Flying personnel must regularly undergo unannounced alcohol checks. Depending on the country, these take place quite often or only on a random basis. In the USA, a union is now warning against taking medication against flu and colds.
The Association of Professional Flight Attendants recommends that members stop taking such medications approximately eight hours before departure. The background is that many preparations contain alcohol and could therefore show positive results in tests.
In the United States of America, this can have significant consequences. If taking medications is actually unavoidable, you should avoid over-the-counter medications that are based on alcohol. If necessary, it is also recommended to bring a certificate with you or to report sick.
Said organization primarily represents flight attendants who work for American Airlines and its subsidiaries. In most cases, drinking alcohol will at least result in dismissal, but there can also be severe criminal consequences. Therefore, the topic is extremely relevant for aircrew in the USA.