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

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MEDICATION LIST DRUGS WHICH NEED NOT BE REPORTED: The following drugs do not need to be reported unless known by UTA or employee to cause problems, or if directed by physician. Antibiotics All Birth Control Pills All Dental Lidocaine Xylocaine Immunizations All Topical Agents (Lotions, Creams, etc.) (Drugs dispensed via patches are not included.) All Vitamins All Allergy, Asthma & Decongestants Alph-pned Brethaire Entex Guaifensin Hismanal Ipratropium Inhaler Kenalog Nasalide Phyenylpropanolamine PPA-GG-LA Pseudoephedrine Seldane Sine-Aid Sudafed Terbutaline Inhaler Terbutaline Terienadine Theo-Dur Theopnilline Zephrex Analgesics Acetominophen Advil Anacin-3 Anaprox Asprin Datril Fenoprofen Ibuprofen Indocin Medipren Motrin Nalfon Naprosyn Nuprin Panadol Rufin Trendar Tylenol Antihypertensives Applies only if used for hypertension specifically. Aldactide Aldactone Aldomet Calan Capoten Captopril Catapres TTS Catapress Chlorothiazide Diuril Enalapril HCTZ Hydrodiuril Hydrochlorothiazide Lasix Lisinopril Lopressor Methyldopa Moduretic Prinvil Procardia Vasoretic Vasotec Miscellaneous Ablalon A Opth. Drops Acyclovir Aristocort Beconase Carafate Cimetidine Colbenemid Cortosone Digoxin Donnagel Ergotec Lanoxin Meclomen Prednisone Prilosec Synthroid Tagamet Vancenase Viagra Zantac --------------------------------------------------------------------------------------------------------------------------------- MANDATORY REPORTABLE DRUGS WITH RESTRICTIONS: All drugs not listed above must be reported, whether taken alone or in combination with other drugs. Drugs which may require restrictions, with typical constraints, include but are not limited to the following. Listed below are the DRUG, the CONSTRAINT (the time between when you can take the medication and perform your safety-sensitive job), and the RENEWAL TIME (how long the prescription would typically last). Effects of other medications or alcohol may alter stated constraints. Your doctor’s recommendations may differ based on your circumstances. Antivert - 24 hrs. - 1 mo. Atarax - 8 hrs. - 1 mo. Benedryl - 6 hrs. - 6 mos. Codiene - 6 hrs. 1 mo. Compazine - 8 hrs. - 1 mo. Darvocet - 6 hrs. - 1 mo Darvon - 6 hrs. - 1 mo. Demerol - 8 hrs. - 1 mo Dimetane - 8 hrs. - 1 mo. Empirin w/ codiene - 6 hrs. - 1 mo. Equagesic/Meprobamate - 8 hrs. - 1 mo. Flexeril - 8 hrs. - 1 mo. Hydrocodone - 8 hrs. - 1 mo. Hyphen - 8 hrs. 1 mo. Levsin - 12 hrs. - 1 year Lioresal - 8 hrs. - 1 mo. Lomotil - 6 hrs. 1 mo. Lortab - 8 hrs. - 1 mo. Meperdine - 8 hrs. - 1 mo. Mepergan - 8 hrs. - 1 mo. Meprobamate - 8 hrs. - 1 mo. Morphine - 8 hrs. - 1 mo. Naldecon - 6 hrs. 1 mo. Norgesic/Norgesic Forte - 8 hrs. - 3 mo. Parafles - 8 hrs. - 3 mo. Parafon/Parafon Forte - 8 hrs. - 3 mos. Percocet/Percoddan - 8 hrs. - 1 mo. Percogesic - 6 hrs. - 1 mo. Phenergan/Phen w/codine - 8 hrs. - 1 mo. Probamate - 8 hrs. - 1 mo. Promethazine - 8 hrs. - 1 mo. Pyridium - 6 hrs. - 1 mo. Reglan - 12 hrs. - 1 yr. Robaxin/Robaxisol - 8 hrs. - 1 mo. Rutuss/Rutuss w/codine - 8 hrs. - 1 mo. Skelaxin - 6 hrs. - 3 mos. Soma w/codiene - 8 hrs - 3mo. Stadol - 8 hrs. - 1 mo. Talwin - 8 hrs. - 1 mo Tigan - 8 hrs. - 1 mo Torecan - 8 hrs. 1 mo. Tylenol w codiene #2, #4 - 8 hrs. - 1 mo. Tylox - 8 hrs. - 1 mo. Valium - 48 hrs - 1 mo. Vicodin - 8 hrs. - 1 mo. Vistaril - 8 hrs - 1 mo. Wygesic - 8 hrs. - 1 mo
Procedures System Name: Maryland Transit Administration – Baltimore Contact: Rick Morse (410) 767-3850 pmorse@mdot.state.md.us Summary: All safety-sensitive employees are required to provide the prescribing physician with a “Release to Work Form for Prescription Medicines” that indicates the employee’s name, safety-sensitive job functions, and medications currently being taken. The employee is responsible for discussing his/her safety-sensitive job duties with the physician. The employer is also responsible for discussing the potential effect of any medication prescribed including its potential to adversely affect the safe performance of job duties. The employee is to request alternative treatment that does not have performance-altering side effects. The physician decides if the employee should be medically disqualified from performing safetysensitive duties based on the employee’s medical history, current condition, side effects of medication, and any other indications that may pose a potential threat. The employee is required to obtain authorization from their physician to perform their job duties while taking the prescribed medication. Employees who are medically disqualified from performing safety-sensitive duties are required to immediately notify their employer, and will be placed on sick leave. Employees who receive authorization to return to work while taking an Rx medication must keep the authorization form on their person. For the benefit of employees and prescribing physicians, the Release to Work Form also lists medications that are of concern to safety-sensitive employees. The prescribing physician’s determination is subject to review and subsequent overturn by MTA’s physician. MTA’s physician is the final authority. Employees are required to read all warning labels prior to using an OTC medication, and are instructed to seek alternatives to OTC medications with labels that indicate the medication may affect mental functioning, motor skills, or judgment. Employees are encouraged to seek assistance from their physician or pharmacist in identifying alternative medications or treatments. Advantages: Employee procedures for both Rx and OTC medications are clearly defined. The form provides documentation of the employee’s safetysensitive duties and other medications currently taken for consideration by the prescribing physician when making his/her assessment. The form also provides the physician with a list of medications identified to be of concern for safety-sensitive employees. The employees are ultimately responsible for determining how a medication affects them.
Page 1 and 2: U.S. Department of Transportation F
Page 3 and 4: REPORT DOCUMENTATION PAGE Form Appr
Page 5 and 6: Introduction The National Transport
Page 7 and 8: Policy The “Dear Colleague” let
Page 9 and 10: Policy System Name: Utah Transit Au
Page 11 and 12: UTA Management Drug & Alcohol Polic
Page 13 and 14: POLICY Number 1C1 Effective Date: 3
Page 19 and 20: Release To Work Form 1C1 Maryland T
Page 21 and 22: ALCOHOL AND DRUG POLICY 2001 Revisi
Page 23 and 24: ALCOHOL AND DRUG POLICY Alcohol Pos
Page 25 and 26: OVER-THE-COUNTER MEDICATION To be C
Page 27 and 28: Subject: Substance Abuse- Drug Free
Page 29 and 30: SECTION XXX MEDICATION Applicants -
Page 31 and 32: Policy System Name: ATC/Vancom of N
Page 33 and 34: PROCEDURES
Page 35 and 36: In the third approach, the employer
Page 37: MEDICATION APPROVAL FORM (For Safet
Page 41 and 42: Maryland Transit Administration SAF
Page 43 and 44: Procedures System Name: Orange Coun
Page 45 and 46: OVER-THE-COUNTER MEDICATION To be C
Page 47 and 48: Subject: Substance Abuse- Drug Free
Page 49 and 50: Disadvantages: Neither employees no
Page 51 and 52: Los Angeles County Metropolitan Tra
Page 53 and 54: Asendin Tablets X Aspirin X Astemiz
Page 55 and 56: Training The “Dear Colleague” l
Page 57 and 58: OVER-THE-COUNTER MEDICINES What’s
Page 59 and 60: ADVICE FOR AMERICANS ABOUT SELF-CAR
Page 61 and 62: Fact is, today’s OTC med icines
Page 63 and 64: You can help yourself read the labe
Page 65 and 66: ■ Do not use laxatives when you h
Page 67 and 68: PREGNANCY AND BREAST-FEEDING Drugs
Page 69 and 70: ■ Never call medicine candy to ge
Page 71 and 72: For free bulk quantities, write: CO
Page 73 and 74: Training Aid Name: How to Read a Dr
Page 75 and 76: InteliHealth: Page 2 of 3 © 2002,
Page 77 and 78: Training Aid Name: Prescription Med
Page 79 and 80: Health Care: Prescription Medicines
Page 85 and 86: Training Aid Name: Quick Tips -When
Page 87 and 88: When you pick up your medicine at t
Page 94:
Training Aid Name: A Guide to Manag
Page 98 and 99:
Speak up The more information your
Page 100 and 101:
Rx & OTC Medications Safety-sensiti
Page 102 and 103:
Legal drugs can be a problem Legal
Page 104 and 105:
Employee Substance Abuse Training
Page 106 and 107:
Transit Employees Responsibility Pr
Page 108 and 109:
PRESCRIPTION AND OVER-THE-COUNTER D
Page 110 and 111:
Summary of Do's and Don'ts Medicati
Page 112 and 113:
Training Aid Name: Public Transport
Page 114 and 115:
MODULE 8: PRESCRIPTION DRUGS Notes
Page 116 and 117:
View Graph 8-3 Since each of these
Page 118 and 119:
Notes to the Instructor MODULE 9: O
Page 120 and 121:
Other Substances View Graph 9-4 Bes
Page 122 and 123:
Notes to the Instructor MODULE 10:
Page 124 and 125:
Many times a marijuana joint is use
Page 126 and 127:
Module 8: Prescription Drugs Exerci
Page 128 and 129:
Module 9: Over-the-Counter Drugs Ex
Page 130 and 131:
Prescription Drugs 8-1 MODULE 8: PR
Page 132 and 133:
Prescription Drugs 8-3 TRANSIT EMPL
Page 134 and 135:
Prescription Drugs 8-5 DRIVING SKIL
Page 136 and 137:
Over-the-Counter Drugs 9-2 OVER-THE
Page 138 and 139:
Over-the-Counter Drugs 9-4 COMMONLY
Page 140 and 141:
Over-the-Counter Drugs 9-6 MODULE 9
Page 142 and 143:
Combining Drugs 10-2 EFFECTS OF COM
Page 144 and 145:
Combining Drugs 10-4 MODULE 10 DISC
Page 146 and 147:
MODULE 8: PRESCRIPTION DRUGS Prescr
Page 148 and 149:
Notes Prescription Drugs 41
Page 150 and 151:
MODULE 9: OVER-THE-COUNTER DRUGS Ma
Page 152 and 153:
Notes Over-the-Counter Drugs 45
Page 154 and 155:
MODULE 10: COMBINING DRUGS Each of
Page 156 and 157:
Notes Combining Drugs 49
Page 158 and 159:
Module 8: Prescription Drugs Exerci
Page 160 and 161:
Prescription & Over-the-Counter (OT
Page 162 and 163:
Anti-Motion Sickness: Can cause; dr
Page 164 and 165:
Antidepressants: Can cause; seizure
Page 166 and 167:
Muscle Relaxers: Can cause; drowsin
Page 168 and 169:
Points to Remember Every one is an
Page 170 and 171:
RETENTION TIMES OF DRUGS IN URINE G
Page 172 and 173:
MARYLAND TRANSIT ADMINISTRATION OVE
Page 174 and 175:
Maryland Transit Administration Pre
Page 176 and 177:
Page 178 and 179:
Page 180 and 181:
Page 182 and 183:
Page 184 and 185:
Page 186 and 187:
Page 188 and 189:
Page 190 and 191:
PRESCRIPTION AND OVER-THE- COUNTER
Page 192 and 193:
NTSB Directive The National Transpo
Page 194 and 195:
Definitions (Rx) • Prescription d
Page 196 and 197:
Definitions (OTC) • Over-The-Coun
Page 198 and 199:
FTA Recommended Policy Elements FTA
Page 200 and 201:
Suggested Elements of an Rx/OTC Pol
Page 202 and 203:
Suggested Management/ Supervisor Re
Page 204 and 205:
Suggested Employee Roles and Respon
Page 206 and 207:
Employee Warnings • Do not take l
Page 208 and 209:
Employee Warnings (Cont.) • Chang
Page 210 and 211:
Suggested Employer Physician/MRO Re
Page 212 and 213:
Medical Review Procedural Model 2 (
Page 214 and 215:
Suggested Employee Awareness Traini
Page 216 and 217:
Summary • The primary objective o
Page 218 and 219:
Common Anti-inflammatory and Pain M
Page 220 and 221:
Common Antihistamines* (List not al
Page 222 and 223:
Common Muscle Relaxants* (List not
Page 224 and 225:
Common Stimulants* (List not all-in
Page 226 and 227:
Possible Side Effects of Common OTC
Page 228 and 229:
Possible Side Effects of OTC Cold a
Page 230 and 231:
Common OTC Stimulants (List not all
Page 232 and 233:
Post-Accident Documentation for Det
Page 234 and 235:
17) If no alcohol test occurred bec
Page 236 and 237:
1a) Name of medication: 1b) How muc
Page 238 and 239:
APPENDICES
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BY ORDER OF THE SECRETARY OF THE AI
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AFI48-123 22 MAY 2001 163 A7.32.4.
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Rx and OTC Medication Lists Name: A
Page 246 and 247:
MEDICATION WAIVERS - 134 -
Page 248 and 249:
DISCUSSION: Medication side effects
Page 250 and 251:
CLASS 2A: NO WAIVER ACTION REQUIRED
Page 252 and 253:
CLASS 2B: INFORMATION ONLY , CHRONI
Page 254 and 255:
CLASS 3: CHRONIC USE REQUIRING WAIV
Page 256 and 257:
- 144 -
Page 258 and 259:
Rx and OTC Medication Lists Name: V
Page 260 and 261:
a result, Glaxo-Wellcome has volunt
Page 262 and 263:
ACIP Influenza Recommendations - AF
Page 264 and 265:
stopped. Note that the nasal spray
Page 266 and 267:
in completing the FAA required docu
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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