Anticholinergic (Overactive Bladder)Disqualifying

Solifenacin

Brand names: Vesicare|Last verified: 2026-09-12

FAA Pathway: Do Not Issue (DNI) — FAA clearance required

Solifenacin is on the FAA's Do Not Issue list. The FAA names it, along with oxybutynin and tolterodine, among overactive bladder medications that carry strong warnings about sedation and impaired cognition. An AME cannot issue a medical certificate while you are taking it; clearance from the FAA is required.

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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
Do Not Issue — anticholinergic overactive bladder medication (DNI table)
Why
Anticholinergics with tertiary structure carry warnings about sedation and impaired cognition
Certificate Classes
All classes — the AME must defer
Notes
Talk with your physician and AME before starting, stopping, or switching bladder medications

Sources

  • FAA AME Guide, Pharmaceuticals
  • FAA Do-Not-Issue/Do-Not-Fly Table (faa.gov/ame_guide/media/DNI_DNF_tables.pdf)

Last verified: 2026-09-12

Frequently Asked Questions

Is Solifenacin allowed for pilots?

The FAA considers Solifenacin (Vesicare) to be "Disqualifying" for medical certification purposes. Solifenacin is on the FAA's Do Not Issue list. The FAA names it, along with oxybutynin and tolterodine, among overactive bladder medications that carry strong warnings about sedation and impaired cognition. An AME cannot issue a medical certificate while you are taking it; clearance from the FAA is required.

What is the FAA status of Solifenacin?

Solifenacin has a status of "Disqualifying" under FAA medical certification policy. The certification pathway is: Do Not Issue (DNI) — FAA clearance required.

Can I fly while taking Solifenacin?

Solifenacin 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.