• 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 e.g. 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 e.g. hypersensitivity reactions, testicular pain.

    CERTIFICATION

    CLASS 1 & 2 UNRESTRICTED

    CLASS 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.