Waivers must be requested for applicants and rated crew who have required systemic steroids, immunotherapy within a 5-year period to application, or have a history of sinus surgery to include polyp removal.If the conditions outlined above conditions aren't met, then the allergic rhinitis is presumably more complicated and the member is not physically qualified (NPQ).The differential diagnosis includes viral upper respiratory infection (URI), non-allergic rhinitis, sinusitis and side effects of medications including ovarian hormones and nonsteroidal anti-inflammatory agents.Potential hazards include: ear and sinus barotrauma with potential in-flight incapacitation; airway compromise; discomfort and distraction; reduced sense of smell; and possible use of easily accessible, unauthorized over the counter medication.This study looked at the results of those screenings, according to one of the study’s authors, Dr. “We found that over a 22-year-period there was a signifiant increase in the finding of all sorts of drugs, from acetaminophen and Tylenol all the way up to the illicit drugs,” he said.“The study indicates a significant problem” with the OTC drug diphenhydramine, according to Dr. The FAA has been aware of the dangers of OTC medications for years, said Mc Kay.
The study analyzed toxicology results for 6,677 pilots who died in aircraft accidents between 1990 to 2012.
Formal medical clearance decisions, however, are based on the relevant medical standards of FAA Order 3930.3, on other applicable agency guidelines, and the clinical opinion of agency physicians.
Often, the medical condition or the drug itself, if acceptable, will require clearance under special consideration procedures.
History of allergic rhinitis or vasomotor rhinitis requiring the use of antihistamines for a cumulative period greater than 30 days per year is disqualifying according to AR 40-501 Standards of Medical Fitness.
Mild seasonal or perennial allergic rhinitis, treated successfully with short acting decongestants, non-sedating antihistamines, leukotriene modifiers, and/or intranasal steroids without side effects or adverse reactions will be noted, but not require waiver.