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Do pilots take drugs to stay awake?

Known colloquially as “go pills”, the use of amphetamines in cockpits has been controversial. While only offered in low doses (5mg) on flights ranging up to 30 hours, the United States Air Force has been looking at drugs like Modanifil, a treatment designed for narcoleptic patients, to keep aircrews alert.



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The most common go pill is Dexedrine, which is an amphetamine. You can find some more information in this article. When I deployed to Korea for the first time, I did the flight surgeon test of the go and no go pills.

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Managing fatigue is a challenge, particularly when flying overnight (red-eye) flights. Some countries allow pilots to take controlled naps to improve alertness during the landing. So far, the U.S. has not allowed this fatigue mitigation. Pilots keep flight deck lights up, and engage in conversation to help keep alert.

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 Take Advantage of Naps
A 20-30-minute map is all you need to help fight pilot fatigue. A short burst of rest will help to improve alertness in your day. However, you want to be sure your nap isn't too long.

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If pilots tell the airline they're fatigued, the pilot is automatically removed from the flight with no questions. This often times leads to delays and cancelations.

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Today, fatigue remains a very real concern for pilots. It's estimated that pilot fatigue accounts for around 15-20% of all fatal air accidents related to human error, and there's no way of knowing how many unexplained accidents were caused by a pilot falling asleep at the controls.

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The Dangers of Sleep-Deprived Pilots Exhaustion while flying has been reported by 68–91% of commercial airline pilots. These numbers are not limited to civil aviators. 72% of military pilots admitted that they had flown at least once when they were so drowsy, they could have easily fallen asleep in flight.

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Due to the risks to flight safety posed by ADHD, regulatory authorities worldwide consider ADHD a disqualifying condition for pilots. Unfortunately, pilots sometimes fail to disclose ADHD to their Aviation Medical Examiner (AME).

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Pilots and air traffic controllers should not use Viagra within 8 hours of performing their (aviation) duties. Levitra, approved by the FDA in August 2003, has a similar profile to Viagra. The FAA initially allowed the use of Levitra in pilots/controllers.

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People often come to us requesting the doctor or nurse to prescribe diazepam for fear of flying or assist with sleep during flights. Diazepam is a sedative, which means it makes you sleepy and more relaxed.

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The FAA allows up to 20mg equivalent of prednisone daily; however, the reason for the use of steroids is an important part of the equation, so you should have a brief report from your treating physician with you when you see your AME that explains the reasons for the need for prednisone.

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Controlled rest allows one pilot at a time to get up to 45 minutes of sleep during periods of low workload (in the cruise). This is to promote a higher level of alertness levels during periods of high workload, for example the descent, approach and landing.

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An airline pilot can be an extremely stressful job due to the workload, responsibilities and safety of the thousands of passengers they transport around the world. Chronic levels of stress can negatively impact one's health, job performance and cognitive functioning.

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