Return to Pilot Medical Solutions Home Page for FAA Medical Support.  Pilot Medical Solutions, Inc.®  |  800-699-4457

  Testimony | FAQ | Conditions | Medications | Evaluation | AME's | Contact

FAA Medical Support for Pilots and AME's

 

FAA Accepted Medications | Updated 7/1/14*

FAA Medications Master List

The FAA has not published an official list of approved drugs.  The following list of FAA accepted medications is the most accurate and complete information available on the listed date.  This "master list" was developed by Pilot Medical Solutions through communication with the FAA.

Medications included in this list are approved only for the condition listed on a case by case basis.  Some medications listed may not be approved for a given individual and medications not listed may also be acceptable.

New medications usually require a 1 year review hold beginning on the date of FDA approval.  This is to establish a side effect profile beyond the manufacturers published material and does not include herbal preparations or supplements.

To assure FAA medical eligibility
call 800-699-4457
for a free consultation.

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 crewmember, while that person:
"Knows or has reason to know of any medical condition that would make the person unable 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 being unable to meet the requirements for the medical certificate necessary for the pilot operation."
 
Type Cntrl +F or Cmd +F to find any word on this page. Hold Cntrl+F keys or Cmd+F to find any drug or condition listed on this page.
Acne - Most antibiotics are acceptable to the FAA. Pilots should wait 48 hours after the initial dose to assure no adverse side effects occur.   Accutane (Isotretinoin) is also approved with the restriction "NOT VALID FOR NIGHT FLYING" on the medical.

ADD - See Attention Deficit Disorder

Arrhythmia (heart) - Some commonly prescribed drugs such as Tikosyn (Dofetilide) are not approved by the FAA.  The following anti-arrhythmic medications are approved on a case by case basis and subject to a complete cardiovascular evaluation.

  • Arava (Leflunomide)
  • Betapace (Sotalol)
  • Calan (Verapamil)
  • Cordarone, Pacerone (Amiodarone-up to 200 mg per day for A-Fib only)
  • Lanoxin (Digoxin)
  • Multaq (Dronedarone) Requires extensive cardiovascular work-up.
  • Norpace (Disopyramide)
  • Rythmol (Propafenone)
  • Tambocor (Flecainide Acetate)

       MORE

Allergy, Cold, Decongestants - Sudafed is approved by the FAA provided it is not combined with an antihistamine.

Claritin (Loratadine), Clarinex (Desloratadine) and Allegra (Fexofenadine) are acceptable to the FAA provided no negative side effects are experienced.  Vitamin B-12 or other prophylactic injections are approved provided there are no side effects.

Approved Inhalers include: 

  • Afrin (Oxymetazoline Hydrochloride)
  • Atrovent (Ipratropium) CASE BY CASE ONLY
  • Beconase (Beclomethasone Dipropionate)
  • Flonase (Fluticasone Propionate)
  • Nasalcrom (Cromolyn Sodium)
  • Nasalide (Flunisolide)
  • Vancenase (Beclomethasone Dipropionate)

Sedating medications are not acceptable.  This includes but is not limited to: Cetirazine (Zyrtec), Dipenhydramine (Benadryl) and Astelin (Azelastine) Nasal Inhaler.  MORE

Antacids / G.I. Medications - The following medications are approved by the FAA on a case by case basis only. Pilots With Ulcers

  • Aciphex (Rabeprazole)
  • Asacol, Lialda (Mesalamine)
  • Axid (Nizatidine)
  • Azulfidine ((Sulfasalazine))
  • Cytotec (Misoprostol)
  • Dexilant (Dexlansoprazole)
  • Dipentum (Olsalazine)
  • Imodium (Loperamide) (LIMITED USE)
  • Mylanta (Magnesium hydroxide, Aluminum hydroxide, Simethicon)
  • Nexium (Esomeprazole)
  • Pepcid (Famotidine)
  • Prevacid (Lansoprazole)
  • Prilosec (Omeprazole)
  • Propulsid (Cisapride)
  • Protonix (Pantoprazole sodium)
  • Reglan (Metoclopramide hydrochloride)
  • Rolaids (Calcium Carbonate <550 mg>, Magnesium Hydroxide<110mg>)
  • Tagamet (Cimetidine)
  • Tums (Calcium Carbonate)
  • Zantac (Ranitidine)
  • Zelnorm (Tegaserod maleate)

Anti-Bacterial - Flagyl (Metronidazole)

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. 

A partial list of acceptable antibiotics include:

  • Azactam (Aztreonam)
  • Augmentin, Amoxil (Amoxicillin)
  • Biaxin (Clarithromycin)
  • Cipro (Ciprofloxacin)
  • Flagyl (Metronidazole) (case by case approval for bacteria & parasites)
  • Floxin (Ofloxicin)
  • Keflex (Cephalexin)
  • Levaquin (Levofloxacin)
  • Monodox (Doxycycline)
  • Zithromax (Azithromycin)

Anti-Coagulants - Xarelto (Rivaroxaban) may be considered after 2 weeks of documented stability on the medication. A current status report every 6 months is required for First and unrestricted Second-Class Medicals, every 12 months for Restricted Second- and Third-Class. Status report must include details of the underlying condition, how tolerating the medication and specific comments regarding any bleeding episodes requiring medical attention and any occurrence / recurrence of DVT/PE.

The following may be approved on a case by case basis:

  • Aspirin (Salicylate)
  • Coumadin (Warfarin)
  • Lovenox (Enoxaparin)
  • Plavix (Clopidrogrel)
  • Pletal (Cilostazol)
  • Trental (Pentoxifylline)

Anti-Depressants / Anxiety - Single-use Anti-Depressants such as: Celexa (Citalopram Hydrobromide), Lexapro (Escitalopram Oxalate), Prozac (Fluoxetine Hydrochloride) or Zoloft (Sertraline Hydrochloride) are approved by the FAA on a case by case basis only.  Approval is very difficult, and does not permit applicants to be approved by an AME or even the FAA in Oklahoma City.  All other psychiatric medications, including other SSRI's such as Luvox (Fluvoxamine), Paxil (Paroxetine), Viibryd (Vilazodone), are not acceptable to the FAA. With the exception of the aforementioned SSRI's, and some vitamins and herbal preparations such as Deplin (Levomefolic acid) or Saint Johns Wort, psychotropic medications are rarely approved by the FAA. MORE 

Anti-Fungal - The following may be approved by the FAA on a case by case basis:

  • Gris-PEG (Griseofulvin)
  • Lamisil (Terbinafine)
  • Sporanox (Traconazole)

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:

  • Acetaminophen
  • Advil (Ibuprofen)
  • Aleve (Naproxen Sodium)
  • Ansaid
  • Arava (Leflunomide)
  • Arthrotec (Diclofenac)
  • Asacol (Mesalamine)
  • Aspirin
  • Azulfidine (Sulfasalazine)
  • Celebrex (Celecoxib)
  • Cataflam (Diclofenac Sodium)
  • Daypro (Oxaprozin)
  • Dolobid (Diflunisal)
  • Elmiron (Pentosan)
  • Enbrel (Etanercept)
  • Feldene (Piroxicam)
  • Ibuprofen
  • Imuran (Azothioprine)
  • Indocin (Indomethacin)
  • Lodine (Etodalac)
  • Meclofenamate (Meclofenamic Acid)
  • Mediprin
  • Methotrexate (not approved for cancer)
  • Mobic (Meloxicam)
  • Motrin (Ibuprofen)
  • MotrinIB (Ibuprofen)
  • Naprosyn (Naproxen Sodium)
  • Naproxen (Naproxen Sodium)
  • Orudis (Ketoprofen)
  • Oruvail (Ketoprofen)
  • Plaquenil - May affect vision.  FAA approval requires an eye evaluation
  • Relafen (Nabumetone)
  • Remicade (Infliximab)
  • Rheumatrex (Methotrexate, not approved for cancer)
  • Synvisc (Hylan G-F 20) Injections may be approved on a case by case basis
  • Tylenol (Acetaminophen)
  • Toradol (Ketorolac Tromethamine)
  • Trexall (Methotrexate not approved for cancer)
  • Voltaren (Diclofenac Sodium)

Anti-Malarial -  The following medications are acceptable for malaria prophylaxis:  A 24 hour "adverse effect" observation period should be observed prior to flight.

  • Chloroquine Phosphate
  • Malarone (Atovaquone + Proguanil HCL)

Anti-Neoplastic Agents
Purinethol (Marcaptopurine and Gleevec (Imatinib Mesylate) are considered for FAA medical certification on a case by case

Anti-Viral - The following medications are approved by the FAA on a case by case basis: 

  • Famvir (Famciclovir)
  • Fludara (Fludarabine)
  • Hepsera (Adefovir Dipivoxil)
  • Rebetol, Virazole (Ribavirin)
  • Tenofovir (Disoproxil Fumarate)
  • Truvada (Emtricitabine / Tenofovir)
  • Valtrex (Valacyclovir)
  • Viread (Tenofovir Disoproxil Fumarate)
  • Zerit (Stavudine) 
  • Zovirax (Acyclovir)

Anxiety - With the exception of herbal preparations (Saint Johns Wort), anti-anxiety medications, such as Xanax (Alprazolam), Klonopin (Clonazepam), Valium (Diazepam)
Ativan (Lorazepam) and Paxil (Seroxat) are not approved by the FAA.
MORE

Asthma / COPD - These conditions often require a combination of drugs which are usually approved by the FAA on an individual basis only.  Prednisone is acceptable up to 20 mg only. Case by case approved medications include but may not be limited to:

  • Advair, Flovent (Fluticasone Propiona)
  • Accolate (Zafirlukast)
  • Aerobid (Flunisolide)
  • Azmacort (Tiamcinolone)
  • Foradil (Formoterol)
  • Proventil, Pentolin, Ventolin (Albuterol)
  • Serevent (Salmeterol)
  • Singulair (Montelukast)
  • Theo-Dur, Uniphyl (Theophylline)
  • Xolair (Omalizumab)
  • Zyflo (Zileuton)                                      MORE

Attention Deficit (ADD) - [Daytrana, Concerta, Methylin, Ritalin (Methylphenidate Hydrochloride)], Adderall (Dextroamphetamine Sulfate), Focalin (Dexmethylphenidate) and Strattera (Atomoxetine Hydrochloride) are not approved by the FAA. Under rare circumstances, individuals using Ritalin were previously approved but this is no longer possible.  Approval for ADD is more likely for adults due to the difficulty in accurately evaluating ADD in young people and all cases require at least 90 Days off medication prior to consideration.

Benign Prostatic Hypertrophy (BPH) The following are approved by the FAA for the prevention or treatment of Benign Prostatic Hypertrophy (BPH) on a case by case basis:

  • Avodart (Dutasteride)
  • Cardura (Doxazosin Mesylate)
  • Dibenzyline (Phenoxybenzamine HCL)
  • Flomax (Tamsulosin HCL)
  • Hytrin (Terazosin HCL)
  • Minipress, Minizide (Prazosin HCL)
  • Proscar (Finasteride)
  • Rapaflo (Silodosin) (30 day wait)
  • Saw Palmetto
  • Uroxatral (Alfuzosin Hydrochloride)

Bi-Polar Disorder - With the exception of herbal preparations (Saint Johns Wort), psychotropic medications, such as lithium, are not approved by the FAA for Bi-Polar Disorder. When properly diagnosed, this condition is not approved by the FAA.  MORE

Bladder Control -  Ditropan (Oxybutynin Chloride), Enablex (Darifenacin), Detrol (Tolterodine Tartrate), Vesicare (Solifenacin Succinate) and Toviaz (Fesoterodine Fumarate) are no longer approved by the FAA.  Myrbetriq (Mirabegron) may be approved by the FAA for bladder control after 30 days of symptom-free use.

Blood Thinners - The following are usually approved on a case by case basis:

  • Aspirin (Salicylate)
  • Coumadin (Warfarin)
  • Lovenox (Enoxaparin)
  • Plavix (Clopidrogrel)
  • Pletal (Cilostazol)
  • Trental (Pentoxifylline)
  • Xarelto (Rivaroxaban)

With the exception of aspirin, detailed information regarding the underlying condition and INR's are required.

Blood Pressure (Hypertension) Centrally acting agents such as Guanethidine, Guanadrel, Guanabenz, Methyldopa, and Reserpine are not acceptable to the FAA.
Catapres (Clonidine) may be approved provided it has been used without adverse effects and was reported on previous FAA exams.

The following medications are FAA approved on a case by case basis:
  

Alpha Blockers / Inhibitors

  • Cardura (Doxazosin)
  • Dibenzyline (Phenoxybenzamine)
  • Hytrin (Terazosin)
  • Micardis (Telmisartan)
  • Minipress, Minizide (Prazosin)

Beta Blockers

  • Blocadren, Timolide (Timolol)
  • Cartrol (Carteolol)
  • Cibenzyline (Phenoxybenzamine)
  • Coreg (Carvedilol)
  • Corgard, Corzide (Nadolol)
  • Inderal, Inderide, Innopran (Propranolol)
  • Kerlone (Betaxolol)
  • Levatol (Penbutolol)
  • Lopressor, Toprol (Metoprolol)
  • Normodyne, Trandate (Labetalol)
  • Sectral (Acebutolol)
  • Tenormin, Tenoretic (Atenolol)
  • Visken (Pindolol)
  • Zebeta, Ziac (Bisoprolol)

Calcium Channel Blockers

  • Azor (Amlodipine / Olmesartan Medoxomil)
  • Adalat, Procardia (Nifedipine)
  • Caduet (Amlodipine Besylate + Atorvastatin Calcium)
  • Cardizem, Dilacor, Tiazac (Diltiazem)
  • Cardene (Nicardipine)
  • Calan, Covera, Isoptin, Veralan, Tarka (Verapamil)
  • DynaCirc (Isradipine)
  • Norvasc, Lotrel (Amlodipine)
  • Plendil, Lexxel (Felodipine)
  • Posicor (Mibefradil)
  • Sular (Nisoldipine)

Angiotensin Converting Enzyme (ACE) Inhibitors

  • Aceon (Perindopril Erbumine)
  • Accupril (Quinapril)
  • Altace (Ramipril)
  • Capoten, Capozide (Captopril)
  • Lotensin (Benazepril)
  • Mavik (Trandolapril)
  • Monopril (Fosinopril)
  • Prinivil, Prinzide, Zestril, Zestoretic (Lisinopril)
  • Univasc, Unitrec (Moexipril)
  • Vasotec, Vaseretic (Enalapril)

Angiotensin II Receptor Antagonists

  • Azor (Amlodipine / Olmesartan Medoxomil)
  • Atacand (Candesartan)
  • Avapro, Avalide (Irbesartan)
  • Benicar (Olmesartan Medoxomil)
  • Benicar HCT (Olmesartan Medoxomil + Hydrochlorothiazide)
  • Cozaar, Hyzaar (Losartan)
  • Diovan (Valsartan)
  • Micardis (Telmisartan)

Diuretics

  • Aldactone, Aldactazide (Spironolactone)
  • Bumex (Bumetanide)
  • Camadex, Demadex (Torsemide)
  • Diuril, Hydrochlorothiazide, HCTZ, Hydrodiuril, Oretic, Enduron (Thiazides)
  • Dyazide, Maxzide, Moduretic (Combinations)
  • Dyrenium (Triamterene)
  • Lasix (Furosemide)
  • Lozol (Indapamide)
  • Mykrox (Metolazone)
  • Zaroxolyn, Mykrox (Metolazone)

Botox - Botulinum Neurotoxin may be FAA approved on a case by case basis only for severe muscle cramps, cosmetic wrinkle treatments or diagnostic purposes.

Cancer - Most cancer treatment/medications, such as; Chemotherapy, must be completed prior to resuming flight duties.  The drugs below may be accepted by the FAA on a case by case basis only:

  • Femara (Letrozole)
  • Nolvadex (Tamoxifen)
  • Luprin, Eligard (Leuprolide Acetate) and Casodex / Zolodex (Bicalutamide) may be acceptable for pilots with prostate cancer.
  • Radioactive seed implantation may be FAA approved after radioactivity is sufficiently reduced and side effects are absent.    MORE

Cardiovascular - With the exception of chest-pain drugs (ISMO, IMDUR, ISORDIL), most cardiovascular medications are FAA approved. (see arrhythmia, blood pressure, blood thinners, cholesterol)

Cervical Dystonia - Botulinum Neurotoxin may be FAA approved on a case by case basis with extensive requirements and restrictions.

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), require detailed favorable documentation.
This includes but may not be limited to: 

  • Caduet (Amlodipine Besylate + Atorvastatin Calcium)
  • Colestid (Colestipol)
  • Crestor (Rosuvastatin Calcium)
  • Lescol (Fluvastatin)
  • Lipitor (Atorvastatin)
  • Lopid (Gemfibrozil)
  • Mevacor (Lovastatin)
  • Niacin (Nicotinic Acid)
  • Pravachol (Pravastatin)
  • Precose (Acarbose)
  • Questran,Cholestyramine, Locholest, Prevalite (Cholestyramine Resin)
  • Tricor (Fenofibrate)
  • Vytorin (Ezetimibe / Simvastatin)
  • WelChol (Colesevelam Hydrochloride)
  • Zetia (Ezetimibe)
  • Zocor (Simvastatin)

Contraceptives - Almost always approved

Cold - See Allergy / Cold Medications

Crohn's Disease - Pentasa (Mesalamine), Imuran (Azathioprine) and Remicade (infliximab) are FAA approved on a case by case basis only.

Depression - Celexa (Citalopram Hydrobromide), Lexapro (Escitalopram Oxalate), Prozac (Fluoxetine Hydrochloride) and Zoloft (Sertraline Hydrochloride) are approved for pilots by the FAA on a case by case basis only.  With the exception of the aforementioned SSRI's and herbal preparations such as Saint Johns Wort, psychotropic medications are rarely approved by the FAA. MORE

Dermatological - Accutane is approved treatment of acne during daytime flight only. Most topical medications for acne or similar conditions may be approved by the FAA.  Submit your medication

Diabetes - Humulin, Lantus (Insulin) is approved on a case by case basis for Class 3 medical certification only.  Invokana (Canagliflozin) is not approved by the FAA.  With proper documentation, most oral hypoglycemic medications are approved for all classes. This includes:

  • Actos (Pioglitazone)
  • Amaryl (Glimeperide)
  • Avandamet (Rosiglitazone Maleate + Metformin Hydrochloride)
  • Avandia (Rosiglitazone)
  • Byetta (Exenatide) & Liraglutide (Victoza) A 30 day wait period is required if the airman is on any sulfonylurea class hypoglycemic drugs.  A 14 day wait period is required if other diabetes medications are used by the pilot.  A 2 hour wait period is required after each injection before flying.
  • Diabeta or Glynase (Glyburide)
  • Glucophage (Metformin)
  • Glucotrol (Glipizide)
  • Januvia (Sitagliptin) A 14-60 day wait period is required.  The wait is determined by the use or combination of other medications.
  • Janumet (Sitagliptin & Metformin)
  • Glyset (Miglitol) Observation Period Required
  • Prandin (Repaglinide)
  • Precose (Acarbose)
  • Starlix (Nateglinide)

Some of these medications are not FAA approved in combination with other medications. Contact Us for a free consultation

Diarrhea - While this condition is usually self-limiting, the following medications may be used for minor occurrences:

  • Imodium
  • Kaopectate
  • Lomotil (Diphenoxylate Hydrochloride)
  • Pepto-Bismol

Other medications require discontinuation at least 48 hours prior to flight.

Diet - See Weight Loss/Management

Dry Mouth - See Xerostomia

DVT - Lovenox Sub-Q (Enoxaparin Sodium), Xarelto (Rivaroxaban) and the drugs listed under anti-coagulants, may be FAA approved on a case by case basis only.

Endometriosis - Luprin / Lupron (Leuprolide) may be FAA approved on a case by case basis.

Erectile Dysfunction - Cialis (Tadalafil) is acceptable if used 36 or more hrs before flight. 
Levitra (Vardenafil hydrochloride) and Viagra (Sildenafil Citrate) are approved by the FAA (acceptable to fly 6 hrs after use). MORE

Essential Thrombocytosis - Anagrilide is FAA approved on a case by case basis.

Gall Stones - Actigall (Ursidiol) is FAA approved on a case by case basis.

Gastrointestinal (G.I.) Issues (GERD, Irritable Bowel Syndrome, Etc.]  - Librax and similar preparations containing psychotropic drugs are not acceptable to the FAA. 

The following medications are ACCEPTABLE on a case by case basis only:

  • Aciphex (Rabeprazole)
  • Asacol, Lialda (Mesalamine)
  • Axid (Nizatidine)
  • Azulfidine ((Sulfasalazine))
  • Cytotec (Misoprostol)
  • Dexilant (Dexlansoprazole)
  • Dipentum (Olsalazine)
  • Imodium (Loperamide) (LIMITED USE)
  • Mylanta (Magnesium hydroxide, Aluminum hydroxide, Simethicon)
  • Nexium (Esomeprazole)
  • Pepcid (Famotidine)
  • Prevacid (Lansoprazole)
  • Prilosec (Omeprazole)
  • Propulsid (Cisapride)
  • Protonix (Pantoprazole sodium)
  • Reglan (Metoclopramide hydrochloride)
  • Rolaids (Calcium Carbonate (<550 mg>, Magnesium Hydroxide<110mg>)
  • Tagamet (Cimetidine)
  • Tums (Calcium Carbonate)
  • Zantac (Ranitidine)
  • Zelnorm (Tegaserod maleate)

UNACCEPTABLE medications included but is not limited to:

  • Diphenoxylate (Lomotil)
  • Anticholinergics (Bentyl)
  • Levsin (L-hyoscyamine)
  • Librax (chlordiazepoxide and clidinium)
  • Opiates (Paregoric)

Gingivitis - Most mouthwash type medications, including prescriptions drugs such as Chlorhexidine Gluconate, are FAA approved.

Glaucoma - Most glaucoma medications are FAA approved after proper evaluation. 
This includes: Alphagan (Brimonidine Tartrate), Cosopt (Dorzolamide), Pilocar (Pilocarpine), Timoptic (Timolol Maleate), Travatan (Travoprost) and Xalatan (Latanoprost)  MORE

Gout - With detailed evaluation the following medications are usually FAA approved:

  • Benemid (Probenecid)
  • Colbenemid (Colchicine)
  • Zyloprimare (Allopurinol)

Graves' Disease - Provided applicant is euthyroid, the following medications may be FAA approved on a case by case basis only:

  • Tapazole (Methimazole)
  • Propylthiouracil

Hair Growth - The following are FAA approved on a case by case basis:

  • Propecia (Finisteride)
  • Procaine (Procaine hydrochloride)
  • Rogaine (Minoxidil)

Headaches - The following drugs are FAA approved on a case by case basis: 

  • Acetaminophen
  • Advil (Ibuprofen)
  • Aleve (Naproxen Sodium)
  • Ansaid
  • Aspirin
  • Beta-Blockers (when labeled & approved by the FDA for headache type)
  • Caffergot
  • Calcium-Channel Blockers
  • Ibuprofen
  • Imitrex
  • Innopran XL (Propranolol Hydrochloride)
  • Motrin (Ibuprofen)
  • MotrinIB (Ibuprofen)
  • Naprosyn (Naproxen Sodium)
  • Naproxen (Naproxen Sodium)
  • Sansert (Methysergide)
  • Tylenol (Acetaminophen)
  • Zomig                                            

Heart - With the exception of angina (chest-pain) meds (ISMO, IMDUR, ISORDIL), most cardiovascular medications are approved on a case by case basis. MORE (see: arrhythmia, blood pressure, blood thinners, cholesterol)

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.

Herbal - Most herbal preparations are approved by the FAA provided there are no side effects and the condition being treated is not disqualifying.             MORE 

Herpes - The following medications are approved by the FAA on a case by case basis: 

  • Famvir (Famciclovir)
  • Valtrex (Valacyclovir)
  • Zovirax (Acyclovir)

HIV - Antiretroviral medications may be FAA approved on an individual basis if prescribed in compliance with the 1996 DHHS Panel recommendations regarding the Clinical Practices for the Treatment of HIV.

Case by case approval may be obtained for:

  • Epivir (Lamivudine)
  • Fludara (Fludarabine)
  • Hepsera (Adefovir Dipivoxil)
  • Rebetol, Virazole (Ribavirin)
  • Sustiva (Efavirenz)
  • Tenofovir (Disoproxil Fumarate)
  • Truvada (Emtricitabine / Tenofovir)
  • Viread (Tenofovir Disoproxil Fumarate)
  • Zerit (Stavudine)                           MORE

Hormone Replacement - Teatment (Premarin / Estrogen) is approved by the FAA.

Hypertension - See Blood Pressure

Hyperthyroidism - Provided applicant is euthyroid, the following medications may be approved on a case by case basis only:

  • Tapazole (Methimazole)
  • Propylthiouracil

Infection - The use of antibiotics is often permissible, providing the drug is has been FDA approved for at least one year and has been used long enough (usually 48 hours) to rule out the possibility of adverse effects.  A partial list of acceptable antibiotics include:

  • Azactam (Aztreonam)
  • Augmentin, Amoxil (Amoxicillin)
  • Biaxin (Clarithromycin)
  • Cipro (Ciprofloxacin)
  • Floxin (Ofloxicin)
  • Keflex (Cephalexin)
  • Monodox (Doxycycline)
  • Zithromax (Azithromycin)

Influenza Virus Infection -  The following meds are FAA approved on a case by case basis:

  • Relenza (Zanamivir)
  • Tamiflu (Oseltamivir)

Impotence - See Erectile Dysfunction

Immune System Suppressants / Anti-Rejection Agents - Cellcept may be acceptable to the FAA on a case by case basis.

Insomnia - See Sleep

Infertility - Proxeed (acetyl-L-carnitine HCl) is approved on a case by case basis for male infertility.

Irritable Bowel Syndrome (IBS) - See GI

Kidney Stones / Renal Calculi - Alkalinizing and Cholelitholytic Agents, such as those below, are approved by the FAA on a case by case basis.

  • Actigall, Urso (Ursodial)
  • Oracit, Urocit-K 10, Urocit-K 5 & Bicitra (Sodium Citrate)
  • Cytra-K & Polycitra-K (Potassium Citrate)
  • Cytra-3 and Polycitra (Citric Acid)

Leukemia [Chronic Lymphocytic Leukemia (CLL)]
Purinethol (Marcaptopurine and Gleevec (Imatinib Mesylate) may be approved by the FAA on a case by case.

Lipid Management- See Cholesterol / Lipid Management

Meniere's Disease - Dyrenium (Triamterene) is acceptable on a case by case basis only.

Migraine - The following drugs are FAA approved on a case by case basis only and depend upon the manifestation and severity of the migraine: 

  • Axert (Almotriptan Malate)
  • Beta-Blockers (when labeled & approved by the FDA for migraines)
  • Caffergot
  • Calcium-Channel Blockers
  • Imitrex
  • Innopran XL (Propranolol Hydrochloride)
  • Maxalt (Rizatripatan)
  • Sansert
  • Zomig (Zolmitriptan)

Mood Enhancing - With the exception of herbal preparations, mood ameliorating medications are not approved by the FAA.

Motion Sickness - Ginger root is an acceptable treatment for the prevention of benign motion sickness. MORE

Mouth Infection Prevention - Most mouthwash type medications, including prescriptions drugs such as Chlorhexidine Gluconate, are FAA approved.

Multiple Sclerosis -  The following are FAA approved on a case by case basis:

  • Avonex (Interferon BETA-1a)
  • Copaxone Subcutaneous (Glatiramer Acetate)
  • Rebif (Interferon Beta 1A)

Myasthenia Gravis -
Mestinon (Pyridostigmine) may be approved on a case by case basis.

Narcolepsy (See Sleep)

Nerve Agent Poisoning (PREVENTION)
Mestinon (Pyridostigmine) is acceptable for prophylactic nerve agent poising.

Obesity - Xenical (Orlistat) may be FAA approved after 30 days without negative side-effects and on a case by case basis.

Osteoarthritis - See Anti-Inflammatory & Arthritis

Osteoprosis - The following may be FAA approved on a case by case basis:

  • Evista (Raloxifen)
  • Forteo (Teriparatide)
  • Fosamax (Alendronate)

Pain Control - 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:

  • Advil
  • Aleve
  • Ansaid
  • Celebrex
  • Indocin
  • Mediprin
  • Motrin
  • MotrinIB
  • Naprosyn
  • Tylenol
  • Voltaren 

   Botox (derivative of the botulism bacteria) may be approved on a case by case basis.

Prolactinoma / pituitary disorders - Dostinex (Cabergoline) may be acceptable for treatment of pituitary disorders (prolactanoma).

Parkinson's Disease - Many drugs such as Requip (Ropinirole), Mirapex
(Pramipexole Dihydrochloride), Azilect, Atapryl, Carbex, Eldepryl, Selpak (Selegiline Hydrochloride), Comtan (Entacapone), Parlodel (Bromocriptine), Symmetrel (Amantadine Hydrochloride), Exelon (Rivastigmine) and Permax (Pergolide) are not acceptable to the FAA. 

The following may be approved by the FAA on a case by case basis only:
Atamet, Sinemet, Entacapon (Carbidopa + Levodopa), Copaxone (Galtiramer Acetate).

Periodontitis - Most mouthwash type medications, including prescriptions drugs such as Chlorhexidine Gluconate, are FAA approved.

Polycythemia - Hydrea (Hydroxyurea) is approved by the FAA on a case by case basis.

Psychiatric- Single use anti-depressants such as Celexa (Citalopram Hydrobromide), Lexapro (Escitalopram Oxalate), Prozac (Fluoxetine Hydrochloride) or Zoloft (Sertraline Hydrochloride) are approved by the FAA on a case by case basis only.  With the exception of herbal preparations such as Saint Johns Wort, most psychotropic medications are not approved by the FAA.  Medications not approved includes, but is not limited to: Xanax (alprazolam), Klonopin (clonazepam), Valium (diazepam), Ativan (lorazepam), Paxil (Seroxat), Luvox (Fluvoxamine), Desyrel (Trazodone) and Abilify (Aripiprazole). MORE

Prostate - The following may be FAA approved for Prostate Cancer on a case by case basis:

  • Casodex / Zolodex (Bicalutamide)
  • Leuprolide Acetate (Lupron Depot)
  • Radioactive seed implantation

The following are approved by the FAA for the prevention or treatment of Benign Prostatic Hypertrophy (BPH) on a case by case basis:

  • Cardura (Doxazosin Mesylate)
  • Dibenzyline (Phenoxybenzamine HCL)
  • Flomax (Tamsulosin HCL)
  • Hytrin (Terazosin HCL)
  • Minipress, Minizide (Prazosin HCL)
  • Proscar (Finasteride)
  • Saw palmetto
  • Uroxatral (Alfuzosin hydrochloride)

Pulmonary Embolis Prevention - See DVT and Anticoagulants

Renal Calculi - See Kidney Stones

Restless Leg Syndrome - Some commonly prescribed drugs such as Neurontin (Gabapentin) are not approved by the FAA. The following may be approved by the FAA on a case by case basis only:

  • Atamet
  • Parlodel
  • Sinemet

Seizure - Anti-seizure medications such as Seroquel, Keppra, Mysoline, Tegretol, Trileptal, Vimpat, Zarontin are NOT FAA approved for pilots. MORE

Sickle Cell Anemia - Droxia (Hydroxurea) may be FAA approved on a case by case basis.

Scleroderma, Peyronie's Disease - Potaba (Aminobenzoate) may be acceptable on a case by case basis.

Skin - Cosmetic wrinkle treatments with Botox (Botulinum Neurotoxin) may be FAA approved on a case by case basis with restrictions.  

Skin ACNE - See ACNE

Sleep Disorders- Sleep prevention medications, such as Provigil (Modafinil), are not approved by the FAA.  Most sleep aiding medications are NOT approved by the FAA.  This includes:

  • Halcion (Triazolam)
  • Restoril (Temazepam)
  • Sonata (Zaleplon)

Ambien (zolpidem) may be acceptable to the FAA on a case by case basis with 24-48 hour wait after use.  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.  Melatonin is approved for pilots WITHOUT sleep disorders. MORE

Smoking Cessation - Nicotine patches or gum is approved on an individual basis. Chantix (Varenicline) is also approved on a case by case basis.  Chantix (Varenicline) is initially grounding until applicant demonstrates no adverse side-effects at 72hrs post peak dosage.  Zyban (Bupropion hydrochloride) or other mood ameliorating drugs may be utilized to quit smoking but must be discontinued prior to FAA approval. MORE CESSATION INFO

Steroids - Topical steroids may be approved for the treatment of minor dermatological conditions on a case by case basis: 

  • Cortef (Hydrocortisone)
  • Florinef (Fludrocortisone acetate)
  • Low doses (<20mg) of Prednisone

Stroke Prevention - See DVT and Anticoagulants

Thyroid - Medications such as Synthroid (Levothyroxin) and Cytomel (Liothyronine), used to stabilize thyroid function are usually approved but only an an individual basis.

Topical - Accutane is approved treatment of acne during daytime flight only. Most topical medications for acne or similar conditions may be approved by the FAA.  

Tuberculosis -  The anti-infective agent Isoniazid (Laniazid, Nydrazid) is approved by the FAA on a case by case basis only.

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.  Favorable FAA consideration requires extensive evaluation. Medications approved on a case by case basis include:

  • Aciphex (Rabeprazole)
  • Asacol (Mesalamine)
  • Axid (Nizatidine)
  • Azulfidine ((Sulfasalazine))
  • Cytotec (Misoprostol)
  • Dipentum (Olsalazine)
  • Mylanta
  • Pepcid (Famotidine)
  • Prevacid (Lansoprazole)
  • Prilosec (Omeprazole)
  • Propulsid
  • Protonix (Pantoprazole sodium)
  • Reglan (Metoclopramide hydrochloride)
  • Rolaids
  • Tagamet (Cimetidine)
  • Tums
  • Zantac (Ranitidine)

Ulcerative Colitis - The following are approved on a case by case basis only:

  • Asacol (Mesalamine)
  • Azulfidine (Sulfasalazine)
  • Canasa (Mesalamine)
  • Dipentum (Olsalazine)
  • Imuran (Azothioprine)
  • Lialda (Mesalamine)
  • Pentasa (Mesalamine)
  • Remicade (Infliximab)

Uterine Bleeding / Fibroids - Luprin, Lupron (Leuprolide) may be FAA approved on a case by case basis.

Vaccinations - Prophylactic injections such as; immunizations or B-12 shots are usually approved provided there are no side effects.

Viral Infection - The following anti-viral medications are approved by the FAA on a case by case basis: 

  • Famvir (Famciclovir)
  • Rebetron, Virazole (Ribavirin)
  • Valtrex (Valacyclovir)
  • Zovirax (Acyclovir)

Weight Loss / Management - Fenfluramine (Pondimin), Phentermine (Adipex), Dexfenfluramine (Redux) are NOT acceptable to the FAA.  

Xenical (Orlistat) is approved after observation for adverse effects.  While some over-the-counter or herbal preparations are not regulated by the FAA, they may have a high incidence of adverse side effects. MORE

Xerostomia (Dry Mouth) - Salagen (Pilocarpine Hydrochloride) may be FAA approved to promote saliva on a case by case basis.

*This list is not intended to replace the advice of your physician nor should it be considered as medical or legal advice.  This list may contain errors or omissions and may not be the most up-to-date information available.  Contact Pilot Medical Solutions for the most current information concerning FAA medication approval.

 Submit A Medication For Our Review

FAA Medication Guide  Federal Surgeon's Bulletin Article by Dr. Warren Silberman

Contact us at 800-699-4457 to confidentially discuss
your FAA medical certification issues.

FAA Medical Certification and Aviation Medicine Support for pilots and aviation medical examiners.

PROFESSIONAL PILOTS   |  CONDITIONS   |   NEWS   |   MEDICATIONS   |   AME's
Home  |  Contact Us  |  Testimony  |  Frequently Asked Questions  |  Evaluations

Copyright © 1995-2014 Pilot Medical Solutions, Incorporated. All rights reserved.  Privacy Statement