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Hospitals Medical Care Institutions CLEO 6.2. Waivers. Use of these drugs requires they be notated for "Information Only" on the Flight Physical. No waiver is required if the medication is used on a short-term basis less than one month ; unless the underlying medical condition necessitates it. Occasionally the underlying health condition requires a waiver; and if the medication is required on a frequent or maintenance basis, a waiver may also be needed. Information Required. All drugs in this Class require comment on dosage and usage. They may also require other periodic follow-up specifically indicated for each drug see below ; . a. Antihistamines. Fexofenodine Allegra ; , Loratadine Claritin ; . 1 ; Short-term use is permissible without waiver 2 ; If used for chronic or recurrent allergic rhinitis, a waiver is required See Class 3 ; . 3 ; All other anti-histamines are grounding See Class 4 ; . Use of Cetirizine Zyrtec ; is grounding due to the mildly sedating side effect. [Terfenadine Seldane ; and Astemizole Hismanol ; are no longer marketed in the USA and are prohibited. Previous waivers for Zyrtec, Seldane and Hismanol may be substituted with Claritin or Allegra. Note this on flight physical.] b. Anti-Hyperlipidemics. See Hyperlipidemia Hypercholesterolemia policy-Chapter 14.B ; May be locally returned to full flight duties after 1 month of stable dosage and no side effects. 1 ; HMG CoA Reductase Inhibitors. Lovastatin Mevacorr ; , Pravastatin Pravachol ; , Atorvastatin Lipitor ; , Fluvastatin Lescol ; , Simvastatin Zocor ; . Note: Cervistatin Baycol ; is no longer approved by the FDA. Members on Baycol should be transitioned to another medication within this class. a ; b ; Try diet and exercise first. Prior to initiating treatment, at 6 months and then annually, do SGOT, SGPT, Alk Phos, CPK, CBC and complete Lipid Profile. Report all results on flight physical.
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