ANTI-DEPRESSANTS AND FLYING
It seems like anti-depressants (Prozac, Paxil, Elavil, etc.) have been around for ages and they are being used for almost anything from true depression to itchy toes. There are many different prescriptions issued by practitioners for stress, premenstrual tension, anti-smoking programs, anxiety, worries, etc. The vast majority of these medications are taken without any significant side effects.
The FAA looks at medications in two aspects: (1) the REASON WHY they are prescribed, and (2) the potential SIDE EFFECTS. Specifically with this type of medication, the effects on cognition, memory, alertness, i.e., side effects that would impair flight safety, to name a few.
Because of the wide spread use of antidepressants and the documented safety of most of them, the medical flying world has done a huge amount of research on their use and participation in flight. Under strictly controlled studies, aviation personnel have taken Zoloft™ or Welbutrin™ with no apparent reduction in cognitive abilities or drowsiness. The FAA is reportedly studying the possibility of certifying some flyers while taking one of these two medications. There will be strict stipulations including documentation from a psychiatrist (i.e., the WHY), and a documented period (to be determined) of use reporting any side effects. There will be a time limited special issuance of the medical certificate, the length (6-12 months) to be determined.
The details are yet to be worked out but it is said to be in the works. I understand other country's aeromedical departments have had satisfactory studies also. This information is largely my personal gleanings from conversations at aviation medical examiner’s meetings and does not necessarily represent FAA plans or exactly what will eventually “hit the street” so to speak.
PwT(16Oct06)