Amitriptyline

Discussion in 'Medical Topics' started by anon, Dec 4, 2017.

  1. anon

    anon Guest

    I currently take 50mg amitriptyline for headaches, though my headaches have improved and I am starting to taper off from the medication. Will this impact my 3rd class medical exam?
     
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  2. lbfjrmd

    lbfjrmd Pre-takeoff checklist

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    yes ... it is a non-approved medication.
     
  3. anon

    anon Guest

    Even if I have been off it for 60-90 days when I get examined with a form from my physician showing no side effects? I have only been taking the meds for 2-3 months.
     
  4. anon

    anon Guest

    One more thing. Is there anyone knowledgeable in this field I can contact about this question?
     
  5. AggieMike88

    AggieMike88 Touchdown! Greaser!

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    What guidance would you provide Anon so he would be successful renewing his 3rd class?
     
  6. bflynn

    bflynn En-Route

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    Get a really, really good AME.

    Amitriptyline Hydrochloride is considered a psychotropic medication. It requires a case by case evaluation if you're taking it. If you do not need it anymore, you should be off the drug for 90 days (maybe only 60) before your medical. But even then, a psychiatric evaluation is probably required.
     
  7. lbfjrmd

    lbfjrmd Pre-takeoff checklist

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    my guidance is slightly diff from Dr. B. if i were the airman i would ask my AME to submit exam as a deferral stating the basic facts ... and wait for their reply. I suspect a aviation psychiatrist will be recommended next.
     
  8. Rushie

    Rushie Pattern Altitude

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    I'm guessing a lot is going to ride on what diagnosis(es) the doctor(s) have put into your records.
     
  9. bbchien

    bbchien Touchdown! Greaser!

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    Amen.
    Duration of the Rx
    Age at first rx
    How many episodes of rx?
    What the Rx was for
    Was the doc who rx’d this qualified to know what else might be ongoing.
    Does your doc “self discredit” in his record.....

    And though Dr. LBF & I both share the FAA playbook, I emphasize getting it through in one pass. I have never seen the agency so badly constipated as it is today....
     
  10. Anonymous

    Anonymous Guest

    What about 10mg taken once daily for IBS?
     
  11. AggieMike88

    AggieMike88 Touchdown! Greaser!

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    No matter what the med is prescribed for, or the dosage/frequency, if the FAA has it listed as a medication not approved for flying, it remains not approved for flying.

    But that isn't the end of things.... Consulting with a very knowledgeable AME (emphasis on consulting) about your situation and asking what medications will help your condition and are approved by the FAA could be a worthwhile use of your time. Also use that consultation to ask how to properly document that, even though you were using the medication and state that on the certification application, you are now no longer on it. With the right documentation, you can quickly silence the alarm bells and waving flags, still satisfy the honest declaration you were on the non-approved medication, and properly inform them you now are off of it for sufficient time and such.
     
  12. lbfjrmd

    lbfjrmd Pre-takeoff checklist

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    it doesn't not appear the fact that said medicine is VERBOTEN has impressed this airman.
     
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  13. bbchien

    bbchien Touchdown! Greaser!

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    Amen. The issue here, is showing these are not depressive headaches.....