# NTSB investigations: Prescription medication

NTSB aviation accident and incident investigations since 1962: the probable cause, findings, aircraft, crew, weather and docket of each, linked to the FAA registry and the FAA’s own reports.

Page 1 of 2 · 77 cases

## Latest cases

- [NTSB WPR24FA104](https://openairdocs.org/ntsb/WPR24FA104.md): Kolb Firestar KXP · Cave Junction, OR · Accident · 1 fatal · Class 3 · Field · Final report · Mar 7, 2024 · N4443G · Substantial damage
  > The pilot's exceedance of the airplane's critical angle of attack during a turn, which resulted in an aerodynamic stall. Contributing to the accident was the pilot's use of potentially impairing substances with bipolar disorder, which resulted in a decreased…
- [NTSB WPR24FA080](https://openairdocs.org/ntsb/WPR24FA080.md): Swanson R/Swanson S RV-6 · Concord, CA · Accident · 1 fatal · Class 3 · Field · Final report · Jan 30, 2024 · N30AK · Substantial damage
  > A total loss of engine power during takeoff due to a separated fuel line and the pilot’s subsequent failure to maintain control of the airplane. Contributing to the accident were the pilot's medical condition and the effects of multiple impairing substances.
- [NTSB ERA24FA088](https://openairdocs.org/ntsb/ERA24FA088.md): Beech 95-B55 (T42A) · Leyden, MA · Accident · 3 fatal · Class 3 · Field · Final report · Jan 14, 2024 · N7345R · Substantial damage
  > The flight instructor’s failure to maintain airplane control during a stall, which resulted in an inadvertent spin from which the airplane was not recovered. Contributing to the accident were the overall effect of the flight instructor’s use of multiple…
- [NTSB CEN23FA258](https://openairdocs.org/ntsb/CEN23FA258.md): Cessna 177 · Hot Springs, AR · Accident · 1 fatal · Class 3 · Field · Final report · Jun 26, 2023 · N3138T · Substantial damage
  > The pilot’s improper preflight fuel planning and inflight fuel mismanagement, which resulted in a total loss of engine power due to fuel exhaustion, and his subsequent failure to maintain adequate airspeed during the forced landing, which resulted in the…
- [NTSB CEN23FA050](https://openairdocs.org/ntsb/CEN23FA050.md): Cessna 170 · Gage, OK · Accident · 2 fatal · Class 3 · Field · Final report · Nov 28, 2022 · N2710D · Destroyed
  > The non-certificated pilots’ loss of airplane control, resulting in an impact with terrain during final approach. Contributing to the accident was the airplane owner’s impairment due to his use of ethanol and depressant medications, in combination with his…
- [NTSB ERA22FA422](https://openairdocs.org/ntsb/ERA22FA422.md): Wren Ronnie D Titan II · Citra, FL · Accident · 2 fatal · Class 3 · Field · Final report · Sep 17, 2022 · N709RD · Substantial damage
  > The pilot’s exceedance of the airplane’s critical angle of attack and failure to maintain airspeed while recovering from an aerobatic maneuver, which resulted in an aerodynamic stall and loss of control. Contributing to the accident was the pilot’s use of…
- [NTSB CEN21FA334](https://openairdocs.org/ntsb/CEN21FA334.md): Air Tractor AT-802 · Benoit, MS · Accident · 1 fatal · Class 3 · Field · Final report · Jul 25, 2021 · N363BG · Substantial damage
  > The pilot’s exceedance of the airplane’s takeoff performance capabilities and his failure to abort the takeoff in a timely manner. Contributing to the accident was the pilot’s impairment due to his use of ethanol and prohibited medications.
- [NTSB WPR21FA233](https://openairdocs.org/ntsb/WPR21FA233.md): Piper PA-22-135 · White City, OR · Accident · 1 fatal · Class 3 · Field · Final report · Jun 20, 2021 · N2618A · Destroyed
  > The pilot’s failure to maintain control of the airplane during a go-around, which resulted in a collision with trees. Contributing to the accident was the pilot’s impairment due to his medical conditions and the effects of his medications.
- [NTSB ERA21LA171](https://openairdocs.org/ntsb/ERA21LA171.md): Robinson Helicopter R66 · Palmyra, PA · Accident · Serious injuries · Class 3 · Limited · Final report · Apr 3, 2021 · N577DD · Substantial damage
  > The pilot’s improper judgment to attempt a flight while impaired by medications, which resulted in the helicopter’s abnormal ground contact, loss of control, and collision with terrain.
- [NTSB CEN21LA107](https://openairdocs.org/ntsb/CEN21LA107.md): Hawker Beechcraft G58 · Credit, AR · Accident · 2 fatal · Class 3 · Limited · Final report · Jan 4, 2021 · N325GC · Destroyed
  > A loss of left engine power for undetermined reasons, which resulted in an emergency descent with one engine inoperative and inadvertent collision with transmission lines. Contributing to the accident was the pilot’s inability to respond appropriately to the…
- [NTSB CEN21LA089](https://openairdocs.org/ntsb/CEN21LA089.md): Piper PA28 · Bossier City, LA · Accident · 2 fatal · Class 3 · Limited · Final report · Dec 16, 2020 · N55168 · Destroyed
  > The student pilot’s decision to conduct a flight during night instrument meteorological conditions and his loss of airplane control due to spatial disorientation. Contributing to the accident was the student pilot’s use of an amphetamine and his attention…
- [NTSB CEN20FA049](https://openairdocs.org/ntsb/CEN20FA049.md): Mooney M20S · Olathe, KS · Accident · 2 fatal · Class 3 · Field · Final report · Dec 31, 2019 · N602TF · Destroyed
  > The pilot’s failure to set the elevator trim properly for takeoff, which resulted in an exceedance of the airplane’s critical angle of attack during climb out, an aerodynamic stall, and the subsequent impact with terrain.
- [NTSB WPR19FA150](https://openairdocs.org/ntsb/WPR19FA150.md): Beech 35 · Melba, ID · Accident · 1 fatal · Class 3 · Field · Final report · May 19, 2019 · N1888D · Substantial damage
  > The pilot's loss of control during a low-level aerobatic maneuver, which resulted in impact with terrain. Contributing to the accident was the pilot’s impairment due to the effects of alcohol and antidepressant medication.
- [NTSB ANC19FA018](https://openairdocs.org/ntsb/ANC19FA018.md): Beech A60 · Santa Rosa, NM · Accident · 2 fatal · Field investigation · Final report · May 5, 2019 · N102SN · Substantial damage
  > The pilot's loss of airplane control due to his failure to maintain appropriate control inputs and airspeed after shutting down an engine because of a progressive failure of the pressure relief valve in the fuel pump, which resulted in variable fuel pressure…
- [NTSB WPR19FA077](https://openairdocs.org/ntsb/WPR19FA077.md): Rockwell 112 · Mt Hood, OR · Accident · 1 fatal · Class 2 · Field · Final report · Jan 25, 2019 · N1332J · Destroyed
  > The pilot's decision to fly the airplane in close proximity to mountainous terrain in an area of mountain wave activity that exceeded the performance capabilities of the airplane. Contributing to the accident was the pilot's degraded decision making and…
- [NTSB ERA19LA014](https://openairdocs.org/ntsb/ERA19LA014.md): Hargrove Hummel Ultra Cruiser · Zephyrhills, FL · Accident · Serious injuries · Class 3 · Limited · Final report · Oct 15, 2018 · N245AP · Substantial damage
  > The pilot's failure to activate the airplane’s auxiliary fuel pump, which resulted in fuel starvation and a total loss of engine power. Contributing to the accident were the impairing effects of the pilot’s medication on his performance.
- [NTSB CEN18LA274](https://openairdocs.org/ntsb/CEN18LA274.md): Cessna 150 · Lakeview, AR · Accident · Serious injuries · Limited investigation · Final report · Jul 12, 2018 · N50183 · Substantial damage
  > The student pilot’s impairment by alcohol and multiple medications, which led to his failure to maintain obstacle clearance during takeoff and the subsequent exceedance of the airplane’s critical angle of attack, which resulted in an aerodynamic stall and…
- [NTSB WPR18FA063](https://openairdocs.org/ntsb/WPR18FA063.md): Cessna 172M · Ogden, UT · Accident · 2 fatal · Field investigation · Final report · Dec 29, 2017 · N4395R · Substantial damage
  > The pilot's failure to maintain clearance from the water while flying over a lake with glassy surface conditions. Contributing to the accident was the pilot's use of three impairing medications.
- [NTSB CEN18FA060](https://openairdocs.org/ntsb/CEN18FA060.md): X-Air XA85 · Oskaloosa, IA · Accident · 1 fatal · Field investigation · Final report · Dec 23, 2017 · N20XA · Substantial damage
  > The pilot's low altitude flight into a power line due to his impairment from an acute physiologic event during the flight. Contributing to the pilot's impairment was his use of two sedating medications.
- [NTSB WPR18FA045](https://openairdocs.org/ntsb/WPR18FA045.md): Beech C90 · Geneva, FL · Accident · 3 fatal · Field investigation · Final report · Dec 8, 2017 · N19LW · Destroyed
  > The pilot's loss of airplane control due to spatial disorientation during an instrument approach in instrument meteorological conditions, and the flight instructor's delayed remedial action. Contributing to the accident was the flight instructor's impairment…
- [NTSB ANC18FA007](https://openairdocs.org/ntsb/ANC18FA007.md): Icon A5 · Clearwater, FL · Accident · 1 fatal · Field investigation · Final report · Nov 7, 2017 · N922BA · Substantial damage
  > The pilot's improper decision to perform aggressive, low-altitude maneuvers due to his impairment from the use of multiple psychoactive substances, which resulted in a loss of control.
- [NTSB CEN17FA288](https://openairdocs.org/ntsb/CEN17FA288.md): Zenith CH701SP · Laddonia, MO · Accident · 2 fatal · Field investigation · Final report · Jul 27, 2017 · N701XL · Destroyed
  > The pilot's decision to take off at night and continue visual flight into instrument meteorological conditions. which resulted in the pilot becoming spatially disoriented and losing control of the airplane. Contributing to the accident were the pilot's…
- [NTSB WPR17FA074](https://openairdocs.org/ntsb/WPR17FA074.md): Quicksilver MXL II · Hesperia, CA · Accident · 1 fatal · Field investigation · Final report · Mar 7, 2017 · UNREG · Substantial damage
  > The pilot's failure to identify and correct his construction error of a critical structural component, which resulted in a loss of airplane control during takeoff. Contributing to the accident was the pilot's impairment due to his combined use of multiple…
- [NTSB ERA17FA118](https://openairdocs.org/ntsb/ERA17FA118.md): Cessna 421 · Canton, GA · Accident · 1 fatal · Field investigation · Final report · Mar 4, 2017 · N421KL · Substantial damage
  > The pilot's failure to maintain control of the airplane during a night visual landing approach. Contributing to the accident was the pilot's impairment due to his use of a combination of medications.
- [NTSB WPR16FA178](https://openairdocs.org/ntsb/WPR16FA178.md): Piper PA 28R-201T · Reno, NV · Accident · 3 fatal · Field investigation · Final report · Sep 12, 2016 · N821ET · Destroyed
  > The pilot's decision to depart with the airplane loaded above its maximum gross weight and at or just beyond its aft center of gravity limitations, which resulted in a loss of control during the initial climb. Contributing to the accident was the pressure to…
- [NTSB DCA16MA204](https://openairdocs.org/ntsb/DCA16MA204.md): Kubicek BB85 · Lockhart, TX · Accident · 16 fatal · Class 1 · Major · Final report · Jul 30, 2016 · N2469L · Destroyed
  > The pilot's pattern of poor decision-making that led to the initial launch, continued flight in fog and above clouds, and descent near or through clouds that decreased the pilot's ability to see and avoid obstacles. Contributing to the accident were (1) the…
- [NTSB WPR16FA148](https://openairdocs.org/ntsb/WPR16FA148.md): Air Tractor AT 502B · Zamora, CA · Accident · 1 fatal · Field investigation · Final report · Jul 23, 2016 · N502WC · 2 aircraft · Substantial damage
  > The failure of both pilots to maintain an adequate visual lookout, which resulted in a midair collision. Also causal was the other pilot's use of two sedating antihistamines and two impairing medication and the effect of sun glare on his visual lookout, which…
- [NTSB ERA16FA194](https://openairdocs.org/ntsb/ERA16FA194.md): Jihlavan Airplanes Sro KP 5 ASA · Rhoadesville, VA · Accident · 2 fatal · Field investigation · Final report · May 24, 2016 · N440JM · Destroyed
  > The pilots' loss of control that necessitated the activation of the parachute system and the airplane manufacturer's inadequate design of the front parachute anchor attachment structure, which resulted in a failure of the parachute after it was deployed in…
- [NTSB CEN16FA188](https://openairdocs.org/ntsb/CEN16FA188.md): Cessna P210N · Sheridan Lake, CO · Accident · 1 fatal · Field investigation · Final report · May 18, 2016 · N6609P · Substantial damage
  > The pilot's severe impairment from the combined effects of high levels of ingested alcohol as well as three impairing medications (zolpidem, lorazepam, and diphenhydramine), which resulted in his decision to attempt an aerobatic maneuver that the airplane was…
- [NTSB CEN16FA114](https://openairdocs.org/ntsb/CEN16FA114.md): Ohlgren RV 6A · Abilene, TX · Accident · 2 fatal · Field investigation · Final report · Mar 1, 2016 · N419B · Destroyed
  > The pilot's failure to maintain airplane control during takeoff, which resulted in the airplane exceeding its critical angle of attack and an aerodynamic stall/spin. Contributing to the accident was the pilot's impairment due to his combined use of central…
- [NTSB CEN16FA086](https://openairdocs.org/ntsb/CEN16FA086.md): Beech C35 · Meeker, CO · Accident · 1 fatal · Field investigation · Final report · Jan 14, 2016 · N2025D · Destroyed
  > The non-instrument-rated pilot's decision to fly the airplane in instrument meteorological conditions at high altitude for greater than 30 minutes without the use of supplemental oxygen which resulted in hypoxia, and a subsequent loss of control. Contributing…
- [NTSB WPR16FA029](https://openairdocs.org/ntsb/WPR16FA029.md): Airbus Helicopters AS350B3E · Carlsbad, CA · Accident · 2 fatal · Field investigation · Final report · Nov 19, 2015 · N711BE · Substantial damage
  > The pilot's loss of control during landing on a dolly. Contributing to the accident were the pilot's decision to conduct the flight without an instructor despite multiple flight instructors' recommendations to the contrary, his failure to land on the ramp…
- [NTSB CEN16FA034](https://openairdocs.org/ntsb/CEN16FA034.md): Cirrus Design SR22 · Colorado Springs, CO · Accident · 2 fatal · Field investigation · Final report · Nov 9, 2015 · N752C · Destroyed
  > The pilot's loss of airplane control during the turn back to the airport after takeoff in high density altitude conditions, which resulted in an inadvertent aerodynamic stall and subsequent spin. Contributing to the accident was the pilot's impaired…
- [NTSB WPR16FA014](https://openairdocs.org/ntsb/WPR16FA014.md): Piper PA 28R-180 · Morongo Valley, CA · Accident · 2 fatal · Field investigation · Final report · Oct 17, 2015 · N4972J · Destroyed
  > The non-instrument rated pilot's improper inflight decision-making to attempt to outclimb clouds along his planned route rather than reverse course, which resulted in his inadvertent entry into instrument meteorological conditions, spatial disorientation, and…
- [NTSB ERA15LA366](https://openairdocs.org/ntsb/ERA15LA366.md): Cessna 172 · Bally, PA · Accident · Minor injuries · Limited investigation · Final report · Sep 21, 2015 · N347SP · Substantial damage
  > The pilot's failure to maintain altitude during low-level aerobatic maneuvers. Contributing to the accident were the pilot's improper decision to attempt the low-level aerobatic maneuvers and his impairment due to psychiatric conditions and the medications he…
- [NTSB CEN15FA378](https://openairdocs.org/ntsb/CEN15FA378.md): Cessna 172 · Martinville, IL · Accident · 1 fatal · Field investigation · Final report · Aug 21, 2015 · N8265B · Substantial damage
  > The non-certificated pilot's failure to maintain clearance from terrain.
- [NTSB ERA15FA313](https://openairdocs.org/ntsb/ERA15FA313.md): Beech C35 · Hicksville, NY · Accident · 1 fatal · Field investigation · Final report · Aug 16, 2015 · N5946C · Destroyed
  > The pilot's improper decision to delay turning toward a suitable runway once he realized that an engine failure had occurred, which resulted in his having inadequate altitude to glide to a suitable runway, and the New York terminal radar approach control…
- [NTSB CEN15FA291](https://openairdocs.org/ntsb/CEN15FA291.md): Champion 7BCM · Portland, TX · Accident · 2 fatal · Field investigation · Final report · Jul 4, 2015 · N10497 · Substantial damage
  > The pilot’s ostentatious low-altitude aerobatic display, which resulted in an aerodynamic stall/spin when he exceeded the airplane’s critical angle of attack. Contributing to the accident was the pilot’s impairment due to alcohol and drugs.
- [NTSB WPR15FA195](https://openairdocs.org/ntsb/WPR15FA195.md): Short Brothers S312 Tucano T MK1 · Maricopa, CA · Accident · 1 fatal · Field investigation · Final report · Jun 22, 2015 · N206PZ · Destroyed
  > The pilot's failure to maintain clearance from terrain during low-level airwork, which resulted in uncontrolled collision with terrain. Contributing to the accident was the pilot's impairment from the combined effects of butalbital and codeine.
- [NTSB ERA15FA066](https://openairdocs.org/ntsb/ERA15FA066.md): Piper PA28 · Sommerville, TN · Accident · 1 fatal · Field investigation · Final report · Dec 2, 2014 · N8607W · Destroyed
  > The noninstrument-rated pilot's improper decision to attempt visual flight in instrument meteorological conditions, which resulted in an in-flight loss of airplane control due to spatial disorientation. Contributing to the accident was the pilot’s impaired…
- [NTSB CEN15LA026](https://openairdocs.org/ntsb/CEN15LA026.md): Stephenson Stol CH 701 · Mount Vernon, IN · Accident · 1 fatal · Limited investigation · Final report · Oct 24, 2014 · N34WS · Substantial damage
  > The pilot’s impairment due to the ingestion of alcohol and sedating medications, which led to her improper decision to conduct low-level flight, affected her ability to safety operate the airplane, and resulted in her failure to maintain clearance from power…
- [NTSB WPR15FA010](https://openairdocs.org/ntsb/WPR15FA010.md): Cessna 170B · Yerington, NV · Accident · 2 fatal · Field investigation · Final report · Oct 12, 2014 · N3558C · 2 aircraft · Destroyed
  > The failure of the Savannah pilot to maintain awareness of the position of the Cessna while attempting a join up maneuver. Contributing to the accident was the impaired decision-making of the Savannah's pilot due to the combined effects of licit and illicit…
- [NTSB WPR14FA310](https://openairdocs.org/ntsb/WPR14FA310.md): Bell 206A · Wenatchee, WA · Accident · 1 fatal · Field investigation · Final report · Jul 23, 2014 · N949FM · Substantial damage
  > The pilot's failure to maintain a proper decent rate and path, which resulted in a hard landing and dynamic rollover. Contributing to the accident was the pilot's impairment by a sedating medication.
- [NTSB ERA14FA313](https://openairdocs.org/ntsb/ERA14FA313.md): Cessna 182 · Littleton, NC · Accident · 1 fatal · Field investigation · Final report · Jun 27, 2014 · N182PE · Substantial damage
  > Maintenance personnel's application of sealant to the engine case halves during engine overhaul, contrary to manufacturer's instructions, which resulted in internal failure of the engine due to the loss of case bolt torque.
- [NTSB WPR14LA233](https://openairdocs.org/ntsb/WPR14LA233.md): North Wing Apache Sport · Polson, MT · Accident · 1 fatal · Limited investigation · Final report · Jun 7, 2014 · N2804P · Destroyed
  > The pilot’s loss of airplane control during initial climb due to his experiencing an incapacitating medical event.
- [NTSB CEN13FA420](https://openairdocs.org/ntsb/CEN13FA420.md): Champion 7KCAB · Oak Ridge, LA · Accident · 2 fatal · Field investigation · Final report · Jul 18, 2013 · N2978G · Substantial damage
  > The private pilot’s and the flight instructor’s failure to maintain airplane control while performing agricultural operations turns low to the ground, which resulted in a stall/spin. Contributing to the accident was the private pilot’s impairment due to his…
- [NTSB ERA13FA144](https://openairdocs.org/ntsb/ERA13FA144.md): Piper PA-28RT-201 · Lutz, FL · Accident · 1 fatal · Field investigation · Final report · Feb 24, 2013 · N2895U · Destroyed
  > The noninstrument-rated pilot’s decision to attempt a visual flight rules flight in instrument meteorological conditions, which resulted in spatial disorientation and a loss of aircraft control. Contributing to the accident was the pilot’s lack of instrument…
- [NTSB CEN13FA137](https://openairdocs.org/ntsb/CEN13FA137.md): Beech 95-B55 (T42A) · Mangum, OK · Accident · 3 fatal · Field investigation · Final report · Jan 19, 2013 · N143E · Substantial damage
  > The airplane's aerodynamic stall/spin at low altitude and subsequent impact with terrain for reasons that could not be determined during postaccident examinations. Contributing to the accident was the pilot's lack of currency/proficiency.
- [NTSB ERA13FA096](https://openairdocs.org/ntsb/ERA13FA096.md): Piper PA-31-350 · Leesburg, FL · Accident · 1 fatal · Field investigation · Final report · Dec 24, 2012 · N78WM · Substantial damage
  > The pilot's inadequate preflight planning, which resulted in fuel exhaustion and a subsequent total loss of power in both engines during cruise flight. Contributing to the accident was the pilot’s use of prescription and illicit drugs, which likely impaired…
- [NTSB CEN13LA046](https://openairdocs.org/ntsb/CEN13LA046.md): Sorensen Sprint Mxii · Groesbeck, TX · Accident · 1 fatal · Limited investigation · Final report · Nov 5, 2012 · N460JS · Minor damage
  > The pilot’s failure to maintain control of the noncertificated airplane during a go-around. Contributing to the accident was the pilot’s physical and psychological impairment.

Next page: https://openairdocs.org/ntsb-findings/02012025/cases.md?page=2

## The whole list in SQL

Runs in DuckDB 1.2 or later on the release's Parquet files over HTTPS:

```sql
SELECT c."ntsbNumber", c."eventDate", c."eventType", c."eventCity", c."eventStateOrRegion", a.n_number, a."aircraftMake", a."aircraftModel", c."highestInjuryLevel", c."totalFatal", c."completionStatus", c.report_url
FROM 'https://openairdocs.org/data/latest/ntsb_case_detail.parquet' c LEFT JOIN 'https://openairdocs.org/data/latest/ntsb_aircrafts.parquet' a ON a.case_mkey = c."mKey" AND a.position = 1
WHERE c."mKey" IN (SELECT f.case_mkey FROM 'https://openairdocs.org/data/latest/ntsb_findings.parquet' f WHERE starts_with(f."findingCode", '02012025'))
ORDER BY c."eventDate" DESC, c."ntsbNumber" DESC
```

This list as a web page: https://openairdocs.org/ntsb-findings/02012025/cases

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