Guide for Aviation Medical Examiners
Application Process for Medical Certification
Applicant History - Item 18. Medical History
n. Substance dependence; or failed a drug test ever; or substance abuse or use of illegal substance in the last 2 years
Substance includes alcohol and other drugs (e.g., PCP, sedatives and hypnotics, anxiolytics, marijuana, cocaine,
opioids, amphetamines, hallucinogens, and other psychoactive drugs or chemicals). For a "yes" answer to
Item 18.n., the Examiner should obtain a detailed description of the history. A history of substance dependence
or abuse is disqualifying. The Examiner must defer issuance of a certificate if there is doubt concerning an
applicant's substance use. (See
Item 47).
