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SACAA Part 67 medication guidance · unofficial

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Fentanyl

Part of group: Controlled substance — strong opioid analgesic (Schedule 6)

SACAA Part 67 assessment

Not acceptable / incompatible with flying duties

Active ingredient(s)

8 in group
FentanylOxycodoneHydrocodonePethidineBuprenorphineDihydrocodeineTilidineTapentadol

Controlled substance — strong opioid analgesic (Schedule 6)

Typical grounding period: 72 hours (3 days)

Measured from the last dose, and only once completely side-effect free.

Guidance notes

All strong opioids cause sedation, euphoria, slowed reaction time and impaired judgement, and carry dependence potential. Absolutely not acceptable for aviation duty. Any use requires DAME review, and the condition requiring strong opioid analgesia is itself normally disqualifying until resolved.

Category rules that also apply

Controlled / narcotic substance — absolute prohibition

Narcotics, opioids, sedatives of dependence and stimulants of abuse (Schedule 5 and 6 medicines, and all illicit substances) are incompatible with aviation duty. No flying, air traffic control or cabin crew duty while the substance is being used, and return to duty requires formal DAME assessment of the medicine, the underlying condition and any dependence risk — not simply a washout period. These substances also trigger positive results on SACAA and operator substance screening, which carries licensing consequences separate from the medical assessment. Never combine them with alcohol.

Known SA brand names

OxyContinTarginactDurogesicTemgesicValoronPalexiaPethidine

Our DAME partners

SACAA certified DAME list

Possible acceptable alternatives (same therapeutic group)

Alternatives are informational only. The underlying medical condition must also be assessed by a DAME — a condition can ground you even when the medicine is acceptable.

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SACAA Aviation Medicine (official reference)