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SACAA Part 67 medication guidance · unofficial

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Nabumetone

Part of group: Non-steroidal anti-inflammatory (NSAID)

SACAA Part 67 assessment

Acceptable with conditions / grounding period

Active ingredient(s)

19 in group
NabumetoneDiclofenacNaproxenSulindacPiroxicamIndomethacinCelecoxibEtoricoxib

Non-steroidal anti-inflammatory (NSAID)

Stabilisation period

Ground trial of at least one dose with no side effects

Guidance notes

NSAIDs (including sulindac) are acceptable provided you are free of side effects — no dizziness, headache, gastro-intestinal upset, tinnitus or drowsiness. Apply the five half-lives rule after any side effect: short-acting agents (diclofenac ≈2 h) clear quickly, long-acting agents (piroxicam ≈50 h, meloxicam ≈20 h, naproxen ≈14 h, sulindac ≈8 h active metabolite) can ground you for days. Always ground-trial a new NSAID before flying.

Category rules that also apply

NSAID half-life rule

For NSAIDs, allow a minimum of five half-lives of the specific agent after the last dose before flying if any side effect occurred. Short half-life NSAIDs (ibuprofen ≈2 h, diclofenac ≈2 h) clear within a duty period, while long half-life agents (piroxicam ≈50 h, meloxicam ≈20 h, naproxen ≈14 h) can keep you grounded for days. Choose the shortest-acting agent that controls the pain.

Known SA brand names

VoltarenCataflamAleveSynflexClinorilBrexecamFeldeneIndocidCelebrexArcoxiaPonstanTilcotilDolobidLodineRelifexXefoAirtalKeralSurgamFroben

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)