Can pilots have Epipens?

The FAA encourages pilots to carry their EpiPen if they have been prescribed one. Airman should not act as pilot in command following any use of an epinephrine auto-injector until all symptoms have subsided and they are examined and cleared by a physician to resume all activities.



Yes, pilots are allowed to carry personal Epipens if they have a documented medical need, but the underlying condition (such as a severe allergy) must be disclosed to and cleared by an Aviation Medical Examiner (AME). For a pilot to maintain their medical certificate, the FAA (or relevant national aviation authority) must be satisfied that the allergy does not pose a risk of sudden incapacitation during flight. In 2026, there is also a significant shift in onboard medical equipment; following the FAA Reauthorization Act of 2024, commercial airlines are now required to include epinephrine in a user-friendly format—such as an auto-injector (Epipen)—in their onboard Emergency Medical Kits (EMK). Previously, many kits only contained vials and syringes, which required a trained medical professional to administer. This change ensures that if a passenger or a crew member experiences anaphylaxis mid-flight, the life-saving medication is readily available and can be administered by non-medical personnel, including flight attendants, significantly improving safety for those with severe allergies.

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