Page Contents
  1. Code of Federal Regulations for Airmen
    • First-Class Airman Medical Certificate: 67.107
    • Second-Class Airman Medical Certificate: 67.207
    • Third-Class Airman Medical Certificate: 67.307
  2. Medical History
  3. Aeromedical Decision Considerations
  4. Protocol: See Aerospace Medical Dispositions, Item 47. Psychiatric Conditions
  5. Pharmaceutical Considerations: The use of a psychotropic drug is disqualifying for aeromedical certification purposes - this includes all antidepressant drugs including selective serotonin reuptake inhibitors (SSRIs). However, the FAA has determined that airmen requesting first, second, or third class medical certificates while being treated with one of four specific SSRIs may be considered (see Use of Antidepressant Medications). The Authorization decision is made on a case by case basis. The AME may not issue.
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