Guide for Aviation Medical Examiners
Decision Considerations - Aerospace Medical Dispositions
Item 48. General Systemic - Human Immunodeficiency Virus (HIV)
| Disease/Condition | Evaluation Data | Disposition |
|---|---|---|
HIV medication taken for long-term prevention or Pre-Exposure Prophylaxis (PrEP)* in an HIV negative airman *Note: This does NOT include use for short-term Post- Exposure Prophylaxis (PEP) - (ex: healthcare exposure.) | Review a current status report from the prescribing physician that verifies: ☐ HIV status is negative; ☐ Appropriate lab studies are being monitored; ☐ Medications are Truvada (tenofovir–emtricitabine), Descovy (emtricitabine and tenofovir alafenamide), Apretude (cabotegravir), or Yeztugo (lenacapavir). ☐ No side effects from the medication. | ISSUE Inform the airman that if they develop any problems with the medication, change in prophylactic medications, or seroconvert to HIV+ status, they must report this to the FAA. For continued certification: If no change in medication and HIV status remains negative, the AME may issue. Note this in Block 60. |
Human Immunodeficiency Syndrome (HIV) Use this disposition if the airman has a history of HIV only | See HIV Protocol | DEFER Requires FAA Decision |
Acquired Immunodeficiency Syndrome (AIDS) Use this disposition if the airman has EVER had a history of AIDS | See HIV Protocol | DEFER Requires FAA Decision |