Page 343 - ATP-P 11th Ed

Contraindications:
• Hypersensitivity
• Narrow angle glaucoma
Pregnancy Category C
Precautions:
• Pregnancy
• Cardiac disorders
• Hyperthyroidism
• Diabetes mellitus
• Prostatic hypertrophy
• Lactation
• Hypertension
Side-effects:
• CNS: Tremors, anxiety, insomnia, headache, dizziness, hallucinations, seizures
• CV: Palpitations, tachycardia, hypertension, chest pain, dysrhythmias
• EENT: Dry nose, irritation of nose and throat
• GI: Nausea, vomiting, anorexia, dry mouth SECTION 3
• GU: dysuria
Other notes:
• Do not use continuously, or more than recommended dose.
• Rebound congestion may occur.
• Avoid taking at bedtime, stimulation may occur.
TMEP use:
• Allergic Rhinitis/Hay Fever/Cold Like Symptoms Protocol
• Barotrauma Protocol

Quinolones – General Antimicrobial Spectrum
Aviation personnel are grounded for the initial 24 hours of antibiotic therapy and
until the medical condition no longer interferes with safely performing aviation duties and
the patient is free of side-effects.
• 1 generation: Gram negative (excluding Pseudomonas), urinary tract only.
st
° Example: nalidixic acid
• 2 generation: Gram negative (including Pseudomonas); Staph aureus, but not Pneumo-
nd
coccus; some atypicals.
° Examples: ciprofloxacin, norfloxacin, ofloxacin
• 3 generation: Gram negative (including Pseudomonas); gram positive (including Staph
rd
aureus and Pneumococcus); expanded atypical coverage.
° Example: levofloxacin

ATP-P Handbook 11th Edition 333