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I have been flying with a mild case of asthma for 50 years. I started taking Montelukast four years ago for allergies and asthma. I use a Ventolin inhaler as needed (about 5 times a year). I was issued a Third Class Medical (Special Issuance) in Jan 2020. How do I obtain a Third Class Medical without the Special Issuance?
Anita Fetzer
Jun '20
The FAA has created what is termed a CACI (Condition the AME Can Issue) worksheet. If an airmen meets the criteria in this worksheet then the AME has the ability to issue a medical certificate in the office. In some cases, the FAA may instead grant the airman a Special Issuance. A pilot does reserve the right to write a letter to the FAA asking that the Special Issuance be removed. The FAA will require documentation showing that the condition is stable from a treating physician before they will reconsider their decision.
https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item35/amd/asthma/
https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item35/amd/asthma/
I have arthritis in my spine, this is the result of a 1965 helicopter wreck in SE Asia. No not a accident, they were aiming at me, it has become worse as I grow older ( 77) and finally needs some pain management. The otho has prescribed Lidocaine patches of 5% does the use of this require reporting to the FAA? I have not tried it yet. Thanks
Anita Fetzer
May '20
As stated by Ron and Bruce there are some possible issues. While Lidocaine patches are on the "allowable" list, the answer isn't that cut and dry. First and foremost is that the FAA will be concerned as to why you need the patches and if there is a condition that limits your ability to pilot the aircraft. In addition if you currently have a Special Issuance for any other health condition you would need to self-ground and report the "change in your health/medication" to the FAA and await their approval. If you do not have a Special Issuance then you would report the use of the lidocaine patches on your next medical exam. The FAA will review your application and make a determination from there.
However,if you are currently flying under Basic Med, there is no medication database. It's use would be reported on your next exam, it is the pilots responsibility to self-certify that they are fit to fly.
However,if you are currently flying under Basic Med, there is no medication database. It's use would be reported on your next exam, it is the pilots responsibility to self-certify that they are fit to fly.