Testosterone (Replacement Therapy)
Brand names: AndroGel, Testim, Depo-Testosterone|Last verified: 2026-03-01
FAA Pathway: Acceptable with monitoring — levels must be within range
Testosterone replacement therapy may be conditionally acceptable for FAA certification. Testosterone levels must be within normal physiologic range and the underlying hypogonadism must be documented. Supraphysiologic dosing is not acceptable.
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
Sources
- FAA AME Guide, Endocrine
Last verified: 2026-03-01
Frequently Asked Questions
Is Testosterone (Replacement Therapy) allowed for pilots?
The FAA considers Testosterone (Replacement Therapy) (AndroGel, Testim, Depo-Testosterone) to be "Conditionally Approved" for medical certification purposes. Testosterone replacement therapy may be conditionally acceptable for FAA certification. Testosterone levels must be within normal physiologic range and the underlying hypogonadism must be documented. Supraphysiologic dosing is not acceptable.
What is the FAA status of Testosterone (Replacement Therapy)?
Testosterone (Replacement Therapy) has a status of "Conditionally Approved" under FAA medical certification policy. The certification pathway is: Acceptable with monitoring — levels must be within range.
Can I fly while taking Testosterone (Replacement Therapy)?
Flying while taking Testosterone (Replacement Therapy) may be possible through the FAA's Special Issuance process. You will need to meet specific requirements and obtain approval before exercising pilot privileges. Consult an experienced AME for guidance.
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.