| Generally Safe to Fly (GO) | Avoid (NO GO) |
|---|---|
|
• olopatadine (Pataday) • alcaftadine (Lastacaft) • artificial tears Brand Names of Common Artificial Tears Include: • Systane: Known for its broad lubrication, with Systane Complete PF being a popular preservative-free choice for frequent use. • Blink: Offers different viscosities, including Blink Tears and thicker Blink GelTears for longer relief but only low viscosity version is allowed in flight. • TheraTears: Electrolyte-balanced drops that mimic natural tears, ideal for screen users. • GenTeal Tears: Another widely available brand, often recommended for moderate dryness. • Bion Tears: A reliable option for lubricating tears. |
Eye ointment or gel during flight are not allowed. This prohibition includes the GelTears version of Blink. |
Itchy (pruritic) eyes can be distracting, and this is all too common in the arid cockpit environment at altitude. Thought sometimes tempting, orally ingested anti-itch meds (pills, tablets or capsules) antihistamines are problematic for aviators and generally not helpful for itchy (pruritic) eyes. Temporary blurry vision may occur with use of eye drops, and the FAA forbids eye ointments or gels that are used in flight since duration of the blurry vision is unpredictable.
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