MEDICATION LIST 2006

A - ACCEPTABLE

U - UNACCEPTABLE

MOUTH AND THROAT

Cetylpyridinium chloride

Cepacol

A

Cetylpyridinium benzocaine

Cepacaine

A

Chlorhexidine

Corsodyl, Orosept

A

Hexetidine

Oraldine

A

Phenol

Medi-keel, TCP

A

Povidone-iodine

Betadine oral, Septadine oral

A

Thymol

Listerine

A

Throat lozenges

 

A

Amphotericin B

Fungizone (local)

A

Miconazole

Dactarin (local)

A

Nystatin

Mycostatin (local)

A

Triamcinolone

Kenalog in orobase

A

Benzydamine

Andolex

A

Benzydamine/chlorhexidine

Andolex-C

A

 

Teejel, Bonjela

A

 

Orobase

A


FUNCTIONAL GIT DISORDERS
Mainly due to anticholinergic effects

Mebeverine

Colofac, Bevispas

U

Dicycloverine

Clomin, Merbentyl

U

Hyoscine butylbromide

Buscopan, Hyospasmol

U

 

Scopex

U

 

* Scopex-Co

U

 

* Buscopan compositum

U

Metoclopramide

Maxalon, Clopamon

U

Cisapride

Prepulsid

U

ACID-RELATED DISORDERS

Mg compound

Milk of Mg

U

* Mg to be used in combination preparations only due to side-effects on its own.

Al compound

Amphojel

A

Ca compound

Titralac

A

Al/Mg/Ca combinations

Gelusil, Maalox, Mayogel, Mucaine, Rennies

A

 

* Gelusil-S

A

 

* Maalox Plus

A

Omeprazole

Losec

A

Esomeprazole

Nexium

A

Lansoprazole

Lanzor

A

Pantoprazole

Pantoloc, Controloc

A

Rabeprazole

Pariet

A

* PPI's approved on individual basis. As maintenance therapy only, not in treating the acute condition.

Cimetidine

Tagamet, Hexamet, Lenamet

A

* Cimetidine to be taken 8 hours prior to flying.

Nizatidine

Antizid

A

Ranitidine

Zantac, Histak, Ultak

U

* Nizatidine and Ranitidine to be taken 12 hours prior to flying.

Misoprostol

Cytotec

A

Sucralfate

Ulsanic

A

 

Gaviscon

A


ANTI-EMETIC AND ANTI-NAUSEA

Domperidone

Motilium

A

Cyclizine

Valoid, Nauzine, Emitex

U

Prochlorperazine

Stemetil

U

Promethazine

Phenergan, Prohist, Brunazine, Daralix

U

Phosphorated carbohydrate

Emetrol, Emex

U

Betahistine

Serc

U

Buclizine

Vomifem

U

Cinnarizine

Stugeron

U

Ondansetron

Zofran

U

DIGESTIVES

Pancreatin

Pankrease, Viokase
* Pankreoflat

A


LAXATIVES

Ispaghula

Fybogel, Agiobulk

A

Ispaghula combinations

Agiolax

A

Psyllium

Metamucil

A

Sterculia

Normacol

A

Sterculia and frangula

Normocol Plus

A

Senna

Senokot

A

Bisacodyl

Dulcolax

A

Lactulose

Duphalac, Laxette

A

Glyserin

 

A


ANTI-DIARRHOEALS AND INTESTINALANTI-INFLAMMATORIES

Kaolin and pectin

 

A

Diphenoxylate

Lomotil

U

* Lomotil to be taken at least 8 hours prior to flying - in emergency only.

Loperamide

Imodium, Gastron

U

 

* Imodium Plus

U

* Imodium to be taken at least 6 hours prior to flying - in emergency only.

Prednisolone

Predsol

U

Prednisone

 

A

* Prednisone max dose of 5 mg/day.

Advise to use kaolin & pectin preparation with a once off dose of ciprofloxacin 500mg if suffering from diarrhoea, but has to fly.


TOPICAL ANAL PREPERATIONS

Lidocaine

Remicaine

A

Bismuth

Anusol

A

 

Proctofoam

A

 

Sheriproct

A


TOPICAL ANAL PREPERATIONS

Sibutramine

Reductil

U

Cathine

Eetless, Leanor, Thinz, Slim&Trim

U

Orlistat

Xenical

U


DIABETES

Insulin

 

U

Metformin

Glucophage

A

Glibenclamide

Daonil, Glycomin, Diacare

U

Glicazide

Minidiab

U

Glimepiride

Amaryl

U

Acarbose

Glucobay

A

Pioglitazone

Actos

U

Rosiglitazone

Avandia

U

Nateglinide

Starlix

U

Repaglinide

Novonorm

U


VITAMINS AND MINERALS

* Not on combination preparations containing any stimulants. Some tonics may contain alcohol.


ANTITROMBOTICS

Warfarin

 

U

* Warfarin to be assessed on individual basis at panel.

Heparin sodium/calcium

 

U

Enoxiparin

Clexane

U

Dalteparin

Fragmin

U

Asprin (low dose)

 

A

* Max dose of asprin 150mg

Clopidogrel

Plavix

A

Tidopidine

Ticlid

U

Platelet Lowering agents

 

 

Anagrelide

Agylin

Full blood count assessment every 6 months. Must be normal


ANTIHAEMORRHAGICS

Tranexamic acid

Cyclokapron

U

Blood coagulation factors

 

U

ANTIANAEMICS

Ferrous gluconate/sulphate/lactate

 

A

 

Chela-fer

A

Iron and folic acid

Pregamol

A

 

Autrin

A


CVS (B-blockers not acceptable for use by aerobatic/fighter pilots)

Digoxin

Lanoxin

U

Quinidine

 

U

Disopyramide

Norpace, Rythmodan

U

Flecainide

Tambocor

U

Amiodarone

Cordarone X, Hexarone

U

Glyceryl trinitrate

Angised, Nitrolingual spray

U

Isosorbide dinitrate

Angi-spray, Isordil

U

Isosorbide mononitrate

Elanton, Ismozo, Imdur

U

Reserpien

Brinerdin

U

Methyldopa

Aldomet, Normopress

U

Prazosine

Minipress

U

Doxazosin

Cardura

U

Terazosin

Hytrin

U

Diazoxide

Hyperstat

U

Hydralazine

Apresoline, Hyperphen

U

Minoxidil

Loniten

U

Hydrochlorothiazide

Ridaq

A

Indapamide

Natrilix, Daptril, Dopamax

A

Furosemide

Lasix

U

Bumetanide

Burinex, Burinex-K

U

Spironolactone

Aldactone

U

Amiloride

Moduretic, Adco-retic, Amiloretic

A

Triamterene

Dyazide

A

Propranolol

Inderal, Pur-Bloka

U

Atenolol

Tenormin, Ten-Bloka

A

Bisoprolol

Concor

A

Metoprolol

Lopresor

A

Nebivolol

Nebilet

A

Labetalol

Trandate

U

Carvedilol

Dilatrend, Carloc

A

Nifedipine

Adalat retard, Adalat XL

A

Amlodipine

Norvasc

A

Felodipine

Plendil

A

Isradipine

Dynacirc

A

Nisoldipine

Syscor

A

Verapamil

Isoptin, Calcicard SR

U

Diltiazem

Tilazem, Zildem

U

Captopril

Capoten, Zapto

A

Benazepril

Cibace

A

Cilazapril

Inhibace

Enalapril

Renitec, Hypace, Pharmapress

A

Fosinopril

Monopril

A

Moexipril

Perdix

A

Perindopril

Coversyl

A

Quinapril

Accupril

A

Ramipril

Tritace

A

Lisinopril

Zestril, Zetomax

A

Trandolapril/verapamil

Tarka

U

Losartan

Cozaar

A

Candesartan

Atacand

A

Irbesantan

Aprovel

A

Telmisartan

Micardis

A

Valsartan

Diovan

A


SERUM LIPID MODIFYING AGENTS

Simvastatin

Zocor

A

Atorvastatin

Lipitor

A

Fluvastatin

Lescol

U

Pravastatin

Prava

A

Colestyramine

Questran

A

Nikotiensuur

 

A

Bezafibrate

Bezalip

A

Nikotiensuur

 

A

Gemfibrozil

Lopid

A

Probucol

Lurselle

U

Ezetimibe

Ezotrol

A


DERMATOLOGICALS

Topical preparations
- antipruritics and antihistamines
- emollients and protectants
- antipsoriatics
- antivirals
- antibiotics
- corticosteroids
- antifungals
- anti-acne

* Acceptable - Not to be applied to an area larger than 10% of total body area (TBA).

Griseofulvin

Fulcin, Microcidal

A

Terbinafine

Lamisil

A

Methoxsalen

Oxsoralen

U

Acitretin

Neotigason

U

Isotretinoin

Roaccutane

U

Suggested isotretinoin withdrawal protocol before resumption of flying:
- One month withdrawal
- Liver functions and lipids must be normal
- Full blood count must be normal
- Opthalmology - color vision assessment must be normal. Check for eye dryness


GENITO-URINARY

Nystatin cream
Mycostatin
Clindamycin cream
Dalacin VC
Amphotericin B and Tetracycline Vagmycin cream
Imidazole derivatives
Canestan, Canalba, Normospor, Gyno-Pevral
Lomexin, Nizovules, Gyno-Daktarin etc.

* Acceptable - all local application.

Bromocriptine

Parlodel

U

Cabergoline

Dostinex

U

* Dostinex the drug of choice rather that Parlodel as it is a much shorter course of treatment. Only need to be grounded on the days it is being taken.


SEX HORMONES

Oestrogens

Menoflush
Premarin
Estrofem
Climara
Estraderm TTS
Evorel
Femigel
Oestradiol implants
Vagifem
Estro-pause
Progynova
Synapause-E3

Progesterone & Oestrogen Combinations

Climen
Prempak
Divina
Premelle
Trivinol
Estracombi TTS
Activelle
Kliogest
Estro-pause N
Trisequence
Postoval
Prefesta

* All abovementioned oestrogens and oestrogen & progesterone preparations are acceptable.

Cyproterone

Androcur

U

Testosterone (implants, oral, injections)

 

A

Anabolic steroids

Metenolone, Nandrolone

U

Clomifene

Clomid

A

Tibolone

Livifem

A

Progesterone

Cyclogest

A

* All the acceptable sex hormones (except cyclogest supp) require a 3 month stabilization period.


CONTRACEPTIVES

* All oral contraceptives require a 1 month stabilization period.

Diane-35
Ginette
Minerva
Marvelon
Mercilon
Yasmin
Femodene
Melodene
Minesse
Minulette
Mirelle
Nordette
Loette
Cilest
Nordiol
Norinyl-1/28
Ovral
Tri-Minulet
Triodene
Logynon
Triphasil
Tricilest
Biphasil
Microval
Micro-novum
Depo Provera
Nur Isterate
E-Gen-C
Norlevo
Intra Uterine Devices (Mirena)
Trinovum


HORMONE INHIBITORS

Tamoxifen

Nolvadex

A

Anastrazole

Arimidex

A


UROLOGICALS

 

Citrosoda, Effersol, Uri-Alk

A

Flavoxate

Urispas

U

Oxybutynin

Ditropan

U

Sildenafil

Viagra

* No flying 12h post dose

Tidalafil

Cialis

* No flying 48h post dose

Alfuzosin

Xatral

U

Doxazosin

Cardura

U

Tamsulosin

Flomax

U

Finasteride

Proscar

U


CORTICOSTEROIDS

Fludrocortisone

Florine

U

Hydrocortisone

Covocort, Cortogen

U

Dexamethasone

Decadron

U

Prednisolone

 

U

Metielprednisolone

Medrol

U

Betamethasone

Celestone, Betanoid

U

Prednisone

 

A

* Only accepted oral steroid. Max dose of 5mg/day.


THYROID TREATMENT

 

Eltroxin

A

 

Tertroxin

S

* Both eltroxin and tertroxin require a 3 month stabilization period.

Carbimazole

Neo-Mercazole

U


ANTI-INFECTIVES

ANTIBACTERIALS

The use of antibiotics in itself is usually permissible, providing the indication for use is not disqualifying for flying. Antibiotics should be used for 48hours without any side-effects before allowing a patient to fly. Antibiotics should only be administered orally.

The following list of A/B may be used:

Cloxacillin    Orbenin, Cloxin
Flucloxacillin    Floxapen Ampicillin
Amoxicillin    Amoxil
Co-amoxiclav    Augmentin
Cefuroxime    Zinnat
Cefalexin    Keflex
Azithromycin    Zithromax
Clarithromycin    Klacid
Doxycycline     Cyclidox, Doximal
Co-trimazole    Bactrim, Septran, Purbac
Ciprofloxacin    Ciprobay
Levofloxacin    Tavanic

ANTIMYCOTICS

Fluconazole
Diflucan
Itraconazole
Sporanox

ANTIMYCOBACTERIALS

Indication for use usually disqualifies patient from flying.

ANTIVIRALS

Antiviral medications are approved on individual basis but the condition is usually disqualifying to fly.
All HIV patients should be on Chronic Protocol, even if they are not yet taking medication.

IMMUNE SERA AND IMMUNOGLOBINS

Intragam, Beriglobin
Hep B Ig
Hebagam
Rabies Ig
Rabigam
Tetanus Ig
Tetagam
Varicella-zoster Ig
Vazigam

* 24 hour waiting period after administering of immune sera and immunoglobins.

VACCINES

Tuberculosis
Meningococ
Pneumococ
Tetanus
Typhoid
Hep A purified ag
Hep B purified ag
Influenza
Rabies
Varicella-Zoster
Yellow fever

BCG
Imovax Meningo A+C
Pneumovax,Imovax Pneumo 23
Tetavax
Typhim Vi, Vivotif Berna
Havrix 1440
Energix-B
Vaxigrip, X-flu, Mutagrip
Verorab, Rabhuvax
Varilix
Stamaril

* 24 hour
waiting period
after
administering
of vaccines.


MUSCULOSKELETAL

Suggested Protocol for the use of NSAID's:

Most CAA's permits the use if no untoward side effects exist and the specific condition does not preclude flying. NOTE: existence of specific contra indications.

Thorough questioning should exclude the following symptoms / effects if these drugs are to be used:

- Headache
- Dizzyness
- Vertigo
- Nervousness
- Disorientation
- Convulsion
- Tremor
- Psychotic reactions
- Blurred vision
- Diplopia
- Impaired hearing
- Tinnitus
- Bronchospasm / dyspnea
- Anaphylaxis

NSAID's

Elimination t ½ (hours)

Celecoxib

10

Diclofenac*

2

Fenoprofen

2

Flubiprofen

4

Ibuprofen

2

Indomethacin

2

Ketolorac

5

Ketoprofen

5

Lornoxicam

4

Mefenamic acid

4

Meloxicam

3

Nabumetone

4

Naproxen

15

Oxaprozin

36

Piroxcam

40

Tenoxicam

60

Tiaprofenic acid

3

* Diclofenac + misoprostol unacceptable

Chloroquine

 

U

* Longterm use of chloroquine require 6 monthly eye examination.

Methotrexate

 

A

* Methotrexate max dose of 5mg/week.

Topical M/S products (10% of body surface area)

A

Diazepam

 

U

Baclofen

Lioresal

U

Methocarbamol

Robaxin

U

Orphenadrine citrate (& comb)

Norflex, Norfelx Co, Besemax, Besenol NC

U

Botulinum toxin

Botox

U


ANTIGOUT

Allopurinol

Zyloprim, Puricos

A

Allopurinol & benzbromarone

Allomaron

U

Probenecid

Proben

U

Benzbromarone

Minuric

U

Colchicine/p>

 

A

* Less than 1mg/day.


ANALGESIA

Opoids

 

U

Asprin

 

A

* Longterm use max dose of 150mg/day.
* If higher dose is use it must be at least 6 hours prior to flying.

Paracetamol

Panado, Tylenol, Antalgic, Dolorol, Napamol, Painamol, Pyradol

A

Sumatriptan

Imigran

A

* No flying 24h post dose of sumatriptan.

Naratriptan

Naramig

U

Rizatriptan

Maxalt

U

Zolmitriptan

Zomig

U

Ergotamine

Migril

U


ANTIEPILEPTICS

U


ANTIPARKINSONS

U


PSYCHOLEPTICS

U


PSYCHOANALEPTICS

U


ANTIPARASITIC

Quinine

 

U

Mefloquine

Lariam, Mefliam

U

Artemisinin & derivatives

Coartem, Artecef

U

Sulfadoxine & pyrimethamine

Fansidar

U

Proguanil

Paludrine, Daramal-Paludrine

A

Chloroquine

Nivaquine, Daramal, Plasmoquine

A

* Longterm use require 6 monthly eye examination.

Primaquine

 

U

Halofantrine

Halfan

U

Doxycycline

Cyclidox, Doximal

A

* Regular LFT. Prevent sun exposure (precaution).
* Max dose of 200mg/day.

Proguanil & Atovaquone

Malanil

A

Metronidazole

Flagyl

A

Atovaquone

Wellvone

A

Pyrimethamine

Daraprim

A

Praziquantel

Biltricide, Cysticide

A

Albendazole

Zentel, Bendex

A

Mebendazole

Vermox, Cipex, D-Worm, Wormgo

A


RESPIRATORY SYSTEM

Oxymetazoline

Drixine, Iliadin, Dristan

A

Oxymetazoline combinations

Nazene

A

Xylometazoline

Otrivin

A

Phenylephrine and combinations

 

U

Beclometasone spray

Beconase, Beclate, Ventnaze

A

Budesonide spray

Rhinocort, Inflanaze, Budeflam aquanase

A

Fluticasone

Flixonase

A

Mometasone

Nasonex, Rinelon

A

Triamcinolone

Nasacor

A

Cromoglicic acid

Chromohexal

A

Azelastine

Rhinolast

A

Levocabastine

Livostin NS

A

Mesna

Mistabron

A

Compound Benzoin Tincture

Karvol

A

Pseudoephedrine

Sudafed, Drilix, Drinasal S, Sinumed, Symptofed, Demazin

U

Pseudoephedrine combinations

Actifed, Clarityne-D, Demazin-NS, Polarytyne-D, Dristan Cold ND, Sinugesic, Sinumax

U

Phenylpropanolamine and Combinations

Sinuclear, Sinustat

U


B2-AGONISTS

* Oral B2-agonists are unacceptable.

Salbutamol (short)

Salbutamol (short)

U

Fenoterol (short)

Berotec

U

Terbutaline (short)

Bricanyl

U

Salmeterol (long)

Serevent

A

Formoterol (long)

Foradil

A

Hexoprenaline (long)

Ipradol

U


GLUCOCORTICOIDS

* Inhalation

Beclometasone

Becotide, Becloforte, Beclate

A

Budesonide

Pulmicort, Budeflam, Inflammide

A

Fluticazone

Flixotide

A

Fluticazone & salmeterol

Seretide

A


ANTICHOLINERGICS

Ipratropium bromide

Atrovent, Ipvent

U

* 12 hours prior to flying.

Ipratropium bromide & B2-agonist

Atrovent-Beta, Combivent, Duovent

U

Tiotropium bromide

Spiriva

U

Teophyllin

Nuelin, Solphyllin, Theopax

U

Aminophyllin

 

U

Montelukast

Singulair

A

Zafirlukast

Accolate

A


COUGH AND COLDS

Cough Mixtures - Mucolytics

The following preparations contain carbosisteine or acetylcysteine only and are devoid of alcohol and are acceptable:

ACC200 Effervescent tablets

Flemlite

Actospect

LessMusec Capsule and syrup

Benylin Wet Cough

Mocuflem

Betaphlem

Mucoless Capsules and syrup

Expelinct

Mucospect

Flemex Capsules and syrup

Solmucol sachets and lozenges

FlemGo

 

Dextromethorphan

Benylin Dry Cough

U

Noscapine

Niterpax

U

Pholcodine

Pholtex

U

Codeine

Codeine Phosphate Syrup

U

Dihydrocodeine

Paracodeine

U

Methadone

Physeptone

U


ANTIHISTAMINES

Promethazine

Phenergan, Prohist, Vallergan forte

U

Chlorphenamine

Allergex, Chlorhist

U

Dexchlorpheniramine

Polaramine

U

Cetirizine

Zyrtec

U

Hydroxyzine

Aterax

U

Oxatomide

Tinset

U

Clemastine

Tavegyl

U

Mepyramine

Anthisan, Mepyrimal

U

Cyproheptadine

Periactin

U

Desloratidine

Deselex

A

Ebastine

Kestine

A

Loratidine

Clarityne, Loratyne, Polaratyne

A


0.OPHTHALMOLOGICALS

Chloramphenicol ointment/drops

Chloromycetin

A

Ciprofloxacin drops

Ciloxan

A

Ofloxacin drops

Exocin

A

Gentamicin drops

Garamycin

U

Tobramycin drops

Tobrex

U

Oxytetracycline ointment

Terramycin

A

Sulfacetamide ointment/drops

Spersamide

A

Aciclovir ointment

Zovirax

A

Betamethasone ointment/drops

Betnesol

A

Dexamethasone drops

Spersadex

A

Prednisolone drops

Pred Mild, Pred Forte

A

Combination drops

Betnesol N

A

Covomycin D

U

Maxitrol

U

Sofradex

A

Spersadex Comp

A

Tobradex

U

* Steroid or steroid combination drops to be used no more than 10 days.

Diclofenac drops

Voltaren Ophtha

A

Flurbiprofen drops

Ocufen

A

Ketorolac drops

Acular

A

Naphazoline

Oculosan

A

Tetrazoline

Spersallerg, Safyr Bleu

A

Oxymetazoline drops

Oxylin

A

Phenylephrine drops

Prefrin, I-Glo

U

Cromoglicic acid drops

Opticrom, Cromohexal

A

Tear replacements

Tears Naturelle, Duratears, Tears Plus, Refresh, Teargel

A

Antiglaucoma agents

 

U


OTOLOGICALS

Acetic Acid ear drops / Boric Acid ear drops

-

A

Betamethasone ear drops

Betnesol

A

Hydrocortisone ear drops

Cutaderm, Dilucort, Mylocort, Procutan

A

Combination ointments/drops

Betnesol N, Sofradex, Otosporin

A


SLEEPING TABLETS

* 12 hours prior to flight
* No reading of critical documentation after drug administration due to possible antegrade amnesia.
* Only stilnox and normison.

Zolpidem

Stilnox

A

Temazepam

Normison

A

GENERIC MEDICATION IS ACCEPTABLE (by law it is the same substance).

THE FOLLOWING MEDICATION MUST STILL BE CLEARED:

Sulfasalazine
Salazopyrin
Dipyridamole
Persantin, Plato
Sotalol
Sotacor
Nimodipine
Nimotop
Tri-plen

Fenofibrate
Lipsin
Piperazine
Piprine, Padox
Pyrantel
Combantrim
Niclosamide
Yomesan

Ramipril/felodipine
Acrivastine
Semprex
Fexofenadine
Telfast
Mizolastine
Mizollen
Terfenadine
Triludan

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