AME AME Pharmacology & Medication Policies

Question 1

Which class of medications is generally disqualifying for FAA medical certification due to central nervous system effects?

Accepted Answer

Opioid analgesics

Answer

Opioid analgesics are disqualifying because they cause sedation, impaired judgment, and slowed reaction times that compromise flight safety.

Question 2

How long must a pilot be off diphenhydramine (Benadryl) before exercising pilot privileges?

Accepted Answer

48 hours

Answer

The FAA recommends waiting at least 48 hours after taking diphenhydramine due to its prolonged sedating effects and potential 'hangover' impairment.

Question 3

Under the CACI program, which ADHD medication is specifically listed as disqualifying for all classes of FAA medical certification?

Accepted Answer

Both methylphenidate and amphetamine salts

Answer

Both stimulant ADHD medications — methylphenidate and amphetamine salts — are disqualifying because they are Schedule II controlled substances with potential cardiovascular and CNS risks.

Question 4

What is the FAA's current policy allowing pilots to use certain SSRI antidepressants while holding a medical certificate?

Accepted Answer

Selected SSRIs are allowed under Special Issuance after a stability period

Answer

The FAA allows four specific SSRIs (fluoxetine, sertraline, citalopram, escitalopram) under Special Issuance after demonstrating medication stability for at least six months.

Question 5

Which over-the-counter analgesic is generally considered acceptable for pilot use when taken as directed and the pilot is symptom-free?

Accepted Answer

Acetaminophen (Tylenol)

Answer

Acetaminophen is generally acceptable because it does not cause sedation or significantly impair cognitive or motor performance at standard doses.

(AME) Aviation Medical Examiner Certification Practice Test

(AME) Aviation Medical Examiner Certification Practice Test

AME AME Pharmacology & Medication Policies