Topic: FAA Lifts Ban on Certain Anti-Depressants

The Federal Aviation Administration (FAA) -- the regulatory authority in the US on civil aviation -- as of 5 April, has changed its policy for pilots who take certain Selective Serotonin Reuptake Inhibitors (SSRIs), such as Prozac, Lexapro, Zoloft, and Celexa. Here is a link to the official press release:

http://www.faa.gov/news/press_releases/news_story.cfm?newsId=11293

Personally, I am relieved at this long overdue policy change. In the past, taking /any/ anti-depressant would ground you for up to a year. As a result, Part 135 operators (commercial pilots) suffering from depression had an incentive to hide their condition and go untreated, since the detection of anti-depressants would revoke their medical certificate. This created a very dangerous situation for aviation safety. Part 91 operators (private pilots) were permitted to fly only if they had another licensed pilot with them to act as a safety pilot.

It's a shame that it has taken the FAA this long -- some 40-odd years -- to re-examine the issue. Depression is very common, but also treatable, and in a high-stress occupation like flying, one can only imagine how widespread this problem must have been. The FAA is (rightly) granting amnesty to pilots who left their condition previously unreported to come fourth and seek the proper treatment.

Caution Wake Turbulence

2 (edited by Skyroshroud 17-Apr-2010 11:51:45)

Re: FAA Lifts Ban on Certain Anti-Depressants

depressed people should not fly planes at all.  One of the first symptoms is loss of concentration and memory.  And SSRIs have limited effectiveness, so you have to switch.  And it takes a while to get the balance right on your new prescription.  What that means is you are under a doctor's care, you took your prescriptions, and then you wait to see if you forgot to put the wheels down before landing--that would indicate you need to step up the dosage.

taken with the EPA's threat to "limit" the use of de-icers at airfields, and the DHS's decision not to ban that Arab jackass who joked he was lighting his shoes on fire, and Obama's early "photo-op" with air force one and two jets over NYC...I think our President is not only a Muslim Kenyan, he's got a really [moo'd] up sense of humor

The core joke of Hitchhiker's Guide to the Galaxy is that of course no civilization would develop personal computers with instant remote database recovery, and then waste this technology to find good drinks.
Steve Jobs has ruined this joke.

Re: FAA Lifts Ban on Certain Anti-Depressants

You forgot airports to no where!

Everything bad in the economy is now Obama's fault. Every job lost, all the debt, all the lost retirement funds. All Obama. Are you happy now? We all get to blame Obama!
Kemp currently not being responded to until he makes CONCISE posts.
Avogardo and Noir ignored by me for life so people know why I do not respond to them. (Informational)

Re: FAA Lifts Ban on Certain Anti-Depressants

Chris_Balsz: "One of the first symptoms is loss of concentration and memory.  And SSRIs have limited effectiveness, so you have to switch.  And it takes a while to get the balance right on your new prescription."

Under the new policy, pilots who report their diagnosis are still grounded for several months so that their response to treatment can be supervised until such a time as the AME considers them fit to fly again. I think that this is a much more preferable approach to dealing with depression amongst pilots, rather than forcing the issue underground and creating an environment where pilots may conceal the problem or even forego pursuing treatment altogether. I do not condone hiding anything that could affect a pilot's ability to do their job, but this is what we had to contend with in the past.

The Australians have cleared pilots treating their depression with certain anti-depressants for years without significant incident, and so has the US Army. The FAA has been anything but cutting-edge on the issue, until now.

Caution Wake Turbulence

Re: FAA Lifts Ban on Certain Anti-Depressants

The U.S armed services does not reckognize any pilots use of anti-depressants, and are usually place on a ground station and not allowed to fly.  Several officers on posts who knowingly help or hide any aviator with such a diagnosis has a permanant repremand in their file and re-assigned immediately.

Don't, don't you ever say that the U.S. armed services even allow such people behind a $2 million dollar aircraft, when they clearly don't.  Most of those that were caught had taken their medications and placed them in Asprin bottles or placed them in bottles marked, "pain killers".  So clearly they damn lied about their condition.  The house armed services committee would have a field day bashing generals, admirals and colonal's about this, and you bloody well know it.

=^o.o^= When I'm cute I can be cute.  And when I'm mean, I can be very very mean.  I'm a cat.  Expect me to be fickle.

Re: FAA Lifts Ban on Certain Anti-Depressants

SSRIs stop working though, which is why there are so many of them.  Maybe Prozac works a few years, then you switch to Celexa.  Then maybe extended release Prozac.

The core joke of Hitchhiker's Guide to the Galaxy is that of course no civilization would develop personal computers with instant remote database recovery, and then waste this technology to find good drinks.
Steve Jobs has ruined this joke.

Re: FAA Lifts Ban on Certain Anti-Depressants

Just give them Viagra.  Does the same thing.

=^o.o^= When I'm cute I can be cute.  And when I'm mean, I can be very very mean.  I'm a cat.  Expect me to be fickle.

Re: FAA Lifts Ban on Certain Anti-Depressants

at least you know not to bring your kid to the control tower tongue

wait...you're not playing on duty yikes

The core joke of Hitchhiker's Guide to the Galaxy is that of course no civilization would develop personal computers with instant remote database recovery, and then waste this technology to find good drinks.
Steve Jobs has ruined this joke.

Re: FAA Lifts Ban on Certain Anti-Depressants

@Key

Funny you say that, because I thought the same thing when I read the press release, so I did some fact-checking. AR 40-501 (Standards of Medical Fitness) states that SSRIs are, indeed, a disqualification for flight status. However, the Aeromedical Policy Letters state there /is/ room for exceptions on a case-by-case basis. In an update to the APL posted January 2006 concerning SSRIs, it states:

"Exception to policy will be considered on a case-by-case basis after review of the required elements outline below. ETP [Exception To Policy] may be granted in the rare case where the underlying disorder is of a discrete nature with a favorable prospect of low recurrence in the future."

It goes on to say: "If a waiver is recommended and granted, the aviator will be required to follow-up with his/her treating psychiatrist as recommended in accordance with their clinical condition.

"The aviator will also be required to undergo evaluation by a psychologist or psychiatrist (aeromedically-trained preferred) every 6 months for the duration of treatment, plus six months after medication cessation to insure stability. After that period, the flight surgeon shall note mental health status on an annual basis to continue the waiver. Results should be annotated on the annual flight physical."

See: https://aamaweb.usaama.rucker.amedd.army.mil/aamaweb/policyltrs/SSRI_Update_Jan06.pdf

So it appears that, yes, there are military pilots with prescriptions for SSRIs who are permitted to fly with their medical waiver.

Caution Wake Turbulence

Re: FAA Lifts Ban on Certain Anti-Depressants

@Chris_Balsz

I thought the kid was rather funny. I heard the audio clips of his transmissions; they were clear, simple instructions with proper phraseology (obviously the child was coached), and the pilots seem charmed and responded appropriately. That, to me, is indicative of a period of low traffic where there's not too much on the scopes and all operations are normal. I don't think the controller did any harm by letting the kid talk to the airplanes.

Caution Wake Turbulence

11 (edited by Chris_Balsz 10-Apr-2010 00:54:03)

Re: FAA Lifts Ban on Certain Anti-Depressants

great we're gonna have flint & me heading our planes onto the same runway taking direction from a 5 yr old in the tower

welcome to Obama's America

The core joke of Hitchhiker's Guide to the Galaxy is that of course no civilization would develop personal computers with instant remote database recovery, and then waste this technology to find good drinks.
Steve Jobs has ruined this joke.

Re: FAA Lifts Ban on Certain Anti-Depressants

Oh please, it's not as if the child was actually directing traffic. It's obvious the father was supervising him and telling him what to say.

Caution Wake Turbulence

Re: FAA Lifts Ban on Certain Anti-Depressants

Oh? This must rely on some different definition of "directing traffic" than "addressing pilots in aircraft, as the authority on traffic control, on what to do with their aircraft, and having them do it."

In a nation with 10% unemployment why don't we hire adults to repeat on-mike what an air traffic controller wants pilots to hear?  It ain't just about cost, is it? Isn't it just a little bit that every extra person between the controller and the pilot increases the risk of garbled communications in a lethal environment?  Especially if the cutout is a doofus who has no fricking clue what's going on, what's at stake, and is just parroting words for fun, because he's a minor?

The core joke of Hitchhiker's Guide to the Galaxy is that of course no civilization would develop personal computers with instant remote database recovery, and then waste this technology to find good drinks.
Steve Jobs has ruined this joke.

Re: FAA Lifts Ban on Certain Anti-Depressants

Breach of protocol? Yes. Absolutely.

Unprofessional? Sure, but I feel the circumstances are mitigating.

JFK tower is an extremely well-run facility, and only the best work there. His father told him exactly what to say, when to say it, and it was a controlled situation. I'm not saying this should happen everyday, and it doesn't. This was an isolated incident, and nothing came of it. Even if the kid mispronounced a callsign or said the wrong thing, it's not as if his dad or whatever controller was plugged in on that frequency couldn't jump in and issue an immediate correction, just like what happens when you train a new controller. Moreover, pilots were given notification ahead of time that the child may be issuing clearances, hence why none questioned the authenticity of the instructions when queried.

So no, the child was NOT controlling aircraft, the dad was. None of the pilots raised any objections, and this occurred during a "slow" period of air traffic. This would never happen during a high saturation period, and if it did /then/ I would be concerned. As it happens, the transmissions were entirely within context and anticipated by the flight crews, nothing more than takeoff clearances and departure handoffs. The news made much ado about nothing.

There's very few among us in the commercial aviation fraternity who would barbeque this controller for taking his kid into the cab and letting him issue a few casual instructions. The only people who are truly outraged are those who have accumulated a total of ZERO hours in a cockpit, much less spent any time in a tower cab anywhere.

Caution Wake Turbulence

Re: FAA Lifts Ban on Certain Anti-Depressants

A father tells his son which wire to cut on a bomb...

A father let's a daughter make a simple surgical cut.

A mom sits in the passenger seat as he backs up a semi.

A mom let's her daughter place handcuffs on a suspect.




Sound appropriate?

Everything bad in the economy is now Obama's fault. Every job lost, all the debt, all the lost retirement funds. All Obama. Are you happy now? We all get to blame Obama!
Kemp currently not being responded to until he makes CONCISE posts.
Avogardo and Noir ignored by me for life so people know why I do not respond to them. (Informational)

Re: FAA Lifts Ban on Certain Anti-Depressants

>>JFK tower is an extremely well-run facility, and only the best work there. His father told him exactly what to say, when to say it, and it was a controlled situation. <<

No it was not.  The tower crew had no control over what the kid was saying.  The dad had no control over who heard it.  Directing the operation of a vehicle over the radio is not a controlled situation.  It is nearly the opposite of controlled.

>>So no, the child was NOT controlling aircraft, the dad was. None of the pilots raised any objections, and this occurred during a "slow" period of air traffic. This would never happen during a high saturation period, and if it did /then/ I would be concerned. As it happens, the transmissions were entirely within context and anticipated by the flight crews, nothing more than takeoff clearances and departure handoffs. The news made much ado about nothing.<<

Actually he did botch a call and had to repeat it.  That this went smoothly is luck.  And luck is not supposed to be a factor.

>>There's very few among us in the commercial aviation fraternity who would barbeque this controller for taking his kid into the cab and letting him issue a few casual instructions. The only people who are truly outraged are those who have accumulated a total of ZERO hours in a cockpit, much less spent any time in a tower cab anywhere.<<

Serenity didn't like it so that's just one among the few here, and I've seen others argue it too. And finally, the FAA makes the rules, not the guys who take money to do it.

The core joke of Hitchhiker's Guide to the Galaxy is that of course no civilization would develop personal computers with instant remote database recovery, and then waste this technology to find good drinks.
Steve Jobs has ruined this joke.

Re: FAA Lifts Ban on Certain Anti-Depressants

@Einstein

Those analogies are red herrings, they are in no way comparable to the situation.

@Chris_Balsz

The kid could have said whatever he wanted, but he didn't. He said only what he was told to say. If he even tried to start goofing off, his father could've unplugged his headset in an instant. It's not a matter of luck that no harm was done, the situation was never out of the controller's hands, much less his supervisor's, at any point. Ever.

@~*~Serenity~*~

I'm aware of the regulations, I'm ATP certified and have logged some 1600 hours. I'm just not convinced anyone's safety was compromised at JFK that day. You're aware, then, that issuing takeoff clearances and departure handoffs is only 1% of the job of the local controller. You're aware that departures and arrivals are coordinated with the TRACON, that you have to scan the field prior to issuing these clearances, and so it is the pilot's responsibility to do the same. The child, at no time, was acting as the local controller. The kid didn't even have to recite the departure frequency in his handoffs, as that is already given to the pilots with their IFR clearance.

Caution Wake Turbulence

Re: FAA Lifts Ban on Certain Anti-Depressants

The kid could have said whatever he wanted, but he didn't.<<

How is that in the controller's hands then?


He said only what he was told to say.<<

How was that in the controller's hands?

If he even tried to start goofing off, his father could've unplugged his headset in an instant.<<

That sounds like somebody REGAINING control.

It's not a matter of luck that no harm was done, the situation was never out of the controller's hands, much less his supervisor's, at any point. Ever.<<

I think you proved the opposite point.  And then you go on to claim that it doesn't matter who's on the mike in the tower because somebody else guides the planes in and somebody else makes sure the runway is clear.  When you know its everybody's job to be 100% responsible 100% of the shift.  If somebody doesn't want that job, let him do the Junior Buddy ATC shtick at Comedy Club and earn a living that way.

The core joke of Hitchhiker's Guide to the Galaxy is that of course no civilization would develop personal computers with instant remote database recovery, and then waste this technology to find good drinks.
Steve Jobs has ruined this joke.

19 (edited by Acolyte 11-Apr-2010 02:17:11)

Re: FAA Lifts Ban on Certain Anti-Depressants

Alright, I see I'm not going to convince anybody of the harmlessness of this particular incident, so I'll agree to disagree. My position is simply that the child was clearly under supervision, nobody seemed to mind as far as the pilots or the supervisor in the cab, and no harm was done. I don't know what came of the FAA probe, but I sure hope that controller isn't out of the job.

Now, about those anti-depressants. . .

Caution Wake Turbulence

Re: FAA Lifts Ban on Certain Anti-Depressants

@ Acolyte

That only determines if their eligible to serve on duty as Active flyers or Inactive status (ground duty).  Only two rare instances have been allowed and that was flight duty for combat operations.  They were allowed to serve only so many fixed hours, and so many flight operations, whereas those not on the medication may be required to have a more burden ladened operation in the field of combat.  This is from the head Judge Advocate Generals office in washington DC.

A operatinal flying officer in combat is expected to make dozens if not hundreds of sorty's into the field of battle, with hours of operation being anywhere between 8-16 hours in the air for every sorty.  A medicated air flyer is not allowed more than 2-6 sorty's with less than 4-8 hours in the air, making them worthless in a combat operational area.

That's why it's frowned upon in air force.  They need operational pilots, not pilots which may lose it in mid-air because of medication.  And especially any medication where it's anti-depressant. 

"Oh geeze, I feel so sad, I think i'll crash this $2 million dollar aircraft right now..."

Like I said, congress would have a field day with this.

=^o.o^= When I'm cute I can be cute.  And when I'm mean, I can be very very mean.  I'm a cat.  Expect me to be fickle.

Re: FAA Lifts Ban on Certain Anti-Depressants

I agree that a medicated aviator may present an operational hazard in combat operations, where the demands and stresses on the aviator are greater than, say, a training flight or something equally benign. That being said, military and civil aviation are two very different beasts, and I don't see any issue at all when it comes to civil aviation.

Caution Wake Turbulence

Re: FAA Lifts Ban on Certain Anti-Depressants

$2 million aircraft with one to two pilots aboard, or small flight crew.

vs.

$2-$30 million dollar aircraft with two pilots, air crew, and 1-350 civilian passangers.

Your absolutely right, two very different beasts all together.

=^o.o^= When I'm cute I can be cute.  And when I'm mean, I can be very very mean.  I'm a cat.  Expect me to be fickle.

Re: FAA Lifts Ban on Certain Anti-Depressants

In the past, I was less worried about a depressed pilot deliberately crashing an airplane than I was about the safety of using medications that are untested in a pressurized environment. Certain medications, for example, can increase some individuals' susceptibility to hypoxia. And, as I've said before, the old policy created a much more dangerous situation for the safety of air travel by forcing the issue of depression among pilots underground. Pilots would either hide their condition from the AME, or even forego treatment altogether. I'm not arguing that they should, but given the circumstances I would feel much safer sitting right seat to a depressed Captain who is safely, and with official sanction, treating his/her condition and regularly following up with their doctor; as opposed to a Captain who hides their problems from the world.

Depression is a treatable condition, and it can be done so safely thanks to the new generation of anti-depressants that are more effective than the older tricyclics. Tricyclics were the only kind available some 40 or 50 years ago when the FAA first implemented the ban, so this change in policy has been a long time coming. Better late than never, as they say.

Caution Wake Turbulence

Re: FAA Lifts Ban on Certain Anti-Depressants

They have a limited window of effectiveness and mood is the last thing to go. First comes appetite and sleep patterns, then cognitive ability. Which also flux with normal people with bad habits. Such as long haul pilots.

The core joke of Hitchhiker's Guide to the Galaxy is that of course no civilization would develop personal computers with instant remote database recovery, and then waste this technology to find good drinks.
Steve Jobs has ruined this joke.

25 (edited by Acolyte 28-Apr-2010 05:19:13)

Re: FAA Lifts Ban on Certain Anti-Depressants

If those side effects did manifest in a pilot, I would recommend restricted flight duty, or an outright grounding in the most extreme cases. However, this is a matter for the aeromedical professionals to determine and due to the nature of individual physiologies, it would have to be dealt with on a case-by-case basis which is how the FAA has chosen to handle it. And in this rare instance, I agree with them.

Caution Wake Turbulence