Share sensitive information only on official, secure websites. Most of the pilots with positive drug results, 511 (90%), were flying under CFR part 91. 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. In many cases, people who are treated for apparent symptoms dont really have ADHD, but in order to rule it out, a formal clinical evaluation should be done. While some over-the-counter or herbal preparations are not regulated by the FAA, they may have a high incidence of adverse side effects. Myasthenia Gravis Mestinon (Pyridostigmine) and Soliris (Eculizumab) may be approved on a case by case basis. While the FAA accepts several medications combinations and other restrictions apply. I can recommend Pilot Medical Solutions completely and without reservation. Nasal Polups Dupixent (Dupilumab) a Monoclonal Antibody Anti-interleukin 4-Receptor Antibody is acceptable on a case by case basis. Cases where these drugs have been prescribed post-operatively to build enhance blood vessel growth or as preventive PRN / as needed precautionary measure may be acceptable if they have not been utilized, or have been discontinued, provided favorable eloquent documentation is provided. If you fail any part of the knowledge or O&P tests, you may apply for retesting 30 days after the date you failed the test. Submit your medication. Official websites use .govA .gov website belongs to an official government organization in the United States. If you have any questions about a specific medication, consult your Aviation Medical Examiner (AME). You should also present documentary evidence from former and current employers indicating your length and type of experience. Aldactone and CaroSpir (Spironolactone) are approved on a case by case basis. AMTshold highly-transferable skills that can be used in a broad-range of industries; career opportunities in the aviation sector include employment at airlines, fixed-base operators, manufacturers, repair stations, aviation maintenance schools and in business or general aviation. This includes: Alphagan (Brimonidine Tartrate), Cosopt (Dorzolamide), Diamox & Diamox Sequels (Acetazolamide), Pilocar (Pilocarpine), Timoptic (Timolol Maleate), Travatan (Travoprost) and Xalatan (Latanoprost) MORE. Secure .gov websites use HTTPS The following drugs are accepted by the FAA on a case by case basis only and depending upon the manifestation and severity of your migraines: Mood Enhancing With the exception of herbal preparations, mood ameliorating medications are not approved by the FAA. A lock ( LockA locked padlock ) or https:// means youve safely connected to the .gov website. We have all had too many birthdays and our share of medical issues. See also Bladder Control and Bladder Disorders. Anti-Viral The following medications are approved by the FAA on a case by case basis: Arrhythmia (heart) Some commonly prescribed drugs such as Tikosyn (Dofetilide) are not approved by the FAA. The information presented should not be considered all-inclusive; these are general guidelines. So, even though there are no additional certification requirements to work on avionics equipment, you must have the knowledge and skill required to perform the work, which is not presumed just because you hold an Aviation Mechanic certificate. The terms "certificate" and "license" tend to be used interchangeably - the FAA Aviation Mechanic certificate is frequently referred to as a license. Prednisone may be acceptable up to 20 mg only. Some military bases overseas may have the ability to administer FAA airman knowledge tests. This article has been provided by AOPA's Legal Services Plan staff. Unfortunately, these young people being treated are applying for medical certification and receiving an unhappy surprise when the FAA determines that they are not qualified for certification because of the diagnosis and/or use of disqualifying medications. an. An applicant must be: A. However, air carriers often call for an Aviation Mechanic certificate as a hiring requirement. The FAA also will ground pilots and who experience side effects from allowed medications. Viral Infection The following anti-viral medications are approved by the FAA on a case by case basis: Weight Loss / Management (Diet) Dexfenfluramine (Redux), Fenfluramine (Pondimin), Phentermine (Adipex), Phendimetrazine (Bontril, Adipost, Anorex-SR, Appecon, Melfiat, Obezine, Phendiet, Plegine, Prelu-2, Statobex) are NOT acceptable to the FAA. If you graduated from an AMTS, you should present your graduation certificate. Low Testosterone The following may be acceptable for treatment of low testosterone on a case by case basis: Menieres Disease Dyrenium (Triamterene) is acceptable on a case by case basis only. Salagen (Pilocarpine Hydrochloride) may be FAA approved to promote saliva on a case by case basis. Next Generation Air Transportation System (NextGen). Also see Allergy / Cold Medications. 2023 Aircraft Owners and Pilots Association, ADHD is a complex disorder to diagnose. Heart With the exception of angina (chest-pain) meds (ISMO, IMDUR, ISORDIL), most cardiovascular medications are approved on a case by case basis. No, but, depending on the repair station policies and the specific position you are seeking, you may be required to have an Aviation Mechanic certificate. Gastrointestinal (G.I.) Apresoline, Apresazide, Hydra-Zide (Hydralazine) is acceptable. A 2 hour wait period is required after each injection before flying. All other SSRIs or other psychiatric medications, including but not limited to: Effexor XR (Venlafaxine HCl), Xanax (Alprazolam), Khedezla (Desvenlafaxine), Klonopin (Clonazepam), Ativan (Lorazepam), Luvox (Fluvoxamine), Nortiriptyline (Pamelor), Norpramin (Desipramine), Paxil (Paroxetine), Pristiq, Valium (Diazepam), Viibryd (Vilazodone), Prudoxin (Doxepin), Silenor, Zonalon and Prudoxin are not acceptable to the FAA. Dupixent (Dupilumab) is acceptable for Atopic Dermatitis. knowledge (written), oral, and practical tests. A. Federal Aviation Administration 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. Federal Aviation Administration Erectile Dysfunction (Impotence) Cialis (Tadalafil) is acceptable if used 36 or more hrs before flight. Antibiotics The use of antibiotics is usually permissible on a case by case basis, provided the drug has been taken for long enough (usually 48 hours) to rule out the possibility of adverse effects. MORE. A. This includes but is not limited to: Over-the-counter medications such as Tylenol PM or Excedrin PM (Acetaminophen, Diphenhydramine Hydrochloride) may be acceptable for temporary insomnia with a satisfactory grounding period. Last updated: Friday, February 4, 2022 U.S. Department of Transportation Federal Aviation Administration Aviation Mechanic certificate privileges allow AMTs to perform maintenance, and perform return-to-service approvals, in many areas. This also applies if you travel to the U.S. for the purpose of taking the AMT tests. The FAA does not maintain a list ofacceptable medications. Attention Deficit Hyperactivity Disorder (ADHD), formerly referred to as Attention Deficit Disorder (ADD) is considered by some to be a condition of the new millennium because of the numbers of individuals affected, including many adolescents and teens who are being treated for symptoms often associated with the condition. A.FAA Form 8610-2 and a valid AC Form 8080-2, Airman Written Test Report, for the preceding test. 800 Independence Avenue, SW If you decide to seek both ratings, this is commonly referred to as an "A&P Certificate". MORE CESSATION INFO, Steroids Topical steroids may be approved for the treatment of minor dermatological conditions on a case by case basis. Jentadueto (Linagliptin and Metformin Hydrochloride), Glyset (Miglitol) Observation Period Required, Trulicity (Dulaglutide) Not acceptable in combination with a meglitinide (repaglinide or Prandin; neteglinide or Starlix), Rolaids (Calcium Carbonate (<550 mg>, Magnesium Hydroxide<110mg>), Beta-Blockers (when labeled & approved by the FDA for headache type), Genvoya (Elvitegravir + Cobicistat + Emtricitabine + Tenofovir Alafenamide), Myfortic and CellCept (Mycophenolate Mofetil), Rapamune (Sirolimus) Condition treated may be disqualifying, Tacrolimus (Prograf, Protopic, Astagraf XL, and Envarsus XR), Oracit, Urocit-K 10, Urocit-K 5 & Bicitra (Sodium Citrate), Cytra-K & Polycitra-K (Potassium Citrate), Beta-Blockers (when labeled & approved by the FDA for migraines), Copaxone Subcutaneous (Glatiramer Acetate), Advil, Cramp End, Dolgesic, Excedrin IB, Genpril, Haltran, Ibren, Ibu, Ibuprin, Ibuprohm, Ibu-Tab, Medipren, Midol IB, Motrin, MotrinIB, Nuprin, Pamprin-IB, Q-Profen, Rufen, Trendar (Ibuprofen), Aleve, Anaprox, Anaprox DS, EC-Naprosyn, Naprelan, Naprosyn (Naproxen), Indocin, Indocin SR, Tivorbex (Indomethacin), Eligard, Lupron Depot (Leuprolide Acetate), Cortef (Hydrocortisone up to 80mg -4 mg of Hydrocortisone is equal to 1 mg of Prednisone). When properly diagnosed, this condition is not approved by the FAA. Learn more about becoming an FAA-certificated Aviation Maintenance Technician (AMT). Chronic use is disqualifying. Antiplatelet -Aggrenox (Aspirin & extended-release Dipyridamole) is approved on a case by case basis. A. The psychologist can compare ones scores to normal functioning individuals, rather than against the applicants own baseline scores since there is no baseline testing to compare to! Motion Sickness Antivert, Bonine, D-Vert, Dramamine, Driminate II, Meclicot, Medivert, Ru-Vert-M, Meni-D (Meclizine) along with Scopolamine (Hyoscine Hydrobromide, Scopolamine Hydrobromide, Transderm Scop), Promethazine (Phenergan) and Trimethobenzamide (Tigan)are not approved by the FAA for flight deck use. Migraine Medications such as Topamax (Topiramate) are not acceptable to the FAA. 800 Independence Avenue, SW He is also a former Operating Room Technician, Professional Firefighter/Emergency Medical Technician, and has been a pilot since 1973. Topical chemotherapy medications such as Adrucil, Carac, Efudex, Fluoroplex and Tolak may be acceptable on a case by case basis when used for pre-cancerous and cancerous skin growths such as actinic or solar keratosis or superficial basal cell treatment. 800 Independence Avenue, SW Accutane (Isotretinoin) may also be approved with the restriction NOT VALID FOR NIGHT FLYING on the medical. Requires a wait-period along with several other requirements. Scleroderma, Peyronies Disease Potaba (Aminobenzoate) may be acceptable on a case by case basis. Medications The following medications are approved by the FAA on a case by case basis only. The current issue ofAdvisory Circular 65-2contains detailed information about the certificate requirements, application procedures, and the knowledge and O&P tests. Acne - Most antibiotics such as Minocin (Minocyline) are acceptable to the FAA. 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). If you have any questions about a specific medication, consult your Aviation Medical Examiner (AME). All these medications are disqualifying for medical certification purposes! 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. Myself and 2 other personal friends have now used Pilot Medical Solutions with good results. You may contactPSIfor additional information on testing fees. Each of us have been satisfied with the work done by the leftseat crew. Most topical medications for acne or similar conditions may be approved by the FAA. Cancer Most cancer treatment/medications, such as; Chemotherapy, must be completed prior to resuming flight duties. . . Although not on the current list, Wellbutrin (Bupropion) was considered approvable by a previous FAA Federal Air Surgeon. This medication may be acceptable on a case by case basis up to twice monthly. 800 Independence Avenue, SW Secure .gov websites use HTTPS 18 months of practical experience with the procedures, practices, materials, tools, machines, and equipment generally used in constructing, maintaining, or altering an airframe or powerplant, appropriate to the rating sought; 30 months of practical experience concurrently performing the duties appropriate to both the airframe and powerplant ratings. IMPORTANT - it is not just the medication, but the condition for which you are taking the medication that could be of aeromedical concern. The FAA requires an extensive evaluation if an applicant for medical certification has been diagnosed with (an important point to keep in mind!) If someone really does have ADHD as reflected in the evaluation, the FAA will not be able to grant any class of medical certification. Hytrin (Terazosin Hydrochloride) may be acceptable on a case by case basis. Federal Aviation Regulations (Part 61) require a person who holds a current medical certificate shall not act as pilot in command, or in any other capacity as a required pilot flight crew-member, while that person: Knows or has reason to know of any medical condition that would make the personunable to meet the requirements for the medical certificate necessary for the pilot operation; or Is taking medication or receiving other treatment for a medical condition that results in the person beingunable to meet the requirements for the medical certificate necessary for the pilot operation. For operations that do not require a medical certificate, a person shall not act as pilot in command, or in any other capacity as a required pilot flight crew member, while that person knows or has reason to know of any medical condition that would make the person unable to operate the aircraft in a safe manner. 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