Page Contents
  1. Code of Federal Regulations for Airmen
  2. Medical History: See Item 18.e., Hay fever or allergy.
    The applicant should report frequency and duration of symptoms, any incapacitation by the condition, treatment, and side effects. The AME should inquire whether the applicant has ever experienced any barotitis (ear block), barosinusitis, alternobaric vertigo, or any other symptoms that could interfere with aviation safety.

  3. Aeromedical Decision Considerations:

  4. Protocol:
    See Disease Protocols - Allergies, Severe .

  5. Pharmaceutical Considerations:

    • For conditions controlled by desensitization, AME must warn the airman to not operate aircraft until four hours after each injection.
    • Sublingual immunotherapy (SLIT) used for allergic rhinitis is not acceptable.
Disclaimer: Neither the FAA nor FlightPhysical.com will attempt to publish all-inclusive references. Online guidance does not replace medical advice from your PCP and/or AME. Most doctors are not AMEs, and your regular Primary Care Provider (PCP) or specialist will know more about you and/or your specific medical condition than an AME, but is probably untrained or unfamiliar with aviation medicine. Follow 14 CFR 61.53 (duty to self-ground when ill) for your safety and that of your passengers. Don't fly after taking a new medication for the first time until 48 hours have past without side effects. When in doubt - DO NOT FLY.
FAA AME Guide Dec 2025 version and FAA.gov