Crosscheck

Your medical. Crosschecked.

Other

Spironolactone and your FAA medical

Acceptable medication on the FAA's PCOS worksheet

Taken for: Polycystic ovarian syndrome (PCOS)Taking it for something else? The entries here do not cover that use. The FAA may address it in the guidance for your condition. Ask your examiner.

FAA guidance

Acceptable with conditions.

Wait

7 days

wait, as the worksheet prints it

There is more to this wait.

Examiner

CACI: the examiner can issue when the condition's worksheet criteria are met. Applicants for first- or second-class must provide the worksheet's information annually; applicants for third-class with each required exam

FAA label

ACCEPTABLE

Source: FAA, CACI – PCOS Worksheet. FAA date 25 March 2026. Checked by Crosscheck 11 November 2026

For polycystic ovarian syndrome (PCOS), the FAA's CACI worksheet lists spironolactone among its acceptable medications, with a 7-day wait, and says they may be used in combination; the others are anti-androgens (for example finasteride and dutasteride), letrozole, metformin and oral contraceptives.

Track your medications
More detail: spironolactoneThe rest of Crosscheck's reading, in plain wordsOpen

Wait

  • it does not say from when

The worksheet does not say from when the 7 days count. It applies with all its other criteria, and the examiner must note in Block 60 one of its statements, which include CACI qualified, and not CACI qualified and deferred. Spironolactone for high blood pressure is listed under diuretics.

Show the FAA's words: spironolactoneThe official FAA wording: one passage, each with its document and dateOpen
FAA, CACI – PCOS Worksheet · FAA date 25 March 2026
Treated with the acceptable medication(s) listed:
(May be used in combination)
Indicate which medication(s) used:
anti-androgen (e.g., finasteride, dutasteride)
letrozole
metformin
oral contraceptive
spironolactone (7-day wait)
AME MUST NOTE in Block 60 one of the following:
CACI qualified Polycystic Ovary Syndrome [PCOS].
NOT CACI qualified Polycystic Ovary Syndrome [PCOS]. I have deferred.
Sources and dates: spironolactoneOne 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 spironolactone for pilots?

FAA guidance: Acceptable with conditions. For polycystic ovarian syndrome (PCOS), the FAA's CACI worksheet lists spironolactone among its acceptable medications, with a 7-day wait, and says they may be used in combination; the others are anti-androgens (for example finasteride and dutasteride), letrozole, metformin and oral contraceptives. The worksheet does not say from when the 7 days count. Crosscheck does not predict the FAA's decision.

How long is the FAA's wait for spironolactone?

7-day wait, as the worksheet prints it; it does not say from when.

What does the examiner do for spironolactone?

CACI: the examiner can issue when the condition's worksheet criteria are met. Applicants for first- or second-class must provide the worksheet's information annually; applicants for third-class with each required exam. 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.