What's new

FAA regs re: antidepressant use

coguy5280

Taking Off
Joined
Apr 1, 2013
Messages
10
Location
Denver, CO
I just learned from an AME that I cannot continue my PPL training because I started using one of four antidepressants "allowed" by the FAA. My CFI wanted me to get my medical exam (he recommended First Class, although I really only needed Third Class) so I'd be ready to solo when I was ready. I had told my CFI that I was dealing with depression and would be asking my therapist about an SSRI. We both now know, from my experience, that the FAA imposes a year-long wait on any pilot who starts taking one of the four SSRIs they sanction (a year from the time a stable dosage is achieved). Apparently, if I go off the medication, I have to wait 60 days to be evaluated. Sobering "flight" lesson and a very disappointing setback. I'll have to get my 172 fix from reading this board, apparently.
 
That's tough. I hope you can hang in there and get your PPL when possible. You'll still learn a lot in the meantime by staying tuned into this forum. Also you can use the time to study and pass your written if you haven't already done that. Maybe you can even get some simulator time. Will they allow that?
 
Number. 1 lesson, don't listen to your AME. Most AME's are not pilots. Most can care less what there decision entails to a pilot when they medically disqualify you. There is one in Colorado Springs I use and if you want to PM me I will get you his information. He is also a Senior Flight Surgeon with the Air Force Reserve. He's a good guy and will do what he can to help. There is no reason you have to discontinue your flight training while getting the medical sorted out. I know what your talking about and exactly how you feel. At the time i did my medical i was taking welIbutrin to quit smoking. I kept taking it because I was just in a better mood then I was before. I found i was not always arguing, or angry all the time. Just a hint (St. Johns Wart is a natural supplement and does the same thing but because it is not a drug FAA does not consider it a medication ) Of course i was denied because wellbutrin was an antidepresent. At the time any use of antidepressants were automatic denial and no special issuance could be given . About two weeks after receiving the denial letter, I had my doctor write a letter that I was no longer on the medication and that there were no adverse effects and that I was being monitored regularly. I included the doctors letter and other things the FAA wanted in a packet and wrote a letter requesting consideration for a special issuance and 45 days later I received my 3rd class medical.

It is frustrating, but don't give up. You can still fly and take lessons without a medical, you just can't solo. So, if flying is what you want to do continue your lessons on the ground and in the air. Talk to your doctor to see if there is something that can work that is not considered a prescription medication and keep your head up. So, you may not solo as quick as you wanted to, you can spend the time with an instructor and learn more before you do solo.
 
Ask Dr. Bruce if you want the real scoop.

http://home.comcast.net/~bbchien/site/

Specifically the part about SSRI..... http://home.comcast.net/~bbchien/site/?/page/A_Little_About_Myself/

 
Dr. Bruce is the guy who helped me and he gave me the advice free of charge. I pulled my letter from the FAA from my little file that I keep with all my aviation paperwork. In it from Dr.Silberman it says that if you discontinue taking the medication for seven days and your doctor writes a letter stating that no adverse effects appear as well as a treatment plan, such as follow up appointments, they will reconsider a special issuance.

My medical took so long because of other issues. The review board for special issuance only meets once a month. If nothing else, call AOPA medical advocacy section. They can steer you in the right direction.
 
I don't know about simulator time. I'll probably just dig out my Flight Simulator 2000 and practice on that; not sure at this point. Still kind of stunned by the news since I had no idea.
 
Thanks.

Unfortunately, this AME said he is an ex-airline captain. Also, I thought I read on the FAA website that you had to wait 60 days after discontinuing an SSRI to follow up for clearance.

I'm not sure what I'm going to do at this point. Maybe talk to other AMEs (I didn't fill out the MedXpress form and send it in; I just answered this AME's initial email questions about any new medications, DUIs, etc. that would be part of the clearance). Maybe I'll just do the sport aircraft route since it reportedly doesn't require a medical.

Regardless, it's very disappointing. I don't understand a year-long wait. Seems very excessive but I understand safety is the focus.
 
Thanks. I read the page you listed, and he says that the policy exists to allow limited SSRI usage, but it's quite "restrictive." He also mentions on his blog, at the SSRI topic heading, that you can get cleared once chronic simple depression, treated with certain SSRIs, has been in remission "for more than a year." So, it sounds like exactly what the AME I consulted told me.
 
I'd suggest you make contact with Dr. Bruce directly as Elliott did, either through his web site or via a post on the AOPA forums. He is the authority on any medical issues and is probably one of the greatest pilot advocates we have in general aviation.

On April 2nd there were a number of changes to the FAA policy re: SSRIs. I imagine you've come across this but just in case here is the link:
http://www.aopa.org/News-and-Video/All-N...l-certification
 
Warning to all,, use the new on line medical with caution. READ the instructions before use and once you press submitt you have stored your data in the system forever.
AOPA has a test form you can fill out that will red flag issues. IF you do this before you do the FAA form you will have less of a problem.

Also Don'T get a medical class you don't need.

Class 1 commercial passenger has a 6 month renewal and higher standards

Class 2 commercial is 1 yr

Class 3 is private. ( I have held a class 2 since 1970 and have a commercial ticket. I have decided my next will be class 3)

Routine dr visits do not need to be listed. Dentist, physicals etc. I go to determologist annually for check up and have a few spots frozen off. You might list this as went to doc,, reason cancer.. but that would get you busted for a routine item not needing to be listed. It would be routine and no cancer ever found so you would be correct not listing it.

BEFORE you take any drug run a check for what the FAA will accept. READ 1st then decide.

Also over the counter drugs are also a problem I dont' fly on sudafed, tylenol and other drugs. Asprin possibly.

80% of loss of control accidents pilots are found with non reported drugs in the blood.

Be safe fly healthy.
 
Ok; thanks. I will try to contact Dr. Bruce.

I did read the page you listed. It talks about the FAA allowing four types of SSRIs, but "allowing" is conditional. At the time it was written, pilots were being given a grace period to come forward if they'd been on the meds and hadn't reported them; however, it's a different story if you begin meds, as per this clear sentence:

The airman must be on a stable dosage of medication for a minimum of 12 months prior to certification.

It's what the AME I consulted said (again: I didn't fill out the MedXpress form and send it in to the FAA; I just answered some general questions the AME posed in a reply email to me, such as "Are you on any new medications?").
 
To those who suggested I contact Dr. Bruce Chien:

I did, and he reported that it is as I expect: year-long wait from the time I'm on a stable dosage of the SSRI. If I go off the SSRI at some point, then I have to wait 60 days and jump through all kinds of hoops (letter from my therapist saying I'm not a menace to society, etc.) to obtain the medical clearance.

When I asked about the seemingly excessive wait of one year after achieving a stable dosage, he said the rules the FAA adopted, which he helped create, were not exactly what he had proposed. He said the FAA is answering to Congressmen wary about someone crashing a small plane in Newark and the tragic EgyptAir crash in 1999.

So, again: hard way to learn the lesson of what the FAA rules are. Had I known, I probably wouldn't have gone on an SSRI.
 
Year long wait sounds awful..Other option to consider would be getting a sports pilots license which doesn't require medical, then continue on to getting your PPL.
 
I don't think you can go the sport pilot route with a denied medical.
 
If a medical was denied one cannot just use the DL.

Doctor is wrong. You do not need a Medical to "continue training." You will not solo and you will log a ton of dual, but one can always fly and train. You can get all of the dual and CC and sim inst time done.

Do what you love, even if it means paying an instructor for 14 months.
 
vettdvr" said:
Warning to all,, use the new on line medical with caution. READ the instructions before use and once you press submitt you have stored your data in the system forever.
AOPA has a test form you can fill out that will red flag issues. IF you do this before you do the FAA form you will have less of a problem.

Also Don'T get a medical class you don't need.

BEFORE you take any drug run a check for what the FAA will accept. READ 1st then decide.

Also over the counter drugs are also a problem...80% of loss of control accidents pilots are found with non reported drugs in the blood.


Good advice.
 
Pulled from AOPA today. Currently only four antidepressant medications are acceptable to take and still receive medical certification: Celexa, Lexapro, Prozac, and Zoloft. Dr. Warren Silberman, former manager of FAA Aerospace Medical Certification, offers some guidelines for their use.
 
If he wasn't actually denied a medical, ie didn't submit the application, and is just going on what the Drs have told him, I believe he IS Sport Pilot eligible. Not a bad way to go until you can get a Class III. There's a couple schools advertising Sport Pilot training in Denver area.
 
Correct if the FE never had the form and denied the medical then as I understand the system he could fly sport in accordance with sport regs.
 
Last edited by a moderator:
Top Bottom