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Migraine

Ketorolac for severe headache

NSAID, short-term migraine rescue
Other names: ketorolac, Toradol, Sprix

FAA guidance

Special issuance required.

Wait

36 hours

after each dose

FAA label

SI CONDITIONAL

Source: FAA, Migraine Medication. FAA date 26 August 2026. Checked by Crosscheck 14 October 2026

The FAA lists ketorolac in any form as SI-conditional migraine rescue medication with a 36-hour post-dose observation, for short-term use of less than five days for severe or intractable headaches.

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More detail: ketorolac for severe headacheThe rest of Crosscheck's reading, in plain wordsOpen

The FAA says it is not intended to be used for mild symptoms.

  • 36 hours after each dose: ground observation

FAA rule for migraine medication: The FAA says migraine relief or rescue medication is acceptable when used occasionally and unacceptable for daily use, and that its post-dose observation time (no-fly warning) is based on the drug's half-life. It says that if several relief medications are needed on a recurring basis to stop symptoms, this is considered a complicated migraine, and the examiner should defer. For relief or rescue medication the worksheet lists, the FAA's CACI – Migraine and Chronic Headache Worksheet says the examiner can issue if the pilot meets all of its acceptable certification criteria, which include no more than one episode per month, no more than 2 outpatient clinic or urgent care visits for symptom exacerbation in the last 12 months (even if symptoms fully resolved), and no history of in-patient hospitalizations for headaches; it says narcotics, Fiorinal, Fioricet and Midrin are not acceptable for relief or rescue. FAA, Migraine Medication

Show the FAA's words: ketorolac for severe headacheThe official FAA wording: one passage, each with its document and dateOpen
FAA, Migraine Medication · FAA date 26 August 2026
SI CONDITIONAL - Migraine Relief/Rescue Medication — ketorolac (Toradol) - ALL routes of administration. Note: Used short-term, less than 5 days, for severe and/or intractable headaches. This medication is not intended to be used for mild symptoms. 36 hours
Sources and dates: ketorolac for severe headacheOne FAA document, with the FAA's date and when Crosscheck checked itOpen

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.