faa do not fly medication list

As an Examiner you are required to be aware of the regulations and Agency policy and have a responsibility to inform airmen of the potential adverse effects of medications and to counsel airmen regarding their use. Check the FAA's medications list to determine whether you can fly while taking certain over-the-counter drugs. For example, there is a 30-hour wait time for a medication that is taken every 4 to 6 hours (5 times 6), Diphenhydramine (e.g., Benadryl). Note: exceptions would be for documented temporary use of the drug solely for a medical procedure or for a medical condition, and the medication has been discontinued. 866.835.5322 (866-TELL-FAA)Contact Us. United States Department of Transportation, Aviation Safety Draft Documents Open for Comment, Airport Coronavirus Response Grant Program, Legislation & Policies, Regulations & Guidance, Certificated Remote Pilots including Commercial Operators, Recreational Flyers & Modeler Community-Based Organizations, contact information for your Regional Flight Surgeon, find helpful information in our brochure "Medication and Flying", Next Generation Air Transportation System (NextGen), Tranquilizers, such as but not limited to Valium, Librium, Ativan, Opiates, such as Morphine, Codeine, Lortab, Percodan, Oxycontin, Muscle relaxants, such as Soma, Sonata, Flexeril, Anicholinergics, such as Levsin, Bnetyl, Transderm Scop, Sedating antihistamines, such as Benadryl, Chlorpheniramine, Zyrtec, Antipsychotics, such as Mellaril, Thorazine, Haldol, Over-the-counter active dietary supplements, such as Kava-Kava, Valerian. Myasthenia Gravis Mestinon (Pyridostigmine) and Soliris (Eculizumab) may be approved on a case by case basis. Multaq (Dronedarone) Requires extensive cardiovascular work-up. I read lots information on my condition, I called AOPA. Medications approved on a case by case basis include: Ulcerative Colitis The following are approved on a case by case basis only: Urinary Tract Infections (UTI)Sulfamethoxazole (Bactrim, Sulfatrim, and Bactrim DS are acceptable on a case by case basis. You must be an AOPA member to access the Medication Database. In the FAAs "Guide for Medical Examiners" it says "Medical conditions that CHRONICALLY interfere with sleep are disqualifying", yet they list insomnia as a "primary sleep disorder" without classifying it into different levels of severity. This applies even if label states "until you know how the medication affects you" and even if the airman has used the medication before with no apparent adverse effect. The following anti-arrhythmic medications are approved on a case by case basis and subject to a complete cardiovascular evaluation. Inhalers approved on a case-by-case basis: Anaphylaxis Epinephrine auto-injectors (EpiPens) are used for emergency situations of allergic reaction or anaphylaxis. Do Not Issue - Do Not Fly The information in this section addresses two medication categories that are generally unacceptable for flight or safety-related duties: DO NOT ISSUE (DNI) MEDICATIONS: AMEs cannot not issue. AOPA Senior Director of Media, Digital Media. This includes: Alphagan (Brimonidine Tartrate), Cosopt (Dorzolamide), Diamox & Diamox Sequels (Acetazolamide), Pilocar (Pilocarpine), Timoptic (Timolol Maleate), Travatan (Travoprost) and Xalatan (Latanoprost) MORE. Nasal Polups Dupixent (Dupilumab) a Monoclonal Antibody Anti-interleukin 4-Receptor Antibody is acceptable on a case by case basis. Asthma / COPD These conditions often require a combination of drugs which are usually approved by the FAA on an individual basis only. Any use within 36 hours of flying is unacceptable to the FAA. Pilots should wait 48 hours after the initial dose to assure no adverse side effects occur. If you do not see a particular medication in the database, please call the AOPA Pilot Information Center, 800/USA-AOPA (872-2672), and speak with one of the medical certification specialists . Vaccinations Prophylactic injections such as; immunizations or B-12 shots are usually approved provided there are no side effects. Because FAR 91.17 doesn't include the names of the prohibited drugs, there is no requirement that the drugs being taken be made known to the FAA prior to completing an FAA airman medical application and physical examination. The same question emerges with respect to FAR 61.53, and again, the pilot is responsible for determining the safety of flight while using medications. Agents used to control angina (chest pain) called nitrates, including nitroglycerine, are not permitted. You can findcontact information for your Regional Flight Surgeonor yourAMEon our website. A lock ( LockA locked padlock ) or https:// means youve safely connected to the .gov website. This includes but is not limited to morphine, codeine, oxycodone (Percodan; Oxycontin), and hydrocodone (Vicodin, etc.). Guiding me through the process, identifying the necessary tests, documents, results and letters, I now have my special issuance and can fly once again! While I have a fairly common medical issue, the FAA mountain seemed like an impossible climb. The following are approved on a case by case basis: Blood Pressure (Hypertension) Psychotropic or centrally acting agents such as Guanethidine, Guanadrel, Guanabenz, Intuniv/Tenex (Guanfacine), Methyldopa, Reserpine and Nitrates (ex. AOPA plans to continue to work with the FAA on expanding the list over time, the association said. This medication may be acceptable on a case by case basis up to twice monthly. PDF The attorneys, medical doctors, and other experts who authored this There are two pathways that airmen can take to gain medical certification when they have had a bout with depression. 800 Independence Avenue, SW Soriatane (Acitretin) for psoriasis is not acceptable to the FAA. Washington, DC 20591 Escitalopram (Lexapro) These aviators must apply for a special issuance (waiver) and may be allowed to fly if they have been satisfactorily treated on the medication for at least 12 months. The guide includes a series of questions for pilots to ask themselves to determine whether they are fit for flight, provides guidance for carefully reading the labels on all over-the-counter medications, and lists two charts of medications that pilots can print (and easily tape inside a medicine cabinet!) December 1, 2021 By Dr. Brent Blue. Aldactone and CaroSpir (Spironolactone) are approved on a case by case basis. For operations provided for in 61.23 (c), a person must meet the provisions of. Blood Pressure & Hypertension - AMAS In addition, AOPA offers a free Medical Self-Assessment online course to help all pilots better understand how to assess their fitness for flight. New antibiotics, lipid-lowering drugs, and antihypertensive medications can be considered earlier than one year. Undisclosed treatments could hide potentially impairing drug interactions, the agency said. Is taking medication or receiving other treatment for a medical condition that results in the person being unable to meet the requirements for the medical certificate necessary for the pilot operation. This includes Invokana (Canagliflozin), Farxiga (Dapagliflozin), Jardiance (Empagliflozin), Steglatro (Ertugliflozin). Liquid or gel food items larger than 3.4 oz are not allowed in carry-on bags and should be placed in your checked bags if possible. Antidepressant medications and flying - Legal & Medical Services (PPS Topical Accutane is approved treatment of acne during daytime flight only. FAA general guidelines on medications categories in the Guide for Aviation Medical Examiners: FAA guidance on over-the -counter (OTC) and common prescription medications. As always, feel free to contact us with any questions you have by reaching out to our office Monday through Friday, 8:30am 6pm (eastern). Bladder Control Ditropan (Oxybutynin Chloride), Enablex (Darifenacin), Detrol (Tolterodine Tartrate), Vesicare (Solifenacin Succinate) Sanctura XR & Sanctura (Trospium Chloride) and Toviaz (Fesoterodine Fumarate) are not acceptable to the FAA. The following FAA resources are available: We have provided an unofficial database of medications the FAA commonly allows for use during flight and aviation duties, plus restrictions on medication use and those medications the FAA does not normally allow for use. (PDF) AcneAcute Coronary Syndrome, Platelet InhibitorAddison'sAlcoholismAllergies; Common ColdAlzheimer'sAnemiaAnginaAnkylosing SpondylitisAnti rejection medicationAnti-AgingAntidepressantAntipsychotic, Schizophrenia, BipolarAntipsychotic-2Nd Gen; Schizophrenia, BipolarAnxietyArrhythmiaArthritisArthritis & ColitisAsthmaAttn Deficit Disorder (ADD/ADHD)Autoimmune DisorderBladderBladder CancerBleeding ProblemsBlood PlateletsBlood ThinnerBone Marrow StimulantBreast CancerBreast Cancer; Low TestosteroneCLLCMLCOPDCOVID Preexposure ProphylaxisCancerCarcinoidCholesterolChronic lymphocytic leukemiaCosmeticCrohn'sCrohn's DiseaseCystic FibrosisDeep Vein ThrombosisDiabetesDry EyesDry MouthDuupytren'sEczemaEndocrine issuesEndometriosisEosinophilic AsthmaEpithelioid sarcomaErectile DysfunctionEye ConditionsEye inflammationFibroidsFibromyalgiaFungal InfectionGERDGNRH secretagogueGallbladderGlaucomaGoutGranulomatous Disease, Malignant OsteopetrosisGrowth DeficienciesHIVHIV ExposureHIV Virus SuppressionHSDDHeadacheHeadachesHeart FailureHepatitisHigh Blood PressureHormoneHyperprolactinemiaHypophasphatasiaHyposexualityIBSIVFImmunizationImmunodeficiencyInfectionInfectionsInfections - BacterialInfections - FungalInfections - ViralInfertilityInflammationInflammatory Bowel, Crohns, Ulcerative ColitisInhibit blood clottingIrritable BowelItchingKidney StonesLeukemiaLipidsLow Blood PressureLowers CalclumLung CancerLupusLymphomaMSMacular degenerationMalariaMalignancyMeniere'sMenstrual bleedingMigrainesMotilityMountain SicknessMultiple MyelomaMultiple SclerosisMuscle RelaxantMyasthenia GravisMydriaticMyelofibrosisNasal polypsNauseaNear VisionNephropathyNeuropathyNon-Hodgkin's LymphomaNon-Small Cell Lung CancerObesityOsteoporosisOvarian cancerOveractive BladderPNHPainPain & WellnessPain / InflammationPancreaseParasitic InfectionParasitic infectionParathyroidismParkinson'sPolycythemiaPolyneuropathyPoor CirculationPrEP and HIVPrecancerous Skin LesionsProstatePsoriasisPulmonary HTNRadiation ExposureReflux, GerdRenal FailureRestless LegRetinal DegenerationRosaceaSclerodermaSeizuresSickle CellSkin DisordersSleepSleep AidSmokingSpasmSpinal muscular atrophyStoke PreventionStroke PreventionSupplementSurgical AnesthesiaTenosynovial giant cell tumorThrombocytopeniaThyroidTransplantURIUlcerative ColitisUlcersUveitisVariousVisionVitaminVitiligoWeight LossYellow Fever Vaccineanticoagulantheart failure and rhythm issueshypogonadismhyponatremiainsomniaprostate cancervitiligo and atopic dermatitis. If you are taking a medication that is currently on the disallowed list, it doesn't automatically mean it is disallowed under BasicMed. Rememberthe primary issue with the FAA is whether the medical condition for which you are being treated is compatible with safe flight. Many OTC sleep aids contain diphenhydramine as the active ingredient. Aeromedical decision-making includes an analysis of the underlying disease or condition and treatment. Medication Database (Read Disclaimer Before Searching) - AMAS Washington, DC 20591 866.835.5322 (866-TELL-FAA)Contact Us, United States Department of Transportation, Aviation Safety Draft Documents Open for Comment, Airport Coronavirus Response Grant Program, Legislation & Policies, Regulations & Guidance, Certificated Remote Pilots including Commercial Operators, Recreational Flyers & Modeler Community-Based Organizations, Diabetes Mellitus Type II, Medication Controlled (Not Insulin), Allergy Antihistamines & Immunotherapy Medication, Erectile Dysfunction and Benign Prostatic Hyperplasia Medications, Glaucoma and Ocular Hypertension Medications, Contraceptives and Hormone Replacement Therapy, Next Generation Air Transportation System (NextGen). This is to establish a side effect profile beyond the manufacturers published material and does not include herbal preparations or supplements. She was sympathetic and provided us with an solution that we did not know existed. Prolactinoma / Pituitary Disorders Dostinex (Cabergoline) may be acceptable for treatment of pituitary disorders (prolactanoma). Amanda did an an awesome job in assistance with a denied medical. Advair, Arnuity, Beser, Breo, Cutivate, Dymista, Flovent, Flonase, Trelegy, Veramyst, Wixela (Fluticasone Propionate), Apovent, Atrovent, Ipraxa, Rinatec (Ipratropium), Dulera (Mometasone Furoate & Formoterol Fumarate Dihydrate), Flonase (See Fluticasone Propionate ABOVE), Mylanta (Magnesium hydroxide, Aluminum hydroxide, Simethicon), Rolaids (Calcium Carbonate <550 mg>, Magnesium Hydroxide<110mg>), Augmentin, Amoxil (Amoxicillin / Clavulanic Acid), Flagyl (Metronidazole) (case by case approval for bacteria & parasites), Rheumatrex (Methotrexate, not approved for cancer), Synvisc (Hylan G-F 20) Injections may be approved on a case by case basis, Trexall (Methotrexate not approved for cancer), Xeljanz (Tofacitinib Citrate) [rheumatoid arthritis], Cordarone, Pacerone (Amiodarone-up to 200 mg per day for A-Fib only). Herbs & Supplements - Pilot Medical Solutions - LeftSeat.com If you have any questions about a specific medication, consult your Aviation Medical Examiner (AME). AOPAs List of FAA Allowed Disallowed Medications Muscle relaxants. Acceptable medications are typically approved only for the condition listed on a case by case basis. Official websites use .govA .gov website belongs to an official government organization in the United States. All antidepressants are disqualifying. There are many commonly used prescription and over the counter (OTC) medications that are allowed by the FAA that may cause a false positive urine test. Press option #3 for Medical Certification or #4 for the Legal Services Plan. Start your free trial today! We have provided an unofficial database of medications the FAA commonly allows for use during flight and aviation duties, plus restrictions on medication use and those medications the FAA does not normally allow for use. During my last FAA medical exam my AME identified a problem and it seemed that my flying career was over. This doesn't include OTC (over the counter) drugs. Maintaining a published a list of "acceptable" medications is labor intensive and in the final analysis only partially answers the certification question and does not contribute to aviation safety. Yes (Less than or equal to 3.4oz/100 ml allowed) Yes. Under BasicMed, your physician will discuss the medications you are taking and their potential to interfere with the safe operation of an aircraft. The FAA does not maintain a list ofacceptable medications. It is unlikely that a source document or list could be developed and understood by airmen when considering the underlying medical condition(s), drug interactions, medication dosages, and the sheer volume of medications that need to be considered. Anti-Coagulants Xarelto (Rivaroxaban) may be considered after 2 weeks of documented stability on the medication. Advertisement: The information in this section was provided by the FAA in 2014 to advise Aviation Medical Examiners (AMEs) about two medication issues: Medications for which they should not issue applicants without clearance from the Federal Aviation Administration (FAA), AND This applies to nasal formulations as well as oral. This list may contain errors and omissions. Hepatitis C Pegasys (Peginterferon alfa-2a), Rebetron (Ribavirin and Interferon alfa-2b), Roferon-A (Interferon alpha -2a), Roferon-A (Interferon alfa-2a, Recombinat) are NOT acceptable to the FAA.Hepsera (Adefovir Dipivoxil) and Rebetol(Ribavirin) MAY be approved by the FAA on a case by case basis only. I talked to an AME. Drugs that cause no apparent side effects on the ground can create serious problems with only moderate increases in altitude. No independent interpretation of the FAA's position with respect to a medication included or excluded from the following should be assumed. Under BasicMed, your physician will discuss the medications you are taking and their potential to interfere with the safe operation of an aircraft. 2023 Aircraft Owners and Pilots Association. This page discussed Medications Pilots Must Avoid, Reminder: use FlightPhysical.com to familiarize yourself with aviation medical regulations and guidelines, but always discuss your specific situation with one or more AMEs before dedicating resources toward expensive clinical workups. See also Bladder Control and Bladder Disorders. Over-the-counter active dietary supplements such as Kava-Kava and Valerian. This list is not meant to be totally inclusive or comprehensive. Under rare circumstances, individuals using Ritalin were previously approved but this is no longer possible. The status of some medications changes from time to time so check back periodically. (Also See Dermatological), Psychiatric Single use anti-depressants such as Celexa (Citalopram Hydrobromide), Lexapro (Escitalopram Oxalate), Prozac (Fluoxetine Hydrochloride), Zoloft (Sertraline Hydrochloride) may be acceptable to the FAA on a case by case basis. Laxative See also GI Docusate (Col-rite, Colace, Ex-Lax, Senokot S) may be acceptable on a case by case basis. This article has been provided by AOPA's Legal Services Plan staff. The following are FAA approved on a case by case basis: Muscle Relaxant & Antispastic Agents Most of the medications in this class are not acceptable to the FAA due to central nervous system effects. That's one reason why so many medications carry the generic warning to avoid operating heavy machinery or motor vehicles while using the drug. Chantix (Varenicline) is also approved on a case by case basis. MORE. If AMEs have any questions, they are requested to call the AMCD or Regional Flight Surgeon, Airmen should not fly while using any of the medications in the Do Not Issue section above or using any of the medications or classes/groups of medications listed below. The FAA does not typically review medications with the following characteristics: Do Not Issue. Some medications listed may not be approved for a given individual and medications not listed may also be acceptable to the FAA. Consult an AMAS physician if you have a question about a specific medication or need a full explanation of the current FAA policy. MORE CESSATION INFO, Steroids Topical steroids may be approved for the treatment of minor dermatological conditions on a case by case basis. This includes but is not limited to carisoprodol (Soma) and cyclobenzaprine (Flexeril). The list of medications referenced below provides aeromedical guidance about specific medications or classes of pharmaceutical preparations and is applied by using sound aeromedical clinical judgment. Antiseizure medications, even if used for non-seizure conditions, Dopamine agonists used for Parkinson's disease or other medical indications: Pramipexole (Mirapex), ropinirole (Requip) and rotigotine (NeuPro). Visit www.aviationmedicine.com/meds.htm, the Virtual Flight Surgeons website, for more detailed information about these and other medications. Byetta (Exenatide) & Liraglutide (Victoza) A 30 day wait period is required if the airman is on any sulfonylurea class hypoglycemic drugs. An official website of the United States government Here's how you know. What types of side effects should you look out for in medications? Official websites use .govA .gov website belongs to an official government organization in the United States. FAA lists OTC go/no-go medications - AOPA 4 This is a great question. Anti-Inflammatory & Arthritis The following medications are usually FAA approved provided there are no side effects and the condition being treated does not preclude safe performance of flight duties: Anti-Malarial The following medications are acceptable for malaria prophylaxis: A 24 hour adverse effect observation period should be observed prior to flight. With the exception of the aforementioned SSRIs and herbal preparations such as Saint Johns Wort, psychotropic medications are rarely approved by the FAA. Secure .gov websites use HTTPS Case by case approval may be obtained for: Hormone Replacement Teatment (Premarin / Estrogen) is approved by the FAA. We require at least one-year of post-marketing experience with a new drug before we will consider whether we can safely certificate an applicant using the drug. Anti-Fungal The following may be approved by the FAA on a case by case basis: Anti-CGRP (Calcitonin Gene-Related Peptide) treatments The following may be approved by the FAA on a case by case basis: Anti-Histamine(Antihistamine) See Allergy, Cold & Decongestants. for ready consultation. AMEs are not allowed to issue airmen using Catapres (Clonidine), however, in the past it has been approved by internal FAA physicians provided it was used without adverse effects and was reported on previous FAA exams. A flying car prototype just got an airworthiness certificate from the FAA Emtricitabine and Tenofovir Disoproxil Fumarate may be acceptable to the FAA for HIV prophylaxis / pre-exposure (PrEP). However, you can view AOPA's list of medications for both allowed and non-allowed drugs.
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