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Medication Class — Migraine Headache Medications

Medication Class Description:

Individual cases vary greatly. However, after evaluation and FAA review, the agency will permit use of certain prophylactic migraine headache medications. These medications to prevent migraines, beta blockers and calcium channel blockers are primarily used for heart conditions and high blood pressure, but may also be effective in vascular (migraine type) headaches.   FAA approval requires documentation that the medication is successful in preventing the occurrence of headaches. See the AMAS article on Headaches for a complete discussion.

In April of 2013 the FAA modified their policies to allow the Aviation Medical Examiner (AME) to clear the medical for migraine and chronic headaches such as classic or common migraine, tension headaches, or cluster headaches (not ocular migraine or complicated migraine) as long as they occur no more than monthly, there are no in-patient hospitalizations and not more than two exacerbations in the last year for this condition, there cannot be TIA type symptoms, vertigo, or mental status changes, the provider documents the condition is stable, and the AME warns of no flying for 24 hours after triptan use, 36 hours after reglan use, or 96 hours after phenergan use.  Injectable or narcotic medications are not allowed.

Medications Within Class:

Sansert, Imitrex, Zomig, caffergot