Medication for benign prostatic hypertrophy

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Medication for Benign Prostatic Hypertrophy

 

ACCEPTABLE MEDICATION

SELECTIVE ALPHA BLOCKERS


Tamsulosin
400MCG OD

Alfuzosin
10MG OD

5 ALPHA-REDUCTASE ENZYME INHIBITORS

Finasteride
5MG OD

Dutasteride
500MCG OD

ACTION

Grounded for a minimum period of 2 weeks after starting medication or an increase in dose.Grounded for 48 hours after first dose of medication.

INVESTIGATIONS

Ensure satisfactory symptom control and free of side-effects of medication eg, headache, dizziness (especially on standing), palpitations, blurred vision.

                     AND
 
AME/GP to document three separate sets of lying and standing blood pressures to confirm no postural hypotension.

Ensure satisfactory symptom control and free of side-effects of medication that may affect ability to fly eg, hypersensitivity reactions, testicular pain.
CERTIFICATIONCLASS 1 & 2 UNRESTRICTEDCLASS 1 & 2 UNRESTRICTED
ADDITIONAL NOTES

1) Once daily formulations permitted only.

2) Combination Therapy:  An alpha blocker prescribed together with a 5 alpha-reductase enzyme inhibitor is acceptable for unrestricted Class 1 or 2 certification, following the alpha blocker policy above.