Guide for Aviation Medical Examiners

Pharmaceuticals (Therapeutic Medications)
Antidepressants

1. Code of Federal Regulations
   • First-Class Airman Medical Certificate: 67.107
   • Second-Class Airman Medical Certificate: 67.207
   • Third-Class Airman Medical Certificate: 67.307
2. Medical History
3. Aeromedical Decision Considerations
4. Protocol: See Aerospace Medical Dispositions, Item 47. Psychiatric Conditions
5. Pharmaceutical Considerations: The use of a psychotropic drug is disqualifying for aeromedical certification purposes – this includes all antidepressant drugs, including selective serotonin reuptake inhibitors (SSRIs). However, the FAA has determined that applicants requesting first, second, or third-class medical certificates while being treated with one of several specific antidepressant medications may be considered. (See Use of Antidepressant Medications). The Authorization decision is made on a case by case basis. The Examiner may not issue.