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Mirtazapine
Part of group: Antidepressant / mood stabiliser
SACAA Part 67 assessment
Not acceptable / incompatible with flying duties
Active ingredient(s)
5 in groupAntidepressant / mood stabiliser
Guidance notes
Sedating antidepressants and lithium are not acceptable for aviation duty without specific SACAA consideration. Mirtazapine and trazodone are markedly sedating; venlafaxine and duloxetine may cause dizziness and discontinuation effects; lithium requires blood-level monitoring and is disqualifying. Only certain SSRIs may be considered by SACAA on a case-by-case basis after a stable, side-effect-free period.
Known SA brand names
Our DAME partners
Dr Berlize du Plessis
Senior DAME · MS213
Kenridge, Cape Town
Dr Brandon Head
Senior DAME · MS229
Sunninghill, Sandton
Dr Ernest Schutz
Senior DAME · MS028
Germiston
Dr Mariska van Tonder
Senior DAME · MS222
Somerset West
Dr Richard Albrecht
Senior DAME · MS074
Strubensvalley, Roodepoort
Dr. Schalk Reyneke
Senior DAME · MS123
Honeydew, Roodepoort
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.