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Old 02-01-2024 | 08:04 AM
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Default Cholesterol and BP Medication

Any pilots have any issues being on cholesterol and BP medication? I eat super healthy and exercise frequently, unfortunately doc has said it’s genetic and not much I can do. Just wanted to see if anyone else had any issues with 1st class medical? Thanks!
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Old 02-01-2024 | 08:27 AM
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Shouldn't be an issue if it's reasonably controlled, the meds are FAA approved, and you don't have limiting side effects. Maybe call your AME to ask about meds before you start.

Plenty of folks are out there flying with BP and/or Chol. meds.
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Old 02-01-2024 | 08:36 AM
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Originally Posted by rickair7777
Shouldn't be an issue if it's reasonably controlled, the meds are FAA approved, and you don't have limiting side effects. Maybe call your AME to ask about meds before you start.

Plenty of folks are out there flying with BP and/or Chol. meds.
Thanks Rick, I sent an email to my AME, just wanted to see if anyone out there was in a similar situation. Thanks.
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Old 02-01-2024 | 11:39 AM
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https://www.faa.gov/sites/faa.gov/files/ame_guide/pharm/Pharmaceuticals_Cholesterol_Medications.pdf

Your goal will be to raise your HDL, and lower your LDL, avoid saturated fats, adjust your diet, and you'll probably end up with a Statin such as Atorvastatin (Lipitor, etc), for several months to see what effect it has.

Regarding blood pressure and medication:

https://www.faa.gov/ame_guide/app_pr...story/item18/h

It depends on your history, your medication, your actual blood pressure, any history of complications, etc. Remember that the FAA is always concerned more with the underlying condition than the medication itself, or put another way; the condition for which the medicine is prescribed or taken is the overarching concern; effects of the medicine are important, but secondary concerns. The chief issue with the medicine isn't the medicine itself, but the reason you're taking the medication, followed closlely by the effects of the drug.

https://www.faa.gov/ame_guide/pharm/antihyp
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Old 02-01-2024 | 12:05 PM
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Originally Posted by JohnBurke
https://www.faa.gov/sites/faa.gov/files/ame_guide/pharm/Pharmaceuticals_Cholesterol_Medications.pdf

Your goal will be to raise your HDL, and lower your LDL, avoid saturated fats, adjust your diet, and you'll probably end up with a Statin such as Atorvastatin (Lipitor, etc), for several months to see what effect it has.

Regarding blood pressure and medication:

https://www.faa.gov/ame_guide/app_pr...story/item18/h

It depends on your history, your medication, your actual blood pressure, any history of complications, etc. Remember that the FAA is always concerned more with the underlying condition than the medication itself, or put another way; the condition for which the medicine is prescribed or taken is the overarching concern; effects of the medicine are important, but secondary concerns. The chief issue with the medicine isn't the medicine itself, but the reason you're taking the medication, followed closlely by the effects of the drug.

https://www.faa.gov/ame_guide/pharm/antihyp
Thanks. All my blood tests come up great, I’ve been a runner my whole life and eat super healthy. My primary care doc basically said I’ve been blessed with my parents genetics no matter how much I watch what I eat and workout.
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Old 02-01-2024 | 02:40 PM
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Originally Posted by RightSide
Thanks. All my blood tests come up great, I’ve been a runner my whole life and eat super healthy. My primary care doc basically said I’ve been blessed with my parents genetics no matter how much I watch what I eat and workout.
Glad to har you're dealing with it.

A friend of mine from the military had similar genetic issues. He was a Marine, ran marathons, super fit, super healthy. Tried to control with cardio and healthy eating, didn't want to do meds for some reason. He died while out on a run in his mid-40's.
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