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Finasteride

Other names: Proscar, Propecia, dutasteride, Avodart

The FAA's guidance for finasteride depends on what it is taken for. Each use is below, with its own FAA source and date.

Taken for hair loss or an enlarged prostate (BPH)

FAA guidance

Acceptable with conditions.

Wait

48 hours

after the first dose

Source: FAA, MedGuide (FAA Office of Aerospace Medicine medication reference). FAA date 1 October 2026. Checked by Crosscheck 14 October 2026

The FAA's MedGuide lists finasteride (Proscar, Propecia) as allowed, for alopecia (hair loss), benign prostatic hypertrophy (BPH) or polycystic ovarian disease (PCOS) [OL], with a wait of 48 hours after the first dose and none after later doses or after the final dose, used as prescribed; for PCOS, the entry under that use carries the FAA's PCOS worksheet as well.

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More detail: finasterideThe rest of Crosscheck's reading, in plain wordsOpen

The MedGuide defines allowed as acceptable for use while performing flight or safety-related duties, provided the condition is stable/aeromedically acceptable and no adverse side effects are present, and says wait times are not determined solely by the medication: an extended observation period may be required to verify clinical stability of the condition.

  • 48 hours after the first dose: ground observation
Show the FAA's words: finasterideThe official FAA wording: three passages, each with its document and dateOpen
FAA, MedGuide (FAA Office of Aerospace Medicine medication reference) · FAA date 1 October 2026
Generic: finasteride
Brand Name: Proscar; Propecia
Drug Class: 5 Alpha-Reductase Inhibitor
Underlying Condition: Alopecia (Hair loss); Benign Prostatic Hypertrophy (BPH); Polycystic ovarian disease (PCOS) [OL]
Use: ALLOW
INITIAL Wait Time (after first dose): 48 hours
SUBSEQUENT Dose Wait Time (after each dose): None
DISCONTINUATION Wait Time (after final dose): None
Frequency Use Limit: As prescribed
FAA, MedGuide (FAA Office of Aerospace Medicine medication reference) · FAA date 1 October 2026
ALLOWED: The medication is acceptable for use while performing flight or safety-related duties, provided the condition is stable/aeromedically acceptable and no adverse side effects are present.
FAA, MedGuide (FAA Office of Aerospace Medicine medication reference) · FAA date 1 October 2026
Underlying Condition: Evaluating medication use requires considering the impact of safety of flight from both the medication and underlying condition. Wait times are not determined solely by the medication; an extended observation period may be required to verify clinical stability of the condition.
Sources and dates: finasterideOne FAA document, with the FAA's date and when Crosscheck checked itOpen

Taken for polycystic ovarian syndrome (PCOS)

finasteride and dutasteride

FAA guidance

Acceptable with conditions.

Wait

48 hours

after the first dose (the FAA's MedGuide)

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

FAA label

ACCEPTABLE

Source: FAA, CACI – PCOS Worksheet. FAA date 25 March 2026. Checked by Crosscheck 14 October 2026

For polycystic ovarian syndrome (PCOS), the FAA's CACI worksheet lists anti-androgens, for example finasteride and dutasteride, among its acceptable medications, which may be used in combination; the others are letrozole, metformin, oral contraceptives and spironolactone (with a 7-day wait).

Compare FAA documents: finasteride and dutasterideWhat each of the two FAA documents says, in plain wordsOpen

The worksheet applies with all its other criteria, and the examiner must note in Block 60 one of its statements, which include CACI qualified, and not CACI qualified and deferred.

The FAA's MedGuide names finasteride (Proscar, Propecia) and dutasteride (Avodart) as allowed, for hair loss, benign prostatic hypertrophy and polycystic ovarian disease (PCOS) [OL], with a wait of 48 hours after the first dose and none after later doses or after the final dose, used as prescribed. The MedGuide defines allowed as acceptable for use while performing flight or safety-related duties, provided the condition is stable/aeromedically acceptable and no adverse side effects are present.

  • 48 hours after the first dose: ground observation
Show the FAA's words: finasteride and dutasterideThe official FAA wording: two passages, each with its document and dateOpen
FAA, CACI – PCOS Worksheet · FAA date 25 March 2026
Treated with the acceptable medication(s) listed:
(May be used in combination)
Indicate which medication(s) used:
anti-androgen (e.g., finasteride, dutasteride)
letrozole
metformin
oral contraceptive
spironolactone (7-day wait)
AME MUST NOTE in Block 60 one of the following:
CACI qualified Polycystic Ovary Syndrome [PCOS].
NOT CACI qualified Polycystic Ovary Syndrome [PCOS]. I have deferred.
Generic: finasteride
Brand Name: Proscar; Propecia
Drug Class: 5 Alpha-Reductase Inhibitor
Underlying Condition: Alopecia (Hair loss); Benign Prostatic Hypertrophy (BPH); Polycystic ovarian disease (PCOS) [OL]
Use: ALLOW
INITIAL Wait Time (after first dose): 48 hours
SUBSEQUENT Dose Wait Time (after each dose): None
DISCONTINUATION Wait Time (after final dose): None
Frequency Use Limit: As prescribed
Generic: dutasteride
Brand Name: Avodart
Drug Class: 5 Alpha-Reductase Inhibitor
Underlying Condition: Alopecia (Hair loss); Benign Prostatic Hypertrophy (BPH); Polycystic ovarian disease (PCOS) [OL]
Use: ALLOW
INITIAL Wait Time (after first dose): 48 hours
SUBSEQUENT Dose Wait Time (after each dose): None
DISCONTINUATION Wait Time (after final dose): None
Frequency Use Limit: As prescribed
FAA, MedGuide (FAA Office of Aerospace Medicine medication reference) · FAA date 1 October 2026
ALLOWED: The medication is acceptable for use while performing flight or safety-related duties, provided the condition is stable/aeromedically acceptable and no adverse side effects are present.
Sources and dates: finasteride and dutasterideTwo FAA documents, with the FAA's date and when Crosscheck checked themOpen

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.

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.