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medication in the past without experiencing side effects, they could still
occur the next time. For this reason, you must never fl y after taking a
medication with any of the above-noted side effects.
Common side-effects of frequently used medications
If you must take over-the-counter medications,
• Read and follow the label directions.
• If the label warns of signifi cant side effects, do not fl y after taking
the medication until at least two dosing intervals have passed. For
example, if the directions say to take the medication every 6 hours,
wait until at least 12 hours after the last dose to fl y.
• Remember that you should not fl y if the underlying condition that
you are treating would make you unsafe if the medication fails to
work.
• Never fl y after taking a new medication for the fi rst time.
• As with alcohol, medications may impair your ability to fl y—even
though you feel fi ne.
• If you have questions about a medication, ask your aviation medical
examiner.
• When in doubt, don’t fl y.
Problem Type of
Medication
Example Potential side effects
Colds, congestion,
and allergies
- Decongestant
- Antihistamine
Pseudoephedrine (Sudaphed)
Diphenhydramine Benadryl)
Palpitations, jitteriness, anxiety,
drowsiness
Cough - Cough
suppressant
Dextromethorphan (Robitussin
DM)
Dizziness, drowsiness
Fever - Antipyretic Aspirin Ringing in ears, upset stomach
Pain - Analgesic Ibuprofen (Motrin) Dizziness, upset stomach
Nausea / Vomiting - Antinauseant Dimenhydranate (Dramamine) Drowsiness
Diarrhea - Antidiarrheal Loperamide (Imodium) Drowsiness
Acid refl ux - Antacid Ranitidine (Zantac) Headache, nausea
Constipation - Laxative Various Abdominal cramping, diarrhea
Overweight - Diet pill Ephedrine (Ephedra) Palpitations, jitteriness, anxiety,
heart attack, stroke
Insomnia - Sleeping pills Diphenhydramine (Tylenol PM) Prolonged drowsiness and
impairment of reaction times
Common side-effects of frequently used medications
Prescription Medications
When your treating physician prescribes a medication for you, be sure to
ask about possible side effects and the safety of using the medication while
fl ying. Since most of their patients are not pilots, many physicians don’t
think about the special needs of pilots when they prescribe medication.
You must also discuss the medical condition that is being treated. You
may want to ask your physician to contact your aviation medical examiner
to discuss the implications of fl ying with the medical condition and the
medication.
When your pharmacy fi lls the prescription, let the pharmacist know that
you are a pilot. Pharmacists are experts in medication side effects and can
often provide advice that supplements the information that your physician
gives you. The pharmacist will provide you with written information about
your medication. You should treat this just like the label of an over-thecounter
medication mentioned above. Read, understand, and follow the
information and instructions that are given with the medication. Never
hesitate to discuss possible problems with your physician, pharmacist, or
aviation medical examiner.
The Bottom Line
What you must remember about medications
Sometimes…
…you will develop a medical condition that is not safe to fl y with.
Whether you take a medication for the condition or not, you should wait
to fl y until the condition is either gone or signifi cantly improved.
…you will have an ongoing (chronic) medical condition that your
physician has prescribed a medication to treat. You should discuss the
medical condition and treatment with your physician, pharmacist, and
aviation medical examiner and make your fl ying decision based on their
advice.
…you will have a medical condition that makes you uncomfortable but
does not impair your ability to safely fl y. If fl ying is very important, you
may take either over-the-counter medications or prescription medications
— within the guidelines suggested above.
Flying is important for many reasons. Not one of these reasons, however, is worth
risking your life or the lives of those around you. Treat all medications with caution,
and you’ll be around to become one of the “old” pilots.
MEDICAL FACTS FOR PILOTS
Publication OK05-0005
Written by:
Steve Carpenter, MD
Prepared by:
Federal Aviation Administration Civil Aerospace Medical Institute
Aerospace Medical Education Division
　
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