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UK Civil Aviation Regulations

These are published by the CAA on our UK Regulations pages. EU Regulations and EASA Access Guides published by EASA no longer apply in the UK. Our website and publications are being reviewed to update all references. Any references to EU law and EASA Access guides should be disregarded and where applicable the equivalent UK versions referred to instead.

Medication for benign prostatic hypertrophy

Guidance on medication and its effect on flight restrictions

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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 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.
  

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