Crosscheck

Your medical. Crosschecked.

Other

Apremilast and your FAA medical

Phosphodiesterase-4 inhibitor (non-biologic)
Other names: Otezla

FAA guidance

Acceptable with conditions.

Wait

2 weeks

ground trial when starting

Other FAA documents add more.

Examiner

The examiner can issue when the document's criteria are met

FAA label

ACCEPTABLE

Source: FAA, Biologics, Biosimilars, and Non-Biologics. FAA date 26 August 2026. Checked by Crosscheck 11 November 2026

The FAA's biologics sheet lists apremilast as acceptable monotherapy medication when the underlying condition qualifies, with a two-week ground trial when starting and no no-fly time after later doses, and a note to report any signs of depression.

Track your medications
Compare FAA documents: apremilastWhat each of the two FAA documents says, in plain wordsOpen

Wait

  • no wait after later doses

The FAA's CACI – Arthritis Worksheet lists it (PDE4) among its acceptable medications as any single medication after a 2-week ground trial, with no post-dose observation time, and says the examiner can issue if the pilot meets all of its acceptable certification criteria.

  • 14 days after starting: ground observation
Show the FAA's words: apremilastThe official FAA wording: two passages, each with its document and dateOpen
FAA, Biologics, Biosimilars, and Non-Biologics · FAA date 26 August 2026
Initial observation: All require a 2-week no-fly/ground trial to verify no side effects.
ACCEPTABLE BIOLOGICS - MONOTHERAPY MEDICATION Permitted if the underlying condition qualifies; consult the condition pages for details.
Non-Biologic Medications Post-dose Observation No-Fly times
Phosphodiesterase-4 Enzyme Inhibitor: apremilast (Otezla). Report any signs of depression, None
FAA, CACI – Arthritis Worksheet · FAA date 29 April 2026
If the applicant meets ALL the acceptable certification criteria listed below, the AME can issue
Phosphodiesterase-4 Enzyme Inhibitor (PDE4)
Any singe medication listed below after a 2-week ground trial and:
No post-dose observation time:
PDE4: apremilast (Otezla)
Sources and dates: apremilastTwo FAA documents, with the FAA's date and when Crosscheck checked themOpen

Questions pilots ask

Each answer is built from the FAA guidance on this page. Its sources and dates are in the page.

What does the FAA say about apremilast for pilots?

FAA guidance: Acceptable with conditions. The FAA's biologics sheet lists apremilast as acceptable monotherapy medication when the underlying condition qualifies, with a two-week ground trial when starting and no no-fly time after later doses, and a note to report any signs of depression. Crosscheck does not predict the FAA's decision.

How long is the FAA's wait for apremilast?

2-week ground trial when starting; no wait after later doses.

What does the examiner do for apremilast?

The examiner can issue when the document's criteria are met. Crosscheck does not predict the FAA's decision.

Related pages

Medication guidance alone does not determine whether a pilot is medically qualified to fly. The underlying condition, dosage, side effects, medication combinations, and certification history may affect FAA eligibility.

For informational purposes only. Not legal or medical advice.