Limitation of the fitness to fly
According to the VO(EU) 1178/2011 Annex IV – the Part “MED” pilots are not allowed to fly, and student pilots are not allowed to fly alone if they are aware of the restriction of their medical fitness, which make it impossible for them to could practice aviation safely.
Some circumstances that lead to the fact that you can see the flight surgeon must consult are clearly defined. These include cases of undergoing a surgical surgery or an invasive procedure; with the regular has started to take or use medicines; has suffered a substantial injury which does not allow him/her to work as a flight crew member; Suffers from a significant medical condition that makes it impossible to work as a Flight crew member does not allow; is pregnant or hospitalized. or has been admitted to a clinic. If this duty is violated, the company risks penal sanctions, possibly the license and in the event of damage the Insurance coverage.
When taking a medication, the regulation requires that the flight surgeon be consulted is used when taking or using anything that can be used to ensure the safe exercise of the flying is likely to be endangered. In the EASA Guidance Material there are guidance on how these undefined terms should be interpreted.
Any drug can cause side effects, of which some may interfere with the safe performance of flight tasks. Likewise can be symptoms of diseases on the ground little or no problem cause, but distract when flying and affect performance. The In-flight conditions can increase the severity of symptoms.
Prior to taking any medication, the following three basic questions are answered satisfactorily:
– Do I feel fit to fly?
– Do I really need to take any medication at all?
– For this medication, have I ensured that it is has no negative impact on my ability to fly?
Confirmation of the absence of adverse effects may include a require aeromedical advice.
Some widely used drugs and their compatibility with aviation are listed in the GM to MED.A.020. Individual examples to this:
Antibiotics can have side effects that may affect the performance can affect. However, it is even clearer that their use in the usually indicates an infection, so that the effects of this infection can be can lead to the fact that one is not airworthy and aeromedical should seek advice.
Antihistamines may cause drowsiness. You will frequently used in the treatment of hay fever, asthma and allergic rashes used. In many cases, the disease itself can make flying exclude, so that if treatment is required, a aero-medical advice should be sought so that so-called non-sedative Antihistamines that do not impair human performance, can be prescribed.
Cough suppressants often contain codeine, dextromethorfan or Pseudo-ephedrine, which are not compatible with air travel. Mucolytic agents (e.g. carbocysteine) are, however, well tolerated and “flightworthy”.
Sedatives and tranquilizers can lead to fatal contributed to air accidents. In addition, the trigger why this medication was prescribed, almost certainly mean that the mental condition is not compatible with flying.
After local, general, dental and other anesthesias should be some time elapse before flying again. The period is from person to person varies greatly, but you should look for a Local anesthesia at least 12 hours and after general anesthesia at least Do not fly for 48 hours.
Many of the drugs on the market today contain a combination of drugs. It is therefore essential that In the case of new drugs or dosages, even if only minor, the effect on the pilot is observed on the ground before the flight. Also need Hypersensitivities to certain medications are considered individually.
Alternative or complementary medicine, such as acupuncture, homeopathy, hypnotherapy and other disciplines, are developing and gaining of acceptance.
It must also be ensured there that the treatments as well as the underlying disease are adequately considered by the aviation physician.
You can find the article “Are you really fit for the cockpit” in Aerokurier 10/2019 and here as pdf.