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Clomiphene citrate

Listed in the FAA's low testosterone (hypogonadism) table

Taken for: Low testosterone (hypogonadism)Taking it for something else? The entries here do not cover that use. The FAA may address it in the guidance for your condition. Ask your examiner.

FAA guidance

Acceptable with conditions.

Wait

14 days

initial ground trial when starting

Examiner

CACI: the examiner can issue when the condition's worksheet criteria are met. Applicants for first- or second-class must provide the worksheet's information annually; applicants for third-class with each required exam

Source: FAA, CACI – Low Testosterone (Low T) Hypogonadism Worksheet. FAA date 29 April 2026. Checked by Crosscheck 14 October 2026

For low testosterone (hypogonadism), the FAA's CACI worksheet lists clomiphene citrate among the medications for the condition and says it requires a 14-day initial ground trial, and the examiner must confirm no visual side effects are present.

Track your medications
Compare FAA documents: clomiphene citrateWhat each of the two FAA documents says, in plain wordsOpen

The FAA's table lists it among the treatments of its row B, which goes to that worksheet: it requires a complete blood count (CBC) and a current, detailed clinical progress note from the treating physician or a completed Low T status summary, and the examiner issues if the pilot meets all the CACI worksheet criteria and is otherwise qualified.

  • 14 days after starting: ground observation
Show the FAA's words: clomiphene citrateThe official FAA wording: two passages, each with its document and dateOpen
FAA, CACI – Low Testosterone (Low T) Hypogonadism Worksheet · FAA date 29 April 2026
Medications for condition (one or more of the following):
Clomiphene citrate
Requires a 14-day initial ground trial, and
AME must confirm no visual side effects present
FAA, Low Testosterone (Low T) Hypogonadism · FAA date 29 April 2026
LOW TESTOSTERONE (LOW T) HYPOGONADISM
B. Treated with one or more of the following:
Anastrozole
Clomiphene citrate
Human Chorionic Gonadotropin (HCG)
Testosterone (Oral or Injectable)
Testopel
Tamoxifen
See the CACI - Hypogonadism Worksheet.
This requires a complete blood count (CBC) lab AND a current, detailed Clinical Progress Note from the treating physician OR a completed Low Testosterone (Low T) Hypogonadism Status Summary
If the pilot meets all CACI worksheet criteria and is otherwise qualified:
ISSUE
Sources and dates: clomiphene citrateTwo FAA documents, with the FAA's date and when Crosscheck checked themOpen

See also

Medication guidance alone does not determine whether a pilot is medically qualified to fly. The underlying condition, dosage, side effects, medication combinations, and certification history may affect FAA eligibility.

For informational purposes only. Not legal or medical advice.