Blood pressure
Endothelin receptor antagonists
Endothelin receptor antagonist
Other names: aprocitentan, Tryvio
Wait
7 days
no-fly ground trial when starting a new blood pressure medication
Examiner
CACI: the examiner can issue when the condition's worksheet criteria are met. Applicants for first- or second-class must provide the worksheet's information annually; applicants for third-class with each required exam
FAA label
ACCEPTABLE
The FAA's antihypertensive sheet lists endothelin receptor antagonists as acceptable blood pressure medication when the certification criteria are met, with a seven-day ground trial when starting, and says the examiner should issue, if the pilot is otherwise qualified, when the pilot is on three or fewer medications.
Track your medicationsCompare FAA documents: Endothelin receptor antagonistsWhat each of the three FAA documents says, in plain wordsOpen
The FAA's hypertension worksheet (CACI) refers to the antihypertensive sheet in its acceptable-medication line, and its combinations line names classes that do not include endothelin receptor antagonists. The Guide's hypertension disposition table says that for high blood pressure treated with 3 or fewer acceptable medications, the examiner follows the CACI – Hypertension Worksheet; its note says the number of medications counts each component, with the example that lisinopril/HCTZ is 2 medications.
- 7 days after starting: no flying
FAA rule for blood pressure medication: The FAA's hypertension worksheet (CACI) refers to the antihypertensive sheet for acceptable medications, and allows combinations of up to 3 of the classes it lists -- alpha blockers, beta-blockers, calcium channel blockers, diuretics, ACE inhibitors, ARBs, direct renin inhibitors and direct vasodilators -- and lists centrally acting antihypertensives, such as clonidine, as not acceptable. The Guide's hypertension table says the number of medications counts each component (for example, lisinopril/HCTZ is 2 medications), and that with 4 or more acceptable medications the examiner should defer. FAA, CACI – Hypertension Worksheet
Show the FAA's words: Endothelin receptor antagonistsThe official FAA wording: three passages, each with its document and dateOpen
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 airman is on 3 or fewer medications
ACCEPTABLE HTN Medications (when certification criteria are met)
Endothelin Receptor Antagonists
Acceptable medication(s)
See Pharmaceuticals - Antihypertensive
Combinations of up to 3 of the following: Alpha blockers, Beta-blockers, calcium channel blockers, diuretics, ACE inhibitors, ARBs, direct renin inhibitors, and/or direct vasodilators are allowed.
B . Treated with 3 or fewer* acceptable medications .
See CACI - Hypertension Worksheet
Follow the CACI – Hypertension Worksheet .
Notes: *Number of medications counts each component. (Example: lisinopril/HCTZ is 2 medications.)