New High BP Diagnosis With Current Sleep Apnea SI

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My Friend was recently diagnosed with Mild High BP. His BP is still below the FAA max of 155/95. He also has sleep apnea and a SI pertaining to the Sleep Apnea. As a result of the high BP diagnosis, he has been prescribed a low dose BP medication that is approved by the FAA. His PCP recommended that he get all the required tests for the SI for BP (LIPID, Creatitine (sp?) and the EKG) about 30 days after starting the BP meds.

Three Questions:

1) How much additional scrutny/hassle does this add to the initial SI associated with the Sleep Apnea, are there any additional concerns that He should be aware of?

2) Obviously the FAA should be notified - When should the FAA be notified about the new medication - now, with a note to that the required tests will be completed on x date and submitted, or once these tests are completed?

3) Since his BP numbers are below the FAA max of 155/95 (He measures daily and averages 140/90) is he grounded while waiting for the test results or still legal to fly?

Thanks!!
 
Dr. Bruce will be along shortly.

He should ground himself until his PCP agrees that his BP has stabilized and he is not experiencing adverse effects from the meds.

And from what I've learned, a CFI is grounded until a new FAA medical is processed. CFIs know reg part 67.
 
"or need of medication..." is how the reg is written.

Like another poster pointed out, if you are certified to the level of CFI you are down, see 67.313, .213, and .113. If not, you can continue to use 61.53 and self certify but you should not (use common sense) fly until you have been on the med about a week and know you're not having a side effect. Short final is a bad place to get sweaty.

There is no crossover between Slp. Apnea and HTN !

Get the letter from your doc, the labs, the EKG. If you are within 90 days of your next regular flight physical, just present them at that time. Or you can just sent the stuff in, if you are confident that:

(1) The EKG is normal
(2) The letter says, stable, no side effects, not being followed for Coronary disease,
(3) The labs are normal. Minor variations on the lipid profile are okay. The Creatinine has GOT to be normal, and the fasting glucose needs be normal.

If the fasting glucose is high, your doc will want a HbA1c and go from there....we're talking pre-diabetes here.
 
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