Depression/Anxiety requiring medication
Pilots taking antidepressants/anti-anxiety medication are disqualified, except for the 4 S.S.R.I. mediations which require a Special Issuance (see attached SSRI Special Issuance Protocol). If the mediation and the diagnosis for which it was prescribed are no longer present then a pilot may be considered for certification. Remember it is not only the medication, but what the medication was prescribed for that could be disqualifying.
Initial report to the F.A.A.
A. Must be off medication for at least 60 days and have no evidence of recurrence of symptoms to be
B. Please provide a current status letter (dated within the last 90 days) from the treating physician to
include, diagnosis, medical treatment of depression or anxiety (including names and dosages of meds), as well as how long treatment was provided, history of the illness and if any hospitalization was required and prognosis Robert J. Gordon, D.O. 965 S. Main Plymouth, Michigan 48170 734-455-3530 FAX 734-455-5050 [email protected] SSRI SPECIFICATION SHEET The following information is required and must be submitted to your HIMS AME:
o A personal statement detailing your history of antidepressant use and
o Copies of all medical records related to your history of antidepressant use.
o A current, detailed evaluation report from your treating physician attesting
o Dosage of the antidepressant medication taken
o Presence of any side effects experienced from any current or past
o If your treating physician is not a board-certified psychiatrist, you must
submit a detailed evaluation by a board-certified psychiatrist regarding
your current psychiatric and behavioral status. The psychiatrist must
document the review of your personal statement, medical records, and
current evaluation by your treating physician.
o $CogScreen-AEWHVWLVUHTXLUHG The report must include the raw data and all test protocols used by the examiner.
o If you held a first - or second-class airman medical certificate and flew
a commercial carrier within the last 2 years, you must obtain a letter
from airline management (chief pilot or designee) attesting to your
competence, crew interaction, and mood (if available).
The HIMS AME must submit:
A detailed evaluation that addresses a review of the above documents
An evaluation of your current psychiatric status
A comment regarding a recommendation for a Special Issuance certificate
A written statement agreeing to serve as your independent medical
Robert J. Gordon, D.O. 965 S. Main Plymouth, Michigan 48170 734-455-3530 [email protected]SSRI Decision Path - I After 60 days off SSRI with Elects to AME notes in favorable report from treating discontinue Block 60 and physician of stable mood, use of SSRI defers issuance airman may apply for regular issuance Fluoxetine (Prozac) or Escitalopram (Lexapro) Elects to continue Sertraline (Zoloft) Advise NOT Acceptable use of SSRI or Citalopram (Celexa)? Decision Path- II
Plymouth, Michigan 48170 734-455-3530 [email protected]SSRI Decision Path – II (HIMS AME) Airman is on: Fluoxetine (Prozac) Airman must On SSRI more
•Advise must be on SSRI at least contact HIMS AME than 12 months? 12 months, with a stable dosage, Escitalopram (Lexapro) before SI consideration
•If airman elects to discontinue Sertraline (Zoloft) use of SSRI at this point, see Citalopram (Celexa) SSRI Decision Path I Currently on multiple
•Advise NOT Acceptable Nature of underlying psychiatric medications
•Defer diagnosis and the treatment
•Forward all material and exam to AMCD for FAA history of unacceptable decision diagnosis or symptoms Acceptable diagnosis and treatment Airman MUST provide HIMS AME to: statement, evaluation Review all material, conduct detailed evaluation, reports, records, tests, make recommendation regarding SI, agree to FAA Decision and letters as outlined continued monitoring per FAA Policy, send package to AMCD for review
Robert J.Gordon, D.O. 965 S. Main Plymouth, Michigan 48170 734-455-3530 [email protected]SSRI Follow Up Path Airman with SSRI Special Issuance First and Third Class Second Class Airman must send to HIMS AME:
•Current status report from treating physician
•Psychiatric consultation status report every 6 months Letter From airline management every 3 months for those flying under FAR Part 121 or 135 CogScreen-AE CogScreen-AE testing annually Review by HIMS AME testing every 2 years FAA Decision
*Note: HIMS AME may issue if subsequent certification exam does not coincide with required neurocognitive testing and if all follow-up material is acceptable.
When CogScreen is due, send records to Medical Appeals, AAM-240, Washington, DC.
Proc. Aust. Soc. Anim. Prod. 2010. vol. 28 Integrated Parasite Management Reduces the Cost of Gastro-Intestinal Nematodes of Sheep on the Northern Tablelands of N.S.W. G. Kelly, L. Kahn and S. Walkden-Brown CRC for Sheep Industry Innovation, University of New England, Armidale, N.S.W., 2351. Gastrointestinal nematodes (worms) cost Australian sheep producers more than any other dise
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