Guide for Aviation Medical Examiners
Decision Considerations

Aerospace Medical Dispositions
Item 26. Nose

The following lists the most common conditions of aeromedical significance, and course of action that should be taken by the examiner as defined by the protocol and disposition in the table. Medical certificates must not be issued to an applicant with medical conditions that require deferral, or for any condition not listed that may result in sudden or subtle incapacitation without consulting the AMCD or the RFS. Medical documentation must be submitted for any condition in order to support an issuance of an airman medical certificate.

Disease/Condition	Class	Evaluation Data	Disposition
Evidence of severe allergic rhinitis 1	All	Submit all pertinent medical information and current status report	Requires FAA Decision
Obstruction of sinus ostia, including polyps, that would be likely to result in complete obstruction	All	Submit all pertinent medical information and current status report	Requires FAA Decision

¹ Hay fever controlled solely by desensitization without requiring antihistamines or other medications is not disqualifying. Applicants with seasonal allergies requiring antihistamines may be certified by the Examiner with the stipulation that they not exercise privileges of airman certification within 24 hours of experiencing symptoms requiring treatment or within 24 hours after taking an antihistamines.

The Examiner should document this in Item 60. However, non-sedating antihistamines loratadine or fexofenadine may be used while flying, after adequate individual experience has determined that the medication is well tolerated without significant side effects.