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Dr. Bruce, my doc wants to put me on Hytrin and proscar to promote easier urination. I see the FAA will approve these on a case by case basis? Suggestions?? Thanks.
And what self respecting physician would prescribe these meds if the patient had side effects?BOTH meds are okay. All you need is a statement from the doc saying, "no side effects noted" and you're good.
And what self respecting physician would prescribe these meds if the patient had side effects?
The patient gets to decide if the side effects are intolerable. That depends on the patient and the situation. Often they will just quit taking the medication and may or may not inform the provider. The provider should be informed in advance of any special circumstances (like piloting an aircraft). If the patient is unhappy with the treatment I offer alternatives or explain if there is no reasonable alternative.Depends what the side effects are. Dizziness is the #1 on Hytrin and high up on the Proscar list and while infrequent side effects of this may be a problem for pilots it may be acceptable in the general population.
I have a SI for sleep apnea. Last medical, I game the AME a recent report from the pulmonary doc, he issued the medical on the spot. Then 2 -3 months later I got a second directly from the FAA.