有關FAA於航空醫學體檢指南(Guide for Aviation Medical Examiners)藥物治療部分內容摘述如后:
一、Pharmaceuticals (Therapeutic Medications) 治療藥物
二、Do Not Issue – Do Not Fly. 「勿發證-勿飛行」
https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/pharm/dni_dnf/
#此表無法涵蓋所有資訊,僅列出最常見的議題#
(一) Do Not Issue. 「勿發證」
飛行員使用以下藥物時,航空體檢醫師若未經FAA核可,不應核發體檢證。
-
Angina medications心絞痛藥物
nitrates (nitroglycerin, isosorbide dinitrate, imdur),
ranolazine (Ranexa).
-
Anticholinergics (oral) 抗乙醯膽鹼類
e.g: atropine, benztropine (Cogentin)
-
Cancer treatments癌症治療 including chemotherapeutics, biologics, radiation therapy, etc., whether used for induction, "maintenance," or suppressive therapy.
-
Controlled Substances 管制藥物 (Schedules I - V). An open prescription for chronic or intermittent use of any drug or substance.
-
Diabetic medications糖尿病藥物
-
Dopamine agonists used for Parkinson's disease or other medical conditions用於帕金森病或其他疾病的多巴胺受體促進劑:
bromocriptine (Cycloset, Parlodel),:pramipexole (Mirapex), ropinirole (Requip), and rotigotine (NeuPro)
-
FDA (Food and Drug Administration) approved less than 12 months ago. FDA美國食品及藥物管理局批准上市不到12個月之新藥
-
Hypertensive (centrally acting) 高血壓藥物including but not limited to clonidine, nitrates, guanabenz, methyldopa, and reserpine
-
Malaria medication –抗瘧疾藥物 mefloquine (Lariam)
-
Over-active bladder (OAB)/Antimuscarinic medications過動性膀胱(OAB)/抗毒蕈鹼藥物 as these carry strong warnings about potential for sedation and impaired cognition.
e.g.: tolterodine (Detrol), oxybutynin (Ditropan), solifenacin (Vesicare).
-
Psychiatric or Psychotropic medications精神科或精神疾病藥物, (even when used for something other than a mental health condition) including but not limited to:
antidepressants (certain SSRIs may be allowed - see SSRI policy)
antianxiety drugs - e.g.: alprazolam (Xanax)
antipsychotics
attention deficit disorder (ADD) or attention deficit hyperactivity disorder (ADHD) medications
mood stabilizers
sedative-hypnotics
stimulants
tranquilizers
-
Seizure medication抗癲癇藥物s, even if used for non-seizure conditions such as migraines
-
Smoking cessation aid輔助戒菸藥物 - e.g.: varenicline (Chantix)
-
Steroids, high dose 類固醇,高劑量(greater than 20 mg prednisone or prednisone-equivalent per day)
-
Weight loss medications 減肥藥- ex: combinations including phentermine or naltrexone.
(二) Do Not Fly. 「勿飛行」
為了飛航安全,機師若服用以下藥物後,若沒有超過「*特定時間」,則不應從事飛行。(以下藥物可能導致鎮靜(昏昏欲睡),影響認知功能,嚴重妨礙飛行表現。)
*最大藥理半衰期五倍的時間,或是
*若無最大藥理半衰期資訊,則是五倍最大給藥間隔。
有警示的藥物
機師若服用任何處方藥或成藥,藥物有提醒或警示其「可能造成服藥者昏昏欲睡」或是「建議服藥者若開車或是操作機械時必須小心」,則機師不應從事飛行,即使機師先前服用過此藥而無任何不適。
-
Allergy medications. 抗過敏藥物
-
Sedating Antihistamines. 鎮靜性抗組織胺These are found in many allergy and other types of medications and may NOT be used for flight. This applies to both nasal and oral formulations.
-
Nonsedating antihistamines. 非鎮靜性抗組織胺Medications such as loratadine, desloratadine, and fexofenadine may be used while flying, if symptoms are controlled without adverse side effects after an adequate initial trial period.
-
Muscle relaxants肌肉鬆弛劑: This includes but is not limited to carisoprodol (Soma) and cyclobenzaprine (Flexeril).
-
Over-the-counter active dietary supplements 某些保健營養補充品such as Kava-Kava and Valerian.
-
Pain medication止痛藥:
Narcotic pain relievers. 嗎啡類止痛劑 This includes but is not limited to morphine, codeine, oxycodone (Percodan; Oxycontin), and hydrocodone (Vicodin, etc.).
Non-narcotic pain relievers 非嗎啡類止痛劑such as tramadol (Ultram).
-
"Pre-medication" or "pre-procedure" drugs 術前或程序前給藥. This includes all drugs used as an aid to outpatient surgical or dental procedures.
-
Sleep aids. 助眠藥All the currently available sleep aids, both prescription and over-the-counter (OTC), can cause impairment of mental processes and reaction times, even when the individual feels fully awake.
-
Diphenhydramine (Benadryl) - Many OTC sleep aids contain diphenhydramine as the active ingredient. The wait time after diphenhydramine is 60 hours (based on maximum pharmacologic half-life)