Pharmaceuticals (Therapeutic Medications)

As an Examiner you are required to be aware of the regulations and Agency policy and have a responsibility to inform airmen of the potential adverse effects of medications and to counsel airmen regarding their use. There are numerous conditions that require the chronic use of medications that do not compromise aviation safety and, therefore, are permissible. Airmen who develop short-term, self-limited illnesses are best advised to avoid performing aviation duties while medications are used.

Aeromedical decision-making includes an analysis of the underlying disease or condition and treatment. The underlying disease has an equal and often greater influence upon the determination of aeromedical certification. It is unlikely that a source document or list could be developed and understood by airmen when considering the underlying medical condition(s), drug interactions, medication dosages, and the sheer volume of medications that need to be considered.

There are medications for which examiners should not issue the applicant without clearance from the FAA and medications which can seriously degrade pilot performance, for which the examiner should advise airmen to not fly and provide additional safety information to the applicant. For details, see Do Not Issue - Do Not Fly.

The list of medications referenced below provides aeromedical guidance about specific medications or classes of pharmaceutical preparations and is applied by using sound aeromedical clinical judgment. This list is not meant to be totally inclusive or comprehensive. No independent interpretation of the FAA's position with respect to a medication included or excluded from the following should be assumed.

Pharmaceuticals
Items A Items C to S
Acne Medications Contraceptives and Hormone Replacement Therapy
Allergy - Antihistamines Diabetes Mellitus - Insulin Treated
Allergy - Immunotherapy Diabetes Mellitus - Type II, Medication Controlled (Not Insulin)
Antacids Glaucoma Medications
Anticoagulants Malaria Medications
Antidepressants Sedatives
Antihypertensive Sleep Aids