Pilots who take one of four (4) antidepressants – Celexa (Citalopram Hydrobromide), Lexapro (Escitalopram Oxalate), Prozac (Fluoxetine Hydrochloride), Zoloft (Sertraline Hydrochloride) may be considered by the FAA on a case by case basis only. Applicants may be considered after extensive testing and evidence of successful use for one year without adverse effects. Even psychiatric medications which are “approved” by the FAA for psychiatric conditions* are only approved on a case by case basis. The FAA has approved relatively few airmen under the FAA’s SSRI protocol. Certain mental conditions are absolutely disqualifying. In order to have the best chance at FAA acceptance the petition for consideration should contain eloquently detailed rationale. Most psychotropic drugs are not approved under any circumstances.
This includes but is not limited to:
- Abilify (Aripiprazole)
- Anafranil (Clomipramine Hydrochloride)
- Effexor (Venlafaxine Hydrochloride)
- Elavil (Amitriptyline Hydrochloride)
- Luvox (Fluvoxamine Maleate)
- Maprotiline Hydrochloride
- Monoamine Oxidase Inhibitors
- Nardil (Phenelzine Sulfate)
- Norpramin (Desipramine Hydrochloride)
- Pamelor (Nortriptyline Hydrochloride)
- Parnate (Tranylcypromine Sulfate)
- Paxil (Paroxetine Hydrochloride)
- Remeron (Mirtazapine)
- Serzone (Nefazodone Hydrochloride)
- Sinequan (Doxepin Hydrochloride)
- Surmontil (Trimipramine Maleate)
- Tofranil (Imipramine Hydrochloride, Imipramine Pamoate)
- Trazodone Hydrochloride
- Tricyclic Antidepressants
- Vivactil (Protriptyline Hydrochloride)
- Wellbutrin (Bupropion Hydrochloride MAY be considered)
To assure favorable FAA consideration, the treating physician should establish that you do not need psychotropic medication. The medication should be discontinued and the condition and circumstances should be evaluated after you have been off-medication for at least 60 and in most cases 90 days. Should your physician believe you are an ideal candidate, the herbal preparations such as Saint Johns Wort or Deplin may be an option.
After discontinuing the medication, a detailed psychiatric evaluation should be obtained. The evaluation must be conducted in a set format and in compliance with FAA protocol. There are several parameters involved with the evaluation. Resolved issues and stability off the medication are usually the primary factors for approval.
We can help
We have helped thousands of pilots with this process. We work directly with your physicians and the FAA to assure compliance with FAA protocols and to resolve complex aeromedical certification issues quickly.
Contact us at 800-699-4457 or via E-Mail to confidentially discuss the details of your case and establish your eligibility for FAA medical certification. There is no charge for an initial consultation.