Can a pilot fly with a sinus infection?

Flying with a congested nose is not recommended because it may worsen your infection or cause serious medical emergencies.



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Can you fly with a sinus infection? As a general rule, flying with a sinus infection and a congested nose is not advised. Changes in cabin air pressure affect the air inside and outside of your head. As a result, clogged sinuses, which prevent you from equalizing pressure differences, can be excruciatingly painful.

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These medical conditions include a personality disorder manifested by overt acts, a psychosis, alcoholism, drug dependence, epilepsy, an unexplained disturbance of consciousness, myocardial infarction, angina pectoris, and diabetes requiring medication for its control.

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Who should not travel by air? Diseases that prevent you from boarding a plane
  • Chronic obstructive pulmonary disease (COPD)
  • A recent stroke.
  • Infectious diseases, such as chickenpox, influenza or even COVID-19.
  • A recent surgery.
  • A pregnancy of over 28 weeks.
  • Angina (chest pain at rest)


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Common side effects of antibiotics include abdominal upsets which also disqualify pilots from flying. It is preferable that the pilot take the antibiotics at least 24 hours before flying in order to be sure that there are no side effects.

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In the U.S., there are no FAA age limits for pilots except for commercial airline pilots employed by airlines certificated under 14 CFR Part 121. These airlines cannot employ pilots after they reach the age of 65. However, these pilots may stay on with a Part 121 carrier in some other role, such as flight engineer.

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If you're awake during ascents and descents, you can do the necessary self-care techniques when you feel pressure in your ears. Reconsider travel plans. If possible, don't fly when you have a cold, a sinus infection, nasal congestion or an ear infection.

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Spray Afrin nasal decongestant spray twice into each nostril one hour prior to flying. Begin taking a decongestant, like Sudafed, one hour before the flight. Both of these medications can be purchased over-the-counter in a drug store.

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About 30 minutes before the flight use a nasal spray (such as Afrin or Neo-Synephrine). 3. If you have allergies and are having symptoms, an antihistamine should be taken.

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Decongestants taken by mouth might help if taken 30 minutes to an hour before an airplane flight. However, if you have heart disease, a heart rhythm disorder or high blood pressure or you're pregnant, avoid taking an oral decongestant. Take allergy medication.

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