Phenothiazine Antiemetic / AntihistamineDisqualifying

Promethazine

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

FAA Pathway: Do Not Issue — sedating phenothiazine

Promethazine is disqualifying for FAA certification. As a phenothiazine with significant sedating properties, it is incompatible with aviation. Use ondansetron (Zofran) as a non-sedating antiemetic alternative.

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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

FAA Status
Disqualifying — sedating phenothiazine
Sedation
Significant drowsiness and cognitive impairment
Alternative
Ondansetron (Zofran) for anti-nausea
Certificate Classes
All classes affected

Sources

  • FAA Do Not Issue Table

Last verified: 2026-03-01

Frequently Asked Questions

Is Promethazine allowed for pilots?

The FAA considers Promethazine (Phenergan) to be "Disqualifying" for medical certification purposes. Promethazine is disqualifying for FAA certification. As a phenothiazine with significant sedating properties, it is incompatible with aviation. Use ondansetron (Zofran) as a non-sedating antiemetic alternative.

What is the FAA status of Promethazine?

Promethazine has a status of "Disqualifying" under FAA medical certification policy. The certification pathway is: Do Not Issue — sedating phenothiazine.

Can I fly while taking Promethazine?

Promethazine is currently disqualifying for FAA medical certification. You cannot fly while taking this medication. A washout period and evaluation are typically required after discontinuation. Consult an AME or aviation attorney before making any medication changes.

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.