Psychiatrist Questions Psychiatrist

Can a pilot take antidepressants?

I am a pilot and have depression. I want to take antidepressants. Can a pilot take antidepressants?

6 Answers

In the context of aviation, the use of antidepressants by pilots is subject to strict regulations and oversight by aviation authorities, such as the Federal Aviation Administration (FAA) in the United States. The primary concern is ensuring that the medication does not impair a pilot's ability to safely operate an aircraft.

As of my last update, the FAA has specific guidelines regarding the use of certain antidepressants for pilots. Under these guidelines, pilots may be allowed to take certain approved antidepressants under the FAA's Special Issuance medical certification process. This process involves a thorough evaluation to determine if the individual can safely perform pilot duties while taking the medication. The approved antidepressants usually include a limited list of SSRIs (Selective Serotonin Reuptake Inhibitors).

However, being permitted to use antidepressants while flying involves several steps:

Medical Evaluation: The pilot must undergo a comprehensive psychiatric evaluation by a mental health professional to confirm the diagnosis and need for medication.
Stable Condition: The pilot needs to be on a stable dose of the medication for a certain period (typically several months) without adverse side effects that could impair flying abilities.
Continuous Monitoring: Regular follow-ups with a healthcare provider are necessary to monitor the effectiveness of the medication and any side effects.
FAA Review: Detailed medical documentation must be submitted to the FAA for review. The FAA will consider the pilot's medical history, the specifics of the depression diagnosis, the treatment plan, and the response to the medication.
It's crucial for you to consult with an aviation medical examiner (AME) or a psychiatrist familiar with aviation medical certification standards to discuss your specific situation. They can provide guidance on the process, the documentation required, and the likelihood of obtaining a Special Issuance medical certificate.

Remember, the regulations and policies can vary by country, and they may have changed since my last update. Therefore, it's essential to check the latest guidelines from your country's aviation authority.
I think so. But you need to find out the rules and regulations about this to confirm what is involved.
Yes
It would depend on IF, and what adverse side effects resulted from the medication. Jack L. Underwood, M.D.
You'd have to check with the company you are working for. A lot of them have bizarre requirements and would prefer a pilot to be depressed, suicidal, and plunge the plane into the sea, killing hundreds, not just himself (which happened on Egypt Air) rather than have a medical problem appropriately treated. Ignorance reigns, at least in the USA. But first see a psychiatrist.

I don't know what the FAA regulations might be, but I don't see why you would not be able to have a condition treated with medications which for the vast majority of people are quite safe.