Brian3613

Do you have to provide a blood or urine sample to get your First-Class Medical Certificate? The FAA has such strict restrictions when it comes to taking medications, yet I heard someone saying that when you take your physical they don't take a blood or urine sample. Are the doctors supposed to assume you're telling the truth when asked if you take any illegal drugs or are on any presrciption medications?

Dog Breath

A urine sample is part of the exam to check for diabetes. The FAA may required you to submit the results of a blood test if you're taking certain medications, but is not part of a routine exam if you are otherwise healthy.

Yes, they assume you are not lying about anything you put on the form. Many conditions are waiverable if controlled with medication, so there's no need to try to hide anything. You're only asking for trouble down the road.

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rickair7777

The AME's do not screen for illegal substances. You are only subject to that if you work for a 121 or 135 operation, in which case the company will conduct screening when they hire you and randomly after that.

I suppose a part 91 operator could do screening of their own accord if desired, but most don't bother.