Tacrolimus
Brand names: Prograf|Last verified: 2026-03-01
FAA Pathway: Special Issuance — transplant patients require extensive evaluation
Tacrolimus for organ transplant recipients may be considered through Special Issuance, though the pathway is complex. Organ transplant certification is one of the most challenging Special Issuance categories, requiring extensive documentation of graft function and overall health.
Related Resources
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, Transplant Medicine
Last verified: 2026-03-01
Frequently Asked Questions
Is Tacrolimus allowed for pilots?
The FAA considers Tacrolimus (Prograf) to be "Conditionally Approved" for medical certification purposes. Tacrolimus for organ transplant recipients may be considered through Special Issuance, though the pathway is complex. Organ transplant certification is one of the most challenging Special Issuance categories, requiring extensive documentation of graft function and overall health.
What is the FAA status of Tacrolimus?
Tacrolimus has a status of "Conditionally Approved" under FAA medical certification policy. The certification pathway is: Special Issuance — transplant patients require extensive evaluation.
Can I fly while taking Tacrolimus?
Flying while taking Tacrolimus 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.