Retinoid (Severe Acne Treatment)Conditionally Approved

Isotretinoin

Brand names: Accutane, Claravis, Absorica|Last verified: 2026-03-01

FAA Pathway: Acceptable with monitoring — requires ground trial

Isotretinoin may be acceptable for FAA certification with specific precautions. It can cause night vision impairment, mood changes, and musculoskeletal symptoms. A ground trial is essential, and the pilot must report any visual disturbances or psychiatric side effects to their AME.

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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

Key Requirements
No night vision changes, no psychiatric side effects, ground trial
Certificate Classes
All classes eligible with documentation
Side Effects to Watch
Night vision impairment, depression, joint pain
Notes
Regular monitoring during treatment; report visual changes immediately

Sources

  • FAA AME Guide — Pharmaceuticals: Acne (faa.gov/ame_guide/pharm/acne)

Last verified: 2026-03-01

Frequently Asked Questions

Is Isotretinoin allowed for pilots?

The FAA considers Isotretinoin (Accutane, Claravis, Absorica) to be "Conditionally Approved" for medical certification purposes. Isotretinoin may be acceptable for FAA certification with specific precautions. It can cause night vision impairment, mood changes, and musculoskeletal symptoms. A ground trial is essential, and the pilot must report any visual disturbances or psychiatric side effects to their AME.

What is the FAA status of Isotretinoin?

Isotretinoin has a status of "Conditionally Approved" under FAA medical certification policy. The certification pathway is: Acceptable with monitoring — requires ground trial.

Can I fly while taking Isotretinoin?

Flying while taking Isotretinoin 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.