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Vitamins and supplements

Nicotinamide and your FAA medical

Vitamin, Water Soluble
Other names: Nicomide

FAA guidance

Acceptable in the FAA document cited.

Source: FAA, MedGuide (FAA Office of Aerospace Medicine medication reference). FAA date 27 October 2026. Checked by Crosscheck 11 November 2026

The FAA's MedGuide lists nicotinamide (Nicomide) as allowed, for supplement, inflammatory conditions [OL], skin conditions [OL] or pellagra [OL], with no wait after the first dose, after later doses or after the final dose, used per label directions.

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More detail: nicotinamideThe rest of Crosscheck's reading, in plain wordsOpen

The MedGuide defines allowed as acceptable for use while performing flight or safety-related duties, provided the condition is stable/aeromedically acceptable and no adverse side effects are present, and says wait times are not determined solely by the medication: an extended observation period may be required to verify clinical stability of the condition.

Show the FAA's words: nicotinamideThe official FAA wording: three passages, each with its document and dateOpen
FAA, MedGuide (FAA Office of Aerospace Medicine medication reference) · FAA date 27 October 2026
Generic: nicotinamide
Brand Name: Nicomide
Drug Class: Vitamin, Water Soluble
Underlying Condition: Supplement; Inflammatory conditions [OL]; Skin conditions [OL]; Pellagra [OL]
Use: ALLOW
INITIAL Wait Time (after first dose): None
SUBSEQUENT Dose Wait Time (after each dose): None
DISCONTINUATION Wait Time (after final dose): None
Frequency Use Limit: Per label directions
FAA, MedGuide (FAA Office of Aerospace Medicine medication reference) · FAA date 27 October 2026
ALLOWED: The medication is acceptable for use while performing flight or safety-related duties, provided the condition is stable/aeromedically acceptable and no adverse side effects are present.
FAA, MedGuide (FAA Office of Aerospace Medicine medication reference) · FAA date 27 October 2026
Underlying Condition: Evaluating medication use requires considering the impact of safety of flight from both the medication and underlying condition. Wait times are not determined solely by the medication; an extended observation period may be required to verify clinical stability of the condition.
Sources and dates: nicotinamideOne FAA document, with the FAA's date and when Crosscheck checked itOpen

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 nicotinamide for pilots?

FAA guidance: Acceptable in the FAA document cited. The FAA's MedGuide lists nicotinamide (Nicomide) as allowed, for supplement, inflammatory conditions [OL], skin conditions [OL] or pellagra [OL], with no wait after the first dose, after later doses or after the final dose, used per label directions. Crosscheck does not predict the FAA's decision.

What else does the FAA's guidance say about nicotinamide?

The MedGuide defines allowed as acceptable for use while performing flight or safety-related duties, provided the condition is stable/aeromedically acceptable and no adverse side effects are present, and says wait times are not determined solely by the medication: an extended observation period may be required to verify clinical stability of the condition.

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.