The following briefly outlines allergy and cold medications which are approved by the FAA* on a case by case basis:


Sudafed (pseudoephedrine) Entex (phenylpropanolamine) are approved by the FAA provided they are not combined with an antihistamine.

Over the counter medications – FAA publication


Vitamin B-12 or other prophylactic injections are approved provided there are no side effects.

Astelin (Azelastine), Dymista (Azelastine HCl / Fluticasone propionate), Claritin (Loratadine), Clarinex (Desloratadine) and Allegra (Fexofenadine) are acceptable to the FAA provided there are no adverse effects.


  • Afrin (Oxymetazoline Hydrochloride)
  • Astelin (Azelastine) Case specific only
  • Atrovent (Ipratropium) Case specific 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)and Dipenhydramine (Benadryl).

allergy and cold medicinesResearch which illustrates the dangers of OTC Allergy / Cold Medications

*It is assumed that allergies or colds being treated are not chronic,
or severe and that medications will be used short term as directed by a physician.

There is no charge for initial consultations.

Federal Air Surgeon’s Medical Bulletin Cold Meds Article

Contact us at 1-405-787-0303 or by email here
to confidentially discuss your FAA medical issues.