Long-Acting Anticholinergic (COPD / Asthma)Conditionally Approved

Tiotropium (Inhaler)

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

FAA Pathway: Special Issuance — depends on underlying pulmonary condition

Tiotropium may be conditionally approved depending on the severity of the underlying COPD or asthma. Mild, well-controlled cases with adequate pulmonary function may qualify. Severe COPD is generally disqualifying.

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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

PFT meeting FAA standards, stable disease

Certificate Classes

Depends on pulmonary function

Monitoring

Periodic pulmonary function testing

Notes

COPD severity determines pathway — mild cases may qualify

Sources

FAA AME Guide, Pulmonary

Last verified: 2026-03-01

Frequently Asked Questions

Is Tiotropium (Inhaler) allowed for pilots?

The FAA considers Tiotropium (Inhaler) (Spiriva) to be "Conditionally Approved" for medical certification purposes. Tiotropium may be conditionally approved depending on the severity of the underlying COPD or asthma. Mild, well-controlled cases with adequate pulmonary function may qualify. Severe COPD is generally disqualifying.

What is the FAA status of Tiotropium (Inhaler)?

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

Can I fly while taking Tiotropium (Inhaler)?

Flying while taking Tiotropium (Inhaler) 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.