1. Medications and flying Lt Col John E. Henderson, CAP NREMT-Paramedic - Mission Check Pilot Lt Col Jett Mayhew NHQ DDRO

2. How to deal with the common cold Stay home and rest!Stay home and rest! Don’t smoke and avoid 2nd hand smokeDon’t smoke and avoid 2nd hand smoke Drink plenty of fluids (water, juices, clear soups)Drink plenty of fluids (water, juices, clear soups) NO ALCOHOL!NO ALCOHOL! Gargle with warm salt water to relieve a sore throat. Throat Sprays or Lozenges.Gargle with warm salt water to relieve a sore throat. Throat Sprays or Lozenges. Salt Water nose drops to loosen mucus and moisten tender skin in the noseSalt Water nose drops to loosen mucus and moisten tender skin in the nose

3. What does OTC mean? OTC = Over the Counter No prescription required by physician Four common types Pain Relievers AntihistaminesDecongestants Cough Medicines

4. How to read an OTC drug label Active Ingredient (Relieves your symptoms)Active Ingredient (Relieves your symptoms) Uses (Approved by FDA)Uses (Approved by FDA) Warnings (What to avoid while on this Rx)Warnings (What to avoid while on this Rx) Directions (How much to take and when)Directions (How much to take and when) Other Information (How to store product)Other Information (How to store product) Inactive Ingredients (Non active ingredients)Inactive Ingredients (Non active ingredients) Questions or comments (Toll Free Phone #)Questions or comments (Toll Free Phone #)

5. OTC Drug Label

6. Pain Relievers Non-steroidal anti-inflammatory drugs (NSAID’s)Non-steroidal anti-inflammatory drugs (NSAID’s) –Works in the Skin, Muscles, and Joints Aspirin(Bayer, St. Joseph’s)Aspirin(Bayer, St. Joseph’s) Ibuprofen (Advil, Motrin IB)Ibuprofen (Advil, Motrin IB) Naproxen (Aleve)Naproxen (Aleve) Ketoprofen(Orudis KT)Ketoprofen(Orudis KT) AcetaminophenAcetaminophen –Blocks painful stimulation in the brain and spinal cord (Tylenol, Tempra)(Tylenol, Tempra)

7. Antihistamines Block receptors that trigger itching, nasal irritation, sneezing and mucus production.Block receptors that trigger itching, nasal irritation, sneezing and mucus production. –Types: Diphenhydramine(Banophen, Benadryl, Diphenhist)Diphenhydramine(Banophen, Benadryl, Diphenhist) Brompheniramine (Dimetapp)Brompheniramine (Dimetapp) Chlorpheniramine(Aller-Chlor, Chlor-Trimeton)Chlorpheniramine(Aller-Chlor, Chlor-Trimeton)

8. Decongestants How do decongestants work?How do decongestants work? –Narrow the blood vessels in the lining of the nose. –Less amount of blood is able to flow through the nasal area –Swollen tissue in the nose shrinks PseudoephedrinePseudoephedrine –(Allermed, Genaphed, and Sudafed)

9. Cough Medicines AntitussivesAntitussives –Block the cough reflex Dextromethorphan (Delsym, Drixoral, Pertussin CS, Robitussin Pediatric)Dextromethorphan (Delsym, Drixoral, Pertussin CS, Robitussin Pediatric) ExpectorantsExpectorants –Thin mucus, make coughing more productive in cleaning mucus from the airway Guaifenesin (Guiatuss, Robitussin, Tusibron)Guaifenesin (Guiatuss, Robitussin, Tusibron)

10. Side Effects of Aspirin and NSAID’s GI ProblemsGI Problems –Can range from upset stomach to GI bleeding –Mostly affects the older population –Chances increase with larger doses Kidney damageKidney damage High blood PressureHigh blood Pressure Liver damageLiver damage GI ProblemsGI Problems –Can range from upset stomach to GI bleeding –Mostly affects the older population –Chances increase with larger doses Kidney damageKidney damage High blood PressureHigh blood Pressure Liver damageLiver damage

11. Side Effects of Acetaminophen Long term users = kidney diseaseLong term users = kidney disease Analgesic nephropathyAnalgesic nephropathy –Chronic kidney disease that gradually leads to end-stage renal disease and the need for permanent dialysis or a kidney transplant to restore renal function. –After years or decades of use

12. Side Effects of Antihistamines Sedation or DrowsinessSedation or Drowsiness Increases the risk of fallingIncreases the risk of falling Temporary dry mouth or eyesTemporary dry mouth or eyes

13. Side Effects of Decongestants NervousnessNervousness DizzinessDizziness SleeplessnessSleeplessness Loss of appetiteLoss of appetite Retention of urineRetention of urine Heart PalpitationsHeart Palpitations High Blood PressureHigh Blood Pressure High Blood Sugar LevelsHigh Blood Sugar Levels

14. Side Effects of Cough Medicine With codeineWith codeine –Nausea –Sedation –Constipation With dextromethorphan (Drixoral, Pertussin, and Robitussin)With dextromethorphan (Drixoral, Pertussin, and Robitussin) –Lower risks of sedation and GI effects –Feelings of confusion, agitation, nervousness, and irritability

15. Drug Interaction All drugs are metabolized differentlyAll drugs are metabolized differently Drugs can have greater impacts on the body if mixed with other drugsDrugs can have greater impacts on the body if mixed with other drugs Always seek medical advice if taking multiple medicationsAlways seek medical advice if taking multiple medications

16. Alcohol Alcohol will increase chances for:Alcohol will increase chances for: –GI Bleeding Alcohol will increase effects of:Alcohol will increase effects of: –Drowsiness –Impaired motor skills –Sedation

17. FAA Medications www.aopa.org/members/databases/medic al/druglist.cfmwww.aopa.org/members/databases/medic al/druglist.cfmwww.aopa.org/members/databases/medic al/druglist.cfmwww.aopa.org/members/databases/medic al/druglist.cfm What is allowed by the FAA!What is allowed by the FAA!

18. FAA Medications DO NOT ANSWER OUT LOUD!!! How many of you have taken benadryl due to a cold? That is not allowed by the FAA!! STOP AND THINK THE LIFE YOU SAVE MAY BE YOU AND YOUR CREW

19. CAP – Cadet Programs DDR and USAF