Instrument Flying Handbook Menu>Human Factors>Medical Factors

A “go/no-go” decision is made before each flight. The pilot should not only preflight check the aircraft, but also his/ herself before every flight. As a pilot you should ask yourself, “Could I pass my medical examination right now?” If you cannot answer with an absolute “yes,” then you should not fly. This is especially true for pilots embarking on flights in IMC. Instrument flying can be much more demanding than flying in VMC, and peak performance is critical for the safety of flight.

Pilot performance can be seriously degraded by both prescribed and over-the-counter medications, as well as by the medical conditions for which they are taken. Many medications, such as tranquilizers, sedatives, strong pain relievers, and cough-suppressants, have primary effects that may impair judgment, memory, alertness, coordination, vision, and the ability to make calculations. Others, such as antihistamines, blood pressure drugs, muscle relaxants, and agents to control diarrhea and motion sickness, have side effects that may impair the same critical functions. Any medication that depresses the nervous system, such as a sedative, tranquilizer, or antihistamine, can make a pilot much more susceptible to hypoxia.

Title 14 of the Code of Federal Regulations (14 CFR) prohibits pilots from performing crewmember duties while using any medication that affects the faculties in any way contrary to safety. The safest rule is not to fly as a crewmember while taking any medication, unless approved to do so by the Federal Aviation Administration (FAA). If there is any doubt regarding the effects of any medication, consult an Aviation Medical Examiner (AME) before flying.