Fluoroquinolone AntibioticGenerally Approved

Levofloxacin

Brand names: Levaquin|Last verified: 2026-03-01

FAA Pathway: Generally acceptable with precautions

Levofloxacin is generally acceptable for FAA certification with the same precautions as ciprofloxacin. Monitor for CNS effects, tendon issues, and peripheral neuropathy. Ground trial recommended before flying.

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Pilot Tip

Always report all medications on your FAA medical application (Form 8500-8, Item 17a), even OTC medications. Failure to disclose is a far bigger issue than the medication itself.

Certification Details

Key Requirements
No CNS effects, no tendon symptoms
Wait Period
Ground trial recommended
Certificate Classes
All classes eligible
Notes
Same fluoroquinolone precautions as ciprofloxacin

Sources

  • FAA AME Guide, Pharmaceuticals

Last verified: 2026-03-01

Frequently Asked Questions

Is Levofloxacin allowed for pilots?

The FAA considers Levofloxacin (Levaquin) to be "Generally Approved" for medical certification purposes. Levofloxacin is generally acceptable for FAA certification with the same precautions as ciprofloxacin. Monitor for CNS effects, tendon issues, and peripheral neuropathy. Ground trial recommended before flying.

What is the FAA status of Levofloxacin?

Levofloxacin has a status of "Generally Approved" under FAA medical certification policy. The certification pathway is: Generally acceptable with precautions.

Can I fly while taking Levofloxacin?

Levofloxacin is generally compatible with flying. However, you must report it on your FAA medical application (Form 8500-8) and ensure you are not experiencing side effects that could impair flight safety. Always consult your Aviation Medical Examiner (AME).

Important Notice

The FAA does not publish a comprehensive list of “approved” medications. The information on this page represents our interpretation of publicly available FAA guidance and is provided for informational and educational purposes only. It does not constitute medical advice, legal advice, or a guarantee of certification outcome.

The primary issue with the FAA is always whether the underlying medical condition — not just the medication — is compatible with safe flight. You should only start, stop, or change medications after consulting your treating physician. Always consult with a qualified Aviation Medical Examiner (AME) for guidance specific to your situation. FAA policies are subject to change. ClearedMed is not affiliated with or endorsed by the FAA.