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Instructions for Item 18h: High or Low Blood Pressure
18h
(Item Number on MedXPress Medical Application)

18.h. High or low blood pressure. The applicant should provide history and treatment. Issuance of a medical certificate to an applicant with high blood pressure may depend on the current blood pressure levels and whether the applicant is taking anti-hypertensive medication. The AME should also determine if the applicant has a history of complications, adverse reactions to therapy, hospitalization, etc. (Details are given in See Item 36 and Item 55).

FAA "reportables" include any diagnosis of high or low blood pressure, whether treated or not; use of blood pressure medication of any kind. This is very common in aviators, be prepared to demonstrate how it is controlled through medications (listed previously) or diet and exercise.
MedXPress User Guide | Version 5.5 | June 2025