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                          Appendix             C

     Use of Stimulant/Sedative Medications
                    (" G 0 `* I " N 0 - g 0 "  Pills )

Background: Stinaaant me~~cations (dexedrine 5 nig. or recently caf~ine. ~9
mg.)werefirstiisedinSACin I96OandTACin 1962. Nc forrna1datag~tt~~ring.
has ocoorred; however, no problems with the use of these or sedative m~icatio'~n~
have been reported over the period of use. All TAC aircrews are    ~nd tested
with 5 rng dexedrine and also 30 rng of the sedative temazepam.    C does not use
stimulants, but has authorized temazepam in singleldual seat aircraft.
     Following Desert Storm, HQ TACISOPA, with the support of TAC/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 deploytnent. In some units, usqe was as high
as 83%.
     Desert Storin-
     57% of respondents used "Go pills" at some time (17% routinely, 58%
occasionally, 25% only once). Within individual unit., 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 pers'onal
fatigue.
     61% of those who used "Go pills" found them essential to mission
accomplishment. High risk times were on the tanl:er or returning to base after a
strike mission.
     There were no adverse si~de 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 (`MC).
     The typical mission proffles 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 approrilnately 25%. 54% of the respondent.
  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.


                                  .25-

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