Video answer: High blood pressure: what you need to know about medications
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These medications are acceptable to the FAA on a case by case basis:
- Alpha Blockers / InhibitorsCardura (Doxazosin)
- Dibenzyline (Phenoxybenzamine)
- Hytrin (Terazosin)
- Micardis (Telmisartan)
- Minipress, Minizide (Prazosin)
- Beta Blockers.
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Acceptable HTN Medications (when certification criteria are met) Alpha adrenergic blockers: Calcium channel blockers: Angiotensin converting enzyme (ACE) inhibitors: Direct renin inhibitors: Angiotensin II receptor antagonists (ARBs) Direct vasodilators: Beta-adrenergic blockers: Diuretics
1. What is the FAA specified limit for blood pressure during an exam? The maximum systolic during exam is 155mmHg and the maximum diastolic is 95mmHg during the exam. (See . Item 55. Blood Pressure .) 2. If during the exam the airman’s blood pressure is higher than 155/95, do I have to defer? Not necessarily.
Blood Pressure (Hypertension) Centrally acting agents such as Catapres (Clonidine), Guanethidine, Guanadrel, Guanabenz, Methyldopa, and Reserpine are not acceptable to the FAA. FOR A COMPLETE LIST OF FAA APPROVED DRUGS CLICK HERE. These medications are a partial list of FAA approved drugs.
Medications acceptable to the FAA for treatment of hypertension in airmen include all Food and Drug Administration (FDA) approved diuretics, alpha-adrenergic blocking agents, beta-adrenergic blocking agents, calcium channel blocking agents, angiotension converting enzyme (ACE inhibitors) agents, and direct vasodilators.
Item 55. Blood Pressure. An applicant whose pressure does not exceed 155 mm mercury systolic and 95 mm mercury diastolic maximum pressure, who has not used antihypertensive medication for 30 days, and who is otherwise qualified should be issued a medical certificate by the Examiner. Recheck the blood pressure.
FAA Policy on Blood Pressure Medications. If after the evaluation, your physician feels medication would be appropriate for your condition, many options exist. The FAA does not authorize some medications used mainly in the 1950’s and 1960’s, namely guanethidine, reserpine, guanadrel, guanabenz and methyldopa.
For blood pressure control, five categories of medications are acceptable: angiotensin converting enzyme inhibitors (ACE) inhibitors, beta adrenergic blocking agents, calcium channel blockers, alpha-adrenergic blocking agents, and diuretics encompass about 60 different acceptable medications. Other cardiac drugs, such as antiarrhythmics, may also be approved, based on the condition for which the medications are prescribed.
Influenza Virus Infection – The following meds are FAA approved on a case by case basis: Relenza (Zanamivir) Tamiflu (Oseltamivir) Impotence – See Erectile Dysfunction. Immunosuppressants – Immune System Suppressants / Anti-Rejection Agents – The following may be acceptable to the FAA on a case by case basis: Humira (Adalimumab)
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