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     Medications, Drugs and Substance Abuse

*Material provided is intended for information only and should be used only in conjunction with the advice of a physician.*


Guidelines useful in considering the relationships between drugs and diving:

  • Consider the condition/illness/disease for which the medication is being given. Go to our 'Fitness to Dive' web page and check to see if your condition could be dangerous underwater.

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  • Are there any effects of the drug that alter consciousness or cause alteration in decision making ability.

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  • Check in the linked 'Databases' below for any side effects of the drug that could be dangerous underwater.

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  • Consider complex relationships between drugs, the individual, other medications, diet and the conditions for which the drugs are taken.

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  • Write us if you still have a problem finding or deciding about a specific drug, condition or drug combination after using the process above.



  • Use these Databases to Search for Your Medication, then apply the above diving factors in your decision to dive!
  • Medscape Drug Search (Requires free registration)
  • Intelihealth Drug database
  • Health Touch
  • Drug Information Databases
  • Drug List
  • RxList of 1300 drugs


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        Substance Abuse

    Alcohol
    Marijuana
    Kava


        Diving and Drugs

    Class of Drugs Condition Adverse to Diving Drug Effects Adverse to Diving Other Factors Related to Diving
    Anticoagulants Various cardiovascular conditions Hematomas from minor trauma, hemorrhage from barotrauma Tendency to bleed from barotrauma (ears, sinuses, lungs - possibly worsens spinal DCS)
    Analgesics None GI bleeding  Aspirin possibly beneficial by blocking effects of bubbles
    Narcotics, Marijuana & Alcohol Substance Abuse Decreased sensorium & problem solving Possible additive effect of nitrogen
    Tranquillizers State anxiety, panic Decreased sensorium & problem solving Possible additive effect of nitrogen
    Anti-depressants Depression, mania, risk of suicide  Decreased sensorium & problem solving Risk of seizures
    Decongestants & Antihistamines Upper respiratory infection Sleepiness, nasal rebound congestion Risk of ear and pulmonary barotrauma
    Antacids and H2 blockers Gastroesophageal reflux of ascent None Drugs beneficial due to effect on GERD
    Motion sickness drugs
    Draminine (Dimenhydrinate)
    Seasickness, dehydration Sedation, loss of judgment, and aggravation of
    nitrogen narcosis 
    Scopolamine and Meclizine are additive (both cholinergic)
    Calcium blockers Hypertension Postural hypotension Fainting can occur.
    Beta blockers Hypertension
    Arrhythmias
    Inability to respond to needs of stress Constriction of blood vessels to hands, aggravate asthma
    ACE inhibitors  Hypertension, heart disease None Produces cough & airway swelling 
    Diuretics Water and salt retention Possible dehydration Loss of potassium
    Steroids Asthma, dermatitis,  None Possible increase in O2 toxicity (animals)
    Antiarrhythmics Abnormal heart rhythym None, with properly adjusted dosages Solar sensitivity with amiodarone
    Antibiotics Ear, sinus, lung infections None Solar sensitivity with tetracycline
    Anti-malarials Prevention of malaria more important than side effects of the drugs. Lariam (Mefloquine) - psychological & neurological problems.
    Few problems with chloroquine, Malarone (Proguanil+Atavaquone), Doxycycline
    Side effects of Lariam similar to symptoms of DCS.

    LINKS
    'Over the Counter Medications'
    Daniel Nord, DAN

    'Medications and Diving'
    Bruce V. Voss, MD

    Diving Medicine (Bove)



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