles County Metropolitan Tra
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Asendin Tablets X Aspirin X Astemiz
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Training The “Dear Colleague” l
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OVER-THE-COUNTER MEDICINES What’s
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ADVICE FOR AMERICANS ABOUT SELF-CAR
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Fact is, today’s OTC med icines
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You can help yourself read the labe
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■ Do not use laxatives when you h
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PREGNANCY AND BREAST-FEEDING Drugs
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■ Never call medicine candy to ge
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For free bulk quantities, write: CO
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Training Aid Name: How to Read a Dr
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InteliHealth: Page 2 of 3 © 2002,
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Training Aid Name: Prescription Med
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Health Care: Prescription Medicines
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Training Aid Name: Quick Tips -When
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When you pick up your medicine at t
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Training Aid Name: A Guide to Manag
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Speak up The more information your
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Rx & OTC Medications Safety-sensiti
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Legal drugs can be a problem Legal
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Employee Substance Abuse Training
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Transit Employees Responsibility Pr
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PRESCRIPTION AND OVER-THE-COUNTER D
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Summary of Do's and Don'ts Medicati
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Training Aid Name: Public Transport
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MODULE 8: PRESCRIPTION DRUGS Notes
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View Graph 8-3 Since each of these
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Notes to the Instructor MODULE 9: O
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Other Substances View Graph 9-4 Bes
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Notes to the Instructor MODULE 10:
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Many times a marijuana joint is use
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Module 8: Prescription Drugs Exerci
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Module 9: Over-the-Counter Drugs Ex
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Prescription Drugs 8-1 MODULE 8: PR
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Prescription Drugs 8-3 TRANSIT EMPL
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Prescription Drugs 8-5 DRIVING SKIL
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Over-the-Counter Drugs 9-2 OVER-THE
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Over-the-Counter Drugs 9-4 COMMONLY
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Over-the-Counter Drugs 9-6 MODULE 9
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Combining Drugs 10-2 EFFECTS OF COM
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Combining Drugs 10-4 MODULE 10 DISC
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MODULE 8: PRESCRIPTION DRUGS Prescr
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Notes Prescription Drugs 41
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MODULE 9: OVER-THE-COUNTER DRUGS Ma
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Notes Over-the-Counter Drugs 45
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MODULE 10: COMBINING DRUGS Each of
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Notes Combining Drugs 49
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Module 8: Prescription Drugs Exerci
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Prescription & Over-the-Counter (OT
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Anti-Motion Sickness: Can cause; dr
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Antidepressants: Can cause; seizure
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Muscle Relaxers: Can cause; drowsin
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Points to Remember Every one is an
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RETENTION TIMES OF DRUGS IN URINE G
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MARYLAND TRANSIT ADMINISTRATION OVE
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Maryland Transit Administration Pre
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PRESCRIPTION AND OVER-THE- COUNTER
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NTSB Directive The National Transpo
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Definitions (Rx) • Prescription d
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Definitions (OTC) • Over-The-Coun
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Page 218 and 219: Common Anti-inflammatory and Pain M
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Page 226 and 227: Possible Side Effects of Common OTC
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Page 232 and 233: Post-Accident Documentation for Det
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Page 238 and 239: APPENDICES
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Page 242 and 243: AFI48-123 22 MAY 2001 163 A7.32.4.
Page 244 and 245: Rx and OTC Medication Lists Name: A
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Page 250 and 251: CLASS 2A: NO WAIVER ACTION REQUIRED
Page 252 and 253: CLASS 2B: INFORMATION ONLY , CHRONI
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Page 258 and 259: Rx and OTC Medication Lists Name: V
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Page 262 and 263: ACIP Influenza Recommendations - AF
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Page 268 and 269: Heart/cardiac medications: The FAA
Page 270 and 271: containing cocaine ("TAC"). There i
Page 272 and 273: Rx and OTC Medication List Name: Me
Page 274 and 275: NOTE: 1. Mouthwashes - Scope, Liste
Page 276 and 277: HOW DO THESE MEDICATIONS AFFECT YOU
Page 278: Internet Resources/Reference Materi
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