Notice: Pilots and Medications
Several studies published by the FAA Toxicology Laboratory on toxicology samples of deceased pilots indicated the presence of illicit drugs, and prescription or over-the counter medications in 42% of subjects tested. While NTSB and FAA have not necessarily cited drug or medication use as a causal factor in these accidents; the magnitude of these findings poses two questions.
- Have the drugs found in recent investigations, diminished pilots ability to safely conduct flight operations?
- Have the medical conditions requiring use of those drugs compromised pilots ability to fly safely?
It may be impossible to say after the fact to what extent a drug compromised a pilot’s capability but it’s safe to say that a consultation with one’s Aviation Medical Examiner (AME) is a good idea before flying while using any drug.
Points to relay to the flying population;
- 42% of pilots in fatal crashes had some sort of drug/medication in their systems during the flight.
- Some of these medications carry very specific warnings against operating machinery or motor vehicles or performing tasks requiring alertness. Flying certainly is included, even in a glider or hot-air balloon.
- Illicit drugs always impair human performance.
- Healthcare providers may prescribe drugs that could compromise pilots’ abilities – especially if the doctor is not aware that the patient is a pilot.
- Combinations of prescription and OTC medications can be particularly dangerous. Pilots should consult their AME before taking a combination of medications.
- AMEs are trained to advise pilots on negative and positive effects of drugs with respect to aviation. Airman utilizing Basic Med are typically not under the care of an AME therefore may have a higher risk of incidents involving prescription or over the counter drugs that are not acceptable in the air or for operation of an aircraft.
- Pilots must truthfully report all medical conditions and drug use on their medical application forms and should consult their AME with respect to all medical conditions and drug use before flight.
Remember this acronyms: IM SAFE
- Illness: Do you have current or recent illnesses that could affect flight?
- Medication: Have you been taking any meds that could impair your ability to fly?
- Stress: Are you experiencing unusual psychological pressure and/or anxiety?
- Alcohol: Have you had any alcohol in the last eight hours? Are you hungover?
- Fatigue: Are you tired and/or not adequately rested?
- Emotion: Are you emotionally upset about anything?
For additional information, contact:
Jay M. Flowers, OPS FPM North Dakota (701)492-5809 or jay.m.flowers@faa.gov
