Other
Mitomycin (intravesical)
Maintenance intravesical treatment on the FAA's bladder cancer worksheet
Taken for: Bladder cancerTaking 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.
Wait
24 hours
no-fly after each treatment, and asymptomatic
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
For bladder cancer, the FAA's CACI – Bladder Cancer Worksheet lists, as current treatment, none or maintenance intravesical BCG or mitomycin, and says that if these medications are used, the airman should not fly until 24 hours post treatment and asymptomatic.
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The same row says that if the airman is currently on chemotherapy or radiation treatment, the exam is deferred, and that if it has been 5 or more years since any treatment for the condition, with no history of metastatic disease and no reoccurrence, CACI is not required. The worksheet applies with all its other criteria, and the examiner must note in Block 60 one of its statements, which include CACI qualified bladder cancer, and not CACI qualified and deferred.
- 24 hours after each dose: no flying
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CACI – Bladder Cancer Worksheet
AME MUST NOTE in Block 60 one of the following:
CACI qualified bladder cancer. (Documents do not need to be submitted to the FAA.)
NOT CACI qualified bladder cancer. I have deferred.
Current treatment
Notes: If it has been 5 or more years since the airman has had any treatment for this condition, with no history of metastatic disease, and no reoccurrence, CACI is not required.
If the airman is currently on chemotherapy or radiation treatment, defer the exam.
None or maintenance intravesical BCG or mitomycin.
(If these medications are used, the airman should not fly until 24 hours post treatment and asymptomatic.)