Pharmaceuticals (Therapeutic Medications)
Antihypertensive

1. Code of Federal Regulations:
   • First-Class Airman Medical Certificate: 67.113(b)(c)
   • Second-Class Airman Medical Certificate: 67.213(b)(c)
   • Third-Class Airman Medical Certificate: 67.313(b)(c)


2. Medical History: Item 18.h., High or low blood pressure.


3. Aeromedical Decision Considerations:
   • See Item 36, Heart-Hypertension
   • Also see Item 55, Blood Pressure


4. Protocol: N/A. See Hypertension Worksheet (PDF).


5. Pharmaceutical Considerations
   • Seven-day (7) no fly/ground trial is required when starting a new hypertension (HTN) medication to verify no side effects.
   • AME should issue (if otherwise qualified) if the airmen is on 3 or fewer medications.
   • Uses of beta-adrenergic blockers ARE allowed with insulin, meglitinides, or sulfonylureas.