Neurology
Primidone
Named on the FAA's essential tremor worksheet as not acceptable
Other names: Mysoline
Examiner
The examiner defers to the FAA
The FAA's CACI – Essential Tremor Worksheet says: "Gabapentin, primidone (Mysoline), and other potentially sedating medications are not acceptable for aeromedical purposes.
Track your medicationsCompare FAA documents: primidoneWhat each of the two FAA documents says, in plain wordsOpen
Do NOT CACI." It says a beta blocker is the only CACI-eligible medication for essential tremor.
The FAA's Tremor disposition table says the acceptable medication for CACI is none or a beta-blocker and all others go to its row C, which notes that most medication to treat tremor is not acceptable (for example gabapentin, mysoline [primadone]); for that row it says the examiner should defer and submit the information to the FAA for a possible special issuance.
Show the FAA's words: primidoneThe official FAA wording: two passages, each with its document and dateOpen
Gabapentin, primidone (Mysoline), and other potentially sedating medications are not acceptable for aeromedical purposes. Do NOT CACI.
Note: Beta blocker is the ONLY CACI-eligible medication for this condition.
Acceptable medication for CACI is NONE or a beta-blocker. (All others go to Row C).
C. All others
Note: Most medication to treat tremor is not acceptable (e.g., gabapentin, mysoline [primadone]).
DEFER
Submit the information to the FAA for a possible Special Issuance