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FAA Policy on ED Meds - Cockpit Reliability

Erectile Dysfunction (ED) is an incredibly common condition that can cause psychological distress and negatively affect one's well being. Although they may not believe it, pilots like the rest of the population may have issues in this area and want to pursue a prescription to treat ED. It's important for pilots to be aware of the FAA policy on these medications.

By Rocky Jedick MD, MBA · · 5 min read

FAA Policy on ED Medications

Erectile Dysfunction (ED) is an incredibly common condition that can cause psychological distress and negatively affect one's well being. The most common medications to treat this disorder are PDE5 inhibitors. These medications increase the production of nitric oxide that promotes vasodilation (increasing the size of blood vessels) and in turn more blood flow.

FAA Policy on ED Medications

For pilots, using ED meds isn't as simple as popping a pill and taking off. The Federal Aviation Administration (FAA) has strict guidelines regarding the use of these medications.

  1. Consult with an Aviation Medical Examiner (AME): If you're considering using ED medications, discuss with your AME during your next medical exam.
  2. Possible Deferral: Your AME should NOT defer your medical certificate if you're taking ED meds for a genitourinary cause (ED or benign prostate hypertrophy). These are permitted.
  3. Safety First: Due to the vasodilatory properties of these meds, users are at high risk of experiencing low blood pressure and possibly fainting. Use of these meds will quickly diminish a pilot's G-strain and increase likelihood for G-LOC.
FAA required downtime after ED Medications
FAA required downtime after ED Medications

As you can see from the table, Cialis is probably not the best medication to treat ED for the frequent flyer!

For more detailed information, you can check out the FAA's official guidance on ED medications.

If you still have questions on this topic or any other complex medical condition, CONSULT GO FLIGHT MEDICINE TODAY!