UL PILOT at Heathrow instead promoted him as a Captain and posted him to another local airline. BUT THEN THEN THERE WAS NO MEDIA PUBLICITY.

By Ravi Ladduwahetty and Menaka Indrakumar

National Carrier SriLankan Airlines yesterday suspended Captain Upendra Ranaweera for having delayed a Colombo bound flight from Frankfurt, UL 554, for over 15 hours thereby keeping over 260 passengers waiting.

The flight UL 554 was to leave Frankfurt at 3.20 p.m. on Friday and land at Katunayake at 4.50 a.m. on Saturday.
The catastrophe took place when Captain Ranaweera allegedly failed a breathalyzer test when the UL flight was to depart from Frankfurt on Friday afternoon and this had a cascading effect as all the departures and arrivals at the Bandaranaike International Airport had to be rescheduled, top aviation sources told Ceylon Today last night.

These sources also said that each of the passengers, who had been inconvenienced were to be paid Rs 90,000. SriLankan Airlines Chairman Ajit Dias and CEO Captain Suren Ratwatte were not available for comment despite repeated attempts to reach them. When we tried to reach them, we were told that we would be connected, but within seconds we were told that they were overseas. To add to the confusion, Chairman of the Pilot's Guild, Captain Renuka Senanayake and Secretary Abeysekera were both overseas and not available for comment.

Despite the Airport and Aviation Services ( Sri Lanka) Ltd. Duty Manager at the BIA denying that there were no delays at Katunayake due to the cascading efforts of the delayed Frankfurt flight, aviation sources confirmed that all the flights of the national carrier had to be rescheduled due to the cascading effect. There are 90 arrivals and departures of all airlines daily from the BIA of which the national carrier accounts for 60 of them, BIA sources said.
Meanwhile, a media release issued by the national carrier yesterday, said that the airline, upon receiving the results, took immediate steps to suspend the services of the Captain, and took alternative measures to operate the flight to Colombo.

SriLankan said it had a strict substance abuse policy, and assured the public in its statement that it would thoroughly investigate the matter, and lend its fullest co-operation to law enforcement authorities in Germany.

It reiterated that the safety of passengers and crew are of paramount consideration to the Airline, and would not be compromised under any circumstances.

instead promoted him as a Captain and posted him to another local airline.
BUT THEN THEN THERE WAS NO MEDIA PUBLICITY.
Previously, an incident of this nature had occurred at the London Heathrow Airport where a SriLankan pilot was also under the influence of alcohol and the First Officer's services were terminated.
However, pursuing his case personally, the First Officer got himself cleared by British authorities. Fearing a fundamental rights case being filed against the airline, the senior management requested him to return the letter of termination and instead promoted him as a Captain and posted him to another local airline.

#allowable medication of # pilots

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Airman Alcohol Offenses

DUI Instructions for Pilots

What Happens if I get a DUI?
	Back to Pilot FAQ Index Effects of Alcohol Identity Release after Accident

Under 14 CFR 61.15, all pilots must send a Notification Letter to FAA’s Security and Investigations Division within 60 calendar days of the effective date of an alcohol-related conviction or administrative action. In 14 CFR 61.15(c), alcohol-related convictions or administrative actions refer to motor vehicle actions (MVA). How would the FAA know?

Notification Letters

Note: Each event, conviction, or administrative action, requires a separate Notification Letter. For example, an airman’s driver license may be suspended at the time of arrest for driving under the influence of alcohol for either:

• Failing a blood/breath test
• Refusing to test

The airman must send a Notification Letter for the suspension, then send a secondNotification Letter if the alcohol related offense results in a conviction. Even though the airman sent two notification letters, FAA views the suspension and conviction as one alcohol-related incident.

Send Notification Letters to:

Federal Aviation Administration
Security and Investigations Division (AMC-700)
P.O. Box 25810
Oklahoma City, OK 73125

or
Fax to: (405) 954-4989

History: The DUI/DWI compliance program began in November 1990 by Congressional act. The final rule published in the Federal Register on August 1, 1990, is Federal Aviation Regulation 14 CFR Parts 61 and 67.

Frequently Asked Questions about DUIs

What Happens if I get a DUI
	Back to Pilot FAQ Index Effects of Alcohol Identity Release after Accident

Frequently Asked Questions

Where do I send my Notification Letter (MS Word) ?
Send the letter to:
Federal Aviation Administration (FAA)
Security and Investigations Division (AMC-700)
P.O. Box 25810
Oklahoma City, OK 73125
or
Fax to (405) 954-4989

Do I have to report anything other than alcohol-related convictions?
Yes, under 14 CFR Part 61, you must report alcohol-related administrative actions, whether a conviction took place or not. Administrative actions and convictions are also reportable under Part 67, the airman application for a medical certificate.

If the charge of Driving Under the Influence (DUI) is reduced to Reckless, Careless, or Negligent driving by the court, do I have to report it?
No, we do not consider a conviction for Reckless, Careless, or Negligent Driving a reportable motor vehicle action (MVA). However, you must report the first suspension, if any.

How long do I have to report my alcohol-related motor vehicle action (MVA)?
You have 60 days from the effective date of the administrative action (driver license suspension, revocation, or cancellation) or conviction. (The 60-day period does notbegin with the arrest date.)

What happens when I report an alcohol-related MVA within the 60 days?
When you report an alcohol-related MVA the FAA will:

• Compile a case file
• Verify your airman status
• Get your driver history from the state that holds the record
• Compare information from the Notification Letter to the information on your driver history

Your file will be closed if:

• You are not in violation of 61.15(d) (two MVAs within three years)
• You disclosed the action on your Application for Airman Medical (if applicable)
• You comply with 14 CFR 61.15(e) (Notification Letter)

I received an alcohol-related MVA, but failed to report it within the 60 days. What should I do?
Report the MVA as soon as you become aware of the reporting requirement. A written report received after 60 days, but before we discover the MVA, is normally considered a mitigating factor when determining sanction.

What happens if I fail to report an alcohol-related MVA and FAA finds out about it?
FAA begins a formal investigation. We will send you a Letter of Investigation giving you the opportunity to respond, in writing, to the alleged violation(s).

Will FAA discover that I have an alcohol-related MVA if I don't report it?
Yes, FAA Form 8500-8 "Application for Airmen Medical" contains an express consent provision which authorizes the National Driver Register (NDR) to release information about your driving record to FAA. Information on the NDR record will contain pointers to states that keep a driving history on you. FAA will get these records to determine if you have a reportable alcohol-related MVA.

Who has access to the records kept by the DUI/DWI Compliance Program?
Only investigators assigned to the DUI/DWI program have access to the information files.

I have more questions. How can I contact the FAA directly for more information?
You may contact an FAA DUI/DWI investigator Monday through Friday from 8:00 a.m. to 4:30 p.m. CT at (405) 954-4848. Please Note: You must send a written notification of your alcohol-related MVA. You may not give this information by telephone.

Anticoagulants

Pilot Medication Issues - Blood Thinners

Guide for Aviation Medical Examiners
Pharmaceuticals (Therapeutic Medications)

Anticoagulants

There are several aviation medical concerns for pilots on "blood thinners". These are medications such as coumadin, plavix pilot, thrombosis, blood clots, aspirin, clopidogrel, aggrenox. These are the significant references from the FAA AME Guide and Part 67:

1. Code of Federal Regulations
• First-Class Airman Medical Certificate: 67.113(b)(c)
• Second-Class Airman Medical Certificate: 67.213(b)(c)
• Third-Class Airman Medical Certificate: 67.313(b)(c)
2. Medical History
3. Aeromedical Decision Considerations
4. Protocol - Defer to AMCD

Cardiac Problems

Heart Issues for Pilots

Aerospace Medical Dispositions Cardiac Issues These are the most common heart conditions of aeromedical significance. Arrhythmias Atrial Fibrillation Coronary Heart Disease Hypertension Valvular Disease Other Cardiac Conditions AMEs will not immediately issue medical certificates if there are heart conditions that require deferral, or for any other cardiac condition that may result in sudden or subtle incapacitation. This is includes the nebulous category of "Angina Pectorus," a term referred to ischemic chest pain resulting from insufficient cardic perfusion. Angina can be stable or unstable--unfortunately both require cardiology work up and are disqualifying until the coronary vessel status is fully evaluated. If the airman has one of these conditions, then the AME will consult with the FAA (AMCD) or theRegional Flight Surgeon. Medical documentation must be submitted for any of these cardiac conditions to support a possible waiver (special issuance) of an airman medical certificate. Cardiac Work Up FAQ's: General coronary heart disease work up requirements for any class of airman medical certification. Additional requirements for first or unlimited second-class medical certification. Stress Test (Treadmill) Stress Test requirements when you have a Bundle Branch Block Coronary Intervention (CABG, Rotoblation, Atherectomy, PTCA, and STENT).

Unfortunately cardiac disease is very common among pilots and controllers, and airman should seek early treatment to avoid medical complications and disability. Your health comes first, but we realize your aviation career (professional or hobby) is a close second! The FAA routinely waivers adequately treated heart disease, so don't hide these issues from your AME for fear of permanent grounding. Pilots and controllers who optimize their health also optimize their chances for FAA medical certification. Find an AME.

There are many types of heart problems, and all are significant to aviators. ALPA reports that 23% of almost 10,000 pilots contacting their office each year do so for cardiovascular disease. If your doctor tells you about a heart problems, or you suspect symptoms, don't take immediate dispair! The FAA granted nearly 6,500 Special Issuance Authorizations/SIA (waivers) for pilots with coronary artery disease in 1997. Of these, most were for coronary artery disease or heart attacks (myocardial infarctions). The majority of these pilots were treated with bypass grafting, angioplasty and/or intracoronary artery stents. The FAA granted 509 waivers for First Class, 512 for Second Class and 5,555 were for Third Class Certificates. Pilots with heart valve replacements, rhythm disturbances, pacemakers and heart failure were also granted waivers. According to Virtual Flight Surgeons, only 0.1% of medical applications to the FAA receive a final denial.

As with all medical problems, you should try to learn as much about the subject as possible, but FlightPhysical.com strongly recommends that you find an AMEto help coach you through the relevant considerations and work-up required for your particular situation. As mentioned, thousands of pilots have had heart problems, and with patience and persistence, it may be possible to climb back into the cockpit. For your and the public's safety, there is a well-defined path which must be followed prior to strapping back in the front seat. This page is an index to various cardiac conditions for which the FAA has devised pilot protocols.

Hypertension - Introduction

High Blood Pressure

FAA Disease Protocols-Hypertension Elevated Systolic or Diastolic Blood Pressure

Heart Conditions General Problem List Part 67 Index Go Find an AME Pilot Home

FlightPhysical.com will discuss Hypertension in sections. This parallels the FAA's instructions to AMEs concerning this common and serious problem.

• Introduction to Hypertension (this page)
• Measuring Blood Pressure
• Initial Discovery in Pilots
• Medications used by pilots
• Followup and Duration of waivers

Hypertension (or high blood pressure) is a common condition where the pressure of the blood flowing through the arteries of the body is higher than it should be. Pilots and controllers are often affected whether or not they have the classic "type A" personality. Much like the pressure of the air in a tire, if the pressure of the blood is too high it can damage the arteries and organs of the body. Just like the tire, if the pressure suddenly becomes very high, catastrophic events can happen. Similarly, if the pressure remains somewhat elevated for a long enough period of time, premature wear and failure can occur.

Hypertension has its worst effects on the heart, kidneys, eyes, and brain. High blood pressure is a risk factor for heart attack, stroke, kidney failure, hemorrhages of the retina of the eye, and generalized atherosclerosis (hardening of the arteries all over the body).

It is easy to understand, then, why we are concerned about pilots who have high blood pressure. We don’t like to see aviators flying when they are at increased risk for these conditions. Fortunately, hypertension is easy to treat. For many people, simply achieving an appropriate weight, exercising regularly, and watching dietary salt will control their mild hypertension. Other individuals may be required to take medications to reduce their blood pressure. Either way, hypertension and its treatment should have little effect on one’s ability to be medically certified to fly.

As you research hypertension in aviators, you will want to review Measurement of Hypertension during the Pilot Exam

Click on links for the procedures for specific FAA instructions on initial reporting, medication discussion and followup procedures:

• Initial
• Medications
• Followup and Duration

FAA Disease Protocols-Hypertension Elevated Systolic or Diastolic Blood Pressure

Heart Conditions General Problem List Part 67 Index Go Find an AME Pilot Home

FlightPhysical.com will discuss Hypertension in 4 sections. This will parallel the FAA's Instruction to AMEs concerning this common and serious problem.

• Initial
• Medications
• Followup and Duration

Hypertension (or high blood pressure) is a common condition where the pressure of the blood flowing through the arteries of the body is higher than it should be. Pilots and controllers are often affected whether or not they have the classic "type A" personality. Much like the pressure of the air in a tire, if the pressure of the blood is too high it can damage the arteries and organs of the body. Just like the tire, if the pressure suddenly becomes very high, catastrophic events can happen. Similarly, if the pressure remains somewhat elevated for a long enough period of time, premature wear and failure can occur.

Hypertension has its worst effects on the heart, kidneys, eyes, and brain. High blood pressure is a risk factor for heart attack, stroke, kidney failure, hemorrhages of the retina of the eye, and generalized atherosclerosis (hardening of the arteries all over the body).

It is easy to understand, then, why we are concerned about pilots who have high blood pressure. We don’t like to see aviators flying when they are at increased risk for these conditions. Fortunately, hypertension is easy to treat. For many people, simply achieving an appropriate weight, exercising regularly, and watching dietary salt will control their mild hypertension. Other individuals may be required to take medications to reduce their blood pressure. Either way, hypertension and its treatment should have little effect on one’s ability to be medically certified to fly.

Measuring Blood Pressure

Blood pressure can be measured with the individual lying down, sitting, or standing. Regardless of the position, the blood pressure recording will always consist of two numbers written like a fraction with the top number called the systolic pressure and the bottom number called the diastolic pressure. In the example 120/80, the systolic pressure is 120 and the diastolic pressure is 80. These numbers are in units of "millimeters of mercury". (That means that a pressure of 120 is enough to support a column of mercury 120 millimeters high.) One can think about the systolic pressure as representing the peak pressure during the heart’s contraction and the diastolic pressure as representing the resting or baseline pressure within the blood stream between contractions.

Most doctors today believe that people who consistently run blood pressures higher than 140/90 are at increased risk for the complications noted above and should be considered for treatment. Remember, however, that blood pressure is variable and occasional readings above this level are to be expected. It is apreponderance of readings above 140/90 that defines hypertension.

Aerospace Medical Disposition

If an individual with no known history of hypertension is found during the FAA exam to have blood pressure readings consistently higher than 155/95 then further investigation is required. Initially, this should consist of recording the blood pressure twice a day (morning and evening) for three consecutive days. If at least 4 of these 6 readings are 155/95 or less and the applicant is otherwise qualified, then no further action is required and the certificate can be issued.

If the three-day blood pressure checks confirm the presence of hypertension, then treatment of some kind will generally be required for certification. Once a person is on a stable treatment plan and their blood pressure is adequately controlled without significant adverse effects, certification can be considered. When the FAA is notified for the first time about an aviator who has initiated treatment for high blood pressure, the following items will need to be reviewed and cleared by an Aviation Medical Examiner (AME):

1. Complete review of pertinent history including personal, social, and family history related to hypertension and risk factor analysis for complications;
2. Statement from treating physician describing the effects of treatment and any risk factor modification program;
3. Representative blood pressure readings;
4. Laboratory testing to include electrolyte, lipid profile, and glucose;
5. Resting ECG.

If the above is acceptable, the AME may issue the medical certificate, good for its normal duration.

An individual who has already reported the hypertension and received an initial clearance will require hypertension followups annually for first- and second-class medical certificate applicants and at the time of renewal for third-class certificate applicants. The information required at each hypertension follow-up is as follows:

1. A statement (current status report) from the treating physician describing at a minimum the medication(s) used and the dosage(s); the adequacy of blood pressure control; the presence or absence of medication side effects; and, the presence or absence of any "end organ" hypertension complications (that is, in the heart, blood vessels, brain, eyes and kidneys). A one-sentence, "no problems" report will not suffice and will delay certification
2. The results of any appropriate tests or studies deemed necessary by the treating physician
3. A serum potassium level if the airman is taking a diuretic

The above evaluation may also be performed by the AME if the AME can attest to the accuracy of the above information. For an individual who has already reported the hypertension and received an initial clearance, the follow-up requirements at the next and subsequent FAA medical exams are very simple. All that is required is a statement from the treating physician that the individual is in good health and having no blood pressure related problems and including some sample blood pressure readings.

#Blood Pressure (Hypertension) approved for #pilots and more alcohol within

some OF  the approved medication contain alcohol , some generate  alcohol within ,some react with food & generate some alcohol mainly in the mouth,Hence breathalyzer  test is questionable on its own- DAMARU CHEMIST. 

DAMARU SINCE 1978 A FAMILY -TRUSTED ORGANISATION

Blood Pressure (Hypertension) Centrally acting agents such as Guanethidine, Guanadrel, Guanabenz, Methyldopa, and Reserpine are not acceptable to the FAA. 

FAA Accepted Medications

FAA Accepted Medications Master List | Updated 8/30/16*

The FAA has not published an official list of approved drugs.  The following list of FAA accepted medications is the most accurate and complete information available on the listed date.  This "master list" was developed by Pilot Medical Solutions through communication with the FAA. Medications included in this list are approved only for the condition listed on a case by case basis.  Some medications listed may not be approved for a given individual and medications not listed may also be acceptable to the FAA. Acne - Most antibiotics are acceptable to the FAA. Pilots should wait 48 hours after the initial dose to assure no adverse side effects occur.   Accutane (Isotretinoin) is also approved with the restriction "NOT VALID FOR NIGHT FLYING" on the medical. Acne - Most antibiotics are acceptable to the FAA. Pilots should wait 48 hours after the initial dose to assure no adverse side effects occur.   Accutane (Isotretinoin) is also approved with the restriction "NOT VALID FOR NIGHT FLYING" on the medical.ADD - See Attention Deficit Disorder Arrhythmia (heart) - Some commonly prescribed drugs such as Tikosyn (Dofetilide) are not approved by the FAA.  The following anti-arrhythmic medications are approved on a case by case basis and subject to a complete cardiovascular evaluation. Betapace (Sotalol) Calan (Verapamil) Cordarone, Pacerone (Amiodarone-up to 200 mg per day for A-Fib only) Lanoxin (Digoxin) Multaq (Dronedarone) Requires extensive cardiovascular work-up. Norpace (Disopyramide) Rythmol (Propafenone) Tambocor (Flecainide Acetate)        MORE Allergy, Cold, Decongestants - Sudafed is approved by the FAA provided it is not combined with an antihistamine.  Allegra (Fexofenadine), Astelin (Azelastine), Dymista (Azelastine HCl / Fluticasone propionate), Claritin (Loratadine) and Clarinex (Desloratadine) are acceptable to the FAA provided no adverse effects are experienced.  Vitamin B-12 or other prophylactic injections are approved provided there are no side effects. Sedating medications are not acceptable.  This includes but is not limited to Zyrtec (Cetirazine) and Benadryl (Dipenhydramine).  MORE Approved Inhalers include:  Afrin (Oxymetazoline Hydrochloride) Atrovent (Ipratropium) CASE BY CASE ONLY Beconase (Beclomethasone Dipropionate) Flonase (Fluticasone Propionate) Nasalcrom (Cromolyn Sodium) Nasalide (Flunisolide) Vancenase (Beclomethasone Dipropionate) Analgesics: Most medications in this class are not approved.  This includes but is not limited to: Suboxone, Buprenorphine, Methadone, Oxycodone, Tramadol, Fentanyl, Morphine, Hydrocodone, Buprenorphine, Metamizole / Dipyrone, Naloxone, Gabapentin, Hydromorphone, Codeine & Butorphanol. Angina (Antianginal) cardiovascular related symptoms: Nitrate/Nitroglycerin drugs such as Nitrostat, Nitrolingual, Rectiv, Nitro-Time, and Nitronal are not approved by the FAA.  Cases where these drugs have been prescribed post-operatively to build enhance blood vessel growth or as preventive "PRN / as needed" precautionary measure can be acceptable provided that eloquent documentation is provided. Antacids / G.I. Medications - The following medications are approved by the FAA on a case by case basis only. Pilots With Ulcers Aciphex (Rabeprazole) Asacol, Lialda (Mesalamine) Axid (Nizatidine) Azulfidine ((Sulfasalazine)) Cytotec (Misoprostol) Dexilant (Dexlansoprazole) Dipentum (Olsalazine) Imodium (Loperamide) (LIMITED USE) Mylanta (Magnesium hydroxide, Aluminum hydroxide, Simethicon) Nexium (Esomeprazole) Pepcid (Famotidine) Prevacid (Lansoprazole) Prilosec (Omeprazole) Propulsid (Cisapride) Protonix (Pantoprazole sodium) Reglan (Metoclopramide hydrochloride) Rolaids (Calcium Carbonate <550 mg>, Magnesium Hydroxide<110mg>) Tagamet (Cimetidine) Tums (Calcium Carbonate) Zantac (Ranitidine) Zelnorm (Tegaserod maleate) Anti-Bacterial - Flagyl (Metronidazole) Antibiotics - The use of antibiotics is usually permissible on a case by case basis, provided the drug has been taken for long enough (usually 48 hours) to rule out the possibility of adverse effects.  A partial list of acceptable antibiotics include: Azactam (Aztreonam) Augmentin, Amoxil (Amoxicillin) Biaxin (Clarithromycin) Cipro (Ciprofloxacin) Flagyl (Metronidazole) (case by case approval for bacteria & parasites) Floxin (Ofloxicin) Keflex (Cephalexin) Levaquin (Levofloxacin) Monodox (Doxycycline) Zithromax (Azithromycin) Anti-Coagulants - Xarelto (Rivaroxaban) may be considered after 2 weeks of documented stability on the medication. A current status report every 6 months is required for First and unrestricted Second-Class Medicals, every 12 months for Restricted Second- and Third-Class. Status report must include details of the underlying condition, how tolerating the medication and specific comments regarding any bleeding episodes requiring medical attention and any occurrence / recurrence of DVT/PE. The following may be approved on a case by case basis: Aspirin (Salicylate) Coumadin (Warfarin) Effient (Prasugrel) Eliquis (Apixaban) Lovenox (Enoxaparin) Plavix (Clopidrogrel) Pletal (Cilostazol) Trental (Pentoxifylline) Anti-Depressants / Anxiety - Single-use Anti-Depressants such as: Celexa (Citalopram Hydrobromide), Lexapro (Escitalopram Oxalate), Prozac (Fluoxetine Hydrochloride) or Zoloft (Sertraline Hydrochloride) are approved by the FAA for depression on a case by case basis only.  Approval is very difficult, and does not permit applicants to be approved by an AME or even the FAA office in Oklahoma City.  These cases are decided by the FAA office in Washington, D.C..  All other psychiatric medications, including other SSRI's such as Luvox (Fluvoxamine), Nortiriptyline, Norpramin (desipramine), Paxil (Paroxetine), Viibryd (Vilazodone), are not acceptable to the FAA. With the exception of the aforementioned SSRI's, and some vitamins and herbal preparations such as Deplin (Levomefolic acid) or Saint Johns Wort, psychotropic medications are rarely approved by the FAA. MORE Anti-Fungal - The following may be approved by the FAA on a case by case basis: Gris-PEG (Griseofulvin) Lamisil (Terbinafine) Sporanox (Traconazole) Anti-Inflammatory & Arthritis - The following medications are usually FAA approved provided there are no side effects and the condition being treated does not preclude safe performance of flight duties: Acetaminophen Advil (Ibuprofen) Aleve (Naproxen Sodium) Ansaid Arava (Leflunomide) Arthrotec (Diclofenac) Asacol (Mesalamine) Aspirin Azasan (Azathioprine) Azulfidine (Sulfasalazine) Celebrex (Celecoxib) Cataflam (Diclofenac Sodium) Daypro (Oxaprozin) Dolobid (Diflunisal) Elmiron (Pentosan) Enbrel (Etanercept) Feldene (Piroxicam) Ibuprofen Imuran (Azothioprine) Indocin (Indomethacin) Lodine (Etodalac) Meclofenamate (Meclofenamic Acid) Mediprin Methotrexate (not approved for cancer) Mobic (Meloxicam) Motrin (Ibuprofen) MotrinIB (Ibuprofen) Naprosyn (Naproxen Sodium) Naproxen (Naproxen Sodium) Orudis (Ketoprofen) Oruvail (Ketoprofen) Plaquenil - May affect vision.  FAA approval requires an eye evaluation Relafen (Nabumetone) Remicade (Infliximab) Rheumatrex (Methotrexate, not approved for cancer) Synvisc (Hylan G-F 20) Injections may be approved on a case by case basis Tylenol (Acetaminophen) Toradol (Ketorolac Tromethamine) Trexall (Methotrexate not approved for cancer) Voltaren (Diclofenac Sodium) Anti-Malarial -  The following medications are acceptable for malaria prophylaxis:  A 24 hour "adverse effect" observation period should be observed prior to flight. Chloroquine Phosphate Malarone (Atovaquone + Proguanil HCL) Anti-Neoplastic Agents Purinethol (Marcaptopurine and Gleevec (Imatinib Mesylate) are considered for FAA medical certification on a case by case Anti-Viral - The following medications are approved by the FAA on a case by case basis:  Famvir (Famciclovir) Fludara (Fludarabine) Hepsera (Adefovir Dipivoxil) Rebetol, Virazole (Ribavirin) Tenofovir (Disoproxil Fumarate) Truvada (Emtricitabine / Tenofovir) Valtrex (Valacyclovir) Viread (Tenofovir Disoproxil Fumarate) Zerit (Stavudine)  Zovirax (Acyclovir) Anxiety - With the exception of herbal preparations (Saint Johns Wort), anti-anxiety medications, such as Xanax (Alprazolam), Klonopin (Clonazepam), Valium (Diazepam) Ativan (Lorazepam) and Paxil (Seroxat) are not approved by the FAA. MORE Asthma / COPD - These conditions often require a combination of drugs which are usually approved by the FAA on an individual basis only.  Prednisone is acceptable up to 20 mg only. Case by case approved medications include but may not be limited to: Advair, Flovent (Fluticasone Propiona) Accolate (Zafirlukast) Aerobid (Flunisolide) Azmacort (Tiamcinolone) Foradil (Formoterol) Proventil, Pentolin, Ventolin (Albuterol) Serevent (Salmeterol) Singulair (Montelukast) Theo-Dur, Uniphyl (Theophylline) Xolair (Omalizumab) Zyflo (Zileuton)                                      MORE Attention Deficit (ADD) - [Daytrana, Concerta, Methylin, Ritalin (Methylphenidate Hydrochloride)], Adderall (Dextroamphetamine Sulfate), Focalin (Dexmethylphenidate) and Strattera (Atomoxetine Hydrochloride) are not approved by the FAA. Under rare circumstances, individuals using Ritalin were previously approved but this is no longer possible.  Approval for ADD is more likely for adults due to the difficulty in accurately evaluating ADD in young people and all cases require at least 90 Days off medication prior to consideration. Benign Prostatic Hypertrophy (BPH) The following are approved by the FAA for the prevention or treatment of Benign Prostatic Hypertrophy (BPH) on a case by case basis: Avodart (Dutasteride) Cardura (Doxazosin Mesylate) Dibenzyline (Phenoxybenzamine HCL) Flomax (Tamsulosin HCL) Hytrin (Terazosin HCL) Minipress, Minizide (Prazosin HCL) Proscar (Finasteride) Rapaflo (Silodosin) (30 day wait) Saw Palmetto Uroxatral (Alfuzosin Hydrochloride) Bi-Polar Disorder - With the exception of herbal preparations (Saint Johns Wort), psychotropic medications, such as lithium, are not approved by the FAA for Bi-Polar Disorder. When properly diagnosed, this condition is not approved by the FAA.  MORE Bladder Control -  Ditropan (Oxybutynin Chloride), Enablex (Darifenacin), Detrol (Tolterodine Tartrate), Vesicare (Solifenacin Succinate) and Toviaz (Fesoterodine Fumarate) are no longer approved by the FAA.  Myrbetriq (Mirabegron) may be approved by the FAA for bladder control after 30 days of symptom-free use. Blood Thinners - The following are usually approved on a case by case basis: Aspirin (Salicylate) Coumadin (Warfarin) Lovenox (Enoxaparin) Plavix (Clopidrogrel) Pletal (Cilostazol) Trental (Pentoxifylline) Xarelto (Rivaroxaban) With the exception of aspirin, detailed information regarding the underlying condition and INR's are required. Blood Pressure (Hypertension) Centrally acting agents such as Guanethidine, Guanadrel, Guanabenz, Methyldopa, and Reserpine are not acceptable to the FAA. Catapres (Clonidine) may be approved provided it has been used without adverse effects and was reported on previous FAA exams. The following medications are FAA approved on a case by case basis:    Alpha Blockers / Inhibitors Cardura (Doxazosin) Dibenzyline (Phenoxybenzamine) Hytrin (Terazosin) Micardis (Telmisartan) Minipress, Minizide (Prazosin) Beta Blockers Blocadren, Timolide (Timolol) Cartrol (Carteolol) Cibenzyline (Phenoxybenzamine) Coreg (Carvedilol) Corgard, Corzide (Nadolol) Inderal, Inderide, Innopran (Propranolol) Kerlone (Betaxolol) Levatol (Penbutolol) Lopressor, Toprol (Metoprolol) Normodyne, Trandate (Labetalol) Sectral (Acebutolol) Tenormin, Tenoretic (Atenolol) Visken (Pindolol) Zebeta, Ziac (Bisoprolol) Calcium Channel Blockers Azor (Amlodipine / Olmesartan Medoxomil) Adalat, Procardia (Nifedipine) Caduet (Amlodipine Besylate + Atorvastatin Calcium) Cardizem, Dilacor, Tiazac (Diltiazem) Cardene (Nicardipine) Calan, Covera, Isoptin, Veralan, Tarka (Verapamil) DynaCirc (Isradipine) Norvasc, Lotrel (Amlodipine) Plendil, Lexxel (Felodipine) Posicor (Mibefradil) Sular (Nisoldipine) Angiotensin Converting Enzyme (ACE) Inhibitors Aceon (Perindopril Erbumine) Accupril (Quinapril) Altace (Ramipril) Capoten, Capozide (Captopril) Lotensin (Benazepril) Mavik (Trandolapril) Monopril (Fosinopril) Prinivil, Prinzide, Zestril, Zestoretic (Lisinopril) Univasc, Unitrec (Moexipril) Vasotec, Vaseretic (Enalapril) Angiotensin II Receptor Antagonists Azor (Amlodipine / Olmesartan Medoxomil) Atacand (Candesartan) Avapro, Avalide (Irbesartan) Benicar (Olmesartan Medoxomil) Benicar HCT (Olmesartan Medoxomil + Hydrochlorothiazide) Cozaar, Hyzaar (Losartan) Diovan (Valsartan) Micardis (Telmisartan) Diuretics Aldactone, Aldactazide (Spironolactone) Bumex (Bumetanide) Camadex, Demadex (Torsemide) Diuril, Hydrochlorothiazide, HCTZ, Hydrodiuril, Oretic, Enduron (Thiazides) Dyazide, Maxzide, Moduretic (Combinations) Dyrenium (Triamterene) Lasix (Furosemide) Lozol (Indapamide) Mykrox (Metolazone) Zaroxolyn, Mykrox (Metolazone) Botox - Botulinum Neurotoxin may be FAA approved on a case by case basis only for severe muscle cramps, cosmetic wrinkle treatments or diagnostic purposes. Cancer - Most cancer treatment/medications, such as; Chemotherapy, must be completed prior to resuming flight duties.  The drugs below may be accepted by the FAA on a case by case basis only: Femara (Letrozole) Nolvadex (Tamoxifen) Luprin, Eligard (Leuprolide Acetate) and Casodex / Zolodex (Bicalutamide) may be acceptable for pilots with prostate cancer. Radioactive seed implantation may be FAA approved after radioactivity is sufficiently reduced and side effects are absent.    MORE Cardiovascular - With the exception of chest-pain drugs (ISMO, IMDUR, ISORDIL), most cardiovascular medications are FAA approved. (see arrhythmia, blood pressure, blood thinners, cholesterol) Cervical Dystonia - Botulinum Neurotoxin may be FAA approved on a case by case basis with extensive requirements and restrictions. Cholesterol / Lipid Management - Most medications used in the treatment of hyperlipidemia or the management of cholesterol are approved by the FAA.   Some of the medications, such as Caduet, Lescol (Fluvastatin) & Colestid (Colestipol), require detailed favorable documentation. This includes but may not be limited to:  Caduet (Amlodipine Besylate + Atorvastatin Calcium) Colestid (Colestipol) Crestor (Rosuvastatin Calcium) Lescol (Fluvastatin) Lipitor (Atorvastatin) Lopid (Gemfibrozil) Mevacor (Lovastatin) Niacin (Nicotinic Acid) Pravachol (Pravastatin) Precose (Acarbose) Questran,Cholestyramine, Locholest, Prevalite (Cholestyramine Resin) Tricor (Fenofibrate) Vytorin (Ezetimibe / Simvastatin) WelChol (Colesevelam Hydrochloride) Zetia (Ezetimibe) Zocor (Simvastatin) Contraceptives - Almost always approved Cold - See Allergy / Cold Medications Crohn's Disease - Pentasa (Mesalamine), Imuran (Azathioprine) and Remicade (infliximab) are FAA approved on a case by case basis only. Depression - Celexa (Citalopram Hydrobromide), Lexapro (Escitalopram Oxalate), Prozac (Fluoxetine Hydrochloride) and Zoloft (Sertraline Hydrochloride) are approved for pilots by the FAA on a case by case basis only.  With the exception of the aforementioned SSRI's and herbal preparations such as Saint Johns Wort, psychotropic medications are rarely approved by the FAA. MORE Dermatological - Accutane is approved treatment of acne during daytime flight only. Most topical medications for acne or similar conditions may be approved by the FAA.  Submit your medication Diabetes - Humulin, Lantus (Insulin) is approved on a case by case basis for Class 3 medical certification only.  Invokana (Canagliflozin) is not approved by the FAA.  With proper documentation, most oral hypoglycemic medications are approved for all classes. This includes: Actos (Pioglitazone) Amaryl (Glimeperide) Avandamet (Rosiglitazone Maleate + Metformin Hydrochloride) Avandia (Rosiglitazone) Byetta (Exenatide) & Liraglutide (Victoza) A 30 day wait period is required if the airman is on any sulfonylurea class hypoglycemic drugs.  A 14 day wait period is required if other diabetes medications are used by the pilot.  A 2 hour wait period is required after each injection before flying. Diabeta or Glynase (Glyburide) Glucophage (Metformin) Glucotrol (Glipizide) Januvia (Sitagliptin) A 14-60 day wait period is required.  The wait is determined by the use or combination of other medications. Janumet (Sitagliptin & Metformin) Glyset (Miglitol) Observation Period Required Prandin (Repaglinide) Precose (Acarbose) Starlix (Nateglinide) Some of these medications are not FAA approved in combination with other medications.Contact Us for a free consultation Diarrhea - While this condition is usually self-limiting, the following medications may be used for minor occurrences: Imodium Kaopectate Lomotil (Diphenoxylate Hydrochloride) Pepto-Bismol Other medications require discontinuation at least 48 hours prior to flight. Diet - See Weight Loss/Management Dry Mouth - See Xerostomia DVT - Lovenox Sub-Q (Enoxaparin Sodium), Xarelto (Rivaroxaban) and the drugs listed under anti-coagulants, may be FAA approved on a case by case basis only. Endometriosis - Luprin / Lupron (Leuprolide) may be FAA approved on a case by case basis. Erectile Dysfunction - Cialis (Tadalafil) is acceptable if used 36 or more hrs before flight.   Levitra (Vardenafil hydrochloride) and Viagra (Sildenafil Citrate) are approved by the FAA (acceptable to fly 6 hrs after use). MORE Essential Thrombocytosis - Anagrilide is FAA approved on a case by case basis. Gall Stones - Actigall (Ursidiol) is FAA approved on a case by case basis. Gastrointestinal (G.I.) Issues (GERD, Irritable Bowel Syndrome, Etc.]  - Librax and similar preparations containing psychotropic drugs are not acceptable to the FAA.  The following medications are ACCEPTABLE on a case by case basis only: Aciphex (Rabeprazole) Asacol, Lialda (Mesalamine) Axid (Nizatidine) Azulfidine ((Sulfasalazine)) Cytotec (Misoprostol) Dexilant (Dexlansoprazole) Dipentum (Olsalazine) Imodium (Loperamide) (LIMITED USE) Mylanta (Magnesium hydroxide, Aluminum hydroxide, Simethicon) Nexium (Esomeprazole) Pepcid (Famotidine) Prevacid (Lansoprazole) Prilosec (Omeprazole) Propulsid (Cisapride) Protonix (Pantoprazole sodium) Reglan (Metoclopramide hydrochloride) Rolaids (Calcium Carbonate (<550 mg>, Magnesium Hydroxide<110mg>) Tagamet (Cimetidine) Tums (Calcium Carbonate) Zantac (Ranitidine) Zelnorm (Tegaserod maleate) UNACCEPTABLE medications included but is not limited to: Diphenoxylate (Lomotil) Anticholinergics (Bentyl) Levsin (L-hyoscyamine) Librax (chlordiazepoxide and clidinium) Opiates (Paregoric) Gingivitis - Most mouthwash type medications, including prescriptions drugs such as Chlorhexidine Gluconate, are FAA approved. Glaucoma - Most glaucoma medications are FAA approved after proper evaluation.   This includes: Alphagan (Brimonidine Tartrate), Cosopt (Dorzolamide), Pilocar (Pilocarpine), Timoptic (Timolol Maleate), Travatan (Travoprost) and Xalatan (Latanoprost)  MORE Gout - With detailed evaluation the following medications are usually FAA approved: Benemid (Probenecid) Colbenemid (Colchicine) Zyloprimare (Allopurinol) Graves' Disease - Provided applicant is euthyroid, the following medications may be FAA approved on a case by case basis only: Tapazole (Methimazole) Propylthiouracil Hair Growth - The following are FAA approved on a case by case basis: Propecia (Finisteride) Procaine (Procaine hydrochloride) Rogaine (Minoxidil) Headaches - The following drugs are FAA approved on a case by case basis:  Acetaminophen Advil (Ibuprofen) Aleve (Naproxen Sodium) Ansaid Aspirin Beta-Blockers (when labeled & approved by the FDA for headache type) Caffergot Calcium-Channel Blockers Ibuprofen Imitrex Innopran XL (Propranolol Hydrochloride) Motrin (Ibuprofen) MotrinIB (Ibuprofen) Naprosyn (Naproxen Sodium) Naproxen (Naproxen Sodium) Sansert (Methysergide) Tylenol (Acetaminophen) Zomig                                             Heart - With the exception of angina (chest-pain) meds (ISMO, IMDUR, ISORDIL), most cardiovascular medications are approved on a case by case basis. MORE (see: arrhythmia, blood pressure, blood thinners, cholesterol) Hepatitis C - Pegasys (Peginterferon alfa-2a), Rebetron (Ribavirin and Interferon alfa-2b), Roferon-A (Interferon alpha -2a), Roferon-A (Interferon alfa-2a, Recombinat) are NOT acceptable to the FAA. Hepsera (Adefovir Dipivoxil) and Rebetol (Ribavirin) MAY be approved by the FAA on a case by case basis only. Herbal - Most herbal preparations are approved by the FAA provided there are no side effects and the condition being treated is not disqualifying.             MORE  Herpes - The following medications are approved by the FAA on a case by case basis:  Famvir (Famciclovir) Valtrex (Valacyclovir) Zovirax (Acyclovir) HIV - Antiretroviral medications may be FAA approved on an individual basis if prescribed in compliance with the 1996 DHHS Panel recommendations regarding the Clinical Practices for the Treatment of HIV. Case by case approval may be obtained for: Epivir (Lamivudine) Fludara (Fludarabine) Hepsera (Adefovir Dipivoxil) Rebetol, Virazole (Ribavirin) Sustiva (Efavirenz) Tenofovir (Disoproxil Fumarate) Truvada (Emtricitabine / Tenofovir) Viread (Tenofovir Disoproxil Fumarate) Zerit (Stavudine)                           MORE Hormone Replacement - Teatment (Premarin / Estrogen) is approved by the FAA. Hypertension - See Blood Pressure Hyperthyroidism - Provided applicant is euthyroid, the following medications may be approved on a case by case basis only: Tapazole (Methimazole) Propylthiouracil Infection - The use of antibiotics is often permissible, providing the drug is has been FDA approved for at least one year and has been used long enough (usually 48 hours) to rule out the possibility of adverse effects.  A partial list of acceptable antibiotics include: Azactam (Aztreonam) Augmentin, Amoxil (Amoxicillin) Biaxin (Clarithromycin) Cipro (Ciprofloxacin) Floxin (Ofloxicin) Keflex (Cephalexin) Monodox (Doxycycline) Zithromax (Azithromycin) Influenza Virus Infection -  The following meds are FAA approved on a case by case basis: Relenza (Zanamivir) Tamiflu (Oseltamivir) Impotence - See Erectile Dysfunction Immune System Suppressants / Anti-Rejection Agents - Cellcept may be acceptable to the FAA on a case by case basis. Insomnia - See Sleep Infertility - Proxeed (acetyl-L-carnitine HCl) is approved on a case by case basis for male infertility. Irritable Bowel Syndrome (IBS) - See GI Kidney Stones / Renal Calculi - Alkalinizing and Cholelitholytic Agents, such as those below, are approved by the FAA on a case by case basis. Actigall, Urso (Ursodial) Oracit, Urocit-K 10, Urocit-K 5 & Bicitra (Sodium Citrate) Cytra-K & Polycitra-K (Potassium Citrate) Cytra-3 and Polycitra (Citric Acid) Leukemia [Chronic Lymphocytic Leukemia (CLL)] Purinethol (Marcaptopurine and Gleevec (Imatinib Mesylate) may be approved by the FAA on a case by case. Lipid Management- See Cholesterol / Lipid Management Meniere's Disease - Dyrenium (Triamterene) is acceptable on a case by case basis only. Migraine - The following drugs are FAA approved on a case by case basis only and depend upon the manifestation and severity of the migraine:  Axert (Almotriptan Malate) Beta-Blockers (when labeled & approved by the FDA for migraines) Caffergot Calcium-Channel Blockers Imitrex Innopran XL (Propranolol Hydrochloride) Maxalt (Rizatripatan) Sansert Zomig (Zolmitriptan) Mood Enhancing - With the exception of herbal preparations, mood ameliorating medications are not approved by the FAA. Motion Sickness - Antivert, Bonine, D-Vert, Dramamine, Driminate II, Meclicot, Medivert, Ru-Vert-M, Meni-D (Meclizine) is not approved by the FAA for flight deck use.  Any use within 36 hours of flying is unacceptable to the FAA.  This medication may be acceptable on a case by case basis up to twice monthly. Chronic use is disqualifying. Ginger root is an acceptable treatment for the prevention of benign motion sickness. MORE Mouth Infection Prevention - Most mouthwash type medications, including prescriptions drugs such as Chlorhexidine Gluconate, are FAA approved. Multiple Sclerosis -  The following are FAA approved on a case by case basis: Aubagio (Teriflunomide) Avonex (Interferon BETA-1a) Copaxone Subcutaneous (Glatiramer Acetate) Rebif (Interferon Beta 1A) Myasthenia Gravis - Mestinon (Pyridostigmine) may be approved on a case by case basis. Narcolepsy (See Sleep) Nerve Agent Poisoning (PREVENTION) Mestinon (Pyridostigmine) is acceptable for prophylactic nerve agent poising. Obesity - Xenical (Orlistat) may be FAA approved after 30 days without negative side-effects and on a case by case basis. Osteoarthritis - See Anti-Inflammatory & Arthritis Osteoprosis - The following may be FAA approved on a case by case basis: Evista (Raloxifen) Forteo (Teriparatide) Fosamax (Alendronate) Pain Management - Typically centrally acting opioid narcotics such as Codeine, Actiq-Duragesic-Fentora (Fentanyl), Hysingla ER - Zohydro ER (Hydrocodone), Lorcet-Lortab- Norco-Vicodin (Hydrocodone & Acetaminophen), Dilaudid-Exalgo (Hydromorphone), Demerol (Meperidine), Dolophine-Methadose (Methadone), Astramorph-Avinza-Kadian-MS Contin-Ora-Morph SR (Morphine), OxyContin-Oxecta-Roxicodone (Oxycodone), Percocet-Endocet-Roxicet (Oxycodone and Acetaminophen), Targiniq ER (Oxycodone and Naloxone) and Nucynta (Tapentodol) are not acceptable to the FAA for flight-deck use. Pilots temporarily using these medications must provide ample documentation to demonstrate that an addiction is not present and that the condition for which they were prescribed is now satisfactorily resolved and does not require ongoing use of these medications. The following medications may be FAA approved for short-term pain management, or in some cases long-term minor pain or inflammation, provided there are no side effects and the condition being treated does not preclude safe performance of flight duties: Actron, Orudis, Oruvail (Ketoprofen) Advil, Cramp End, Dolgesic, Excedrin IB, Genpril, Haltran, Ibren, Ibu, Ibuprin, Ibuprohm, Ibu-Tab, Medipren, Midol IB, Motrin, MotrinIB, Nuprin, Pamprin-IB, Q-Profen, Rufen, Trendar (Ibuprofen) Aleve, Anaprox, Anaprox DS, EC-Naprosyn, Naprelan, Naprosyn (Naproxen) Ansaid, Ocufen (Flurbiprofen) Cataflam, Voltaren, Zipsor (Diclofenac) Celebrex (Celecoxib) Indocin, Indocin SR, Tivorbex (Indomethacin) Relefen (Nabumetone) Tylenol    Botox (derivative of the botulism bacteria) may be approved on a case by case basis. Prolactinoma / pituitary disorders - Dostinex (Cabergoline) may be acceptable for treatment of pituitary disorders (prolactanoma). Parkinson's Disease - Many drugs such as Requip (Ropinirole), Mirapex (Pramipexole Dihydrochloride), Azilect, Atapryl, Carbex, Eldepryl, Selpak (Selegiline Hydrochloride), Comtan (Entacapone), Parlodel (Bromocriptine), Symmetrel (Amantadine Hydrochloride), Exelon (Rivastigmine) and Permax (Pergolide) are not acceptable to the FAA.  The following may be approved by the FAA on a case by case basis only: Atamet, Copaxone (Galtiramer Acetate), Sinemet, Entacapon and Rytary (Carbidopa + Levodopa). Periodontitis - Most mouthwash type medications, including prescriptions drugs such as Chlorhexidine Gluconate, are FAA approved. Polycythemia - Hydrea (Hydroxyurea) is approved by the FAA on a case by case basis. Psychiatric- Single use anti-depressants such as Celexa (Citalopram Hydrobromide), Lexapro (Escitalopram Oxalate), Prozac (Fluoxetine Hydrochloride) or Zoloft (Sertraline Hydrochloride) are approved by the FAA on a case by case basis only.  With the exception of herbal preparations such as Saint Johns Wort, most psychotropic medications are not approved by the FAA.  Medications not approved includes, but is not limited to: Xanax (alprazolam), Klonopin (clonazepam), Valium (diazepam), Ativan (lorazepam), Paxil (Seroxat), Luvox (Fluvoxamine), Desyrel (Trazodone) and Abilify (Aripiprazole). MORE Prostate - The following may be FAA approved for Prostate Cancer on a case by case basis: Casodex / Zolodex (Bicalutamide) Leuprolide Acetate (Lupron Depot) Radioactive seed implantation The following are approved by the FAA for the prevention or treatment of Benign Prostatic Hypertrophy (BPH) on a case by case basis: Cardura (Doxazosin Mesylate) Dibenzyline (Phenoxybenzamine HCL) Flomax (Tamsulosin HCL) Hytrin (Terazosin HCL) Minipress, Minizide (Prazosin HCL) Proscar (Finasteride) Saw palmetto Uroxatral (Alfuzosin hydrochloride) Pulmonary Embolis Prevention - See DVT and Anticoagulants Renal Calculi - See Kidney Stones Restless Leg Syndrome - Commonly prescribed drugs such as Neurontin (Gabapentin) are not approved by the FAA. Some medications which are approved on a case by case basis to treat "other" conditions may also have a beneficial effect upon RLS.  Examples of medications which are approved for other medical conditions and may have a possible benefit are: Atamet Copaxone Entacapon Sinemet Seizure - Anti-seizure medications such as Seroquel, Keppra, Lyrica, Mysoline, Tegretol, Trileptal, Vimpat, Zarontin are NOT FAA approved for pilots. MORE Sickle Cell Anemia - Droxia (Hydroxurea) may be FAA approved on a case by case basis. Scleroderma, Peyronie's Disease - Potaba (Aminobenzoate) may be acceptable on a case by case basis. Skin - Cosmetic wrinkle treatments with Botox (Botulinum Neurotoxin) may be FAA approved on a case by case basis with restrictions.   Skin ACNE - See ACNE Sleep Disorders- Sleep prevention medications, such as Provigil (Modafinil), Nuvigil (Armodafinil), etc., are not approved by the FAA.  Most sleep aiding medications are NOT approved by the FAA.  This includes: Halcion (Triazolam) Restoril (Temazepam) Sonata (Zaleplon) Ambien (zolpidem) may be acceptable to the FAA on a case by case basis with 24-48 hour wait after use.  Over-the-counter medications such as Tylenol PM or Excedrin PM (Acetaminophen, Diphenhydramine Hydrochloride) may be acceptable for temporary insomnia with a satisfactory grounding period.  Melatonin is approved for pilots WITHOUT sleep disorders. MORE Smoking Cessation - Nicotine patches or gum is approved on an individual basis. Chantix (Varenicline) is also approved on a case by case basis.  Chantix (Varenicline) is initially grounding until applicant demonstrates no adverse side-effects at 72hrs post peak dosage.  Zyban (Bupropion hydrochloride) or other mood ameliorating drugs may be utilized to quit smoking but must be discontinued prior to FAA approval. MORE CESSATION INFO Steroids - Topical steroids may be approved for the treatment of minor dermatological conditions on a case by case basis:  Cortef (Hydrocortisone) Florinef (Fludrocortisone acetate) Low doses (<20mg) of Prednisone Stroke Prevention - See DVT and Anticoagulants Thyroid - Medications such as Synthroid (Levothyroxin) and Cytomel (Liothyronine), used to stabilize thyroid function are usually approved but only an an individual basis. Topical - Accutane is approved treatment of acne during daytime flight only. Most topical medications for acne or similar conditions may be approved by the FAA.   Tuberculosis -  The anti-infective agent Isoniazid (Laniazid, Nydrazid) is approved by the FAA on a case by case basis only. Ulcer - The use of prophylactic medications for the peptic ulcer illnesses, such as antacids, H-2 blockers, and Sucralfate may be allowed, depending on the specific condition and severity.  Favorable FAA consideration requires extensive evaluation. Medications approved on a case by case basis include: Aciphex (Rabeprazole) Asacol (Mesalamine) Axid (Nizatidine) Azulfidine ((Sulfasalazine)) Cytotec (Misoprostol) Dipentum (Olsalazine) Mylanta Pepcid (Famotidine) Prevacid (Lansoprazole) Prilosec (Omeprazole) Propulsid Protonix (Pantoprazole sodium) Reglan (Metoclopramide hydrochloride) Rolaids Tagamet (Cimetidine) Tums Zantac (Ranitidine) Ulcerative Colitis - The following are approved on a case by case basis only: Asacol (Mesalamine) Azulfidine (Sulfasalazine) Canasa (Mesalamine) Dipentum (Olsalazine) Imuran (Azothioprine) Lialda (Mesalamine) Pentasa (Mesalamine) Remicade (Infliximab) Uterine Bleeding / Fibroids - Luprin, Lupron (Leuprolide) may be FAA approved on a case by case basis. Vaccinations - Prophylactic injections such as; immunizations or B-12 shots are usually approved provided there are no side effects. Viral Infection - The following anti-viral medications are approved by the FAA on a case by case basis:  Famvir (Famciclovir) Rebetron, Virazole (Ribavirin) Valtrex (Valacyclovir) Zovirax (Acyclovir) Weight Loss / Management - Fenfluramine (Pondimin), Phentermine (Adipex), Dexfenfluramine (Redux) are NOT acceptable to the FAA.   Xenical (Orlistat) is approved after observation for adverse effects.  While some over-the-counter or herbal preparations are not regulated by the FAA, they may have a high incidence of adverse side effects. MORE Xerostomia (Dry Mouth) - Evoxac (cevimeline) is not approved.  Salagen (Pilocarpine Hydrochloride) may be FAA approved to promote saliva on a case by case basis. *This list is not intended to replace the advice of your physician nor should it be considered as medical or legal advice.  This list may contain errors or omissions and may not be the most up-to-date information available.  Contact Pilot Medical Solutions for the most current information concerning FAA medication approval. Federal Aviation Regulations (Part 61) require a person who holds a current medical certificate shall not act as pilot in command, or in any other capacity as a required pilot flight crewmember, while that person: "Knows or has reason to know of any medical condition that would make the person unable to meet the requirements for the medical certificate necessary for the pilot operation; or Is taking medication or receiving other treatment for a medical condition that results in the person being unable to meet the requirements for the medical certificate necessary for the pilot operation." New medications usually require a 1 year review hold beginning on the date of FDA approval. This is to establish a side effect profile beyond the manufacturers published material and does not include herbal preparations or supplements.