673 

Federal Aviation Administration, DOT 

§ 67.111 

phencyclidine or similarly acting 
arylcyclohexylamines; cannabis; 
inhalants; and other psychoactive 
drugs and chemicals; and 

(ii) ‘‘Substance dependence’’ means a 

condition in which a person is depend-
ent on a substance, other than tobacco 
or ordinary xanthine-containing (e.g., 
caffeine) beverages, as evidenced by— 

(A) Increased tolerance; 
(B) Manifestation of withdrawal 

symptoms; 

(C) Impaired control of use; or 
(D) Continued use despite damage to 

physical health or impairment of so-
cial, personal, or occupational func-
tioning. 

(b) No substance abuse within the 

preceding 2 years defined as: 

(1) Use of a substance in a situation 

in which that use was physically haz-
ardous, if there has been at any other 
time an instance of the use of a sub-
stance also in a situation in which that 
use was physically hazardous; 

(2) A verified positive drug test re-

sult, an alcohol test result of 0.04 or 
greater alcohol concentration, or a re-
fusal to submit to a drug or alcohol 
test required by the U.S. Department 
of Transportation or an agency of the 
U.S. Department of Transportation; or 

(3) Misuse of a substance that the 

Federal Air Surgeon, based on case his-
tory and appropriate, qualified medical 
judgment relating to the substance in-
volved, finds— 

(i) Makes the person unable to safely 

perform the duties or exercise the 
privileges of the airman certificate ap-
plied for or held; or 

(ii) May reasonably be expected, for 

the maximum duration of the airman 
medical certificate applied for or held, 
to make the person unable to perform 
those duties or exercise those privi-
leges. 

(c) No other personality disorder, 

neurosis, or other mental condition 
that the Federal Air Surgeon, based on 
the case history and appropriate, quali-
fied medical judgment relating to the 
condition involved, finds— 

(1) Makes the person unable to safely 

perform the duties or exercise the 
privileges of the airman certificate ap-
plied for or held; or 

(2) May reasonably be expected, for 

the maximum duration of the airman 

medical certificate applied for or held, 
to make the person unable to perform 
those duties or exercise those privi-
leges. 

[Doc. No. 27940, 61 FR 11256, Mar. 19, 1996, as 
amended by Amdt. 67–19, 71 FR 35764, June 
21, 2006] 

§ 67.109

Neurologic. 

Neurologic standards for a first-class 

airman medical certificate are: 

(a) No established medical history or 

clinical diagnosis of any of the fol-
lowing: 

(1) Epilepsy; 
(2) A disturbance of consciousness 

without satisfactory medical expla-
nation of the cause; or 

(3) A transient loss of control of nerv-

ous system function(s) without satis-
factory medical explanation of the 
cause. 

(b) No other seizure disorder, disturb-

ance of consciousness, or neurologic 
condition that the Federal Air Sur-
geon, based on the case history and ap-
propriate, qualified medical judgment 
relating to the condition involved, 
finds— 

(1) Makes the person unable to safely 

perform the duties or exercise the 
privileges of the airman certificate ap-
plied for or held; or 

(2) May reasonably be expected, for 

the maximum duration of the airman 
medical certificate applied for or held, 
to make the person unable to perform 
those duties or exercise those privi-
leges. 

§ 67.111

Cardiovascular. 

Cardiovascular standards for a first- 

class airman medical certificate are: 

(a) No established medical history or 

clinical diagnosis of any of the fol-
lowing: 

(1) Myocardial infarction; 
(2) Angina pectoris; 
(3) Coronary heart disease that has 

required treatment or, if untreated, 
that has been symptomatic or clini-
cally significant; 

(4) Cardiac valve replacement; 
(5) Permanent cardiac pacemaker im-

plantation; or 

(6) Heart replacement; 

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