DMARD (Rheumatoid Arthritis)Conditionally Approved

Leflunomide

Brand names: Arava|Last verified: 2026-03-01

FAA Pathway: Special Issuance — depends on underlying condition

Leflunomide may be conditionally approved depending on the underlying rheumatoid arthritis severity and medication side effects. Not on the DNI list, but the underlying condition and immunosuppression require evaluation.

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Medication Checker

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
Stable disease, normal liver function
Certificate Classes
Depends on RA severity
Monitoring
Regular liver function tests
Notes
Consult AME experienced with autoimmune conditions

Sources

  • FAA AME Guide, Rheumatology

Last verified: 2026-03-01

Frequently Asked Questions

Is Leflunomide allowed for pilots?

The FAA considers Leflunomide (Arava) to be "Conditionally Approved" for medical certification purposes. Leflunomide may be conditionally approved depending on the underlying rheumatoid arthritis severity and medication side effects. Not on the DNI list, but the underlying condition and immunosuppression require evaluation.

What is the FAA status of Leflunomide?

Leflunomide has a status of "Conditionally Approved" under FAA medical certification policy. The certification pathway is: Special Issuance — depends on underlying condition.

Can I fly while taking Leflunomide?

Flying while taking Leflunomide 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.