Migraine
Other medications unacceptable for migraine prevention
Migraine prevention medication the FAA prohibits
FAA guidance
Do not issue.
Examiner
Do not issue: the examiner cannot issue a certificate
FAA label
UNACCEPTABLE
The FAA documents quoted here name the class, not this medication. Crosscheck matched it through its class: Migraine prevention medication the FAA prohibits.
The FAA lists all tricyclic antidepressants, gabapentin, lacosamide, lamotrigine, lasmiditan, pregabalin, topiramate and valproic acid as unacceptable for migraine prevention, their use prohibited as a single agent or in any combination product.
Track your medicationsMore detail: Other medications unacceptable for migraine preventionThe rest of Crosscheck's reading, in plain wordsOpen
Each of these medicines also has its own entry.
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: Other medications unacceptable for migraine preventionThe official FAA wording: one passage, each with its document and dateOpen
UNACCEPTABLE – Migraine Prevention (Prophylaxis). Use prohibited as a single agent or in any combination product. ALL tricyclic antidepressants (TCA), gabapentin (Neurontin), lacosamide (Vimpat), lamotrigine (Lamictal), lasmiditan (Reyvow) [unacceptable for prophylaxis/prevention], pregabalin (Lyrica), topiramate (Topamax), valproic acid (Depakote)