Parkinsons Disease Many drugs such as Requip (Ropinirole), Mirapex(Pramipexole Dihydrochloride), Azilect, Atapryl, Carbex, Eldepryl, Selpak (Selegiline Hydrochloride), Comtan (Entacapone), Parlodel (Bromocriptine), Symmetrel (Amantadine Hydrochloride), Tasmar (Tolcapone), Exelon (Rivastigmine) and Permax (Pergolide) are not acceptable to the FAA. Pilot Resources Medical Resources Search FAA Medication Database. Questran, Cholestyramine, Locholest, Prevalite (Cholestyramine Resin), Avandamet (Rosiglitazone Maleate + Metformin Hydrochloride). Diabetes Humulin, Lantus (Insulin) is approved on a case by case basis for Class 3 medical certification only. PDF The attorneys, medical doctors, and other experts who authored this Many OTC sleep aids contain diphenhydramine as the active ingredient. Sleep Issues & Disorders (Insomnia) Sleep prevention medications, such as Dalmane (Flurazepam), Provigil (Modafinil), Nuvigil (Armodafinil) are generally not approved by the FAA. This includes but is not limited to Benadryl (Dipenhydramine), Meclizine (Antivert) and Zyrtec (Cetirazine). Allergy/Cold/ENTAnalgesicAntimicrobialsAsthma/PulmonaryCardiovascularDermatologicEndocrine/MetabolismGastrointestinalGenitourinaryHematological/OncologyImmunizationImmunologyNeurologicObstetrics/GynecologyOphthalmicOtherPsychiatricRheumatologic, Drug Purpose However, FAR 61.53, 67.113, 67.213, 67.313 and 91.17 preclude flying while having a condition or taking a medication that might affect flight safety. MORE. For aviation safety, airmen should not fly following the last dose of any of the medications below until a period of time has elapsed equal to: All the currently available sleep aids, both prescription and over-the-counter (OTC), can cause impairment of mental processes and reaction times, even when the individual feels fully awake. Allegra (fexofenadine), Claritin (loratidine) and Hismanol (astemizole) are noted to be non-sedating and are allowed by the FAA, even though you still might not be legal under FAR 61.53. MORE, Pulmonary Embolis Prevention See DVT and Anticoagulants. Guide for Aviation Medical Examiners | Federal Aviation Administration Myasthenia Gravis Mestinon (Pyridostigmine) and Soliris (Eculizumab) may be approved on a case by case basis. Official websites use .govA .gov website belongs to an official government organization in the United States. All carry warnings for suddenly falling asleep during activities of daily living, Over-active bladder medications. 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. Label warnings. . While some individuals experience no side effects with a particular drug, others may be noticeably affected. Chantix (Varenicline) is also approved on a case by case basis. However, there is no official FAA "list" of drugs that is available to the public. These efforts stemmed from safety enhancementsor calls to actionthat the government/industry General Aviation Joint Steering Committee (GA-JSC) issued earlier this decade to address LOC-I. A California startup says it has been certified by the Federal Aviation Administration for testing what it describes as the first flying car with US government approval a fully electric . The FAA does not maintain a list of acceptable medications. Inhalers approved on a case-by-case basis: Anaphylaxis Epinephrine auto-injectors (EpiPens) are used for emergency situations of allergic reaction or anaphylaxis. The question of treating the condition with medication is of secondary concern. This applies to nasal formulations as well as oral. Airman Medical Certfication - AOPA Emtricitabine and Tenofovir Disoproxil Fumarate may be acceptable to the FAA for HIV prophylaxis / pre-exposure (PrEP). Please Log in to continue. Acne Most antibiotics such as Minocin (Minocyline) are acceptable to the FAA. Vitamin B-12 or other prophylactic injections are approved provided there are no side effects. The wait time after diphenhydramine is 60 hours (based on maximum pharmacologic half life). The following medications are ACCEPTABLE on a case by case basis only: UNACCEPTABLE medications included but is not limited to: Gingivitis Most mouthwash type medications, including prescriptions drugs such as Chlorhexidine Gluconate, are FAA approved. Go to Legal Services Plan Staff's Profile. ( 1) Paragraph (a) of this section if that person holds a medical certificate issued under part 67 of this chapter and does not hold a U.S. driver's license. Washington, DC 20591 The FAA provides guidance for medications that fall into the no-go category by recommending pilots wait at least five dosage intervals after the last dose is taken before flying again. 2023 Aircraft Owners and Pilots Association. The debate over "do not fly" medications and what they mean for Drugs . This includes Invokana (Canagliflozin), Farxiga (Dapagliflozin), Jardiance (Empagliflozin), Steglatro (Ertugliflozin). Criteria for approval includes, but may not be limited to, occasional vs chronic use, and requires a lengthy waiting period after use before safety-related duties. I don't know if I have been misdiagnosed or if the medication helps me perform better at work for some other reason but I do know that I have been a successful software engineer, business owner, and UAV pilot for years. Richard McSpadden, executive director of the Aircraft Owners and Pilots Association (AOPA) Air Safety Institute and co-chair of the GA-JSC, welcomed the release of the list, saying the industry has pushed for itfor years. For blood pressure control, five categories of medications are acceptable: angiotensin converting enzyme inhibitors (ACE) inhibitors, beta adrenergic blocking agents, calcium channel blockers, alpha-adrenergic blocking agents, and diuretics encompass about 60 different acceptable medications. The FAA medical division has always been worried about drugsthe legal ones. No independent interpretation of the FAA's position with respect to a medication included or excluded should be assumed. Uterine Bleeding / Fibroids Luprin, Lupron (Leuprolide) may be FAA approved on a case by case basis. Urinary Retention Urecholine (Bethanechol Chloride) is not acceptable to the FAA. 350, Centennial, CO 80112 | 1-866-237-6633, https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/pharm/, https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/pharm/dni_dnf/, https://www.faa.gov/pilots/safety/pilotsafetybrochures/media/Meds_brochure.pdf, https://www.faa.gov/licenses_certificates/medical_certification/media/OTCMedicationsforPilots.pdf. I talked to an AME. As part of the ongoing industry/FAA campaign to stem loss-of-control inflight (LOC-I) accidents, the FAA recently released a go/no-go list and safety briefing to help pilots determine the safe use of over-the-counter medications while flying. Cholesterol / Lipid Management Most medications used in the treatment of hyperlipidemia or the management of cholesterol are approved by the FAA.Some of the medications, such as Caduet, Lescol (Fluvastatin), Colestid (Colestipol) and Praulent (Alirocumab) may require no-fly / wait-time after use and detailed favorable documentation for FAA approval.This includes but may not be limited to: Any CHF case must be considered by the actual FAA vs an FAA designated AME. The list of these medications is readily available on the FAA website. 2021 Aviation Medicine Advisory Service 15530 E. Broncos Pkwy, Ste. The following conditions are listed in the regulations as disqualifying medical conditions; however, in many cases when the condition is adequately controlled, the FAA will issue medical certification contingent on periodic reports. This is to establish a side effect profile beyond the manufacturers published material and does not include herbal preparations or supplements. MORE (see: arrhythmia, blood pressure, blood thinners, cholesterol). Cough Benzonatate may be acceptable and has 36 hour wait period after each use. Code of Federal Regulations. 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. Herbs & Supplements - Pilot Medical Solutions - LeftSeat.com Some of the most commonly used OTC drugs, antihistamines and decongestants, have the potential to cause some of the most noticeable side effects and may well be disqualifying as a result. You may find accessing the database ahead of time will result in a more productive conversation with the Medical Certification Specialist you speak to when you call AOPA. The FAA has published a DO NOT ISSUE/DO NOT FLY list of pharmaceuticals. In other words, if the medicine has a recommended four-hour interval between doses, pilots should wait 20 hours from the last dosage before flying. The following medications may be FAA approved for short-term pain management, or in some cases, long-term minor pain or inflammation, provided there are no side effects and the condition being treated does not preclude safe performance of flight duties: Botox (derivative of the botulism bacteria) may be approved on a case by case basis. Pilots will not be authorized for Airman Medical Certification is on any of these medications, AMEs will not issue airmen medical certificates to applicants who are using these medications. The following may be approved by the FAA on a case by case basis only:Atamet, Copaxone (Galtiramer Acetate), Sinemet, Entacapon and Rytary (Carbidopa + Levodopa). With the exception of the aforementioned SSRIs and herbal preparations such as Saint Johns Wort, psychotropic medications are rarely approved by the FAA. Chocolate (Solid) Solid food items (not liquids or gels) can be transported in either your carry-on or checked bags. Medications are prescribed to treat a medical condition and the condition itself may be considered disqualifying with or without medication usage. Chronic Myeloid Leukemia (CML)Sprycel (Dasatinib) is approved by the FAA on a case by case basis. Guiding me through the process, identifying the necessary tests, documents, results and letters, I now have my special issuance and can fly once again! Herpes The following medications are approved by the FAA on a case by case basis: HIV The following antiretroviral and other HIV medications may be FAA approved on an individual basis for HIV treatment if prescribed in compliance with the DHHS Panel recommendations regarding the Clinical Practices for the Treatment of HIV. MORE, Dermatological Accutane is approved treatment of acne during daytime flight only. 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. Gout Krystexxa (Pegloticase Injection) is not acceptable to the FAA. The symptoms associated with common upper respiratory infections, even a bad cold, will usually suppress a pilot's desire to fly, and treating symptoms with a drug that causes side effects only compounds the problem. Herbal Most herbal preparations are approved by the FAA provided there are no side effects and the condition being treated is not disqualifying. Some medications listed may not be approved for a given individual and medications not listed may also be acceptable to the FAA. The information in this section addresses two medication categories that are generally unacceptable for flight or safety-related duties: The AME should first consider the safety impact of the underlying condition being treated and then determine the frequency, duration, and side effects (if any) of the medication being used. Drugs, Pilots, and the FAA! Prednisone and methylprednisone and other steroids must be utilized at a dosage which is less than a dosage equal to 20mg of Prednisone. Pilots are advised to wait five times the dosing interval of a no-go medication before flying. In addition to covering antihistamines, decongestants, and cough and pain medicines, the list includes medications for rashes, nausea, vomiting, diarrhea, and indigestion, to name a few. Youve given plenty of airplane ridesNow give career inspiration! Medications not approved include, but are not limited to: Pristiq or Khedezla (Desvenlafaxine), Xanax (Alprazolam), Klonopin (Clonazepam), Valium (Diazepam), Ativan (Lorazepam), Paxil (Seroxat), Luvox (Fluvoxamine), Desyrel (Trazodone) and Abilify (Aripiprazole). Remember, too, that medication usage is part of a two-sided coin. Further, FAR 91.17 prohibits the use of "any drug that affects the persons faculties in any way contrary to safety." Dupixent (Dupilumab) is acceptable for Atopic Dermatitis. A lock ( LockA locked padlock ) or https:// means youve safely connected to the .gov website. Anti-Coagulants Xarelto (Rivaroxaban) may be considered after 2 weeks of documented stability on the medication. New antibiotics, lipid-lowering drugs, and antihypertensive medications can be considered earlier than one year. The FAA generally disallows certain types of drugs that are continuously used for treatment. These include, but aren't limited to, anticoagulants, antiviral agents, anxiolytics (anti-anxiety), barbiturates, chemotherapeutic agents, experimental, hypoglycemic, investigational, mood altering, motion sickness, narcotic, sedating, antihistaminic, steroids, or tranquilizers. Does the FAA have a list of prescription and over-the-counter drugs Most psychiatric or psychotropic medications, including but not limited to antipsychotics, most antidepressants (see, High doses of oral steriods (greater than 20 mg prednisone or prednisone-equivalent per day), Agents for treating cancer, including chemotherapeutics, biologics, etc., whether used for induction, "maintenance", or suppressive therapy, Any medication newly approved by the Food and Drug Administration (FDA) (those drugs issued initial FDA marketing approval within the past 12 months). Agents used to control angina (chest pain) called nitrates, including nitroglycerine, are not permitted. Share sensitive information only on official, secure websites. Cervical Dystonia Botulinum Neurotoxin may be FAA approved on a case by case basis with extensive requirements and restrictions. Alyssa also hosts the weekly Fly with AOPA show on the AOPA Pilot Video YouTube channel. In this presentation we'll talk a little bit about a recent GAJSC and FAA studies that feature some interesting findings with\respect to pilots and medications\We'll talk generally about flying while medicating and specifically about FAA's Do not Issue . A 2 hour wait period is required after each injection before flying. If after the evaluation, your physician feels medication would be appropriate for your condition, many options exist. Migraine Medications such as Topamax (Topiramate) are not acceptable to the FAA. The following may be FAA approved for Prostate Cancer on a case by case basis: The following are approved by the FAA for the prevention or treatment of Benign Prostatic Hypertrophy (BPH) on a case by case basis: Psoriasis Otezla (Apremilast) may be acceptable on a case by case basis. For details, see Do Not Issue - Do Not Fly. Please read more below. AINsight: Liability Risk Management for Bizjet Owners, Honda Aircraft Commits To 2600 Production in Greensboro, Citations Erroneous Altitude Data Led to Near-collision, Thales Bids $1.1B for Cobham Aerospace Communications, Duncan Employs Hydrographics in Falcon 2000 Refurb, Argus: June Bizav Activity Down, but Improving in Europe, FAA OKs McCauley C780 Propeller for King Air B300s, Mid-Year Aerospace & Air Transport Report. Washington, DC 20591 An official website of the United States government Here's how you know. FAA Releases Go/No-go Medications List - Aviation International News Any drug that produces drowsiness or other central nervous system effects and experimental or investigational drugs are prohibited. For detailed descriptions of the associated medical conditions they treat, please search for related medical articles in the Medical Articles Database. Avoiding Adverse Drug Interactions | by FAA Safety Briefing - Medium Anticonvulsants, including phenytoin (Dilantin) and carbamazepine (Tegretol) are disqualifying because of the specific medical history that may include a prior seizure, seizure-like event, or risk of seizure. To remove the restriction Isotretinoin must be permanently discontinued for at least 2 weeks prior to a comprehensive medical evaluation. Federal Aviation Administration Tuberculosis The anti-infective agent Isoniazid (Laniazid, Nydrazid) is approved by the FAA on a case by case basis only. Thrombocytopenia Favorable FAA consideration requires extensive evaluation. This impairment can occur even when the individual feels alert and is apparently functioning normally - in other words, the airman can be "unaware of impair.". Using Xiidra with basic artificial tears drops may be acceptable but eye drops may cause blurring or tearing after use and should not be instilled in flight. The FAA has determined that pilots or FAA Air Traffic Control Specialists (FAA ATCS) requesting medical certificates while being treated with one of several specific antidepressant medications may be considered. Pilots, in discussion with their physician, should consult available aeromedical resources to understand potential flight hazards associated with any medications being taken, such as whether the underlying condition the medication is being taken for makes flight unsafe, or to understand side-effects that may be unnoticeable before flight but could impair the ability of a pilot to make sound decisions. Ulcer The use of prophylactic medications for the peptic ulcer illnesses, such as antacids, H-2 blockers, and Sucralfate may be allowed, depending on the specific condition and severity. the doctor directs you to take the medication as needed or to take only half a dose), ask for a new prescription that bears that new direction on the label. Meanwhile, the association also offers its own medication database based on FAA decisions, along with a medical self-assessment course. The AME may not issue. Secure .gov websites use HTTPS The FAA does not typically review medications with the following characteristics: Do Not Issue. (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. When you visit your physician for the BasicMed examination, the checklist that you and your physician complete will list any prescription or non-prescription medication that you currently use, as well as information such as the medication name and dosage. Start your free trial today! Secure .gov websites use HTTPS Get extra lift from AOPA. A list is subject to misuse if used as the sole factor to determine certification eligibility or compliance with 14 CFR part 61.53, Prohibition of Operations During Medical Deficiencies. Obesity The following may be FAA approved after 30 days without negative side-effects and on a case by case basis: Osteoarthritis See Anti-Inflammatory & Arthritis. Members can also contact the AOPA Pilot Information Center or enroll in Pilot Protection Servicesto speak to medical representatives regarding medical conditions and medical certification. We reached out to leftseat and before the end of the day I was assigned a case manager.

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