Zofran due to migraines - special issuance possible?

[PilotSchmidt]

I have a friend that wants to fly with me on a kind of discovery flight, with the possibility of pursuing her pilot's license as a hobby like me. Unfortunately, she made an off hand comment tonight that she occasionally takes zofran to manage nausea after a migraine. From what I can tell, this is on the "do not issue" list. But when I Google it, I get some hits that indicate a special issuance might be possible, and SIs are possible with migraines, but I'm not sure about the combination, nor about occasional use vs daily use. I know getting her to do an AME consult before trying for a Class 3 is the official, proper answer and when/if it comes up, that's what I'll tell her. But I was hoping for some more direct answers/experiences with this. Anyone know if it's possible?

 

[TCABM]

There’s always sport pilot if they have a driver’s license and no denial on the books.

 

[Half Fast]

Sport Pilot and keep an eye on MOSAIC.

 

[robin ardoin]

Hmm.... Zofran itself, an anti-emtetic (anti nausea) drug has no sedative properties like most other more traditional anti emetics. I would think the migraine issue may require an SI but I would not think that Zofran should be an issue. However, I am not King of the FAA so my opinion means nought. Definitely something to investigate with a knowledgeable AME prior to filling out a Med Express questionnaire.

 

[Lindberg]

Here's the FAA's list:

https://www.faa.gov/ame_guide/media/DNI_DNF_tables.pdf

I don't see Zofran on it. And remember, you report medications you're actually taking. Some people feel the need to report medications they previously took, or took for a short period in the past.

Here's the worksheet for migraines. That's likely to be more of an issue than the Zofran. Have her review this and see if she qualifies:

https://www.faa.gov/ame_guide/media/C-CACIMigraine.pdf

 

[bbchien]

Zofran is approvable on a case by case basis....depends on "what's underlying"....