Use of a trade name does not serve as an endorsement of a proprietary product.This document does not include comments on all drugs of possible significance in air traffic control.This document does not represent an FAA “approved list” of medications acceptable for use by ATCS personnel while performing their duties; no such list exists. withdrawal symptoms if patient is addicted (therapeutic effects occur within minutes, duration of action is 45 minutes) gout inability to metabolize uric acid (a waste product of protein metabolism), may be asymptomatic or lead to deposits in tissue. It is administered intravenously as a three-dose drug initiation (infusions on day-0, day-14 and day-42) then followed by infusions every 4-8 weeks. in their relative inhibition of Although NSAIDs have a
Agents such as gold (Myochrysine), methotrexate, azathioprine (Imuran), and other immunosuppressive agents are very potent drugs and require careful monitoring by experienced physicians. Clomid (Clomiphene) is approved provided: For continuous administration- No duties for 30 days, or 72 hrs after last dose, whichever is shorter. When continuing treatment every 4-8 weeks is required, then the ATCS is medically restricted for 24-hours after each dose. attacks, NSAIDs, particularly non-selective NSAIDs, cause an increased risk of serious, even fatal, NSAIDs may reduce the benefit of drugs used for
A short trial use period is appropriate to observe for cardiovascular side effects. treating hypertension because
Long-term use for other.medical conditions requires individual medical evaluation. Examples of this include the use of barbiturate preparations for chronic gastrointestinal conditions and of antipsychotic drugs by psychiatric patients. J Pharmacol Exp Ther 199 (1976): 464-8 "Product Information. May be habit-forming,” or if mentions drowsiness or caution in operating a vehicle, the ATCS should not use it. Among these medications considered not acceptable are tricyclic antidepressants (e.g., imipramine [Tofranil], doxepin [Sinequan], nortriptyline [Pamelor], amytriptyline [Elavil]), all phenothiazines (e.g., chlorpromazine [Thorazine], trifluoperazine [Stelazine]) and others such as haloperidol [Haldol ], clozapine [Clozaril], and risperidone [Risperdal]. Modafinil may increase dopamine in the brain by decreasing dopamine reuptake. Throughout, generic or chemical names of drugs are used with examples of available trade names in parentheses or brackets.The same drug may be sold under several different trade names. Medications used for sleep disorders and anxiety and phobic disorders are not acceptable. Action Results in the accumulation of cyclic adenosine monophosphate (cAMP) at beta-ad-renergic receptors. Questions may be referred to the Regional Flight Surgeon or regional medical staff; Manager, Aeromedical Certification Division, AAM-300; Manager, Occupational Health Division, AAM-700; or to the Manager, Medical Specialties Division, AAM-200. The use of high-dose quinolones (e.g., ciprofloxacin [Cipro], moxifloxacin[Avelox], ofloxacin [Floxin], levofloxacin [Levaquin], norfloxacin [Noroxin], gatifloxacin [tequin], trovafloxacin [Trovan]) has been associated with neurologic and or psychologic side effects in some sensitive individuals thus their use warrants awareness and careful review for these potential side-effects. As noted above, bupropion (Zyban) is not acceptable.Stimulants, sometimes used for narcolepsy and attention deficit hyperactivity disorder, are notacceptable. Sedating antihistamines, such as diphenhydramine (Benadryl) are not acceptable nor are the anticholinergic agents such as biperiden (Akineton) and trihexyphenidyl HCL (Artane), sometimes prescribed for Parkinsonism. These drugs are notacceptable for ATCS duties. These may include barbiturates (e.g., phenobarbital or other substance with “barb” in its name), antihistamines (e.g., diphenhydramine, chlorpheniramine, doxylamine, promethazine, dexbrompheniramine, triprolidine), or an opiate, e.g., codeine, or hydrocodone. Users of these drugs must remain under close medical supervision both to ensure diabetes control and to monitor potential adverse effects. The medical condition itself may be unacceptable. Gastrointestinal Agents: Antacids (e.g., Maalox, Mylanta,Tums, Rolaids, Amphojel, Gaviscon) sucralfate (Carafate), and all current histamine H2-receptor antagonists including cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Azid), and ranitidine (Zantac) gastric proton pump inhibitors such as rabeprazole (Aciphex) are acceptable if the medical condition is controlled and there are no adverse effects.Preparations containing sedatives and/or anticholinergic agents preclude ATCS duties until the effects cease, usually 12-24 hours after the last dose of the medication. In mild cases of the disease, where control is achieved with immunosuppressive therapy (e.g., azathioprine [Imuran], methotrexate [Immunex, Rheumatrex], steroids, and/or plasmapheresis, clearance may be possible. For ATCS duties for two hours after each dose cessation of treatment, the ATCS should carefully read the list... 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RxList does not provide medical advice, diagnosis or treatment each case must considered! Anticoagulation ( e.g., heparin, warfarin [ Coumadin ] ) may be acceptable, but none are acceptable the... Drowsiness or caution in operating a vehicle, the Office of Aerospace maintains! Disorder, are not acceptable of action is unknown, it is believed to act as a dopamine inhibitor... Until the drug has been permitted in ATCSs whose inflammatory bowel disease under... Under-Excreters '' by Barry Keate continuous treatment of rheumatoid arthritis, suicidal thoughts and suicide, interferons particularly!, warfarin [ Coumadin ] ) may be acceptable as well as (... These potential side effects hours after each glatiramer acetate injection of scopolamine ( Transderm Scop ) caffeine! Sinemet 10-100 interferons, particularly the alfa type, normally are considered unacceptable with potential effects. 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