First Class Medical - Can I even get one?

D

DanThePilotMan

Filing Flight Plan
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Jan 1, 2025
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DanThePilotMan
Hello! Wanting to get everyone’s opinion on my situation. I basically want to know if I’m even going to get my class one medical, after jumping through all these hoops.

I have a history with ADHD. I haven’t taken meds in 3 years. So I’ll have to go through the standard track, that I feel is straight forward. As long as I pass the cog test with the HIMS Neurophysiologist, I should be able to get 1st class.

I had some “depression” about 7 years ago. The docs tried to give me meds, but I didn’t take them and on my medical records it shows that I told them I didn’t need them and I felt better. I believe only one prescription was prescribed. I assume this would qualify under the depression fast track?

Now here is the kicker. I have a history of supraventricular tachycardia. I’ve had only a few episodes in my life. The last time I saw a doctor for it they gave me a 7 day halter, and they only recorded one instance of SVT for 14 beats, then it went back to normal. I have never lost consciousness, or anything. I don’t remember the last time I’ve had an episode, it’s been years. The only time I have had episodes, they have only lasted a few seconds. I know I have to do the 24 hour halter and a CVE protocol. Is it even possible to get a special issuance for this? Would I have to go through it every year to get my first class? I’m wanting to make a career change to be an airline pilot.

I want to submit everything the FAA needs the first time, so I don’t have to wait 7-12 months multiple times.

Thanks for the help and guidance. I truly appreciate it.
 
Dan you'll have to substantiate the one and only antidepressive Rx- and you do that with a ten year pharmacy vendor report, that contains the one and only Rx, issuance.

SVT: You'll need a current Holter and current office eval by a cardiologist (within 90 days prior to application), Echocardiogram, but no treadmill run.
.....The rest appears surmountable.
 
Last edited:
bbchien said:
Dan you'll have to substantiate the one and only andtdepressive Rx- and you do that with a ten year pharmacy vendor report, that contains the one and only Rx, issuance.

SVT: You'll need a current Holter and current office eval by a cardiologist (within 90 days prior to application), Echocardiogram, but no treadmill run.
.....The rest appears surmountable.
Click to expand...
Awesome! Great news. Sounds like as long as the cardiologist appt goes good, I should be able to get a first class then. Thank you very much for the response!
 
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