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-   -   Class 1 + Thyroid Medication (https://www.pprune.org/medical-health/514551-class-1-thyroid-medication.html)

Vortex_Ringpiece 11th May 2013 15:29

Class 1 + Thyroid Medication
 
Hey PPruners,

I'm hoping to get a Class 1 so I can get my ATPL(H). I am trying to find out whether I'm even applicable for a Class 1 medical before I make the booking etc.

Google hasn't helped so far specifically and nor has my Doctor!
I am 'hypothyroid' and take a mixture of Thyroxine (T4) and Triiodothyronine (T3) to make me normal. I know the FAA approves the taking on Thyroxine on it's own as fine and if you take Triiodothyronine, it's also approved on an individual basis. Does EASA/CAA have a similar stance?

Fostex 11th May 2013 17:09

I believe this is what you are after;

Metabolic & Endocrinology Guidance Material | Medical | Personal Licences and Training

Class 1
(e) Thyroid dysfunction
Applicants with hyperthyroidism or hypothyroidism should be assessed as unfit. A fit assessment may be considered when a stable euthyroid state is attained.

Thyroid Dysfunction Class 1 and 2
Applicants with symptoms and/or on first diagnosis of hyper-and hypothyroidism should be assessed as unfit.

Class 2
(e) Thyroid dysfunction
Applicants with thyroid disease may be assessed as fit once a stable euthyroid state is attained.
A fit assessment can be considered subject to a satisfactory endocrinologist’s report to include TSH, after 3 months of being stable on treatment.
Annual follow-up with endocrinology/GP report and TSH.

Vortex_Ringpiece 11th May 2013 20:53

Thanks, I've already seen that and it gives no mention of what medication I can take.

Fostex 12th May 2013 09:57

" A fit assessment may be considered when a stable euthyroid state is attained."

- The Part-Med guidance in a lot of cases does not prohibit specific treatments but there are often 'local variations' at each licensing authority. The best advice is to get a report from your endo consultant describing your history and treatment. You might also want to request some clarification from the AMS at Gatwick. They are a friendly bunch and will be happy to clarify any questions you might have.

Flow Wedge 12th May 2013 13:38

Thyroid issues
 
Mate

I have had a thyroidectomy for cancer. Class 1 no problem. Clear of cancer, euthyroid, annual blood test = Captain with Big Airline.

Vortex_Ringpiece 17th May 2013 14:14

The Answer
 
Managed to get hold of an AME at the CAA in Gatwick.

I can confirm should anyone else be wondering or wanting/needing to change their medication that BOTH T4 and T3 (Synthetic) - Thyroxine and Tetroxine, are cleared for flying. Gatwick need a letter from GP showing figures to proof you are not hypo and outlining your treatment protocol. Thanks for all the help.

VRP :)

my salami 8th May 2020 16:27


Originally Posted by Flow Wedge (Post 7838656)
Mate

I have had a thyroidectomy for cancer. Class 1 no problem. Clear of cancer, euthyroid, annual blood test = Captain with Big Airline.

Me too had a Thyroidectomy.
Just a quick question.
How long did it take you reach an Euthyroid state?

Thanks

MS

Loose rivets 8th May 2020 23:08

I remember posting the reply of 'My Flabber is absolutely Ghasted'. when the picture of a form explaining why the outer third of my eyebrows was missing. I requested a test and the young lady receptionist asked why. I told her about my eyebrows. She didn't even look up, but gave me the test. I'm on 3 pills a day for hypo.


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