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File: aaacf_26.txt
Appendix C
Use of Stimulant/Sedative Medications
("Go"/"No-go" Pills)
Background: Stimulant medications (Dexedrine 5 ma. or recently caffeine 200
mg.) were first used in SAC in 1960 and TAC in 1962. No formal data gathering
has occurred; however, no problems with the use of these or sedative medications
have been reported over the period of use. All TAC aircrews are ground tested
with 5 mg Dexedrine and also 30 mg of the sedative temazepam. SAC does not use
stimulants, but has authorized temazepam in single/dual seat aircraft.
Following Desert Storm, HQ TAC/SGPA, with the support of TAG/DO,
conducted an anonymous survey of deployed fighter pilots. 464 surveys were
returned which is approximately a 43% return rate.
Results: Desert Shield
65% of respondents used "Go pills" on the deployment. Only 43% of those
had used "Go pills" on a previous deployment. In some units, usage was as high
as 83%.
Desert Storm
57% of respondents used "Go pills" at some time (17% routinely, 58%
occasionally, 25% only once). Within individual units, usage varied from 3% to
96%, with higher usage in units tasked for sustained combat air patrol (CAP)
missions. Usage was closely correlated to mission demands and personal
fatigue.
61% of those who used "Go pills" found them essential to mission
accomplishment. High risk times were on the tanker or returning to base after a
strike mission.
There were no adverse side effects reported. "Go pills" were suspected in 1
case of nausea, 2 cases of jitteriness, and 1 case of "spatial disorientation" in
instrument meteorological conditions (IMC).
The typical mission profiles surrounding usage were 6 to 8 hour sorties
with double or triple turns, duty days in excess of 14 hours for 38% of respondents
and interval crew rest less than 6 hours in 23%.
Two hundred sixty nine (269) pilots responded regarding the use of "No-go"
medications for a return rate of approximately 25%. 54% of the respondents
reported using "No-go" pills at some time in the deployment. Most frequent
reasons given for use were too much noise and difficulty getting "unwired" after a
mission.
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