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Topic of the MonthJuly
Pilots and Medications
<Audience>
<Presenter>
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Produced by AFS-850
National FAA Safety TeamSlide2
Welcome
ExitsRestroomsEmergency Evacuation
Breaks Sponsor AcknowledgmentOther information
2Slide3
Overview
General Aviation Joint Steering Committee (GAJSC) & FAA Accident Study Findings Flying and Medications
Drug CombinationsTips and Case Study
3Slide4
FAA Findings
In a 2011 FAA study involving fatal pilots570 out of
1,353 pilots tested positive for medications/drugs.511 of the 570 (90%), were flying under CFR Part 91. Extent of Impairment – UndeterminedBut cause for concern4Slide5
What’s the Problem
Not easy to determine extent of impairmentDifferent medication effects for different people
Post-mortem redistribution and sample typeDon’t know about pilot’s conditionPre-existing medical condition requiring medicationAME not consulted?Drug interactions5Slide6
Federal Drug Labeling Standards
Provide information for patients Provide information for healthcare
professionals It Depends Both6Slide7
OTC Medication Labeling
Read the labelLabeling StandardsDirected to medication users
In non-technical language 7Slide8
OTC Medication Labeling
Read the labelActive Ingredient(s)Purpose
UsesWarnings Directions8Slide9
Sleep Aids & Cough Medications
Both likely to contain antihistamines which may cause drowsiness or sedation
“Hang Over” effectSide effects may last several daysShort term use only9Slide10
How long must I wait?
FAA recommends waiting five times the dosage interval.Particularly true for any medication causing drowsiness.
Four times per day = 6-hour intervals5 x 6 = 30 hours10Slide11
Prescription Medications
May recommend not operating a motor vehicleIncludes cars, airplanes, boats, etc.May be prescribed individually
Perhaps by different Healthcare ProvidersInteractions may not be addressed or unknownPrescription drug labelingDirected to Healthcare Provider11Slide12
Prescription Drug Labeling
Known by several names including prescribing information or package insert
Intended for Healthcare providers, but available to anyone.May be several pages long in very small printVery technical language12
Known by several names including prescribing information or package insert
Intended for Healthcare providers, but available to anyone.
May be several pages long in very small print
Very technical languageSlide13
13
Do not issue - Do not flySlide14
Combining Medications
Prescriptions with PrescriptionsDoes prescribing Provider know you fly?Does your AME know about all
the medications you take and conditions you have?Prescriptions with OTCConsult your AME and/or Regional Flight Surgeon and/or consult your Pharmacist 14Slide15
LOC Case Study
15
Pilot
Private Pilot
Total Time ……975
Time in type ….44
Aircraft
TBM 700
NTSB
Number
MIA08FA141Slide16
LOC Case Study
16
en
V
ironment
Cobb County Field, GA (KRYY)
Runway 9/27 1078 MSL 6311x100’
Final Approach to Runway 9
Weather
5,500 BKN, 10 SM
Wind 120@6Slide17
17Slide18
LOC Case Study
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Toxicology Findings
Alfuzosin
Prostate
Bisoprolol
*
Blood pressure
Ezetimibe
/Simvastatin*
C
holesterol
Quinine
Unapproved use for Arthritis, Night
L
eg
C
ramps
Tramadol
For moderate to severe pain
*
Known to AME and FAASlide19
Tips
19
Consult your AME before flying while using prescription and/or OTC Drugs.
Make sure your AME knows about all the drugs you take and the medical conditions requiring their use.
Let your prescribing doctor know that you are a pilot
Ask about adverse effects associated with drug combinations.
In
between doctor visits
you’re self
assessing your condition before each flight. Ground yourself when you’re not fit to fly.Slide20
Questions?
Special Thanks to:Jon M. Grazer, MDWilliam J. Tsai, MDG. J. Salazar, MD, MPH
20Slide21
Topic of the MonthJuly
<Audience>
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Pilots and Medications