Why is it risky for pilots to use over-the-counter cold and cough medications?

The primary concern with over-the-counter cold and cough medications for pilots is their potential side effects, which can significantly impair judgment, coordination, and overall cognitive function. Many of these medications contain ingredients that can induce drowsiness or reduce mental alertness, which are critical for safe flight operations.

When a pilot experiences impaired judgment or slower reaction times, the ability to respond quickly and effectively to dynamic situations in the cockpit is compromised, increasing the risk of accidents. This is especially important in aviation, where the demands on pilots are high and any reduction in the ability to perform tasks can lead to serious consequences.

The other potential issues with cold and cough medications, such as allergic reactions, unregulated status, or ineffectiveness at altitude, while relevant in broader discussions about medications and health, do not primarily address the acute risks associated with flying and the cognitive complexities involved in piloting an aircraft. Thus, the focus on side effects that impair the pilot's abilities is central to understanding why these medications are particularly risky for those in command of an aircraft.