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Q&A
Does the DOT physical include a drug test?
What drugs are tested for, if a DOT drug test is requested?
What if the DOT drug screen tests positive?
Why do I have to have a urine test for my DOT physical?
Is protein in the urine a disqualifier?
Is sugar in the urine a disqualifier?
Is blood in the urine a disqualifier?
Can I get a medical certificate if I’m being treated for a medical condition by my doctor?
What if I take insulin by injection and my diabetes is under control?
My doctor put me on Metformin. Can I still drive truck?
What medications disqualify me from getting a medical card?
Can I be qualified if I have a prescription for medical marijuana?
What if I take nitroglycerine for angina?
Can I still drive if I take prescription Paxil, Imitrex, and Zonisamide?
Can I take Xanax and still drive truck? My doctor put me on it and I don’t want to lose my job.
Can I still drive if I take a blood thinner?
Can I still drive while taking Provigil (Modafinil)?
Does the DOT physical include a drug test?
The DOT physical exam to get your medical card, does not include a drug test. This does not mean that any Company you want to work for, will not request a pre-employment drug test — they most likely will. But the DOT physical exam requirements do not include a drug test.
What drugs are tested for, if a DOT drug test is requested?
The 5 Panel drug test analyzes urine for the following drugs:
- Marijuana (THC metabolite)
- Cocaine
- Amphetamines
- Opiates (including heroin)
- Phencyclidine (PCP)
What if the DOT drug screen tests positive?
The DOT drug screen is looking for illegal or non-prescription drugs. Yet, sometimes normal prescription medications can trip a positive test.
If the urinalysis is positive for one or more of the drugs on the 5 panel drug test, then the driver will be contacted in person by the Medical Review Officer. The MRO will interview the driver to determine if there is an alternative medical explanation for the drugs found in the urine specimen. If the driver provides appropriate documentation from a prescribing physician, a confirmation test with a split sample is performed for each identified drug. Confirmation ensures that over-the-counter medications or preparations are not reported as positive results. If the MRO determines that it is a legitimate medical use of the prohibited drug, the drug test result is reported as negative to the employer. Otherwise the drug test will be reported as positive.
Why do I have to have a urine test for my DOT physical?
The urine test is just a kidney screen to test for sugar and protein. It’s done to determine that there is no early onset of conditions like high blood pressure breaking down the kidneys, or early signs of diabetes, or kidney infection.
Is protein in the urine a disqualifier?
No, not necessarily. Protein in the urine may indicate kidney disease. The medical examiner will make a decision based on the amount of protein in the urine. The medical examiner may certify, time limit your certification or temporarily disqualify your medical certificate while you have the condition checked by a specialist.
Is sugar in the urine a disqualifier?
Yes, it is an indicator of the onset of diabetes or already a diabetic that does not have the condition under control. The driver would be disqualified until the condition is under control, either with medications or diet.
Is blood in the urine a disqualifier?
No, not necessarily. If the medical examiner believes that the blood in the urine may indicate a condition that affects the ability of the commercial driver to safely, the driver may be referred to a primary care physician or specialist for further evaluation. The medical examiner may certify, time limit your certification or temporarily disqualify your medical certificate while you have the condition checked by a specialist.
Can I get a medical certificate if I’m being treated for a medical condition by my doctor?
Depending on the risk posed by the condition and treatment, the medical examiner may require documentation from your doctor. To assist in the preparation of the documentation, you can get more information here, courtesy of Trucker Docs. Even though your prescribing physician may be of the opinion that your condition and treatment is safe to drive, the decision to certify still rests with the medical examiner.
If you have non-insulin treated diabetes the medical examiner will check that your diabetes is adequately controlled. If it is controlled, you will get a time-limited certification and most likely need to re-certify annually.
If your diabetes is treated with insulin, you will be disqualified for inter-state driving. You may be able to drive intra-state.
The DOT does have a few, very stable insulin dependent drivers testing on insulin waivers, but you would have to check with the FMCSA on this issue.
What if I take insulin by injection and my diabetes is under control?
Without a DOT Diabetes exemption waiver the answer is No, not for interstate driving, even if your condition is stable.
You may be able to drive intra-state. Each state has its own rules.
What are the requirements for blood sugar limits? I just found a job driving school bus. I am a diabetic, non-insulin dependent. When I took the test my blood sugar was 350, but in the past few days I’ve gotten it down to about 170. I have never had a low or high blood sugar blackout. Will I have to get an exemption?
The medical examiner needs to see your blood sugar levels below 120. That is the level for blood sugar spillover into the urine. The concern is not whether you have ever had a blood sugar blackout, it’s – Could you have a blood sugar blackout while driving a bus full of little people? Safety first for you, the driver, and for the public at large.
My doctor put me on Metformin. Can I still drive truck?
The Metformin is to control your blood sugar as a borderline diabetic. It will limit your DOT medical certificate to one year at a time.
I’m a CDL driver. I had to start insulin for my diabetes. My medical card expires in a month. Will the doctor know I’m taking insulin when he does my tests?
It does not matter whether he knows or not. On the DOT medical examination form that you fill out, it will ask if you are a diabetic and also how you control the condition. So you are the one who is going to tell him about the insulin.
Your examining doctor should ask quite a few questions regarding your insulin usage to help determine your options.
What medications disqualify me from getting a medical card?
Any habit forming drug; methadone; anti-seizure medication, is disqualifying.
The medical examiner will review every medication – prescription, non-prescription, and supplement to determine if its use will adversely affect the safe operation of a commercial vehicle. The medical examiner may require documentation from your prescribing physician. In this case the medical examiner may, but is not required to grant you a medical card.
Can I be qualified if I have a prescription for medical marijuana?
No. Marijuana is a disqualifier, even if you have a prescription.
A CMV driver cannot be qualified if on Methadone. There are exceptions to the rule regarding other drugs prescribed by a physician, but this does NOT apply to Methadone.
What if I take nitroglycerine for angina?
Nitroglycerine use is not disqualifying. The medical examiner may require an evaluation by your Cardiologist to make sure that your angina condition is stable.
Can I still drive if I take prescription Paxil, Imitrex, and Zonisamide?
These three drugs are going to be a red flag for any examiner. You should bring with you a letter from your prescribing physician, explaining the need for the medications and their possible side effects. All three are listed with side effects of drowsiness, weakness, dizziness, and should not be used while driving or using machinery. You are going to have to explain to the medical examiner why and how much if any of these medications you are taking and the basic circumstances for their needs.
Can I take Xanax and still drive truck? My doctor put me on it and I don’t want to lose my job.
One of the best ways for a driver to answer a question about whether a medication may be a disqualifier or not, is to read about the side effects of that medication.
Lets take a look at some of the side effects of Xanax which include: “Drowsiness, light-headedness, headache, tiredness, dizziness, irritability, talkativeness, difficulty concentrating, dry mouth, increased salivation, changes in sex drive or ability, nausea, constipation, changes in appetite, weight changes, difficulty urinating, and joint pain. Some other side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately: shortness of breath, seizures, seeing things or hearing voices that do not exist (hallucinating), severe skin rash, yellowing of the skin or eyes, depression, memory problems, confusion, problems with speech, unusual changes in behavior or mood, thinking about harming or killing yourself or trying to do so, and problems with coordination or balance.”
As you can see, some of these issues can be unsafe for you and the public. It will cause any medical examiner to question your reaction to this medication. Talk with your prescribing doctor and ask questions with regards to driving while using any medication.
I take Prozac for anxiety and I no longer have anxiety attacks. Will this be a problem for my DOT physical?
If the anxiety disorder is controlled with the medication, then there is no real problem. Just make sure you inform the medical examiner about your condition and the medications you are taking for it.
I have been diagnosed with panic attacks. I don’t have them often but I do take Lorazepam for them on a PRN basis. Can this disqualify me from driving a school bus?
The side effects of the medication could be a disqualifier from driving a bus. I would bring a note from your physician stating how long and how often you use this medication.
A bus-load of kids could be stressful and may trigger your need to medicate. So the medical examiner would be concerned about the side effects of the medication. The big concern here is for your safety and the safety of the children.
I want to keep my CDL but I have anxiety and need to get on some medication. I don’t want to lose my license. What anti-anxiety medication in okay to take and still be safe to drive?
Talk with your MD and explain that you are a commercial OTR driver. That way the doctor can work out which, out of dozens of medications, will work best and not interfere with your ability to operate a commercial motor vehicle. Most of the anxiety meds do not run positive for drug testing. They usually have side-effects that cause drowsiness and that is the main problem. So give the provider as much information as possible and go from there.
You will need to get documentation from your MD stating that no side effects are present that will impact your ability to safely operate a commercial vehicle.
Can I still drive if I take a blood thinner?
Yes, you may still drive. You will need to get documentation from your treating physician as to when the condition started, what was the diagnosis, what has the treatment consisted of, what medication are you on, and is the condition stable. All of these things are to help the medical examiner determine whether you are medically fit to operate a CMV safely.
Can I still drive while taking Provigil (Modafinil)?
The use of Provigil needs careful supervision. Drivers being prescribed Provigil should not be qualified until they have been monitored closely for at least 6 weeks while taking Provigil. The medical examiner will require documentation from your treating physician stating that the treatment is effective, and that no side effects are present that will impact your ability to safely operate a commercial vehicle.
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Would a phentermine prescription cause me to lose my job as a cdlA driver?
@ Rob
Due to its potential side effects, it could cause you to invalidate your medical certification.
I am currently taking Amiadorone, Entresto, Eliquis, Jardiance, Metropolol, and Spirolactone for my past heart failure. Does this prevent me from getting a Medical Cert? I have passed and carried one (in 2015),after heart failure. But, have the rules changed at all?
@ Stan C
This list of medications, along with chronic heart failure, will raise questions with any CME. You will need a medical release form from your cardiologist and a recent stress test. The CME should guide you through the process.
As a driver Is it ok to use DMSO for arthritis ?
@ Herb F
No issues with DOT/FMCSA, but please be aware that DMSO by-passes all your natural defense guards and enters the body unrestricted. Super clean hands and materials for application to your affected areas. Be cautious and be safe.
Hello, I’m coming off of cancer treatments and was curious about having gabapentin and lidocaine in my system. I have a doctors note stating that I’m stepping down off the gabapentin, but nothing for the lidocaine. Am I safe to take a drug test?
@ Scott
As long as you have a prescription for the medication, then the drug screen will be OK.
Will Tirzepatide or Semaglutide disqualify me from my CDL
@ JJ
This will depend on the reasoning for taking either of these meds. It will raise questions with any CME and will require supporting medical documentation.
What if it’s for weight loss?
@ Josh
It will still require supporting medical documentation from your prescribing physician. Make sure your doctor indicates the primary purpose for prescribing these meds.
I have mild Tinnitis and get a triazadone prescription filled once a year to help with sleeping as needed and only take half a pill as I hate prescriptions,I have mild anxiety and take a 10 mg ecitalopram, Im in good shape with great blood pressure and not over weight ,5’11” 225 lbs.
Does this require a pass but only 1 year ! its not easy to get an appointment and expensive, seems like a money grabber more than anything.
@ Rick
DOT/FMCSA, for a class A OTR driver, guidelines recommend a one year medical card to monitor your physical, mental and emotional medication needs and make sure nothing has changed.
Will Tizanidine cause a failed test?
@ JT
It is going to raise questions with any CME due to its potential side effects. Drug test may pop positive, but with prescription you should be fine. Medical certification examination is going to require a medical release form from the prescribing doctor.
Does Spravato for Depression disqualify you from driving commercially?
Thank you
@ James
Its known side effects will raise questions with any CME. With proper medical documentation and a medical release form from your prescribing physician will be helpful in the CME’s decision making process.
Hey I’ve been thinking about getting testosterone replacement. I’ll get a prescription for it first, but I was just curious if that would show up on a DOT five panel got and then expanding on this I have a co-worker who’s getting into bodybuilding and would anabolic steroids the legal type would they show up on a DOT five panel urine test.
@ Matthew P
The five panel will not be testing for either of these substances.
If someone where to answer yes to question #32 anxiety, depression, etc. will they be disqualified from the physical, etc.?
@ Pat
No, and there will be questions during the doctors examination about the conditions and any medication/treatments etc.
Can a driver who don’t pee because of dialysis get a dot health card
@ Anthony B
All depends on the class drivers license you have. Less than a class A, you will need to confirm with your local drivers license department.
I just had a DOT physical and was only approved for 1 year because I smoke. Called and they said they changed the rules to people over 35 who smoke, I can not find the information anywhere. Do you know where to find it?
@ Audrey
No, because there is no such rule. The DOT/FMCSA put forth guidelines and recommendation, but not a rule/regulation. It all falls to the CME’s interpretation of the guidelines.
Does suboxone disqualify you from getting your dot medical card?
@ Cody
For a class A interstate driver, it is difficult due to the nature and reasoning behind the prescription. But it may be possible with proper medical documentation. For a lesser class cdl, you fall under the states requirements and regulations. Then you need to confirm with your local drivers license department.
Hi, I was wondering if anyone knows whether taking ROPINEROLE /Requip will ruin the ability to get a CDL in Missouri? Thanks!
@ Sammy
The medication alone will raise questions with the CME. He/she will also be taking into consideration the conditions for which it is being prescribed.
Can someone take prescribed Buprenorphine (Suboxone)?
@ Sally K
You can take it, but you are going to have difficulty passing your new medical certification examination for class A cdl’s
Can you take prescribed Diazapam and not have it affect your CDL qualification.
@ Richard
Everything will depend on the reasoning for prescribing this medication.
My doctor has prescribed me one termite for weight loss. Could I still be denied my DOT medical card even with a valid prescription? I’ve been taking it for a couple of weeks with no real noticeable symptoms or problems.
@ Caleb
One termite for weight loss should not be an issue with DOT/FMCSA.
My last A1C was 9.2. I currently do not have any retinopathy problems. Can I get a 3-month extension to my medical exam card for DOT?
@ Roberta Y
For DOT/FMCSA class A cdl, probably not. It will fall to the CME’s discretion and overall findings to make a final decision.
Is there a straightforward list of medicines (legal or illegal) which would likely disqualify a CMV driver? I only need a list. I can look up the reason.
@ Daniel CB
DOT/FMCSA has no set list.
Hello!
I am currently taking Topamax off label for weight loss (not for seizures and have no history of seizures) as I have been struggling to lose weight even on doctor monitored diet plans. Thankfully it has been really successful but I am concerned with my upcoming DOT physical having just realized this may disqualify me due to it’s normally intended use. I did get a doctor’s letter stating it is being prescribed off label, there has been great success with it, I am safe to drive on it and I also have no history of seizures, not prescribed for seizures etc. Also my doctor is not a GP and is an Endocrinologist if that makes a difference to the MRO. I have no history of high bp or diabetes though the sudden weight gain triggered the initial doctors visit and I have reversed prediabetes with the weight loss, all done in between DOT physicals.
Will this be an issue? My doctor can change the medication but since we have had so much success he would prefer to keep me.on it for a few more months past when I need to renew my card.
Thanks!
@ Kevin
You are right in getting a letter from your prescribing physician. The medical examiner is going to have questions about the medication, but with a full explanation from your prescribing doctor, you should be OK.
Can you pass a dot physical if you are on trazodone?
@ Rebecca
It will require some supporting medical documentation before the CME will make his/her final decision. The medication alone is not disqualification.
Can a person still have a CDL if they do ketamine infusion therapy? What about low dose daily ketamine therapy? Treatment of anxiety/depression with other meds have been ineffective so I’m curious if ketamine will auto disqualify a driver whether its IV infusion or daily low dose. Reside in Nevada, FYI.
@ Tami M
The CME is going to request additional supporting medical documentation to aid in his/her final decision making process. It will be more about its effectiveness for your condition, than the medication.
Hello, I’m trying to get my DOT med card. My question is. Up until November 2023 I’ve had REALLY high blood pressure. I’m currently on 5 different medications to control it, since November 2023. I take a total of 7 pills daily to control it. It currently is in a much better level. I know my reading would not disqualify me, but will the number of prescriptions do it?
@ Phillip
Both your blood pressure and the number of medications are going to raise questions. It will fall to the medical examiner to take all available information into consideration during the examination process, to aid in his decision making process.
I have just been placed on Eliquis ( a blood thinner ) due to AFib along with arrhythmia for extremely high heart rate accompanied by dizziness and passing out week ago and would like to know if I can still operate cmv?
@ Edmund
You will need to be on these new medications for 30 to 90 days to rule out negative side effects. Right now you are not medically qualified to operate a cmv. You will need a new DOT/FMCSA medical certification examination before returning to driving.
Are the new injectables for type 2 diebites allowed for a class A
@ John
As long as you have a valid waiver and notes from your treating physicians indicating your condition is stable and well maintained. The CME will take all information into consideration before making his/her final decision.
Can you take a semiglutide medication for Weight-Loss and still hold a cdl-a?
@ Kristina
You would need to be on these medications for at least 30 days to determine potential side effects and then have a new medical certification examination done.
Does Taking PRAZOSIN affect my school bus driver license
@ Anne
As a school bus driver with a lesser class cdl than class A, you should not have any issues. Best to confirm with your local drivers license department (DLD).
My Doctor prescribed me phentermine HCI 37.5mg. She knows I drive a city bus and have a CDL. She said, just take it for a few days to see how it affects you before driving. Even though it’s a stimulant, I’ve had no side effects other than the intended one, which is an appetite suppressant. I did completely cut out the one cup of coffee I drink in the morning just in case. But I have noticed nothing inhibiting at all. So I’ve now been on it for a month.
Am I supposed to report this to someone besides my work? My super and HR both know I’m taking it. I had my medical examiners physicial to renew, literally the week before I went to my doctor where she put me on this. Do I go back? Do I wait for a random and then show the prescription? Will it even show up? I’m so confused and can’t find any clear information as if I’m ok to take this or not.
@ Jay
Depends on the class cdl you carry. Class A has tighter requirements than a lesser class cdl, which is regulated by the state. Confirm with your local drivers license department (DLD) if you are a lesser class cdl holder.
I’m in the same boat. I’ve been prescribed phentermine as well and am worried i may not be able to pass my DOT physical coming up. Any updates?
I cannot find the form that I need on the website, Can you tell me if it is online or if I have to pick it up or if it can be mailed to me. I am looking for DOT Medical Examiner Letter to Clinician: Diabetes and DOT Medical Examiner Letter to Clinician: Elevated Blood Pressure/Hypertension.
@Louis
Here is the link to the official FMCSA Medical Applications and Forms.
Will methadone or Suboxone prescription disqualify my dot drug test?
@ Sergio
The MRO will ask for a copy of the prescription and then give a final report.
Hey bud I’m going through the same thing and I’m here to tell you the information in this site regarding methodne is wrong. It use to be that way but it’s changed and it’s a pain in the but because medical examiners seem to be unaware of it. I’m so frustrated because it’s like any other medication. You get a letter from your prescribing Dr and move on but if you get a medical examiner that just doesn’t like methodne then your screwed
Hey bud I’m going through the same thing and I’m here to tell you the information in this site regarding methodne is wrong. It use to be that way but it’s changed and it’s a pain in the but because medical examiners seem to be unaware of it. I’m so frustrated because it’s like any other medication. You get a letter from your prescribing Dr and move on but if you get a medical examiner that just doesn’t like methodne then your screwed
@ Fred
Your statements are somewhat correct. Methadone for the purpose of narcotic replacement for a class A OTR driver is a disqualifier, DOT/FMCSA. And, if it is prescribed by your physician for other conditions or situations, then it requires additional supporting documentation from your prescribing doctor. Too many doctors become cookie cutter docs, one size fits all, we try to see through the DOT/FMCSA guidelines and meet the driver where he is and with the situation he may have. We try not to generalize.
I’m a bus driver in Ohio can I take Adipex
If my doctor prescribed to me.
@ Pam G
Since you will fall under your states guidelines and regulations, best to confirm with your local drivers license department (DLD).
Can a pacemaker disqualify you for CDL Medical Certification
@ David M
Not in and of itself, no. If there is a defrib unit attached, then yes.
My husband wants to get a CDL but doesn’t want to have them touching his private. Can you deny that part of the exam or is it required? If it is required then why? I’m trying to help and make him as comfortable as possible.
@ Unknown
The question is ask as part of the examination and if he has never had a hernia, then the examiner can move on, especially if there is some resistance from the driver. But he must be honest.
My husband will be needing a hip replacement in the near future he was wondering how long before he can drive again legally and what about cortisone shots trying to wait till spring he has a class one license . Also what about medication like valerian use for now
@ Donna
The wait, following hip replacement, will be over when the surgeon releases him without limitations or restrictions. The valerian has side effects that would be risky for a driver, so not the best choice. Once released to return to work, he will need a new medical certification examination before returning to driving.
Just so everyone knows just because you get a Fed Med card and have a CDLA or learner permit it does and are deemed fit to drive by the examiner and DOT it does not mean that company will hire you if you are honest about your health issues, they go into a report and company’s will ask for that medical examiner report, so let say 20 years ago you had cancer and for example that will show up in report and if company decides they don’t want to hire you due to blood issues even if its deemed cured they can use that as a reason not to hire you. for example, I had when I was 35 Lukimea, I had a blood clott form being in hospital all time in bed, now I am 44 I still take blood thinner just in case and I have had Mutiple med examiners sign off on my paperwork, but I still have issue with comes to company’s see preexisting illness run up insurance cost for their companies and they will use their own medical examiners to try to make it seem like you are unable to work so that turns into a medical examiner vs medical examiner fight which I have had happen. it just so people know stuff like this can happen and is one of biggest reasons a lot of people just do not report conditions to their company’s or medical examiners there no real good protection for you as a employee. special if you in WI which is a right to work state meaning you can be fired or terminated for any reason at all.
so you can be denied or fired for a health issue that DOT or medical examiner does not see as a big deal.
I have a old fashioned cold ( rhino virus), also have tube dysfunction, this was diagnosed by the ER at local hospital, they want to prescribe Flonase and Sudafed over the counter, can I take this medicine , any help in this is greatly appreciated.
@ James J H III
Both have side effects of dizziness and drowsiness. Not recommended for OTR, class A drivers.
What about Gabapentin for nerve pain on my leg? Is that a problem
@ Chris
The medication will be questioned, but the nerve pain will be a bigger question. Providing medical documentation and a medical release from the prescribing physician will be a big help to the CME.
How do I obtain a diabetic exemption? I got hired to drive for ups a huge break for me and my family only to be told I can’t pass the dot physical because im insulin dependent? Omg what A waste of everyone’s time I’ve had diabetes a long time never an issue that impacted my ability to drive so I lost our own this career opportunity
@ Timothy T
Our first question will be, what class cdl do you have. For a class A, you will need to check with a federal medical examiner on the national registry. They should have a copy of the formwork you need. Lesser class cdl, you fall under the states guidelines and regulations.
If you are class A, then follow this link:
https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2023-08/InsulinTreated%20Diabetes%20Mellitus%20Assessment%20Form%20MCSA-5870_508.pdf
or google search MCSA-5870 for a PDF of the form you need.
I just got prescribed Topiramate for migraine prevention. It is on the “disqualified list” as anything prescribed for seizures is considered disqualified. Is this something I can get in writing from my doctor that it is not used for seizures and that I am safe to drive on it ?
@ Alexa
Depending on the class cdl you carry will determine the direction you need to go. Class A, will require that you be on this medication for a period to rule out possible side effects. Lesser class cdl’s fall under the states guidelines and regulations. Your medical examiner must know the difference for your qualification requirements. A letter from your prescribing doctor should be of great help.
Good afternoon, can someone post the link on the dot website showing where Suboxone is exempt with a doctors letter. The examiners office I went to says it’s a banned medication and I feel that they have outdated information. My doctor went above and beyond to vouch for me but until the examiner sees something in black and white, I am stuck, thanks in advance
@ Liam
Lots will depend on the class cdl you carry. Class A, falls under the federal government regulations. Lesser class cdl’s, fall under the states requirements and regulation. Go get a second opinion else where. There is no list of forbidden medications, only conditions which they are prescribed.
Thank you for the quick response!
@ Liam
You are welcome.
I take methadone everyday for Rehab and I was recently thinking about getting my CDLs but it just dawned on me that this may be a disqualifier I was wondering if there was any way around that I live in Georgia and it is prescribed by the way it’s not something I’m buying elicitly
@ Brannon
For a class A cdl, big disqualifier. Lesser class cdl’s, you will fall under your states guidelines and variances. Best to check with your local DLD for guidance.
I was on a 14 day supply of Suboxone that was 3 month ago don’t take the medicine anymore it was a on time prescription can I get a medical card
@ Ray
It should not be an issue at this point.
I was on a 14 day supply of Suboxone that was 3 month ago don’t take the medicine anymore it was a on time prescription can I get a medical card
@ Brittany
It should not be an issue at this point.
I take Duloxetine for anxiety/depression. It’s a very common non narcotic medication that also treats fibromyalgia and neuropathy for some people. It doesn’t even fall into the category of a controlled substance. Any advice about this? And i used marijuana once in the last 6 months and the dr that did the DOT physical also wants a letter of letter of discontinuation. Wth is all that about?
@ Andrea R M
See previous answer. Your present medical examiner does not know the difference between your state regulations and federal DOT/FMCSA regs.
Will lyrica disqualify me receiving my med card if I had a note from my doctor
@ Sharon
The medication and the symptoms that are being treated will raise questions, but it is not a disqualifier all by itself.
Does anyone know if being on Ozempic for diabetes will affect qualifying for cdl health card
@ Craig
It is going to raise questions and you will need to provide additional information from your prescribing physician to the CME. With proper documentation you should be OK if all else is within normal limits.
Can Lidocaine 5% patch cause a false positive on my DOT drug test?
@ Teresa
If you have a prescription, then there is no issue. OTC should not test positive. There could be questions about why you take this medication.
Getting new doctor for medical card do I have to say I’m on insulin and will she automatically find out I am
@ Bruce H
Yes and yes.
My husband has been taking klonopin for 8 years for anxiety, well controlled, no side effects. Has been driving class e trucks for years. Got a new job that needs a dot card. Got denied and can’t get this job now. Seriously? Got the note from his doctor and everything and the med examiner said sorry.. I can’t just do this for you. Dr put no issues for driving on the paperwork and she didn’t even bat and eye or look at the paperwork and still turned him away.. sigh
@ Savanna
Part of the issue is this medication can/is used for seizures. But the PCP’s note explaining the situation should have been sufficient. You got an examiner that does not fully understand the DOT/FMCSA guidelines. Go get a second opinion from someone who does. Also, his class cdl will have a bit to play in this also. If he is a class A driver, the fed is much stricter than say a class B.
Can I still drive under medication BRILINTA
@ Moises G
DOT/FMCSA for a class A cdl, you will need to be on this medication for at least thirty (30) days and get a new medical certification examination. Supply some supporting medical documentation and a medical release form from your prescribing physician.
I use Afrin sever congestion relief, can that disqualify me with the drug test?
@ Tony J B
If you have a prescription for the MRO to work with you should be OK. If this is an over the counter medication, then you may have a few more questions to answer, but it should not trigger a positive result in a drug screen.
I have rheumatoid arthritis and take plaquenil and molixicam and also take lisinopril for blood pressure. Will I have problem getting medical card for CDL A in Alabama? And arthritis does not affect my ability at all.
@ Country boy
You will need some supporting medical documentation and a medical release from your prescribing physicians. Over all you should not have any issues with this.
If I’m only requesting a DOT physical because I’m getting my medical examiners certificate renewed is a drug test part of the protocol? I’m already employed my examiners certificate is just expiring.
@ Brian
No drug testing in a DOT/FMCSA medical certification examination, unless the employer request a separate drug screen.
I would need to be advised about a drug test being requested by my employer before i took the exam though, correct?
@ Brian
Most companies do a pre-employment drug screen to keep their insurance and workers comp to a minimum. They may let you know about it.
When I went to start CDL classes I told them I take buprenorphine and they denied me until I quit taking the meds. I stopped taking them but I think it is still in my system, do they test for this?
@ Zp
It will still pop positive on a drug screen, but with a prescription for the MRO, you may be OK. It is not a part of the medical certification examination.
Which company turned you down? Did you look into the ADA guidelines? Were you talking it for maintenance or something else?
It was a nurse that handled the physical for a CDL school here in Indiana.
I have class a Cdl
My doctor prescribed phentermine but it will show a false positive for amphetamine, can I take this medication
@ Cade
As a class A driver interstate, this medication will be a disqualifier.
I have been on medication for bipolar disorder and insomnia for years and have my dot card but I’m looking into ketamine treatment. Would this disqualify me?
@ Dee
It is going to raise questions with any CME. It will require supporting medical documentation and a waiting period for possible side effects of the treatment.
Im a class a driver. My doctor prescribed temazepam. It tha ok for occasional use?
@ Rick
Not without supporting medical documentation and even with that you may not pass a class A cdl medical certification examination.
I’m being disqualified from getting my medical card renewed with a written statement from my prescribing doctor. The clinic doctor stated because I’m on buprenorphin it falls in the same category as methadone. How can that be? the two medications are in different classes. Methadone is a category 1 and buprenorphin is a category 3. Two completely different medications. Now I’m without a job due to a medication I’ve been on for years and never had issues in the past.
@ Sean
Get a second opinion from another CME. With proper documentation you should be cleared for at least a year at the time.
Does the drug Memantine keep me from holding DOT license for
@ Tom D
It will raise questions. Make sure you bring as much supporting documentation as possible. This aids in the CME’s decision making process.
My doc prescribed me 5/325mg oxycodone/acetaminophen as needed for back and leg pain. I start cdl school in 26 days. Will this be a problem?
@ CT
This is going to be an issue. Both the medication and the ability to perform the duties of a CMV operator are going to be in question.
Good morning,
My doctor recently prescribed Meloxicam to me for shoulder inflammation. This is to be taken once a day or as needed for discomfort. Is this a disqualifying medication? I have a Class B CDL for driving school bus
Thank you.
@ Bob S
You should be fine with this. If there is any questions, just make sure you have a copy of the prescription.
My doctor recently prescribed me Lyrica for nerve pain. Can I still get a dot medical card?
@ John
It will require some supporting documentation from your prescribing physician. Also a medical release form from your physician.
Can I pass a Dot Physical if my dr has me using Ozempic or Monnjaro injectables.
@ John
Either of these medications are going to raise questions and will require supporting medical documentation from your prescribing physician.
I went for a dot physical to renew med card and dr said I didn’t disclose on suboxone and had to have my dr fill out a form and redo it. How did he know I filled a script 10 days prior? If I just go to a different office will they know that the last dr did not give me my med card cause of it. Apparently checking yes to medications and when asking what flags you. I’ve always said yes and just put otc meds, diet supplements and it hasn’t been a problem. I’m stumped how he knew I filled a script previously.
@ Todd
Looks like this CME is trying to work with you, so just do what he is asking and don’t falsely any of your information.
Going elsewhere is going to be ‘doc shopping’ and will be a red flag.
If you are on prescription naltrexone can you still pass your DOT physical?
@ Nathan
The medication is going to raise questions with any CME, but it is possible with good documentation from your prescribing physician.
My doctor is wanting to prescribe phentermine for appetite suppression and tobhelp me lose weight gained due to an autoimmune thyroid condition. Can I take phentermine with a class b cdl school bus driver license in texas? Do i just need to have a letter from my doctor? Or is it not allowed at all?
@ Randee C
As a class b cdl holder, you fall under your states guidelines and variances, not federal DOT/FMCSA. Check with your local DLD for guidance.
I currently have a class a cdl and getting ready to renew my medical card but I have had 4 back surgeries but doing much better now with a cage. And got diagnosed with osteoporosis in my hip and spine but am doing a treatment for that called tymlos and a bone growth stimulator of which will be a 4 yr treatment. Also I take EMGALITY for cluster headaches.
@ Ben S
The CME is going to want some additional information from your prescribing physicians. But if you can perform the duties of a class A cmv operator, you could be fine.
Hi, I recently had back surgery and I am now prescribed diazepam (valium). Do i need a new DOT physical with medical certificate? And does the drug testing facility test for diazepam or do they only test for the 5 panel DOT drugs?
@ Trevor
You will need a new medical certification examination, once fully released to return to work. There is no drug testing during a DOT/FMCSA medical examination, unless the employer request an additional drug screen. If you have a prescription for the MRO, you should be OK.
Is clonidine a disqualifer
@ Erik W
No, it will need some supporting documentation from your prescribing physician.
I have recently had a doctor prescribe me 10mg of Ritalin to help with my anxiety, focus and mood. I haven’t taken it yet and don’t want to if it will cause a medical examiner to fail my dot certificate? Is this something that a dot medical examiner would allow within reason or is it an absolute no go? Also I’ve been driving for a little over two years now without it but am wondering what would happen if I popped a drug test for it with dot and my employer?
@ Trucker B
You will need to be on the medication for at least 30 days before retesting for your DOT medical examination. With a medical release form and a prescription from your prescribing physician you will have no issues with the CME.
My doctor just prescribed me Modafinil for shift work sleep disorder. Will this affect my ability to be recertified for my Dot physical?
@ Anthony F
It will raise questions due to its potential side effects. It would be best if you are on this medication for 30 days or so before re-certification. If the CME needs additional information, he will request it of you.
I am prescribed Hydrocodone Acetaminophen 10-325 for Herniated Discs in my Back. Is this a disqualifier for my Medical Rectification ? I have been recertified every time since I started driving in 2016.
@ Mark
If you have been certified each time since 2016, then continue the same process again.
What do you mean you were recertified every time? Do you mean you took urine teats and the physician knew you were on them and still let you drive? I’m really trying to figure this out bc I take them too for my back and knees and I’m afraid of losing my job.
I have pre-anaphylactic symptoms (scratchy throat, coughing) with one food that i can easily avoid. How will this affect my CDL and can i be prescribed an epipen just in case?
@ Sharon
Some things will depend on the class cdl you hold. Class A will be more difficult and will require supporting medical documentation from your prescribing physician. Lesser class cdl’s will fall under the states guidelines and variances. For these you would check with your local drivers license department (DLD) for guidance.
Is suboxone tested for on the DOT screening? Also can I carry a CDL while being treated with suboxone? There are varying answers all over the internet. Some say yes other day no.
@ John
For a class A interstate driver, you will have difficulty passing a DOT medical certification examination. It will not be tested for on the medical certification examination, only on a drug screen. This is requested by the employer. Lesser class cdl’s may be acceptable due to state regulations and not federal regs.
Hello, I was laid off yesterday however, they offered to bring me back on as a CDL truck driver which means I would then need to start the schooling process for that. I am taking a prescribed weight loss medication called phentermine which is categorized as an amphetamine so my question is, if my doctor gives me a medical note stating that it’s prescribed and will not affect my ability to drive, will I pass with the medical examiner and be ok? my other option is to stop the medication but i only have a few days before i would need to take the drug test so, i’m not sure I would pass as it may still be in my system for up to 4 days. please help, I can not find a clear answer. Thank you! P.S I live in GA
@ Tonya L F
For a class A cdl medical certification, you will have some difficulty, even with a doctors note. Lesser class cdl, maybe not such and issue. If they do a drug screen (not part of the medical certification exam) all you will need is a prescription for the MRO.
My doctor has diagnosed my with adult ADHD and has put me on adderall will this disqualify me from driving ? Some say yes and then some say no what’s the real answer !
@ Saundra
The medication will raise questions, but with proper documentation and a medical release form from your prescribing doctor, you should be OK.
My doctor also just prescribed it for me. Just wanted to clarify a comment above. A random drug test will be ok as long as I have a script, but the concern is just when I do my DOT physical?
@ CJ
There is no drug testing done during a DOT/FMCSA medical certification examination.
Hello,
I take medications for anxiety and depression, one of which is a benzodiazepine which would normally immediately disqualify me from getting a DOT Medical Card. However, my symptoms have been effectively managed by the medication and treatment plan prescribed and implemented by my psychiatrist (M.D.). If I get a form from him stating that this is all true and my symptoms are managed successfully, can I still get a DOT Medical Card?
@ Andrew
The medical release form along with supporting medical documentation will be a huge help in assisting the CME in his decision making process.
Where can we find the most up to date medication guidelines?
@ Dawn B
For what?
I am taking trulicity to lose weight. Will I be able to pass the dot physical or do I need a doctor’s note?
@ Edward. N
You will need a note from your doctor explaining why you take this medication, especially since it is used with type 2 diabetes.
Hi there, I am a truck driver and I have low testosterone level due to aging. My doctor does not want to prescribe testosterone because it has many side effects, so he suggested to use testosterone booster supplements. I want to know if testosterone boosters can affect DOT drug test. What are the safe ones? Thank you
@ Vlad
You should not have any issues with this.
Thanks for all that info. ALOT of answers have been. Given thanks again
@ Randy Z
You are welcome.
I am on suboxone I am safe for a dot physical as long as I have my doctor say I can safely drive?
@ Larry r
Your prescription is going to raise lots of questions and will require supporting medical documentation along with a medical release form from your doctors.
I have been clean from fytenyl use for six weeks and mbi the dot card office my company told me I have to wait three to six months before getting approved to drive and get my dot card approval
I am recovering from gallbladder surgery and have been on narcotic pain meds prescribed for a short time, while not driving. I am up for a random this quarter, what documentation is needed to provide the to MRO if it comes to that?
I also am on new medication for bipolar since my last dot physical and that is up for renewal in the fall. 1 is an anti seizure med that is not prescribed for seizures, and also a script for lorazepam as needed for anxiety. This is not taken before or while driving. Is this going to be disqualifying? Will my psychiatrist signing off on it be sufficient or should I stop taking it before my physical?
@ Rebecca
The MRO will only need to see a copy of the prescription, when he ask for it. The other medications are going to need a medical release from your prescribing physicians.
Do antidepressant prescriptions that I no longer take disqualify me?
@ Mike
It will raise questions, but a medical release form from your prescribing doctor indicating you no longer take these meds will be a big help.
Hello, I took xanax and Zoloft for three months but no longer take it. Can I still pass the DOT physical with this on my record. Thanks
@ Patrick O
See Mike above.
My wife recently passed away in November and my doctor prescribed diazepam to keep my anxieties in check I was on diazepam from November till February and I went back to work and now I had a relapse of emotional distress so my doctor put me back on the diazepam but only one 5 mg tablet per day at night after work they then called me in for a drug test and I explained to them that I had been put back on the diazepam if it’s going to be a problem for me to drive they are having me take a new DOT physical and I am taking the documentation from my doctor that I will not have any residual side effects from taking one 5 mg diazepam per day does that still present a problem for me to drive on a CDL license
@ Michael D
It is going to raise questions with any CME, but the medical release form with an explanation will be a huge help with the CME’s decision making process.
I just started taking a sleeping gummy I ordered through a place in Dallas. It has cbd in it and they said <.03 thc possible in it. I'm trying to get my bus driver license. The prescriptions I've been prescribed that are narcotics don't work but I don't want to fail a drug test for marijuana. I don't smoke pot at all and actual hate it but I have insomnia.
Can I be prescribed adipex for weight loss. I know family members it’s worked for and with having a sedentary job I would like to try and loss my excess weight. After I lose it I can maintain it with my schedule. But I don’t think I can lose it with my schedule.
@ Gordan w
Adept is phentermine and is one of the drugs that the DOT/FMCSA has issues with. It is going to raise questions due to its potential negative side effects.
Will taking a testosterone booster such as nugenix make me fail a dot drug test.
@ Keith S
You should not have any issues with this.
I am a Diabete and is controlled with oral medication. My doctor prescribed Mounjaro to help with weight loss but I have not filled it yet. Am I allowed to use this medication for Weight loss and still drive trucks on the high way.
@ Henry
For a class A cdl, it will raise questions and the CME may need additional supporting documentation.
Hi, I’m currently on trt (testosterone replacement therapy) will this disqualify me for a class A license?
@ Dave
It will require some supporting medical documentation from your prescribing physician.
My rheumatologist just put me on Cymbalta for nerve pain (sciatica). Further research tells me that it is primarily an antidepressant. I am not depressed, I just want pain relief. Will the Cymbalta be an issue when I take my DOT physical?
@ Lisa
Depending on the class cdl you have will depend on what guidelines and regulations the CME must adhere to. A letter from your prescribing physician explaining the need for the medication will be helpful. The medication is going to raise questions.
I had open heart surgery for an ASD repair in November of 2019 and was prescribed metoprolol to ensure my heart rate remained steady after surgery. In 2020 I received my dot physical with a two year expiration. This year I was given a one year expiration. Is metoprolol a medication that requires this? I was 49 at the time of surgery and am 52 now.
@ James W
The CME may want to monitor your situation more closely due to the fact of 1. heart surgery and 2. your medication. It is up to the examining CME to make the call as he sees it, and any possible risk factors.
Are there any concerns about being prescribed low-dose Naltrexone for chronic conditions? I have been treating patients for cancer, IBS, Chrons, Lupus, Lymes, and preventive health with LDN (low dose naltrexone) and have been asked if warrants droving restrictions. This is an anti-opioid drug that works on inflammation and therefore I see no issues. Please clarify.
@ Donna P
It may raise questions with most CME’s. With proper documentation and medical release forms from the prescribing physicians, you could be fine.
I was in pain. Management for 5 plus yrs. I’ve been on oxycodine for 3 plus yrs 10 mg 3xs a day. Decided to get cdls and need a dot physical and hair folicle test for job. Will this medication stop me from getting my cdls and fail both test even though I’ve always worked being on this medication? Do I need to stop taking medication and pass dot physical but what about hair test it will still show for past 90 days reguardless
@ Chloe
Everything will depend on the class cdl you are going for. Class A has the most restrictions in their guidelines and regulations. You will have difficulty passing without a lot of supporting documentation. Lesser class cdl’s and you start falling under the states guidelines and variances. Drug testing will require a prescription from your doctors.
The ONLY disqualifying medicine is Medical Marijuana..Get the DOT opioid use for Physicians Form and have him fill it out…Just because we are drivers doesn’t mean we must suffer pain …If you’ve been on whatever for years,your pain specialist or Dr will fill out the two page form…Don’t let anyone scare or fool you that any medicine is disqualifying.
This has happened to me as well, I got hurt and was on pain management for 4yrs. Upgraded to class A cdl worked fine up until I had some pain from old injury, took old medication and next week got a random mro asked about medication wasn’t being on medcert and have to find a Doctor who will amend old prescription to current medcert. I had no idea this would come to bite me 🙁
Hi, is cyclobenzaprine and baclofen okay to take with a doctors prescription, of course? And will I need to take a new DOT physical? Do either of those come up on a drug test? Thanks
@ Trevor
Both of these medications and the reasoning behind them are going to raise questions with any CME. You would need be on these medications for 30 plus days and a new medical certification examination is required. If they were to show up in a drug screen, all you will need to do is provide a copy of the prescription.
Hi I’ve been on duloxetine 60 mg for over 4 years with no issues. I recently had a flare up from dealing with some difficult stressors. Which flared my ptsd. But now my new doctor wants to put me on propranolol for anxiety. Would this new medication disqualify me from keeping my cdl.
@ K D
You will need to be on these new medications for 30 days or so, to rule out possible side effects. Then you will need a new medical certification examination. Make sure you bring any documentation from your prescribing doctor, along with a medical release form.
Hi I have been on a stable dose of methadone for 6 years with no issues driving will I be able to obtain a CDL?
@ Stephen
Cdl is a state issued document. Best to confirm with your local DLD for guidance.
My doctor wants to put me on gabapentin for nerve pain, can I still keep my CDL and if I go on it, do I need to get a new DOT PHYSICAL?
@ Trevor
This medication is going to raise some serious questions with any CME. You will need to be on this medication for 30 to 90 days before doing a new medical certification examination. And you will need a medical release from your doctor explaining why and what purpose you take this medication. Yes, you will need to do a new medical certification examination. Be as prepared as possible.
can you get a 2 yr DOT cert if you are stable on Eliquis
@ Debra R
You will be limited to one year at a the time on your medical certification.
I have what the doc called mild arthritis and tendenosis. She wants to put me on elavil for pain. Will this cause an issue passing my DOT physical?
@ A.L. M
It is going to raise questions because this medication can also be used for depression (anti depressant). You may need to provide additional supporting medical documentation and a medical release form from your prescribing physicians.
Will I automatically be denied if I answer question 31 on the health history, “Have you taken an illegal drug in the past two years?” But still pass the dot drug test
@ kory
There is no drug test on a DOT/FMCSA medical certification examination. Answering yes will raise questions.
Do dot doctors doing a dot physical have access to the meds you are taking
@ Matt
If the CME wants to investigate further, then yes.
I have a morphine pump implant that goes to my spine and take a poraset at bedtime and in the morning I have been on it for over 15 years Would this prevent me from passing the medical exam
@ Tom
Your situation is going to raise questions, so be prepared with any supporting medical documentation you may have.
I’m on light duty, not medically cleared to work, dropped from driving by company I WAS STILL TOLD TO DO DOT DRUG TEST how is this possible
@ Chrs
Are you still employed by the company? If so, then they can ask. If not, don’t bother, unless it could interfere with your employability.
A place called MBI is not passing me to get MY DOT CARD but they did last year I am on methadone why are they not passing me this time?!?!?!
@ Matt
We guess a new examiner who interprets the DOT/FMCSA guidelines differently than your last examiner.
Why do I have to have a urine test for my DOT physical?
The urine test is just a kidney screen to test for sugar and protein. It’s done to determine that there is no early onset of conditions like high blood pressure breaking down the kidneys, or early signs of diabetes, or kidney infection……
BS! If it wasn’t a blatant excuse to search I side your body without probable cause they wouldn’t bust you down when u fail for a drug they say isn’t OK…..I’m not going to do this…I’m trying to get my regular license back after 5yrs. The health clinic contracted to enforce these Controlling, invasions on body and wallet is being encouraged to stop more dui letting cops carry a quick tool kit ” to drawl blood even. I see the state and the feds both are represented by “associations” like MADD but the 10 company profit motivated tools like association of car insurance companies and health care insurance company and the governor for safely association and uber to. They even have a new grant requirement and that’s to learn about bicycles and follow with harassment . of course others we don’t hear. They want weed DUIs. They Demand them and mandatory minimums for duis within 10yrs. It’s a racket. I’m supposed to be OK with being told that I can’t use meds that my doctor prescribed? WV. 2nd dui 8yrs apart and it’s cost 9k legally and 7800 plus level 3 90jrs of my life.
It’s not helping.
Can you obtain a Virginia DOT physical card, while taking Suboxone, to drive a Non CDL vehicle, that carries a US DOT number
@ Christopher S C
You should be able to. You fall under the states guidelines and variances, so make sure the examiner know the differences. Other wise he may try to hold you to federal DOT/FMCSA guidelines and regulations.
So being prescribed methadone for substance abuse disqualifies me even if I’m stable. Is this also the same with prescribed Suboxone?
@ Vic
For a class A cdl interstate driver, DOT/FMCSA has you as a high risk and disqualifies these medications for long haul drivers.
I have been prescribed Adderal from my medical doctor. Will Adderal disqualify me ?
@ Frank
No. You will need to be on these meds for 30 days to make sure you have no abreactions. Then you should be good to go and get a new medical certification card.
Do all ADHD medication, disqualify your CDL license and medical card. If under the care of my personal doctor, can DOT medical examiner overrule my doctors opinion of prescribed care?
@ Ryan
No DOT medical examiner can or should try to overrule your primary cares opinion or medications/Rx. Most medical doctors are not aware of DOT/FMCSA guidelines and variances, so the CME must take all of your supporting documentation into consideration in their decision making process.
I’m on methadone, is there anyway I can pass for my DOT PHYSICAL, I use it for pain, not for SUBSTANCE USE DISORDER
@ Charles T
There is going to be two issues passing the DOT/FMCSA medical certification examination. 1. is the pain and any restrictions that come with it. 2. The medications it self. You are going to need supporting medical documentation to help the CME make his decision.
I’ve had a heart attack but it’s all taken care of. Cardiologist went in and laser cleaned everything and now there is no build up. I’m on thinner and BP meds. Can I still drive CMV?
@ Ronald C
Most likely. You will need to provide supporting medical documentation for the CME, to aid in his decision making process.
Am I able to get my medical card while taking Oxycodone 10/325? Basically meaning if i don’t take them while on my work shift and if able how soon could I before my work shift starts. Back 20 yrs ago it wasn’t too easy to get it renewed but also not impossible but I let them expire back in 2010 when i decided to go back into the warehouse to work. My Class A is still good but I need/want my medical card back. Thanks
@ Chris M
It is going to raise lots of questions and will require supporting medical documentation. Then it falls to the CME for his final decision.
I have a question. Can I pass a dot phyiscal on aniexty meds?
@ Robert
You will need to provide supporting documentation from your prescribing doctors. The CME will need it to support his decision making process.
Is it true that the CME can access all my prescription history? I was briefly on BP meds which turned out to be a misdiagnosis confirmed by a cardiologist. I was taken immediately taken off of them. I was only on them for about 3 months. Do I need to report this on the paperwork for prescriptions and medical history, bring a note from the cardiologist that confirmed a misdiagnosis of hypertension or is this something that doesn’t have to be reported? Obviously I don’t want to be limited to a 1 year card for a misdiagnosed condition and I also don’t want to have this bite me in the butt later on.
I assume it doesn’t have to be reported but I would really appreciate a more definitive answer.
@ David
Depending on how long ago this all occurred. We would recommend a letter from the cardiologist confirming the mis-diagnosis. The intake ask for a history of high blood pressure and the letter should dismiss the information on the intake forms.
Sorry I forgot to mention that the diagnosis and prescription was not from a dot medical examiner it was from my now former, family physician. Happened a little over a year ago.
Just wanted to add that for clarity Incase someone has a similar situation. Not sure if that changes the answer or not. Either way I appreciate the response. Thank you!
My dot physician lost my specimen who can I talk to about this they say they have to report it to MRO… what does this mean for me?
@ Mike
A drug screen has to be certified by a Medical Review Officer (MRO). Not sure how ones loses a urine sample. At most, you would need to go and give another urine sample. If it was just a DOT urine screen, there is no MRO to report to.
I have my CDL will DOT still allow me to drive if I get a vivitol shot monthly or is vivitol not allowed? If I get the vivitrol shot and I have my CDL will DOT still allow me to drive or is vivitrol shot not allowed?
@ Tanya
You will need to provide supporting documentation from your substance abuse or prescribing physician. Then the CME will make his decision.
If I was given a 1 year card for anti depressant medication, will the examiner be pulling my medical records to see that I am no longer taking the antidepressant? Or do they go off my word?
@ Josh
They can do either/or both. Best if you can provide documentation from your prescribing physician.
Hello,
I have to take the DOT physical and drug screen but I take methadone, will that disqualify me. It’s a driving position but not cdl just a regular license. I am legally prescribed the medication.
@ Dina
You fall under the states guidelines, not federal regulations. If you have a doctors prescription, that should be presented at the time of the examination. The MRO for the drug screen will need a copy. Confirm with your local drivers license department for their physical requirements and make sure the examiner is holding you to states regs and not federal regulations.
I am seeking to obtain a cdl specifically so that I might work at night. To accommodate my delayed sleep phase and my day working hours, I currently take medication to manage it including ramelteon and trazodone which I do not take when I am able to operate according to my natural cycle. Will these be disqualifying? I take trazodone only as needed and could choose to fully discontinue its use.
Until I am able to operate according to my natural schedule, I would be more hesitant to give up ramelteon, but certainly could if required.
@ Rebecca
Both of these medication are gong to raise questions and will require supporting medical documentation from your prescribing physicians.
I have been taking oxycodone for over 15 years. I’ve had the same doctor the whole time and he knows I have a CDL.. dr. says I’m OK to drive on the medication that I shown no issues. Does
that disqualify me from getting a med card?
@ Duane
It will require medical documentation from your prescribing doctor and then the CME will make his final decision.
I have back pain , I’ve had two back operations and take pain meds prescribed by the doctor can I still pass dot physical.
@ Ron
For a class A cdl, you will have some difficulty. It may require additional supporting medical documentation to aid in the CME’s decision making process.
If I am prescribed gabapentin for back problems and my prescribing doctor refuses to sign the DOT form saying it is okay to take the medicine and drive, what can I do?? I do not need a CDL, just need to pass the physical.
@ Steve
Since you are not a class A cdl holder, or a cdl holder at all, then you fall under the states guidelines and variances. Check with your local drivers license department regarding your states regulations for a medical certification. Make sure the CME knows the difference between state and federal guidelines. You should not be held to a class A cdl standard.
Thank you for your response. I contacted the BMV and they said I would need to abide by what the DOT is saying. Doesn’t seem right that my physical is the same as a Class A CDL.
So I don’t know what to do last year I am on the same medication which is methadone my dose even went down some they did not pass me and I gave them the proper paperwork why did they not pass me? I am freaking out this is my life I’ve been a mover for 26 years and I have no idea what to do I’ve been on this medication for five and a half years and it seems like it was not a problem until now.
@ matt B
Lots will depend on the class cdl you hold. Class A standards are tighter than lesser class cdl’s. If you are not an A holder, then you fall under the states guidelines and variances, not federal DOT/FMCSA.
I am in California and I have my DOT physical exam in 2 days. I am legally prescribed Adderall and take it on a daily basis for necessary reasons. It will definitely show up in my urine and I plan on bringing the proper documentation from my doctor so it doesn’t look suspicious. Is it better to be upfront with the documentation BEFORE I provide the urine sample or do I wait to see if they even test for Adderall in the first place?? Please help I am VERY nervous about this. Thank you!
@ Johan H
The intake form will ask if you are taking any medications and the reasoning behind it. There is no drug screen done with a DOT/FMCSA medical examination. Only urine testing for blood, sugar, and protein. You should have no issues with your meds.
I just had mine today, I take Adderall XR 30mg, and had it listed on the form. Because of that the doc changed my usual 3 year card to a 1 year because of “medication”. I don’t even use my CDL anymore just keep up the med screenings to keep it active so I don’t lose it in case I want it for the future.
If you list it don’t be surprised if you get put on the 1 year.
@ Chris
DOT/FMCSA has never had a three year medical certificate and your medications will/have always prompted a one year card.
Will Baclofen taken for back pain show up any way or form on a DOT drug screening?
@ Bill
Yes, it will show up on a drug screen. If so, the MRO for the testing company will need to see a valid prescription for the meds.
Will duloxetine keep me from getting a truck driving job
@ Shawn
Getting your medical card is going to require some documentation, but should not limit your chances of truck driving.
I’ve been talking with my doctor and she want to move me to Adderall but my job requires I maintain a class A cdl, I’ve seen a lot of contradictory answers. Is a valid prescription and note from my doctor valid or is it a no-go?
@ Jason
With proper documentation, you should be fine.
Why do they take a urine sample at the dot renewal?
@ Jason
Looking for blood, protein, and sugar spillover in your urine. This determines possible underlying conditions.
When going for a DOT renewal what do they test for?
@ Jango
It is the same examination you did for your last DOT/FMCSA medical certification.
why are they asking for urine sample? In addition is it the complete physical again? Testing for mobility again?
@ Jango
Urine is to check for blood, protein, and sugar. Full physical, just like before, mobility and all.
I was prescribed Adderall Xr and have been training to get my cdl with passenger and school bus certification. Will Adderall with a valid prescription disqualify me?
@ Sue
Since you are going for less than a class A cdl, you fall under your states guidelines and variances. Check with your local DLD for clarification.
I’ve been treated for depression and anxiety in the past year. I am currently not taking any medication for either illness, and have been functioning just fine.
I am looking to get a job with Fedex and they require a DOT physical even for their non-CDL trucks.
Will I have any issue even though I am not taking any medications?
@ Ashley
You should have no issues. Just make sure your medical examiner understands the difference between a federal DOT/FMCSA physical (class A cdl), which you are not, and the states guidelines for non-cdl holders medical certification.
My question to you is my doctor has me on Xanax 1 mg to help me relax at night and I’m sure it’s still in my system if I took a urine sample would that disqualify me for driving with a CDL
@ Dennis R
As long as you have a prescription, you’ll be fine.
can I attain a CDL class A license if I am taking Welbutrin 150 xl?
@ Brad W
It will raise questions but with proper documentation you will be fine.
Will suboxone interfere with my dot physical, I have a prescription.
@ Jon
It is going to raise many questions and will require supporting medical documentation.
I take mirapex for restless leg syndrome I have been doing so for 15 years I went to my DOT physical a new facility and the doctor is refusing to recertify me even though I have certificate and letter from physician that it is okay for me to take it I am not experiencing side effects and it is not a controlled substance please help what can I do about this my driving is my life and my job
@ LauraC
Go get a second opinion from someone who understands the regulations and guidelines.
Will the examiner know what medications are prescribed to me? Or if I don’t tell them will they not know? I recently started a meditation but have quite taking it but I still get prescribed it.
@ Kylie
If the CME suspects you have not given him the truth about your medications, then he can find out. Is it worth it?
Can a commercial driver use Latuda?
@ John
With proper medical documentation and a medical release form from your prescribing doctor, you may be OK.
Does prednisone effect passing drug test with cdl
@ Michael
No, and with a valid prescription you would be fine also.
My husband is a fuel truck driver (cdl with hazmat endorsement) he has been prescribed Wellbutrin. Is that ok with a dr note stating he can drive while taking it?
@ Alexis
The medication is going to raise questions, mostly as to why he was prescribed these meds. With a doctors note and a signed medical release form from the prescribing doctor, he should be OK.
It’s for anxiety
@ Alexia
A note from the prescribing physician should be sufficient.
I went to take my dot physical so I could get my cdl permit. The lady called me in the back and told me she couldn’t do it because I didn’t have a rehab certificate of completion that I had to have tested positive for drugs in my system 5 years prior. Have been sober for a while now. I don’t know what to do now anyone have any ideas?
@ Justin
Go for a second opinion. If you have been clean for five years, then you should not have any issues. A lot of the DOT/FMCSA rules and regulations is up for examiners interpretation of the guidelines.
I take Effexor XR 150mg 1 time a day. I carry a class B CDL with a passenger endorsement will I fail my DOT random screening in Ohio?
@ Melissa
Most likely not and if you have a written prescription you are good to go.
I am a school bus driver in MN. My doctor prescribed Wellbutrin to quit smoking. I found out that I might not be able to drive while taking it. I also heard that it is no longer banned. Which is true?
@ David E. R
Unless you carry a class A cdl, this shouldn’t be an issue as a school bus driver. Confirm with your local DLD.
Can I take Victoza, and drive commercially?
@ Kenneth M
The CME may request some additional information from your prescribing physician, but you should be fine.
Will a Class B driver in California still be random tested while his medical card is expired ?
@ Jeff
Random drug testing has nothing to do with medical certification.
My husband has a CDL and drives a truck. He is wanting to take Viagra but is worried it will show up on the drug test. Will this be a problem?
@ Manda
Not a problem, nor will it show on a drug screen.
Can I take ambin or trazodone for sleep or will this disqualify me from getting my med card
@ Jack
It will depend on the class CDL you hold.
I’m a class A cdl holder and my doctor put me on 10mg of Lexapro for my depression and anxiety. I’ve bin on it for 6 months and don’t have any side effects form it. Am I going to be able to get my physical renewed
@ Chris
You should not have any issues. The CME may request some additional information and a medical release from your prescribing doctor.
Does trulicity injection affect my DOT license?
@ Sandra l
Your cdl is a state issued document and will fall under your states rules and regulations. Your diabetes will effect your cdl medical certification to a degree, depending on the class cdl you hold.
They wont give me my med card because i take suboxin i been on them for 5years i take them i night can i get a something from my dr saying why iam on them i was going to drive a non cdl truck drear the day that med does not make me sleepe
@ William g jr.
If you are not a class A cdl holder, then the examiner is holding you to an incorrect standard. Lesser class cdl holders fall under the states guidelines and variances. Check with your local DLD.
I take oxycodone for chronic back pain. Can I pass a DOT physical in Indiana?
@ John S
For a class A interstate driving cdl, no. For lesser class cdl’s you would need to check with your local drivers license department.
I hold a CDL C license. In August, 2022, I went to get recertified for my DOT but I was told they disqualified me due to my BP being 200/80. I took the physical 3 times in August, 2022 and told each time my BP was 200/80. I certain that that was a false statement because my BP has never been high. I’ve been seeing the same doctor for almost 6 years and been on the same 2 BP medications since I began seeing her. I make it a purpose to see my personal physician 2 months prior to the DOT exam to have proof to give to the physician there. So, in June, 2022, I had seen my doctor for my annual physical and my BP was 130/80. I provided full test results from my doctor to the physician giving me the exam plus a letter from my doctor stating “I am in good health to drive”. So with all that information, I yet failed. Can I take my concerns to a higher level to be heard? I know I’m being bamboozled!
@ Tyrone S
You are a class C cdl holder and fall under the states guidelines and variances, not federal DOT/FMCSA / class A standards. Go elsewhere for a second opinion. 3 times with the same bp readings, does not make sense.
I’m a CDL driver I also have been type 2diabetic for a few years…my doctor prescribed ozempic…will this be acceptable with DOT? I don’t want to Julie’s my license…
@ Carla
With proper documentation, you should be OK. It will fall to the CME’s recommendations, based on his understanding of the DOT/FMCSA guidelines.
Does gabapentin disqualify me from driving a school bus?
@ Jane
School bus drivers fall under the state guidelines and variances, so check with your local DLD.
After having a CDL license in New York for the past 10 years and having a DOT every two years while taking Lexapro, today at my DOT physical, I was told I now need a DOT physical ever year. Is that true?
@ Joel D A
This would be the examiners opinion and interpretation of the DOT/FMCSA guidelines. The medication should raise questions, but with supporting documentation you could receive a two years medical card.
If you have a medical cannabis card. You don’t smoke. Can you drive a school bus?
@ Aaron
Your question will be best answered by your local drivers license department since it is state related.
Can a driver get DOT qualified if taking suboxone? Has been on same dosage for many years
@ C A B
It is possible, but requires medical documentation and medical releases from all doctors. Not easy, but possible.
Nerve pain from back issues, take lyrica for it. It’s a narcotic now. Will dot allow? How about gabapentin?
@ Bobby
Either of these medications and the condition that they are being prescribed for are going to raise serious questions with any CME. With supporting medical documentation from your prescribing doctors, you may be OK. It is going to require some level of communication with your doctors.
Do I need a note from my doctor if I want to stop taking a medication so I can pass my physical. My dr refuses to sign the letter saying it doesn’t effect my ability to drive so I just want to stop the medication. Will the dr question this and ask for a drs note
@ Michelle
Depends on what the medication is and what it is being taken for.
I am prescribed saboxone, which is similar but not the same as, methadone. Can I still get a d.o.t. physical card?
@ John C
The medication is going to raise questions and depending on the class cdl you have, will require medical documentation. Then, based on the CME’s findings and class license you have, he/she will make a final decision.
I have had a pain pump for 4 year now. It gives me a small dilaudid dose every 6 hrs. I also have been taking adderrall for adhd for over 6 years now. Would me taking these under doctors care would it keep me from driving a cmv.
@ Leslie E
Your medications are going to raise questions with any CME. You will need a medical release form from your prescribing doctors. Then it will be up to the examining doctor, once he has all the needed information for his decision making process.
I take Kepra . I have never had a seizure but I was bit by a mosquito and got West Nile virus. I have been on kepra ever since. Will being on that disqualify me
@ Paul
The medication is going to raise questions with the CME. Make sure you have supporting documentation from your prescribing physician indicating the use and need of the meds.
Can I get a medical card taking Ozempic injection for type 2 diabetes?
@ Cliff
It will depend on the class cdl you are striving for. Class A interstate driver, no. Lesser class cdl or intra-state only maybe, because you will fall under the state guidelines and regulations, not federal DOT/FMCSA.
Ozempic is a semaglutide injection, not insulin. Why would it be disqualifying?
@ Stevi
It is being used to control type 2 diabetes, and will require a medical waiver from the CME doing the examination. It is not impossible to get a medical card, for class A, just a bit more paperwork.
Can I get a med card with a pacemaker/ defib.
@ Chris
DOT/FMCSA, class A interstate driver, no. Intra-state drivers or lesser class cdl holders fall under the states guidelines and variances. The state may be more lenient than the federal guidelines.
So I am prescribed prazosin 1mg at bedtime, escitalopram 20mg in morning hydroxyzine 50mg 2x/day or as needed, Vyvanse 30mg in morning, and Clonidine 0.1mg at bedtime. I just got my Class A and Medical card. Will any of these be a problem in future physicals?
@ Lance D
If you managed to acquire a valid medical card this time, you should not have any issues. It will usually require supporting medical documentation at each DOT/FMCSA medical certification examination.
Is Trazadone ok to take driving a tractor trailer
@ Ed
The medication and the reason for taking this medication will come into question with any CME. With proper supporting medical documentation, you could be OK.
I’ve been diagnosed with depression and pd prescribed sertiline and I have a cold. Have to take dot physical next week.
Will this cause me to fail?
@ Scott
Your medication and situation are going to raise questions with the CME. He/she will need supporting documentation and an indication as to how long you have been on your meds with a working prognosis. All this information is to aid the CME in their decision making process.
If I take viagra without a prescription can I fail my drug screen ?
@ Lirio01
No, unless you arrive with an erection.
Just tried my first dot physical. He first said because I have bipolar even tho I’m stable it disqualified me, I asked how no answer. He then said my prescription valium that I’ve taken for over 15 yrs disqualified me. He never asked for a doctor’s note or anything. He spent most out time looking up what disqualifies me. So have others been disqualified for this same thing. What can I do?
@ Carren m
Go elsewhere for a second opinion. The examiner must be willing to perform the work needed to clear you for the medical certification examination.
Will I be disqualified if I take and have a prescription for oxycodone?
@ G
The prescription will raise questions as to why you are using this medication. That will be the biggest issue first, then the medication will come into question.
Can I take naltrexone and pass a CDL drug test
@ William K
There may be questions, but with a prescription on hand you should be OK.
I am on Suboxone for that disqualify me from getting a DOT physical
@ Lee
For a class A, it will be very difficult. Lesser class cdl’s are state, not federal, regulated and are more lenient on their requirements.
Can I take Phentermine with a doctor prescription and drive a schoolbus?
@ Gina P
Your cdl falls under your states guidelines and regulations. Check with your local drivers license department. Be aware of this medications side effects.
I have been taking “Adderall” for over 3 years, prescribed by my doctor because of my A.D.D. I have had no side effects while taking this nor has it impaired my capability to drive. The company I work for has a position to drive a van and DOT physical is required which I did not pass because of the prescription I take. Taking something such as Adderall, does this disqualify all opportunities to drive for company vehicles?
@ Doug
You should not have had any issues with this. Even a class A driver can pass the medical with this medication. I would go somewhere else for a second opinion.
I got my DOT certificate and am also taking adderall. My drug test is requiring my Dr. to call the drug testing facility. I am thinking they have to confirm diagnosis, length of time on med and ability to do the job.
@ Deb
Good possibility.
IfnI Have a marinol RX….will a MRO retest my sample to see if it’s marijuana or the Marinol?? Or just report a positive??
@ Steven
MRO will request a copy of the prescription and then re-test.
Retest for what?? What test will come up differently than a positive for thc?
@ Steven
He will retest for your prescription.
The Physician Assistant that did my medical exam here in Montana give me 1 year for my medical card today. Was told because I am on medication. Wellbutrin or Bupropion, Sertraline, allopurinol. I have never had this 1 year stipulation put on me for other medical cards. Always got 2 years. Have been on these meds for over 20years except for the Allopurinol. And that has been for 2 to 3 years. Have had a CDL for over 20 years. Is this correct. Thank you
@ Cliff J
It is the Physician Assistants interpretation of the DOT/FMCSA guidelines, not a change in the guidelines or regulations themselves.
Hello, trying to find out if ROPINERALE would disqualify someone from attaining a CDL license? Help appreciated. Thank you!
@ B G
The medication will raise questions with any CME and will require some documentation regarding the conditions it is being prescribed for. Class cdl will also determine how strict the examiner must be, state or federal.
Is Chantax permitted as a quit smoking aid?
I have tried all other “aids” repeatedly and haven’t had much success.
@ Paul
Our advice, use whatever it takes to get the job done, you know smoking is not good for you. But be aware that this medication has side effects and may effect your medical card.
Can you get your medical card renewed if you have a cancer diagnosis and are now on chemotherapy.
@ John
For a class A cdl, no. Lower class cdl’s possibly, since they are state guidelines not federal DOT/FMCSA.
Tramadol and diazepam for a class B license .. will I fail the drug test will it affect or get me disqualified?
@ Tracy
Class B cdl’s fall under your states requirements and guidelines, not federal DOT/FMCSA. Best to check with your local drivers license department. When you go for the medical certification examination, make sure the examiner knows you are a class B and under the states regulations, not class A federal guidelines.
Will tramadol and diazepam keep me from getting a job driving a school bus .. they are prescribed and my doctor will give a note as well
@ Tracy
See above.
Hi. I have taken prescription Flexeril in the past, roughly 1-5mg every 4-6 months, for hip spasms. Would that disqualify me for a CDL? I have not taken it in a while and could do without it. If I planned on not taking it anymore in the future, would I need to disclose the Rx in the medical exam?
@ Lewis
The intake form will ask if you are taking any priscription or over the counter medications, answer truthfully. Your medications does not disqualify you. It may raise some questions about physical ability to perform the duties of a cmv operator, but that is all.
So if I take insulin daily and my a1c is say 10 they won’t let me drive?
@ Allen R
Not sure who ‘they’ are? Class A interstate cdl, you will have difficulty passing the DOT/FMCSA medical certification examination. Lesser class cdl, fall under the states guidelines.
If I have a class A cdl can I take Celexa for depression?
@ LaDona
You will need to be on this medication for 30 days or so before retaking your medical certification examination, due to possible side effects. But yes, you can still maintain your class A on these meds.
I take keppra and what are my chances of keeping CDL CLASS A
@ Smasher
Class A interstate driving is going to be out of the question. Intra-state only, maybe, if it is within the states guidelines. You will need to check with your local drivers license department for confirmation.
How do some people on methadone still get dot health card?
@ Chris
Lots depends on the class cdl the driver is carrying. Another reason will depend on the medical reasoning for the use of the medication. Supporting medical documentation that somehow lowers the risk factors for the driver and public at large, in the CME’s opinion. etc.
I have a medical marijuana card. It helps with migraines. I smoke before bed. Does this disqualify me from getting my DOT card?
@ Gail
It will depend on your states rules and regulations. For a class A interstate cdl, it will be very difficult. Lesser class cdl’s or just a medical card for local work, falls under the states requirements.
I am interested in obtaining a CDL. If I used to take Prozac for depression is this generally disqualifying?
@ Hunter
The CME may ask questions or request some additional information, but this should not be an issue.
Please advise if taking Paxil can a driver get one or two years?
@ Lee
It will be up to the CME to make that decision. He will request additional documentation regarding your condition and use it in his decision making process.
Im taking suboxone my doctor sent a letter to the medical exam doctor he was told it doesn’t interfere with my driving at all. I was cleared to drive a school bus I was on methodone a few months ago it is not same at all suboxone is totally different since I’m cleared to drive I need to know we I be cleared by the dot and 19A
@ Tim Mc
You are a class cdl driver that is under your states requirements and regulations, not federal DOT/FMCSA. Check with your local drivers license department.
My doctor is offering me a chance to put in a morphine pain pump to ease my pain associated with nerve and muscle pain from Guillain barre syndrome that is not being helped by my infusions every 3 weeks. Will I be able to return to work driving on my class A CDL? I had GBS before and we treated it with same infusion medication and got rid of it and I was able to return to work but 6 months later it came back and now it’s worse than first time and hasn’t responded to treatments and I just want to get back to work. Thanks
@ Brad
It may be difficult to get past a CME with this situation. But with proper documentation from your physicians, it may be possible.
Ok that’s what I needed to know.
I am prescribed trazadone to help me sleep at night. Will this disqualify me from getting my CDL?
@ Brian
For a lesser class cdl, it may not be an issue. For a class A, interstate cdl, it is going to raise questions because of its potential side effects. Not an automatic disqualification, but questions and supporting documentation from your prescribing physician may be needed.
Hi there. I’m a ups truck driver. I just found out I wasn’t aloud to be on subutex. That being said i got of from it. I am really hoping being the ups dot package car driver I am aloud to take vivitrol shot. Which it makes it if I ever tried using a drug or drinking alcohol I would get sick. Am I aloud to take and be on vivitrol? Also naltrexone is a pill form on vivitrol that does the same thing?
@ Aj
A lot will depend on the class CDL you hold. Class A is a federal medical card. Lesser class cdl’s are state regulated.
If I am just starting Coumadin for stroke risk with A Fib because I don’t have prescription coverage and Eliquis is too expensive will the medication transition be an issue for me getting my clearance?
@ Bill O
You should be fine. Need 30 days on new meds to watch for side effects. CME may request some additional documentation.
Hi there,
If you are taking a low dose of sertraline (25 mg) do you have to have a DOT physical every year or can it still be every 2 years. Thank you
@ Tanya
The CME will make that decision based on all the available information/documentation he has regarding your situation.
I’ve been on 50mg of serequel and 20mg of celexa for about 2 months, I have heard serequel is a disqualifying drug. My DOT physical is in about 10 days can I discontinue my serequel and pass my DOT physical.
@ Mark S
The medications will raise questions, but are not something that will disqualify you. You will, most likely, be ask to provide a medical release form from your prescribing doctor. The CME may ask for some additional documentation regarding your situation. He/she needs the info in their decision making process.
Only been taking medication for about 60 days and using an online physiatrist. Have a letter saying I’m safe to myself and public and the drugs I’m prescribed, is this going to be a problem.
@ Mark S
It should be, but it will depend on what the CME deems satisfactory for his/her decision making process.
Thak You for your answers
@ Mark S
You are welcome.
Can I get a 2 year card while taking Adderall? Also I have anxiety my doctor wants to prescribe Xanax or things similar, i have refused because I’m concerned it would disqualify me especially with the fact i take Adderall.
@ William R
Your meds are going to raise some questions and may require additional supporting documentation from your prescribing physician. The CME will need this data to aid him/her in their decision making process. The length of the card will be determined at that time.
Can I take adhd meds, and maintain a cdl
@ Robert
Yes, the CME may request some additional information, but you should be fine.
I’m looking into getting my CLP, what ADHD meds are ok? My doctor has me on Ritalin. If I decide to quit having it prescribed for me will I be ok? I’m not sure what to do, if I just wean myself off the stuff am I good or will there be a background check?
@ John
The CME may request additional information from your prescribing physician. The medications that you are taking right now are fine, the question will be for the physician as to how well you are doing on them. Just be prepared to request additional documentation from your doctor.
I have been taking Gabapentin and Tizanidine for my back for over a year and started taking Phentermine the last few months. I have not felt any side effects and my doctors (2) have signed off on the request that from the DOT Med Examiner. Last year I brought my medication to the DOT Med and he said I was good to go now this year he stated that last year was a mistake and he shouldn’t have past me. Now here is my question. What will happen next? Seems to me I would have to take time off and get the meds out of my system. I am not here to beat the system. I have tried to find out what meds I can take and what I can’t.
@ Rob
All of these medications are going to raise questions with any CME. The medications that you have been on for the past year should only require medical documentation from your prescribing physicians. Indicating no side effects and lowered risk factors. The new medication is also going to raise questions, because of its possible side effects. If you have been on this medication for 30 to 90 days, then get a medical release form from your prescribing doctor. Make sure that the doctors forms indicate the purpose for these medications. It will help with the CME’s decision making process.
I was diagnosed with Graves decease and prescribed Methimazole and Propranolol to help control it. Is that going to affect my chances to get Dot Medical Card renewed?
@ Daniel
These medications are going to raise questions with any CME. You will need to be on the meds for 30 to 90 days before taking a new medical certification examination. And you will need to provide medical documentation from your prescribing physician.
I have had my DOT Physical Card for 2-3 years, through Concentra the last 2 years. Now all of a sudden they said they will not OK a DOT card because I am on Lyrica for Neuropathy, not Seizures, due to T2 Diabetes, it helps decrease the Burning in my feet. This is due to explanation that it is Concentra “POLICY” that Lyrica is on there NOT OK List of Meds even with a letter from my PCP. Is this True with your company or do I just need a form from my PCP as before stating that it does not interfer with my driving a Bus safely?? Reading through the Internet stated Lyrica is NOT a Disqualifying Drug but is up to the Examiner and the situation. My present Card Expires mid July so trying to get my ducks in a row with all my paperwork before I make an Appt. I appreciate your assistance…. If I do need to come off it, how long do I need to be off it before an Exam so I can discuss with my PCP.
@ Robert S
Unless you are a class A cdl holder, you are being mis-led. Lesser class cdl’s are under the states guidelines and variances, not federal DOT/FMCSA. Make sure the examiner know the difference and knows what class cdl you hold.
I hurt my back and my doctor gave me Monica and tizinidine. Will this affect my DOT mesical card?
@ Cary B
For a class A driver, you will need a medical release form to return to work, without restrictions or limitations. And you will need a new DOT/FMCSA medical certification examination. So you would be off the meds and there would be no issues.
i take anxiety meds and seroquel will they disqualified me from getting my medical card and pass the dot exam
@ Danial S
Your situation and medications will raise questions with the medical examiner. He/she will request additional medical documentation to support their decision making process, but over all, you should be OK.
I have mild OSA (AHI = 5.5) and have had some difficulty acclimating to a CPAP. I have alternated between Provigil and Nuvigil over the last year or so. 1) Would not using a CPAP disqualify me from getting a CDL-A? 2) Would taking either of those medications disqualify me from getting a CDL-A?
I have also taken Ritalin, which I prefer for less side effects. Would taking Ritalin disqualify for a CDL-A? DX: daytime sleepiness and shift work sleep disorder.
Thank you for your help!
@ Sarah
Your OSA and your medications are going to raise questions with any CME. But with proper medical documentation and supporting evidence for your conditions and symptoms, you may have a good chance. Class A cdl has the strictest physical examination requirements and will need the documentation for the CME in his/her decision making process.
Is Wellbutrin acceptable to hold a cdl medical card?
@ Tony
It may raise questions as to why you are taking this medication, but should not be an issue.
Hi, I been on Norco for years and take as needed. I’m also on Lyrica. Will this disqualify me on my DOT physical?
@ Christy
Both medications are going to raise questions with the medical examiner. If you are going for a class A, it will be difficult. For a lesser class cdl, you would fall under the states guidelines and variances. Make sure the medical examiner understands the differences and know what class cdl you are carrying.
I have low T and use Testosterone, is that a disqualifier?
@ Lawrence
It is not something that would disqualify you.
The VA has had me on Methadone for 20+ years, it has allowed me to be a contributing member of society for those years, I gave up my Class A CDL years ago due to a change of employment. Now I am retired and own a single axle tractor w/sleeper which pulls my 42’ toy hauler. I am told I am required to obtain a class A CDL, if I am going to do this I would like to get my full Class A CDL back, is this possible. I guess I should follow up with the rest of the medications the VA has me on, as I mentioned 10mg of methadone twice a day, 5mg of oxycodone as needed for break thru pain and vyavanse for my ADD and because it is also known to potentially help with a likely diagnosis of CTE. I am a 100% permanent and totally disappointed veteran who simply wants to travel this country that I made a career out f serving while in the U.S. Navy riding submarines.
@ Richard S
According to DOT/FMCSA guidelines, you will not pass a class A medical certification examination. Check with your local drivers license department on the class A requirements and see if they have another option for your situation and circumstances.
Can you be on suboxone in CA. And still pass the dot test
@ Sam
Class A cld, is going to be very difficult. Lesser class cdl’s fall under the states guidelines and variances. Check with your local DLD for confirmation.
My doctor wants to prescribe Ozempic to help with weight loss. I am not diabetic. Will this affect my dot physical, or disqualify me?
Thank you
@ Melissa
It will raise questions, but with proper documentation from your prescribing physician, it should not be an issue.
I have a medical condition, it under control and doesn’t cause me any side effects or issues while taking my meds. Now the doctor wants of course a letter for my meds but he also wants my doctor to say that I’m not a threat to myself or others. My therapist said that’s not legal. Is it legal for them to ask that question?
@ Christi M
For class A cdl, the DOT/FMCSA is pretty strict and requires the medical examiner have as much information as possible available before making his/her final decision to grant a medical card. Lesser class cdl’s are state guidelines and not federal.
I have tingling in my feet due to an injury many years ago, will I fail the dot exam due to this problem. I’ve been to same dot doctor and he ask me to stand on one foot for a period of about 20 seconds.
@ Mark
If you are capable of performing the test, then there is no issue.Again, the CME may raise questions, but it is not an instant disqualifier.
I was just put on gabapentin 300mgs 2x times a day will my dot card get taken away. Only taking the meds for nerve pain
@ Rebecca
For class A, this medication and the reasoning behind its use are medical card disqualifiers. The side effect have not been ruled out and are high risk to otr drivers. You would need to be on this medication for 30 days and require a new medical certification examination.
My husband died and my anxiety is so bad it’s ulcerated my stomach. My doctor wants me to take 0.25 mg of Xanax at bedtime for a few days along with protonix to see if it helps calm my system down. He specifically told me to take it at the start of my ten hour break and never to take it before or during driving. He’s only prescribed it for a few days short term. Does this meet DOT requirements? I’ve always avoided anything that might interfere with my job, but he said he felt I needed it for a few days before I end up getting really sick.
@ Cass
DOT/FMCSA’s primary concern is whether these medications pose any type of risk factor to you and the public at large. That includes possible side effects of the medication. Your possible side effects are dizziness, drowsiness, headaches and diarrhea. These are possible concerns for the DOT/FMCSA. Maybe take a few days off driving to take these meds for the short term.
Hello,
I am trying to become a CDL holder and I take Zoloft. Will be disqualified? I also take trazadone as needed for sleep.
I was put on these due to the stress of my current job, and am actually changing careers for the betterment of my health and well being. I am thinking that once I retire, and move on to my second career hopefully CDL Driver) I will no longer have a need for any medications.
Thank you for your time,
Jules
@ Jules
This medications are going to raise questions with the medical examiner and will require supporting documentation. Also, depending on the class cdl you are working toward will be taken into consideration. Class A is federal standard qualifications. Lesser class cdl’s are state regulations and guidelines.
if i was put on a disqualifying medication in the past but no longer take that medication would that disqualify me from reviving a class a cdl
@ Demarcus
It will require some documentation to support your situation, but you can get your class A back.
I have been taking Trulicity for diabetes and have recently been prescribed Tresiba instead, will this affect my CDL physical and my ability to drive a school bus. I am retired, but will probably drive occasionally.
@ Jerry W
Since you are not a class A driver, you fall under your states guidelines and regulations. Best to check with your local drivers license department for clarification.
I’ve been on cymbalta, buspirone for a year for anxiety, before that I was on a diff med for same issue for past 7 years. Will they keep me from getting a cdl license. I have anxiety and ptsd from finding my brother hanging. These meds have been wonderful. I have zero side affects.
@ Terri
The medications will raise questions, but with proper supporting medical documentation, you should be fine. For a class A cdl, the questions will be stricter, but lesser class cdl’s will be a bit easier.
I was prescribed buspar and pristiq. Are these ok with CDL?
@ Rick
You will need to be on these medications for a month to rule out any possible side effects. Then you will need a medical release form from your prescribing doctor before you take your new DOT/FMCSA medical certification examination. All of this if you are a class A cdl holder. But, you should be OK.
Can I take Seroquel and get a CDL?
@ Brian O
Your medication is going to raise questions. For DOT/FMCSA class A cdl, you will need supporting documentation. If you are a lesser class cdl holder, then you fall under the states guidelines and variances, not federal regs.
I want to know can you take Ambien and have a CDL.
@ Johnathan
For a class A cdl, you will have issues. For a lesser class cdl, you should be fine. Check with your local DLD for conformation.
If I take the once a week trulicity shot will it disqualify me for my medical card
@ Kevin McA
It should not be an issue. The CME may request additional documentation to aid in his/her decision making process.
Over the summer, after falling and feeling weak. I was diagnosed with adrenal Insufficiency. A very rare condition where the adrenal glands are no longer producing cortisone which caused my blood pressure to drop to unsafe levels. My primary physician put me on Prednisone which replaces or stimulates the diminished cortisone production. Since doing so, my blood pressure has returned to normal levels and I have not fallen or felt faint ever since. The doctors say, I’ll have to take Prednisone every day for the rest of my life but that this medication is a cure for this condition for anyone who has this. Will this condition keep me from obtaining my CDL-A
@ Raymond C
Your situation and condition are going to raise questions with the CME. He / She will request additional supporting medical documentation to aid in the final decision making process.
I’m a class A CDL Driver and I have depression (grief) and is discussing with my doctor to help me “cope” with the loss of my child what medication is safe for OTR Driver?
@ Chazz o
We are so sorry for your loss.
Until your doctor has given a prescription, it would be difficult to answer your question. There will be many possibilities.
I’m on Zoloft, Xanax, Seroquel and Wellbutrin for major postpartum depression and anxiety. I have a class B license and drive buses for a correctional facility. HR won’t answer wether I’ll be allowed to drive or not and I can’t find anything regarding this for DOT physical
@ J
Since you are a class B driver, you fall under the states guidelines and regulations, not federal DOT/FMCSA. In most states if you are driving a car/pickup truck, then you would be able to drive. Confirm with your local drivers license department.
My husband has applied for a driving job for FedEx in Iowa. He has been on the methadone program for 9 years. Will this disqualify him from being able to drive for them?
@ Lynn
Not sure if a cdl is required for this position. If he is going for a class A cdl, then he will have some difficulty with a DOT/FMCSA medical examiner. If he needs a lesser class cdl, then he needs to inform the examiner that he will fall under the states guidelines and variances, not federal DOT/FMCSA.
I worked at FedEx for 28yrs, if FXF found out he almost certainly lose his job,, and the way they would do it [to keep from being sued] is he will be chosen for a random, if the test comes back positive they have a MRO that will make sure it stays positive, even if you have a prescription to cause positive, An there is nothing you can do about it,.
If my pain management doctor won’t release a statement it’s ok for me to drive because I take oxymoron 10mg will I be disqualified?
@ Ron A
Disqualified from what? Driving what? What class cdl?
Can I take 40 mg Oxycodone 2X daily for chronic pains in my knee and shoulder and pass a CME examination to get a medical card to drive a non CDL under 26,000 pounds gvw 26 foot box truck in New England states? The truck is bases in New Hampshire!
@ Big D
Since you are not a cdl holder, then you fall under the states guidelines and variances. You must inform the examiner of this before he begins. Most CME’s are doing class A cdl examinations and following the federal guidelines, which do not apply to you.
Can you take suboxone and till just get a DOT health card
@ Zack J
Not without questions and supporting medical documentation. For a class A, it will be very difficult. For lesser class cdl’s you will fall under the states guidelines and variances. They usually are not as strict at the state level.
Can i take etoldalac and drive truck
@ William T
The medication is not the issue but the reasoning for taking these meds is.
I want to get my cdls. But I take Subutex. I have no side affects and have been on the same dose for over 2 years. Will I be able to get my cdls or hazmats with this perscription? I take no other drugs. And haven’t failed a drug test in the entirety of being on this drug.
@ Cj
Both the medication and the reasoning behind taking it are going to come into question by the CME. You will need supporting documentation from your prescribing doctor.
Will admitting to having a prescription of Percocet on your dot physical application disqualify you from getting a dot card.
@ Daryle W
The CME will have questions as to why you are taking it.
Can I be taking chemo treatments & still pass a dot physical & obtain/keep my cdl?
@ Tammy S
For a class A cdl, no. You would need to be released without restrictions or limitations. For a lesser cdl class holder, you fall under the states guidelines and regulations.
I take clozapine for a mood disorder. Will this disqualify me from renewing my CDL?
@ Daniel
Should not be an issue. CME may request a medical release form from your prescribing physician.
Will suboxone show up on a dot physical? For a class A cdl?
@ Gabe
If your company request a drug screen, then yes.
I have heard from some drivers that DOT doctors have access to a prescription database and can see every prescription I have ever had filled.
Is this true?
I was prescribed Tylenol-3 codine 4 months ago for oral surgery, took it once, then ibprufen only for the next week.
I would rather not list that I took Tylenol-3 codine or even bring it up so as to prevent red flags for no reason. My prescribing dentist is in another state and won’t mail any documentation without a visit. I know that’s BS but I don’t want to spend the money on a flight for a doctor’s note. It’s completely gone from my system (please correct me if I am wrong) and I won’t be taking a follicle test.
Thanks for the information.
@ Kevin
You took Tylenol for a dental procedure. End of subject. No dental notes are needed.
Can I drive with a prescription a prescription that I have had going on 10 years For back pain hydrocodone
@ Kevin
It will raise questions with the medical examiner. If you can provide supporting medical documentation from your prescribing physician, including the length of time you have used this med., it will be helpful. Be aware for a class A cdl, it will be difficult to pass the physical due to the back pain and the prescription.
I have TMJ and get chronic headaches. I’ve been on a small dosage of Methodone for 10 years. It does nothing but control my headaches. I’ve never done any other drugs in my life. Will i be able to get my CDL with a Dr’s note?
@ Lisa R W
The doctors explanation will be a great help, but depending on the class cdl you are going for will come into play. For a class A, you are working with the Federal DOT/FMCSA. For a lesser class cdl you are in the states regulations and guidelines.
I’m prescribed alprazolam . For depression and anxiety . Is this drug on the list of DOT disqualifications ??
@ Jack
The medication has side effects that will questioned, as well as the reason for the prescription. The CMER will ask for additional supporting medical documentation.
I am currently prescribed maintenance methadone for the last 5-6 years. Being that certain Maintenance drugs Suboxone & Methadone are not approved by DOT, can you tell me what Maintenance Medications ARE approved instead of?
@ Gina
There is no list of acceptable medications, only symptoms, and diagnosis’s. Lots depend on the class cdl you hold. Other than class A, which has to meet federal regulations, you will fall under the states guidelines and regulations. So check with your local DLD. If you are a class A, be prepared with a medical release form from your prescribing physician and as much supporting medical documentation as possible. The CME will need this data to aid in his decision making process.
Thank you for replying. It’s class B, I got my permit & did 4 mons training on school bus, road test is next week & i just found this out . I’ve taken it for yrs with no issue & have great reports on my driving in training. Hoping there were other options available or something “in place of” that will pass a 19-A
Hello,
I take lithium daily, will I pass the DOT for CDL license? Do I need to tell the medical examiner in advance?
@ Joe
The medical examiner is going to have questions regarding this prescription and may request additional medical documentation. It is not an automatic failure.
I’m prescribed hydrocod/ acetim for a bulging disc in my neck , can I still pass dot physical ? I don’t have any side affects , I don’t get drowsy.
@ Gary
The bulging disc is the problem. The medications are going to raise questions with the CME and he will want supporting documentation before making his/her final decision.
An employee was given 1 Year with periodic monitoring due to HBP? Does that mean the employee needs to see the doctor within that year?
There is no information on the medical form stating that the employee needs to return within 45 60 or 90 days. Please advise?
@ mike R
The DOT/FMCSA examiner is not the one doing the monitoring, but the drivers PCP will be the one responsible for monitoring. The one year card is for the driver to maintain a stable blood pressure and the DOT/FMCSA examiner is to check the driver every year rather than every 2 years.
so does that mean the driver needs to see his PCP within the one year. If an audit is done on the company and no record is found that the employee seen his PCP during that one year, can violations be given by DMV?
@ mike R
If your driver is on high blood pressure medication, then he should be monitored by his primary care doctor. If he is not on meds, then he needs to monitor his bp and keep its under 140/90. DOT/FMCSA limits the drivers to a one year card when they are on bp medications and it reads like the CME needs to monitor the driver, but it is not his responsibility to do so. The CME limited the drivers card to one year and will monitor on a yearly basis. So the company is never in violation.
I am about to do my physical exam for my DOT license. I have been having trouble sleeping at night due to restless legs and my doctor wants to prescribe me Ropinirole to take at bedtime to help with restlessness to help me sleep but I am unsure if this will affect me being able to get my DOT License??
@ Michael H
This medication will raise many questions with the DOT medical examiner. Once you start these meds, you will be in a waiting period to determine the possible side effects. Check with your doctor to see if he has any other suggestions.
I take alprazolam for my anxiety and my doctor issued a letter stating that I should take it no less than 12 hours before my report time, is that still a hazard?
@ Cynthia W
The medication is going to raise questions with the CME. Have a note from your prescribing doctor explaining the length of time that you have been on these meds. Also, a medical release form from your doctors will help in the decision making process of the CME.
I take 20 mg of lexapro daily for 20-25 years
20 mg of adderall 3 x daily for 15-20 years
8 mg of suboxone 2X daily for 15 years
I’m getting my Class B for a new job.
Ive been driving for 35 years at a non CDL job
Will these prescriptions disqualify me ?
@ Jimmy
Since you are going for a class B, you fall under the states guidelines and not federal DOT/FMCSA. Check with your local drivers license department for your best answer.
Dose taking 1mg of haldol per day disqualify one from getting a driver’s license in the state of Washington.
@ Cn
Most likely not going to effect your ability to get your drivers license. If you are going for a cdl, which is state issued, you will need to check with your local drivers license department. If you are going for a class A license you will need a DOT/FMCSA medical certification examination. That would be the only situation that may require some supporting documentation and a medical release form from your prescribing doctors.
Can I pass a dot/drug test for a new job if I’m prescribed klonopin & buspar for anxiety?
@ Sam
As long as you have the prescription available for the MRO, medical review officer, you should be fine.
disabled vet. Prescribed sertaline hcl- and bupropion for depression. And prazosin for sleeping- nightmares. I know that the sertaline and prazosin are accepted but is the bupropion? I do not expierience any of the side effects only feeling full for eating no drowsiness or anything like that. Can I still drive over the road
@ Tom c.
Both your medications and your medical/psychological conditions are going to raise questions. The CME is going to request supporting medical documentation for your conditions. You will need documentation and medical releases from all of your prescribing doctors. Only then will the CME have what he/she needs in their decision making process.
I am getting ready to start training to become a CDL A truck driver. Will I be ok and pass the DOT physical and drug test if I have type 2 diabetes and a prescription for suboxone?
@ John G
You are going to raise lots of questions with any CME. The diabetes is one question and will need medical documentation explaining that you have your condition under control. The suboxone will be the real issue. The CME will question you regarding this prescription and its need. Based on your response, he not qualify you to drive class A interstate or may fail the examination all together due to the reasoning behind the prescription.
Hi, I’m a 39 y/o partially disabled Air Force Veteran who has been taking some form of pain medication for a fractured spine for over 10 years. Over the last 5 years, the VA has been laser focused on getting people off of opiate pain medication and since I was taking very large doses of oxycodone and others they decided to put me on a combination of medication of which is now Methadone and Gabapentin along with my other meds for other health issues. My question is, because I have no income and the country needs drivers I decided I’d look into becoming a CDL driver however I’m not sure that I am eligible since I’m on pain medication. Would it be worth my time to even start since I’m on these medications? In other words would I be allowed to drive even though I’m taking these medications?
Thank you very much.
@ A J M
DOT/FMCSA class A cdl drivers medical certification process, you will have a very difficult time, both due to injuries and medications. You might look into intra-state only or a cdl other than class A. This would put you into the states guidelines and regulations, not DOT/FMCSA.
Can you pass a DOT physical and be on prebagalin 25mg
@ Conquia
For a class A cdl, you will not pass the DOT/FMCSA medical certification examination.
I have been taking oxycodone for almost 20 years. My primary has completed my DOT Certification with the proper documentation pertaining to my medical diagnosis. Will the Illinois Medical examiner pull my certification even though my Dr. provided the necessary recommendation?
@ Kristina P
If you’re a class A driver then there will be questions which would require medical documentation. A lesser class license falls under the states guidelines and variances. Make sure your examiner knows the difference.
I have my cdl class A and am a team driver with my husband. I recently was diagnosed with it a mood disorder and anxiety. I am being prescribed with Latuda or Abilify. I scanned through the comments and questions but didn’t see anything about this condition or medication. Can someone give me any advice. Will I loose my cdls or medical card with this condition.
@ Kate
Both your medical condition and your medications are going to raise questions with the medical examiner. You will need to be on your medication for 30 days before taking a new medical certification examination. The CME will need a medical release form from your prescribing doctors and any supporting documentation that releases you to return to work without being a risk to yourself and the public at large.
I’m taking doxepin and I was told I fail on my dot physical. She said I couldn’t even get a reason for it as I am on a few prescriptions that needed a reason and the doxepin was not even to be considered. Why and for what reason? It’s not a narcotic.
@ Bernard U
The medications that you are taking are going to raise questions with any CME. The side effects place you in a possible high risk bracket. Proper documentation and medical releases would be very helpful for the CME’s decision making process.
Why was I denied to apply for my medical clearance because I take doxepin for sleep?
Is it legal to drive with a CDL with a morphine pain pump in Kansas?
@ Josh
CDL’s are state issued and you need to abide by the states rules and requirements. If you are not a class A driver or you are and have a intra-state only restriction, then the best answer is going to be from your states drivers license department.
One of my drivers reached out to me to find out if there was a change in the FMCSA approval to use Ambien. He read somewhere (as did I, and it was just released June 2021 from Overdrive Online.com) that the FMCSA has made some changes in regards to certain medications, one of those is Short-acting anxiolytics (such as Ambien) are not disqualifying as long as the short-acting preparation is used and the driver leaves enough time for the drug to clear the system. I have tried to validate this info through the FMCSA and other research but not finding this. Has their been any updates to the Short-acting/Fast-acting Ambien being allowed for CDL drivers?
@ DOT Compliance
Like so many things with DOT/FMCSA there are guidelines, recommendations, and regulations. Your question falls into guidelines. If a driver has been on this medication for an extended period of time without side effects and can be supported with medical documentation from the prescribing doctor, then short-acting / fast-acting Ambien may be accepted. Time on the medication and supporting documentation with a medical release from his prescribing physician will be the key.
ARE DRIVERS BEING REQUIRED TO HAVE THE COVID VACCINE
@ Diane P
There are no federal mandates only company requirements at this time.
Can you take 100 mg of trazodone a night and still get a CDL school bus driver license?
@ Debbie D
As a school bus driver, your cdl is not a class A license. This means that you will fall under the states guidelines, variances and regulations, not DOT/FMCSA. If you are able to driver with a class D license, then you will probably be fine. Confirm with your local drivers license department.
I am prescribed hydrocodone for a back injury from years ago, I only take it on occasion when needed. Will this be ok for a non-cdl med card?
@ Need2Know
Since you are non-cdl, make sure the examiner know this fact. You will fall under your states guidelines and variances, not DOT/FMCSA.
Which of the following blood pressure medications will be allowed on a DOT test? chlorthalidone or hydrochlorothiazide or amlodipine. If none, what other type would be acceptable?
@ Lu
You should not have an issue with any of these. Make sure you have a medical release form from your prescribing doctors.
Does the DOT FMCSA drug test for suboxone?
@ Michael C
Drug testing will uncover the use of suboxone.
@ Trucker Docs. Everywhere on the internet says Suboxone doesn’t show up as an opiate. Are you sure there?
@ Bubba
Suboxone contains a combination of buprenorphine and naloxone. Buprenorphine is an opioid medication, sometimes called a narcotic.
Buprenorphine . Does not come up as a opiate on a drug test ! My buddy is a driver and got tested only 1 time in 5 years. It is a whole different test , to test u for suboxone .
@ Mike
Make sure you have a prescription available if it does come up on a drug screen.
I am prescribed hydrocodone for legit back pain. Had surgery over 20 yrs ago and only take if needed. Have been prescribed for years. I have a non-cdl DOTFMCSA pre-employment physical and urine test.Legit prescription. Will I be okay?
I had a bout with major depression and took time off from my CDL A job with a major company. When I returned I was told to update my medications and unfortunately I was honest with the PA at the clinic about the xanax, lexapro and abilify. He disqualified me for the xanax for being a benzodiazepine and the abilify because it comes up as a bipolar med, even though it’s also used for depression and anxiety. He said to just get a letter stating the abilify was for depression and to quit taking the xanax. In the meantime e-screen the drug testing company got involved, made me get a psychiatrist, even though I provided a letter from my primary and a PA in a mental health clinic. They all agree I’m fine to work but the drug testing company after 4 months says that they wont talk to me anymore and slapped me with a 6 month disqualification.
Should I just go back to the original PA that disqualified me, also I checked with the DOT, FMCSA and secretary of state and nothing is on my license or med card stating that I’m disqualified.
Is my job just trying to run me out?
@ mel
If the CME accepted the letter and passed you on the medical certification examination, then go back to the original examiner.
I have been taking gabapentin for a few years. It was prescribed to me to help with hot flashes due to menopause, NOT for seizures. I am applying to get my cdl soon and want to know what would be the best way to handle this medication when I go for my testing? Will a notice from the prescribing doctor suffice? Should I have her explain that I am only taking this for hot flashes and have NEVER had epilepsy or a seizure? Or am I just out of luck no matter what my doc says?
Dont say anything about it, it’s not tested for so there is no need to be honest. Trust me I found out the hard way.
@ melissa
Not the best advice, could cost you more than expected.
@ Desirae
You will need a medical release form from your prescribing doctor and any medical documentation. A note from the prescribing doctor explaining the reasoning for your taking the meds you take, will be a huge help and will aid in the decision making process of the CME.
What is the name of the form and where can I get it
@ kevin l k
??? please refresh our memory, for what type of condition or medication?
Is the use diclofenac at up to 3 doses a day if needed at 50mg acceptable/is diclofenac acceptable at all to take since the some of the side effects to do include drowsiness and dizziness?
@ Vincent F
It would not be the medication but the reasons for having to take it that would raise questions. If you have been on these meds for some time, then there will be questions regarding the need for the anti-inflammatory. But in and off itself, diclofenac is not an issue.
I am in the process of having my fungal toenails removed. I’m half way through the process. The Doctor prescribed oxycodone/acetaminophen 10-325MG PRN for pain. I usually only take it the first couple of days, then the pain subsides. I usually have the procedure done on Thursday so I can have 3 days to rest. I’ve only been prescribed 20 tablets and it’s not refillable. I’m going to see the DOT Dr. tomorrow, what do you think he’ll say?
@ John S
If you are not done with your treatments then the CME should not perform a DOT/FMCSA medical certification examination. Only when you are finished and have been released to return to work, without restrictions or limitations, should you go for your new DOT medical certificate.
Do mro’s or cme’s have access to you prescription history?
Just took physical for CdL class b. Been on ambien over 7 yrs. will this disqualify me?
@ Drexel
For a class b license you fall under the states guidelines and variances, not DOT/FMCSA. Make sure your examiner has that information. As a class A driver, your meds are a reason to disqualify, but as a class b you may be OK.
Thank you!!!
@ Mike L
If there is a question from the MRO, he will request a copy of the prescription be sent to him in a timely fashion. If a CME has reason to suspect he is being lied to, then he may explore your medical records or request additional medical documentation.
Wouldn’t lie to them. Was wondering if they had access to your prescription history if they would question medication you quite taking or decided to not even take at all after researching it.
@ Mike L
They may have access, but would not use it routinely.
Yes
Yup they now know every thing about you. At least in Massachusetts
I have been a CDL driver for 5 years and have never been on any medications when I have gotten a medical card. I was just diagnosed with ADHD (family doctor referred me to a specialist). I have been undiagnosed my entire life. My new doctor wants to start me on a prescription of adderall. I have yet to fill the prescription because of job. I have found information regarding getting a medical card WHILE prescribed adderall, but nothing about receiving a diagnosis and prescription AFTER already having a medical card.
My question is; do I just start taking the prescription and deal with it the next time I get brought in for a UA? Do I start taking the medication and make an appointment to get a new medical card (even though mine does expire for 18 months)? Do I call the doctor that issued my current medical card?
Thank you in advance for your answer!
@ Ryan
Adderall is not going to show up in a UA drug screen. And should you be questioned, all you would need to do is produce a copy of the prescription. DOT/FMCSA wants you to be on a new medication for at least 30 days, making sure you do not experience any adverse side effects. Then acquire a new medical card. The CME may request additional documentation from your prescribing doctor and a medical release form also.
I take Bupropion, will I pass piss test?
Have prescription.
Sorry to have to reply to my own post again. Is Bupropion on the do not use list for cdl-a?
@ Mick O
This medication is going to raise questions with any CME. You will need to be on these medications for 30 days or more to rule out adverse side effects or reactions. The you will need a new medical card and supporting documentation from the prescribing physician regarding your need and usage. Also a medical release form from your doctors.
Thank you. I had quite taking it a year ago. Didn’t take long. Started back on it for 4 days last week until I read about it may cause problems with DOT. So not taking at all now. Just going to get rid of them.
Actually one more question.
Does the MRO have access to all prescribed medications?
Wondering because I have that bupropion script but only took 3-4 days and getting rid of them. Will they question that if they have access to my prescription history?
Did u get a scrip in a office visit or did you go to a OTP? And what state? Look these up and you’ll have your answer. If in a Dr office yes they will see it if they dig
I have been taking buspar for over 5 years and in the last 5. months my anixety and panick disorders or back full blown. i happend to look at my bottle that ive been taking for almost 2 months expired over 3 years ago. can this be why my meds stopped working
@ dedbie
Could be, best to confirm with your doctor or pharmacist.
I was recently prescribed Xeljanz XR after being diagnosed with psoriatic arthritis. My question is about the black box warnings of cancer risk, cardiovascular disease, and blood clots. Will I be denied a medical card due to the medication’s possible side effects?
Thanks in advance!
@ greencartguy
The medical examiner may request additional documentation before issuing a medical card. Best to have supporting documentation from your doctor, as well as, a medical release form also.
I did not pass my DOT physical today due to me taking 50 mg. of Seroquel. I was prescribed it to help me get to sleep. I’ve been on it for 90 days, and it’s been a miracle drug. Now, I have to get off it in order to pass my DOT physical. What other drugs are approved that I can take to help me get to sleep?
@ Karen T
You need to provide medical documentation to the examiner from your prescribing doctor explaining your need for this medication. There are high risk factors involved with the drug, but once using the meds for 90 days or better, with proper documentation, you could be OK.
Hello, I am looking to get a class A CDL for the first time. Have taken adderall 20mg for many years for restlesness and ADHD. It works well no side effects. I know from reading here and elsewhere that some doctors will approve me with my prescription and some won’t. My question is there a way to make an appointment with a doctor who is more likely to accept my prescription? And, if not, will a doctor tell me ahead of time if he won’t accept my prescription so I could find a different doctor or would he just fail me? What happens if I fail? Your response is greatly appreciated thank you
My husband takes Adderall and he just had to have a letter from the prescribing doctor stating that it was safe for him to take that medication and still drive a tractor trailer.
@ Simon
If you have been on this medication for years, then all you need is supporting medical documentation from your prescribing doctor and a medical release form from him also. You can always call a DOT examiners office before setting an appointment and ask what else they may need from your doctor.
I am a former CDL holder, and want to get it back. I have depression, diabetes, and minor anxiety. I am also taking medication for high blood pressure and cholesterol. I am taking the following medications broken down by diagnosis…
Diabetes: Xigduo XR and Lantus Solorstar
Depression: Prozac
Anxiety: Buspirone
Blood Pressure: Lisinopril
Cholesterol: Atrovastatin
I was wondering if any of these would pose a problem for my DOT physical and if I would need to acquire a waiver for something?
@ Cassie
As a class A cdl holder, you will have difficulty passing the federal DOT/FMCSA medical certification examination. Lesser class cdl and/or intra-state only license fall under your states guidelines and variances. Check your local DLD for guidance.
I went for a pre employment physical and drug test to drive a regular 4 wheel truck for a company(non dot) and I’ve been on and still on a high dose of xanax for 20 years and I’m perfectly capable of driving on it. But the company did a 10 panel drug test on me. Will taking this prescription disqualify me to drive for this company? I have been diagnosed with high anxiety I have a current prescription for it and have been on the same dose for 20 years. I’m in Alabama.
@ Jason
This should not be an issue, especially since you have been on this medication for so long. Make sure you have a medical release from your prescribing doctor and you should be good to go.
I’m taking eliquis 5 MG twice a day will that disqualify me from my class A dot medical card
@ Karen s
The CME will ask questions regarding this medication. Make sure you have a medical release form from your prescribing doctors and you should be OK.
My husband does not have a cdl, but needs a dot physical for his job. He has adhd and was prescribed adderall. Will he be able to pass his physical and get his meds card for work?
@ Samantha
Make sure your husband explains that he is not a cdl holder and falls under the states guidelines and variances. He should be fine after that.
I have Hypersomnia and was prescribed Adderall. I tried other medications, but this one works the best. I also have bad back and beck pain that I take hydrocodone for as needed. I would never take the hydrocodone while driving. I would want and take after my trip, but I’m sure it would still show up in a drug test. Any advice?
@ Leslie
It will depend on the level of license you are going to work toward. Class A, you will have a very difficult time passing the physical and with your over-all situation, most likely will not pass the medical certification examination. Lesser license fall under the states guidelines and variances and may not be as strict.
If you’re prescribe methadone for opioid addiction .You’re on maintenance dosage for the past 2 years can you get a CDL?
@ fred
CDL’s are state issued and do not fall under the Federal Registry. If you are going to work on a class A cdl, then you will have a very difficult time passing the medical certification examination with your particular situation.
I have been on methadone maintenance program for about a year now and am coming down in my mg.’s , I’m only taking 48 mg. Will I have a problem getting a DOT card ?
Thank you,
Kim
@ Kim
For class A interstate, you will have issues.
What about class B? My husband was disqualified for his medical card today because he’s on methadone.
@ Leigh
Class B license fall under the states guidelines and variances, not Federal DOT/FMCSA. Check with your local drivers license department for their ruling on methadone usage as a class B driver. Then when he returns to a certified medical examiner make sure the CME understands the states regulation as compared to federal regulations.
Thanks Trucker Docs. That’s a good idea, we hadn’t thought about talking to the dmv about it!
Have a question about 2 medications. trying to find out if they could cause me to fail my DOT drug test
Any comments would be much appreciated
meloxicam tabs 15mg
rosuvastatin tabs 20mg
One for Cholesterol the other for Arthritis
@ Will
Neither should be an issue with your drug screen.
I’ve been taking Adderall and Desoxyn for approximately a year. My Dr prescribed them to me and they have worked tremendously. I have recently learned that Desoxyn is evaluated or compared to the street drug crystal meth. So my question is, if I test positive for methamphetamine, am I not allowed to take what was prescribed to me after being analyzed and treated or does my Dr. Prescription covers me for that?
@ Richard G
If your drug test reports positive for methamphetamine, then the medical review officer will contact you and request a copy of your prescription. If it checks out then your positive test is reported as negative.
I have not been able to find any information on any DOT list for Effexor. If taking this can I receive a DOT Medical card? Medication is for depression and also treats menopausal symptoms.
@ Martin
This medication will raise questions with any CME. Best to have a medical release form from your prescribing doctor explaining your need for this medication and the time frame that you have been using it.
I’ve been unemployed for over a week now and just took a pre employment urine test today. I don’t smoke or consume cannabis in anyway but I’m worried I might fail it due to being around people that do often. In the event if I did fail would I be able to request a confirmation test? Also would it be reported to DOT although I’m not employed??
Thanks in advance for your reply
@ J. D.
You can request a confirmation test, but it would be done at your expense. The results are reported to your employer not the DOT.
What about the new FMCSA clearinghouse program? Been driving since 2014 and have never failed a test.
Thank you for replying
@ J.D.
It is highly unlikely that you will fail the drug screen if you are not a consumer of illegal drugs. The clearinghouse is more for abusers of drugs and alcohol.
I’m a class a CDL holder in Virginia I’m on Gabapentin 300 MG 3×a day can I drive on this medicine
@ john M m
Not according to the DOT/FMCSA regulations for a class A driver. You may be able to drive intrastate only. Check with your local drivers license department for guidance.
I just started taking a low dose of Zoloft to see if it can help me with some OCD symptoms that I have. It has been helpful so far but I’m concerned that it might affect my employment eligibility in this field. I don’t want a potential employer to see OCD or Zoloft on my health record.
I’m considering stopping medication, waiting a month, and proceeding with my DOT medical then. Do employers see what is disclosed during a DOT Medical?
@ Kyle
Some companies require you to turn in a copy of your long form from your medical examination. Most just need a copy of your medical card. You will need to check with your companies human resources department.
I have a prescription for phentermine. Will that result in a positive test?
@ Lana C
You will not test positive for any drug screenings, but the CME is going to have questions about your usage.
So if I have a prescription will I still be able to drive while taking phentermine?
@ Kay
DOT/FMCSA, class A, does not recommend the use of this drug while driving.
I think it’s great that your answering questions and just wanted to give some information to answer questions people haven’t asked and might not ask for whatever reason.
Question: If I’m taking a medication that my dot physician knows about should I tell my employer in case it shows up in a drug test?
Answer: As long as your dot physician knows about your medication and certified you to drive… you can drive.
Even if your on a medication such as buprenorphine it is not tested for. Even if it was, the Medical Review Officer must first contact you to see if you have a valid reason for testing positive for something. He/she will ask If you have a prescription and for you to provide proof of it. If you do have a valid prescription the MRO sends a negative test result to your employer. They don’t send employer your test results saying you tested positive for something but because you have a prescription your test is negative. There’s a reason why your employer cannot personally give you a drug test or anything else medically related. They are not drs nurses or pharmacist. Their understanding of health problems, addiction, mental health issues can be very misinformed. Addiction and mental health issues has a stigma attached to it.
I i recently took a dot card examine and the “DR” at Concentra (which is the worst medical
place to go) gave me the physical and then disqualified me because i take a FDA approved medication precribed by a licensed DR. and then this so called dr just walks out . Im literally so sick of this DOT card bullcrap No poloce officer ever asked me for one, teres no fine fo not having one. The compny I work for now is a food dlivery company and if you saw how your food was picked put nd packaged, youd most likley gag. Its so one sided at this place that Im getting a lawyer. our head manager use to give us drugs, some drivers would crasg trucks ons purpose and get away with it. our union sucks. def. STOP going to SHOP here.
@ James
Stop going to these ‘doc in a box’ locations, most of them seem to have a conflict of interest in their activities. DOT/FMCSA is only trying to keep the roads and drivers safe, so the CME’s must evaluate for possible risk factors.
@ Mark
Good answer for those that have ask.
I’ve been told I have BPPV I’ve been taking 25mg. Meclizine but makes me sleepy this happened in May 2021 what’s my chances of keeping my CDL
@ David
For a class A interstate, going to be very difficult to get a new DOT/FMCSA medical certificate with this condition and medications. The risk factors are too high for any CME to grant an interstate med card. Local cdl, intra-state only, may be an avenue to explore with your situation. You will need to confirm the facts with your local drivers license department.
Can I take Ropinirole for restless leg syndrome and still pass a DOT physical in Washington State
@ Ken
Your medication is going to raise questions, but with some documentation from your doctor and a medical release, you could be OK.
My wife is on Cymbalta and she went for her DOT physical and the only qualified her for 1 year. So my question is will this medication actually disqualify her from driving a Commercial Vehicle when we turn it into the company and the DMV. She has been on this medication for 2 years and driving a CMV so is there something we need to do
@ Rick F
The medication should only raise a few questions. Since she has been on these meds for a couple years, there should not be any issues. It should not effect the DMV or the employer. The reason for the one year card is for the CME to monitor her.
I am trying to get my cdl and I’m wondering about my medications. I take hyrdocodone and gabapentin for back pain. Will i need to switch one or both medications do get my dot Med cert?
@ Kyle
Your meds are going to raise questions. Depending on the class cdl you are applying for will determine which regs will be used. ex: class A, lots of questions and a need for plenty of medical documentation. Class b, falls under the states guidelines and variances.
I am a 70 year old truck driver who has been off work because a severe back pain while driving (that’s what 48 years of truck driving will do you). The pain was only bad when sitting. The pain management doctor put me on Gabapentin for the nerve pain. It seems to be effective. Can I get a DOT medical card while taking it, or is it time to retire?
@ Michael B
The side effects of this medication are going to raise serious questions with the CME. You would need to be on these medications for at least thirty days before going for a new DOT/FMCSA medical certification examination. Be prepared to answer questions, bring a medical release form from your prescribing doctor and a return to work slip without any restrictions or limitations.
Hi Doctor,
I am 58 with bad Osteoarthritis and my doctor just put me on a medication called Diclofenac Sodium EC 75 mg hoping this isn’t going to be an issue for my CDL class A in Missouri.
Thanks!
@ Pattiey
You will need to be on these medications for at least thirty days before returning to driving. These medications can cause issues which are deemed unsafe until proven otherwise. Headaches, dizziness, etc. Once your thirty days are up, you will need to have a new DOT/FMCSA physical completed. Bring a medical release form from your prescribing doctor. You should be fine after that, if all else is within normal limits.
I failed my DOT physical !I could only fill one tube of urine!I offered a blood and hair sample
@ Ronald
One tube of urine should have been sufficient for a DOT/FMCSA medical certification examination. No need for a blood or hair sample. Not sure where the issue is.
Is Voltaren permitted for truck drivers to take
@ Lena m K
It may raise some questions with the CME. But with supporting documentation you should be fine.
Hi Doctor,
I was diagnosed with aware Focal Onset Seizures yesterday & put on 500mg of Levetiracetam (Keppra) 2 times a day. I also have been taking 20mg of Paroxetine (Paxil) once a day for anxiety & depression. Would either of these stop me from getting my DOT medical card renewed now that it is due?
I do not have a CDL, but I do need a DOT card to drive a 6-ton truck for work.
Thank you in advance
@ Lysa
Since you do not have a cdl, then you will fall under your states guidelines and variances. Medical cards and the CME program were established for class A cdl holders. Before you go for your next medical card examination, check with your local drivers license department for clarity on your questions. Then make sure the examiner knows that you are not a class A driver and you want to know that he/she understand the differences of DOT/FMCSA and your states guidelines.
I am a class B cdl driver and have worked for the same company for 3 years. I have bulging discs and my back pain is getting worse. I’ve had a back spasm for over a month now.
I asked my doctor if there is anything I can take to help with the spasms. He prescribed me Tizanidine. (My doc does DOT physicals and he said Tizanidine would be fine as long as I only take it on weekends or evenings) he said it only lasts for 8 hours.
However my company has a policy we have to disclose any medications that could make us drowsy, dizzy etc.
So I told my safety dept my doc wanted to prescribe me Tizanidine. They said they would have to get approval from their corporate doctor who they send employees to for DOT physicals.
Their doctor said I can’t take Tizanidine.
I’m confused why my dot doctor says it’s ok and theirs says it’s not.
I would appreciate any professional perspective on this.
@ LilmissColorado
You are a class B cdl holder and not class A. DOT/FMCSA certified doctors and medical examinations were established for Class A drivers. You should fall under your states guidelines and variances. If the examiner is holding you to a class A standard, then there is a mistake. First check with your states drivers license department for their guidelines and regulations. Then inform the medical examiner that you are class B and not a class A cdl holder and that you fall under the states guidelines and regulations.
Ok, thank you!
I’ve been driving class B for a company for 3 years. I assumed I couldn’t take anything more powerful for my back pain as a CDL driver, besides Tylenol, alieve, acupuncture, heat pad etc. So
I have bulging discs and recently the pain has intensified and I’ve had a spasm last for over a month now. I’m at the point where I have to try something different, so I asked my doctor if there is anything I can do as far as medications or PT. My doctor used to be a DOT physical doctor for years.
He prescribed tizanidine and told me to take it during evenings and weekends to help and he said it was ok for DOT. He said it is short acting and only lasts about 8 hours.
My work has a strict policy requiring drivers to tell the company about any new medications they are prescribed that includes the statement “may cause dizziness or drowsiness, do not drive or operate heavy machinery”
I talked to my safety dept and told them my doctor wanted to prescribe me Tizanidine. The safety dept sent it to their corporate doctor for approval and their doctor rejected it.
So it is sounding like the corporate doctor will reject any muscle relaxers.
My doctor said it was ok for DOT but is there actually a DOT list of approved drugs?
Does a company have the right to tell employees they can’t use medication if it’s not against DOT medication rules?
I don’t know where to go from here. Any help or advice about this situation is much appreciated.
Thank you
@ CO driver
See above.
Dr, I have a DOT coming up and have been off hydrocodone for over 37 days. Do I have to list that? I have taken 1-2 a day for years and never thought anything about it because I didn’t take it before driving. I’ve been driving for 33 years and don’t want to jeopardize my A cdl. I don’t want to omit it and have them look at epic (think thats it) and not get my card.
Thanks
I am a home daily driver in NC
@ Ken
You will need to supply the CME with supporting documentation regarding your meds and present prescriptions, if any. You do need to disclose this information to the CME. Also explain to the examiner that you are a day trip driver only. That way you may/can fall under the states rules and regs as well as DOT/FMCSA. Intra-state vs interstate.
I have been on Buprenorphine for over 5 years. And currently take it for pain. I was prescribed this because after I had gastric bypass surgery other pain medications would not agree with me. I do need a DOT physical for my job, but I dont need a CDL to drive a package truck. I went for my DOT physical and now they will not renew it because they are now saying its do to the medication. This was never a problem before. I always put all my medication down and its always the same place but different Dr.I also got a letter from my Dr saying its used for pain and not because of opioid addiction and the reason why. But they still won’t clear me so my manager sent me to get another opinion and I was told the same thing even with a note. Is this something new? And what can I do? And is anybody i can talk to as to why I never had an issue before?
@ Chris
You are not a class A, over the road driver, which is what the DOT/FMCSA guidelines and regulations were established for. You do fall under your states regulations and variances. Whomever is doing your physical does not understand the differences between Federal DOT/FMCSA guidelines and your states variances. You need to explain that you drive a package truck and do not require a cdl to do so. If they do not get it, go somewhere else and explain yourself before taking the examination. Also take your doctors letter with you.
i am a cld schoolbus driver i take hydrocodone at night time only i have no side affects can i still drive a school bus while taking this medication
@ patricia a s
Your cdl is state issued and unless you are trying to maintain a class A cdl you fall under the states guidelines and variances. Check with your state drivers license department for your best answer.
I am 19 and live in NC. I need to get my CDL permit for Lineman course. I take vyvanse and have for years. Will this prevent me from getting my CDL?
@ Caroline D
Your cdl is state issued and falls under the states requirements. not DOT/FMCSA. Either way, you should be able to pass the medical certification examination. You may need a medical release form from your prescribing doctor, for the medical examination. Most states are not very strict regarding your particular medication, especially if you have been on then for a suitable/prolonged period of time.
Hello, First let me say that I finally made it through all the questions and commentary. This has been somewhat helpful to my situation BUT I am still unclear about a couple of things. I have a valid class A license in MA. I currently have a valid MA DOT med card. I recently graduated driving school and have basically no driving experience. It has been difficult to find a local job without at least 6-12 mos. of driving experience. So I have been filling out apps with the larger OTR companies that offer training programs for new drivers. So far I have been given multiple “conditional” offers of employment only to have the offer rescinded once I am open about being in recovery from opiate addiction and being prescribed suboxone. I currently take the lowest dose of 2-4 mg a day as needed. When I share this openly I am refused employment before I even get to take the pre enrollment DOT physical/screening etc. I’m open about it because I don’t want to chance taking a test only to fail and have the results reported to the Clearing House. I can pass a urine test without any problem but it seems almost every company is doing hair testing now which presents an issue aside from me shaving my entire body before going. My questions are:
1) you mention numerous times in your replies that it is important to use a CME that understands the FMCSA regs…how do you go about determine if the CME does indeed understand them and what if I’m at the mercy of the CME that the company uses?
2) you also mention that it’s important to provide proper medical documentation from my prescribing doctor describing the condition and reason for Suboxone. What verbiage exactly should be used by my doctor that would be acceptable by a CME to explain my suboxone prescription?
3) I saw in an earlier comment that Naloxone is an acceptable drug and will not cause a test failure. Would you recommend that I speak with my doctor and request that the prescription be changed to Naloxone? Would this be a remedy to my situation?
I’ve worked VERY hard to get where I am at and have overcome too many obstacles in my recovery to only be shot down by every company because I am managing my recovery properly and under a doctors care. I got my CDL because I LOVE to drive big rigs and heavy equipment and it is the only way to make enough $ to support my wife and 3 year old son. Any advice you can provide would be greatly appreciated.
@ Fred
Your situation is different than the answers you quote. Suboxone for opiate addiction is very different. It is the medication and the reasons for which you take these meds that all CME’s are going to question and most likely disqualify you. There is no verbiage that over-rides the addiction factors. You may look into intra-state only for a time while you get clean. ( and we applaud your efforts in a tough situation) Intra-state only places you in the states guidelines and variances, (not FMCSA) which you may get through. The change in medications will make little difference due to the nature of the prescription.
Thank you for the reply and the advice. It has been difficult finding an intrastate company willing to hire a driver with no experience. May I ask another question. I am at the point in my recovery where I can taper off/discontinue taking the suboxone. If I discontinue taking it and wait long enough for it to clear my system before seeing a CME do I still need to inform the CME that I was prescribed suboxone in the past year? Are CME’s able to view prescription history even if I choose (take the chance) not to list it? As long as it doesn’t show up in a hair or urine screening will I be in the clear? Or am I screwed for the time being because the CME can access a data base showing all my prescriptions and history of having them filled?
@ Fred
Once you discontinue your meds, you still need a medical release form from your prescribing doctor and your substance abuse counselor. Denying appropriate information on the medical intake form could cost you in the long run. ? is it worth it?
I have a class B cdl.I drive a bus. My doctor prescribed zolpidem for insomnia. Can I take this medication and still drive the bus?
@ Pam
You are a class B driver and should fall under your states guidelines and variances, not DOT/FMCSA. Your medication would be in serious question if you had a class A interstate drivers license. Make sure your medical examiner knows the difference between your states guidelines and the class A DOT guidelines.
Stop sharing that personal info. They have to test specifically for that. Keep those things your business in regard to that.
If you filled out your medical card before receiving your prescription, when and who is supposed to fill the new info out on the long medical card? The doctor or the driver? I went to my D.O.T Medical exam and the doctor ran blood work on me, before giving my certificate. She prescribed medication after I filled out the part to list ALL MEDS. Who is supposed to fill in the new info, the doc or me?
@ Edwina
DOT medical examiners are not supposed to perform any diagnostic testing or prescription handouts at the time of the DOT/FMCSA medical certification examination. We believe it should fall on the medical examiner to complete the proper paperwork in this case.
My dot medical examiner disqualified me because I use to be prescribed suboxone I even went as far as to get a letter stating that I am no longer under the prescribers care and was told by the medical examiner that I could never have a medical card again unless I went to rehab
@ Rodney W
Go get a second opinion, your last examiner may be over reading the FMCSA guidelines. Yes you need supporting documentation and a medical release form from your prescribing doctors, but with information in hand you could be OK.
Will Kratom make me fail a dot drug test?
@ Drew
You may fail since Kratom does have opioid characteristics.
If a driver is prescribed a pain medication by their doctor, are they required to report that information to their supervisor or medical examiner?
@ Tim
If you have pain or illness which has taken you out of driving or places a risk factor, both to yourself or the public at large, then it would be best to inform your supervisor. And you would need to have a new DOT/FMCSA medical examination, so yes you would need to inform the medical examiner.
I have already taken a DOT drug screen but after I got home I realized I didn’t take in my medication bottles with me. Now I’m afraid I will fail my drug test. I am taking Metoprol just 25mg twice a day for a mitral valve problem. Is that medicine going to make me get a false positive?
@ Brian
If you did a DOT drug screen and it comes back positive, then the medical review officer for the drug testing company will contact you and ask for a copy of your medication prescription. Just be prepared to supply the information to him.
I have my Class B and I drive a school bus. I also have severe RLS and my neurologist wants to prescribe Gabapentin. Will this medication preclude me from driving?
@ Lisa
Class B license holder fall under the states variances and guidelines. Check with your local drivers license department for the best answer.
I am not truck driving right now but do have a CDL and my health card needs to be renewed. My doctor has me on Trazadone and Fluoxetine for sleep and anxiety. I am okay when I take them and once my body got used to them I had no side effects Will this keep me from getting my health card?.
@ Manuel M
Your medications and health conditions will raise questions, but with proper documentation you may be cleared.
I have been prescribed a steroid (budesonide/prednisone} for a long term time. can I operate a commercial vehicle while on oral steroids according to FMCSA guidelines ?
@ Lisa
It will not be the medications that will raise questions, but the conditions that they are prescribed for.
I have a coworker that is wanting to get his Class B license, he has been prescribed by his doctor to be on Oxycodone 30mg, Klonopin 0.5mg and Lisinpril 12.5mg. Will he just need a form proving he has to be on these medications? or will they keep him from being able to get his license? We are in Mississippi. TIA!
@ Kaitlyn D
Class B drivers license falls under the states variances and guidelines. Coworker needs to check with the local drivers license department for best answer.
What about bunephrine? Suboxone. If prescribed and have been on it for over a year?
@ Brooke
Both will raise questions and the suboxone will be the main question. It will require medical documentation, medical release forms and still not pass the examination due to your meds.
Why would you even tell anyone? 20 years of trucking 14 of which I’ve been on suboxone or subutex… I’ve just never told anyone.
Joe m, i have some questions for you, are you able to see this? Would like to speak to you if possible. I’m about to go through what your talkin about.
I have been diagnosed with infrequent migraines and I’m taking Butalbital/Acetaminophen/Caffeine. Am I still able to drive Class A CDL multi-state.
@ Scott A
It depends on when you started have the symptoms and how long you have been on your present medication regime. The CME is going to ask questions and will need some medical documentation from your doctors, and medical releases from them too.
I have diabetes. I take insulin and other medication. I have looked and can not find a clear answer weather i can still drive OTR, have class A. Have been on medication for the last 3 months and trying to get back to work.
@ Nathan
Your diabetes and your treatment protocol are going to be questioned by the medical examiner. He / she will need supporting documentation from your doctors, but it may be possible to get back to driving.
Hello I REALLY REALLY NEED AN ANSWER.
I was given a random drug test ( I have class a ) and it came up positive for oxydodone. The issue is I literally took one the day before for extreme toothache. I realized I got a prescription a few months back for 8 of them . I forgot about that when I was asked if I had a prescription. I lost my job the following day. Is there any way I can appeal this or inform whoever it is to possibly remove this “ failed dot drug test “ from my record and possibly get my job back ? I’m not a drug user at all and my system is always clean, unfortunately random test came at worst possible time. PLEASE PLEASE REPLY AND THANK YOU FROM THE BOTTOM OF MY HEART.
@ Juan N
The best you may do is to contact the MRO (medical review officer) that performed the drug screen originally. Let him know that you do have a proper prescription for the meds and see if he can help you out in this situation. The MRO’s contact information should be on the final report on file.
I am a penndot certified flagger (traffic control). In addition, i work for natural gas installation. Can I perform my job while taking gabapetin?
@ Brenda H
You are not a class A driver, which is what the DOT/FMCSA guidelines were established for. Best answer to your question will come from your local drivers license department.
I have prior drug use in past hospital records. Years ago would that disqualify me from getting my d.o.t physical
@ Prudencio O
With proper documentatio, you could take the examination.
I am receiving negative pressure wound therapy for an abdominal wound surgery. I currently have a tube and bag hanging from my waistline. I also have a PICC line in my right arm for antibiotic administration. I am wondering if this will inhibit my ability to pass a FMCSA DOT exam. Please advise.
@ Bobbie
You will need to be completely released, without restrictions or limitations, before going to the next DOT/FMCSA medical examination. And be prepared to provide supporting medical documentation.
My doctor prescribed me phentermine can I still drive a CMV while taking this medication.
@ Dave
DOT/FMCSA guidelines suggest not passing a drivers who is on this medication.
Can you drive a truck if you’re taking antipsychotics like Risperdal
@ Brandan
The meds and your medical situation are going to raise questions and will need supporting medical documentation. But it is possible under the right circumstances.
If you was taking medicine for depression/bipolar. But no longer take meds for 3years. Would this disqualify me?
@ Crystal
If you have been off medication for 3 years and have had no other symptoms, then the CME may request some additional information from your previous doctor. You should be fine otherwise, if all else is within normal limits.
You cannot be on antipsychotics
@ Peppi
DOT/FMCSA guidelines and regulations say otherwise.
Are beta blockers a disqualifying medication for cmv operation?
@ Greg S
The meds are not a disqualification, the conditions may be. Be prepared to answer questions and provide needed medical documentation for the CME.
My cardiologist took me off of warfarin and will prescribe me Xarelto to take it’s place. I failed my DOT physical because I wasn’t therapeutic. My cardiologist said by me being on the new medication I would be therapeutic. So does that mean that I can go take my physical this week and get my new card?
@ Victor K
Any blood thinner medication is going to raise questions with the CME. Be prepared to answer his questions and provide supporting medical documentation, if he ask for more information.
i did the self certification in order to keep my cdl because im not driving trucks anymore,so i can not drive trucks till i get a new dot card but now i have the medical cannabis card for anxiety treatment,do i need to do something else?
@ luis
Depending on your class drivers license would determine what your next step is. Class A medical cannabis is still a disqualifier. Any other class drivers license is under the states guidelines and variances. Check with your state DLD for further information on what to do next.
I take Cymbalta, Gralise and Flexeril for nerve pain, as I have a form of Fibromaylgia. I also take Wellbutrin XL to help me stop smoking. Then I take Norco 10/325 for chronic pain, from a broken spine, but not when I am driving. I drive a school bus in Texas and was told at my physical the Norco disqualifies me. I have doctor documentation/release for all my meds stating I am safe to drive a school bus. The FMCSA website states it is up to the medical examiner to approve me or not. Should I seek a different examiner or am I in an auto fail situation? It has never been a problem until I got this new doctor this year.
@ Susan J
FMCSA established its guidelines and requirements for class A long haul and heavy haul drivers. You do not fall under the FMCSA’s guidelines, but your states guidelines. Your CME must know the difference and work within those (state related) guidelines, not the FMCSA guidelines.
Can i be a long haul driver if im taking lithium and seriquel?
@ Paul G
The examiner is going to request additional documentation regarding the diagnosis and medications prescribed. Long haul drivers have a very different lifestyle and must abide by a more intense physical, mental and social evaluation.
Will 100mg of losartan once daily affect my DOT medical card?
@ Les
It will raise questions as to why you are taking this medication. With proper documentation from your primary doctor, you do OK, if all else is within normal limits.
Is OTC Valerian Root restricted in any way?
@ CHRISTOPHER B
No. Why you take it may come into question by the CME though.
I have been prescribed klonopin to stop migraines from anxiety and have been on it for several years and don’t experience them migraines or anxiety and I do not feel the klonopin at all, I never have,it just takes care of my anxiety apparently,will this disqualify me from getting my CDL?
@ Jason S
Your medications are going to raise questions and will need supporting medical documentation. Getting your cdl is a state related issue and getting a medical card for a class A drivers license will be a federal issue.
I have heard about a new procedure that the medical examiner must check the data base of the Pharmacy Monitoring Board. Even for a DOT physical. Is this true? Will non-addictive drugs such as Pradaxa be reported on this Pharmacy Monitoring Board data base?
I have a prescription for Pradaxa but since there are no INR’s like warfarin, it’s not monitored by my PC physician.
@ Vic B
CME’s do not use the Pharmacy Monitoring Board unless there is reasoning to do so. If a driver presents with signs of abuse, over utilization, or medications that present with serious side effects, then the CME will use the board.
I have been taking armodafinil for 10 years. I did not report it but the company doctor looked and saw where I had it filled a month prior. My doctor prescribed it for swing shift disorder. I was forced to stop taking it. What signs could the medical examiner have looked for to warrant looking at the pharmacy board?
@ Scott
You did not report the medication on your DOT/FMCSA intake form and the examiner must have questioned something in your answers to his questions which triggered a pharmacy board review.
Best advice: if you are not taking a medication that is tested for, DON’T MENTION IT!! If you’re on Methadone, good job!! It doesn’t show up so keep you’re mouth shut! Same with anxiety and psych meds! Be quiet!!
But, be aware of the side effects, be a responsible professional driver, and dont kill anyone!!
Safety first!!
@ Brian
We do not agree with this approach, even though we know it happens. Just be aware that false information on the DOT/FMCSA federal forms could cost you your job and career.
If ur going to lose it anyway for mentioning it then who cares if u falsify documents. People need to feed there families and alot of doctors dont understand the effects since they have never taken them theirselves.
@ Jon
It is unfortunate that a lot of CME’s do not work with drivers on a full time basis. It requires that the CME understands federal guidelines and regulations, state variances and the effects of medications, as it works with the drivers and their hours of operation. But in the end you get to take personal responsibility for your actions, no matter the outcome.
I am on buprenorphine, and have been for 4 years now. I just went to get my dot physical and was denied due to this, is it even possi le to move forward. My dr has written a letter and is willing to advocate for me but I am so frustrated and just lost? Any advice?
@ Aliya
For a class A over the road driver, there are going to be many questions and yes with proper documentation you will be able to drive with a valid medical card. Your medication raises questions and requires further investigation via the CME. Also if you are not a class A driver, then you fall under the states variances and not DOT/FMCSA. Make sure your examiner know the difference in the guidelines and regulations.
I take Stribild for my h.iv also under control will that denied me from getting my medical card
@ Kerby
The medication will cause questions, but with a medical release and supporting documentation from your prescribing physician you should do fine.
I take geodon and. Wellbutrin and Effexor and buspar. Can I still get a medical card if I have my psychiatrist write a letter saying I have been on them for years? I would also get a letter saying I am safe to drive a truck.
@ John D
Your condition is going to raise questions. You will need medical documentation and medical release forms from your prescribing physicians. The more information you bring with you at the time of your medical examination the easier you make it for the CME.
I take Zolpidem 10mg for Insomnia.I recently started taking it and use it when I really need it. I already new that I can’t be on Benzos, but this med is not considered a Benzo. I started taking Zolpidem after my last physical so at the time there was no meds to declare. Is this med accepted by the D.O.T.?
@ Troy
Under FMCSA guidelines you should be on any new medication for at least thirty days before having a new DOT medical examination. If you are not having any ill effects/side effects, then the DOT medical examiner will want to have some supporting medical documentation and a medical release from your prescribing physician.
Good afternoon,
I was put on a medication for Parkinson Disease. It is the short name is CARB/LEVO. Would this disqualify me from driving a CMV? Thanks Tom
@ Thomas A A
You will need to be on these medications for 30 to 90 days before retaking your DOT/FMCSA medical certification examination. Once cleared from all possible side effects, you’ll need a medical release form from your prescribing doctor and supporting documentation so the CME can make a well informed decision regarding your case. There will be questions and if all else, signs and symptoms, are within the normal limits, you could do fine.
My husband was recently placed on Zoloft, low dose 25mgs, for anxiety. Its helping. But when he went for DOT physical, with a letteokr from Doctor indicating the very low dosage won’t affect him operating LARGE CRANES, etc, he was told by examiner he’s required to get a PSYCHIATRIST and cognitive therapy because it’s an antidepressant or he’d be in jeopardy of losing LICENSE. IS THIS TRUE?
@ April H
If your husband was recently placed on this meds, then the CME is looking to cover any possible risk factors. Your husband may need to be on the meds for 90 + days before being cleared. It is up to the CME and his interpretation of the FMCSA guidelines.
Is Naltrexone a Disqualify medication? It is not a narcotic.
@ Tim D
The medication is not one that will disqualify and the condition for which it is prescribed will raise questions with a CME. Make sure you can support your situation with documentation and a medical release from your prescribing physician.
What if I was on Zoloft (generic) and I was token off of it, do I have to let the examiner know. Honestly I just kind of stopped taking it and realize I didn’t really need it, I just manage my anxiety now
@ Matthew V M
There are questions on your intake form for DOT/FMCSA that will ask. You were not taken off these meds, you just quit them.
I have a CDL and a school bus endorsement in the state of Illinois. I have had surgery for cancer and now I am receiving chemo treatments. I am not working right now due to the risk of being exposed to flu, germs and side effects of chemo. My question is will I be able to get my yearly physical to keep my license current when it comes due? I would not drive while I am receiving chemo but I would like to keep my license current.
Thank you,
Julie
@ Julie L
Once you are released to return to work, then go for your new medical card. You need to be released before going for the examination.
can i take lyrica and pass dot drug test
@ Jim
Just be prepared to provide a copy of the prescription.
I take testosterone shots and the Dr that gave me my DOT physical said that I can only get a 1 year certificate. I’ve been on it for the last 3 physicals and always got a 2 year. Is she wrong or did they change the rules?
@ Michael M
Nothing changed but your examiner and his interpretation of the FMCSA guidelines.
Is having Scleromyxedema a disqualifier for a CDL?
I would like to know if I will be able to get a CDL while taking methotrexate.
@ Mike W
Your situation and the medications that you take to treat the condition may raise questions with a medical examiner from the FMCSA. Your cdl is state issued, so you need to check with your state first about the cdl. Then, based on the class license you carry, you will need a medical card. FMCSA guidelines were established for class A long and heavy haul drivers, that may not be you.
Are Tramadol and Wellbutrin disqualifier for CDL?
@ Jenna
Both of these medications are going to raise questions from a CME for a class A cdl driver. CDL’s are state issued, check with your state drivers license department for cdl questions.
I’m 6’1 265 lbs, when I started driving 8 years ago I was 210. I’m struggling to lose weight, I went to a clinic and they offered me phentermine. If I get a release from the prescribing doctor will this medication disqualify me from operating a cmv?
@ Justin
Most likely. FMCSA guidelines recommend that CME’s not approve a driver using phentermine.
How long must a patient be off Chantix in order to pass the dot Medical Exm?
@ Tricia J
The CME will want you off this medication for at least 30 days, but it is his/her decision and use of the FMCSA guidelines that will determine the final decision.
I was hurt on the job and taken to the hospital need to know if I can take my pain meds not driving due to my injury but plan on going back after but I am using workers comp to pay for my Bills
@ Chin h
Your medical card was invalidated at the time of the injury. You will need to retake the DOT/FMCSA medical examination once you have been released to return to work. Make sure there are no restrictions or limitations placed on you at the time of the new DOT examination.
Dear Sir/Madam:
Is Sertraline a banned substance under DOT regulations?
@ Barry
The medication is not the question, but the existing diagnosis is going to require a medical release form from your prescribing doctor and additional documentation.
I’ve been taking oxycodone for 6 years now, due to breaking my back and several failed fusion attempts. I’m still able to drive and lead a pretty normal life. I’ve had a CDL for roughly 10 years now, but my medical card renewal is coming up. I have proper documentation from doctor that my oxycodone does not affect me mentally and doesn’t effect my driving abilities. With my documentation from my doctor, will be okay to continue to drive and carry my class A CDL?
Please call me when you find putt the answer to this question. I just went for a DOT physical in Waterville, Maine at WORKPLACE HEALTH & they would not pass me because I am on oxycodone (w a Dr note and approval to drive w my CAL A ) & by thier assessment I AM HIGH RISK FOR SLEEP APNEA… My personal physician says I do NOT have sleep apnea!!! Good luck at your physical!
@ Denise M
Get a second opinion from a CME that has a better understanding of the FMCSA guidelines.
@ Nater
You will need medical documentation and a medical release form from your prescribing doctors. And you will need to find a CME who understands the guidelines as fully as possible. Oxycodone is going to raise questions and the examiner is going to need as much supporting documentation as possible to help in his decision making process.
How do you go about passing your physical if you’re doctor prescribed you Adderall? I took a break from driving and in that time was given a prescription for Adderall for my ADHD and am now looking to get back into driving. The Adderall doesn’t make me drowsy or keep me awake all night, I take it at the start of my day and am able to function and sleep just fine. Is it possible to legally drive with a prescription for Adderall or is it just a straight no?
@ Thomas C
Just bring a medical release form from your prescribing doctor and you should be fine, if all else is within normal limits.
Are weekly injectable diabetic medications non-insulin a disqualification drug or require a medical waiver of any type more than oral medications when taken by a type 2 diabetic for a CDL? Examples are trulicity or ozempic.
@ Donna P H
They are not disqualifiers, but will require supporting medical documentation and a medical release form from your prescribing physician.
My doctor perscibe me sumatriptan and propranolol for a migrain headaches, will this disqualify me from obtain my cdl card. Both medications are not considered as a control substance and I have no side effects. I have three more months before I take the dot physical. Any recommendations or words of advice is truly appreciate.
@ Kelvin R G
The medications and the condition will raise questions with the medical examiner. You will need to provide medical documentation and a medical release form from your prescribing doctor. CDL is state issued, but the class of the license will determine the guidelines used for the medical card. ex. class A over the road, long haul fall under the federal DOT / FMCSA guidelines. Class B or intra-state cld’s fall under the state variances.
My husband is being hired by UPS. He has been on a medication regimen for about 20 years. He takes Adderall and Xanax. He has has this regimen again for about 20 years and there has been no adverse reaction in that entire time. His prescribing doctor is completing the medical exemption form at the request of the CME but my question is whether or not they can still deny him the position.
Is Lyrica for back pain a disqualifying drug For a class A license?
@ Stacey O.
The medication and the condition are going to raise questions during the DOT examination. Your examiner is going to need documentation from your prescribing doctor before he makes any decision.
Will I fail non cdl dot for taking klonopin prescribed by a dr for anxiety?
@ Michael James D
As long as the states guidelines accept this medication, then you should be good.
Is atomoxetine(Strattera) an approved drug under DOT guidelines
@ Eric P
Yes, it will require a medical release from your prescribing doctor and medical documentation too.
I have a class A CDL but I need my medical card to have this lic. I have chronic pain so my doctor has prescribed the lowest possible of hydrocodone with Tylenol it helps with my sever headaches and that’s about it. What do I need to do to get my medical card. I also had a question the medical exam person also called around to check on my medication I receive are they required to do that.
@ John
You will need a medical release form from your prescribing doctor. You need to have been on this medication for thirty days or longer before any CME will consider testing for a DOT medical card. The CME may request additional documentation to aid him in his decision making process.
I take Gabapentin and Lyrica, but not for seizure prevention. Rather, it is for Neuropathy. Will those medications still prevent me from driving a school bus?
@ Jim
As a school bus driver and not a class A driver, you fall under the states variances. Check with your local DLD for guidance. Also, you will need to explain to the examiner that you are a school bus driver and bring supporting medical documentation you have.
Thank you for your response. What does DLD stand for?
@ Jim
My apologizes, Drivers License Department.
Can I still drive while taking cabozantinib or vandetanib for cancer
@ Eric
Depending on your drivers license class. Class A, you will need to provide medical documentation when you take your DOT medical examination.
the supporting documentation would have to include reports from my treating Dr.
@ Eric
That is correct.
in 2018 I was DOT certified while on the methadone program, had the proper documents from the prescribing provider and I was issued my card. being so I have to get re-cert every year vs. every two this year I have been having issues with getting recertified even though I have lowered my dose and am being tapered off,. how was I able to be issued my card and now a year later having a problem being reissued?
@ kc
Some examiners use the guidelines, and with proper medical supporting documentation, will grant a short term or one year card. Some examiners read the same information and interpret it differently. Go back to the CME that did your exam last time.
I keep getting denied for being on methadone for pain management even with a doctors note saying im safe to drive a cmv I do have a cdl a license and a 1 year medical card
@ Wes C
FMCSA has very strict guidelines and regulations regarding the meds you are on. You are lucky to have a one year medical card. That will probably stay with you for some time until you are off the medication or supporting medical documentation leads into another direction. Methadone for pain management is always going to raise questions with a CME.
I went to a doctor recently to see about getting on aderol but he said its highly addicting and wouldnt prescribe it to me . I was told it helps people concentrate better while reading and in everyday life. Anyways then i recently got my class a license and realized that medication would have kept me from advancing in my career. Just saying..
I was recently diagnosed as ADHD, and my doctor proscribed Topiramate and Adzenys (amphetamine). She said there is a lot of success with this combination. But will I lose my CDL?
Hello I was prescribed risperidone about three years ago and it makes me feel fine and I have no symptoms is it automatic disqualification.
@ Aaron
Just make sure you bring a medical release form from your prescribing physician. And any other medical documentation that supports your situation.
Is amitriptyline 10mg a disqualifying drug for CDL A. Prescribed for nerve pain. I have to renew my dot physical and wonder if it will be a problem.
@ Mike
The medical diagnosis and the medication are going to raise questions, but with good documentation you should do fine.
@ Kalyn
Your CDL is state issued. Most likely you won’t lose your cdl, but they may enforce some restrictions. Check with your local DLD.
I drive a City Transit Bus, CDL class B. For my back strain and pain, my doctor prescribed Cyclobenzaprine (muscle relaxer) and Tramadol (pain medication).
Can I take Tramadol and / or Cyclobenzaprine at my job – random drug testing is done, as well as, all post accidents.
Are these two drugs “allowed” to have in a commercial driver’s system if drug-tested?
@ Margaret R
You are a class B, not FMCSA class A. Drug testing medical review officer may request prescriptions from the doctor before filing final findings.
I’m a bus driver. Is wellbutrin banned by USDOT?
@ Marty
Lots depends on your drivers license class. Class A, will raise questions. If your are some other class, then check with your local DLD for the best answer as a bus driver.
can I drive trucks if I’m getting prescribed metadone or subuxone or Subutex..
@ pierre
Probably not. You won’t pass a DOT/FMCSA medical certification examination.
I was taking Suboxone after becoming physically dependent on prescription pain medication that my Doctor prescribed me for pain after 4 years I tapered down and have now been off of all medications for 4 months and feel great I got my life back. Is my past going to prevent me from getting my CDL? I’ve never used illegal drugs and never abused any.
@ Ando
Getting your cdl is a state issued license. Getting a class A DOT medical card is a Federal issue. If you presently no longer take any medications, then you should be fine.
a year ago I had a accident outside & hit my head, with a lil brain damage. they were told I had a seizure. and put on zepra, the test showed I never had a seizure, and they took me off zepra a few months ago. I drive a cdl b, can I get my license back right away, or do I have to wait? If I had a letter from the dr. saying that I never had on, and would be okay to drive?
@ CO
Your question is best answered by your states drivers licensing division.
My husband was was prescribed a medication to help him to quit drinking. This drug is not a controlled substance and only aids in stopping to drink. Can the DOT physician make a personal opinion and weather or not he has a drinking problem. Note my husband has never had any infraction or write ups at his job in 31 years of employment nor has he ever had a driving infraction outside of work. He started to drink again in the past year dealing with his mothers diagnosis of dementia and myself (his wife) having breast cancer. He went for a his yearly exam with his primary care in May and his doctor recommended that he take this medication. Subsequently, the company my husband works for has to start a substance abuse program immediately due to the DOT certificate denial. He has now gone through 5 weeks of quite the run around with many specialist telling him they have never heard of a situation like this. It appears that this particular PA based her decision not to pass my husband due to her own personal opinion. I just learned through some research that he could have a second opinion, is it too late for him to do this? Can the DOT PA fail him base on a personal oppinion?
@ Amy
Go get a second opinion.
I take Gabapentin for neuropathy. Is that a disqualifying medication?
I had a test show positive mro contacted me I sent them a copy of the script. I returned to work then they wanted a safety sensitive letter the Dr did not return this all though the results of the test is now negative what happens without the letter
I went to get my medical card renewed for school bus and had a new DR this time….He was asking me about my medication that I take and I said that I take one for Restless Leg syndrome and he said dont say that cause it is a automatic fail. I have been on this med for years and never had a issue with other Drs durning my physical.Is this true that it is a automatic fail?
@ Barbara C
No, it is not true. And you do not fall under FMCSA guidelines, your in the states variances. Make sure your examine doctor understands the difference. Your a school bus driver not a big rig long haul driver.
I’ve taken requip for years and have a class B. I’ve only had one question and that was if I knew how to take it correctly even thought I had written the answer when I listed my meds. I had to get a letter from my Dr stating that I knew how to take it, go figure but have never been asked by any other Examiner
@ Debbie
Your examiner is holding you to a class A drivers standards and you are class B. You fall under the states variances, not federal DOT guidelines. Your examiner should know the differences.
I read for 30 minutes And didn’t see this one I am on ambien for sleep I have drove and had dot physical and no problem this time around I got denied I was wondering why
@ Dustin
The medication has some pretty serious side effects and the FMCSA does not want big rig, long haul drivers using it and driving. If you have been on this medication for years, then get your prescribing doctor to help you with medical releases and supporting documentation.
This is an amazing website filled with valuable, reliable information not found elsewhere, or at least not that I have found yet.
I’m a veteran/retiree. I just recently applied to a reputable trucking company for acceptance into their paid CDL-A training program. I have a current DoT medical card from my primary care provider who is also a certified FMSCA Examiner.
My concern is that the company I applied at, like most others, will be doing their own DoT physical and may be more stringent.
Here are my primary concerns:
I have been on Duloxetine 20MG, better known as Cymbalta, for over a year. It is for depression, anxiety, neck pain; it works great! I have absolutely no side effects.
I have read on other websites that prescription medications for these conditions is a red flag, obviously, but many drivers go on to say not to waste your time, you won’t be hired and some even say you shouldn’t be hired.
Is this medication and the dosage “likely to result in a failed DoT physical” by the trucking company’s examiner?
Note: This is the lowest possible dosage, actually, it’s an initial dosage; I never needed to go higher.
If it’s likely to result in failed DoT exam, I intend to ask my Doc to remove me from this medicine to ensure no “red flags” are raised. I am still functional and fully capable without the prescription, but frankly, it does help me feel better in all three areas. Does this alternative plan give me a better chance with the company DoT examiner?
Lastly, when you sign the medical release form mentioned in this thread and others, does that literally give the DoT examiner “full access” to read all your medical records, including mental health?
Would it not be sufficient enough to show the company’s DoT examiner both my current DoT card (within 30 days) by approved FMSCA Examiner and a note/letter from my primary provider (both are the same doctor) stating that my conditions (noted above) and the prescribed medication, Duloxetine, DO NOT IN ANY WAY HINDER MY ABILITY TO PERFORM THE DUTIES AND RESPONSIBILITIES OF A COMMERCIAL TRUCK DRIVER IN A SAFE MANNER?
Seems like that’s what the point of the DoT medical card is for, but some have recommended this letter. What are your thoughts on such a letter?
Thank you very much in advance.
J
@ Army Vet/retired
Your medication is going to raise questions and will need supporting medical documentation and a medical release form from your prescribing physician. Be aware that companies that offer a paid-cdl training have thousands of people to choose from, so they are looking for any reason to release you before they spend a penny on you. A medical release form from your doctor does not allow a CME to read your medical records. You may want to reconsider.
is taking pravastatin for high cholesterol disqualify me from passing medical for class A with tx in california.
@ Brad R
No.
I do the dot doctors count your your pills?
I have a diagnosis of bipolar and have been on geodon and effexor xr for 2 years and been stable. Are these medications disqualifying.
@ Robert
The medications are going to raise questions, so be prepared. You’ll need a medical release form from your prescribing physicians and your most recent test results/medical documentation available for the CME.
I’ve had 9 back surgeries, I’ve got a pain pump. Will this stop me from getting DOT Certificate. Driving is about all I’ve got left
I was taking zoloft up until about 4 months ago for mild depression but I am no longer taking it. I am currently taking Wellbutrin time release 150mg once per day. Will I have any problems at paid CDL training with Roehl transport?
@ Philip F
It will depend on the companies hiring policy. Check with their HR department before going much further. These companies have thousands of applicants and will look for any reason to dismiss before spending a penny on a incoming potential driver.
@ Don
Lots will depend on the class license you are going for. As a class A, over the road, long haul driver, you will not pass the FMCSA guidelines or the medical certification examination. As a local intra-state cdl driver with a lesser class license, you may be OK. Check with your local DLD for more information.
I work in a chemical manufacturing facility where our operators load our chemicals into DOT regulated trucks and we ship our chemicals via pipeline. Based on the information above we are required to take annual DOT physicals because of the way we ship our products offsite and not because we are re-certifying for our commercial drivers license. Does or will taking blood thinners dis-qualify me in this situation?
@ Danny M
It will raise some questions and the medical examiner may ask for some additional information from your prescribing doctor, but you should be OK.
My doctor wants to put me on an anxiety med the off brand of Zoloft I’m classified as a short haul driver meaning I start and stop within 12 hour day not allowed to go over those hours will this be a problem with my medical card
@ Bob
The medications are going to raise questions and you’ll need to be on the new medications for at least 30 days before you can retest for the DOT medical card. Class A commercial drivers are limited to 11 hours of driving inside a 14 hour window and must take at least a 30 minute break within an 8 hour span. If you are not a class A driver, then check with your local DLD.
I’m a class b driver and the medication is Viibryd there are no side affects of drowsiness or sleepiness is that something that will put my med card at risk
@ Bob
You are a class B driver and you will fall under your states variances. Your medication and the conditions it is used for will raise questions during any medical examination. Be prepared to provide medical documentation and a signed medical release form from your prescribing doctor.
I work for a pain management office and one of our patients takes tramadol and tramadol extended release. Dr Oppong is wondering if the tramadol extended release is one of the approved drugs. Thank you for your time
@ Megan
Both of the medications are going to raise questions with the CME. Your patient is going to need to provide medical documentation for the CME to help with his or her decision making process. Also depends on the type of driver license your patient holds. FMCSA guidelines were established for the long haul, over the road drivers.
Is Effexor or a blood pressure medication a disqualifyer for a CDL in Oklahoma?
@ James M
Both medications are going to need further medical documentation. The bp meds will limit the length of the medical card to one year, but the Effexor will need additional supporting documentation and a medical release from the prescribing doctor.
I was diagnosed with bipolar, depression, and I think anxiety as a teen. I no longer am on medications and its been a few years. Would I be disqualified from getting my medical card? Could I get a letter from my doctor stating that I’m no longer on medications and that I’m no longer receiving treatment, and get a waiver.
And I get a waiver whats the chances of the doctor passing me.
@ Nick
No waiver is necessary, get the letter from your doctor and you should be OK.
What about low dose Tramadol? Are there specific sleep medicines that are not allowed?
@ Digger
Any medication is going to raise questions. Be prepared to provide medical documentation and answer additional questions regarding your prescription and its usage.
I have just been prescribed Abilify for bipolar also take Zoloft for depression. Can I still keep my Cdl class A?
@ Michael r
Keeping your cdl is one thing , but your medications have invalidated your medical certificate. Check with your local DOT examiner to determine your wait period and what is needed in the way of medical documentation before returning to the CME for a DOT medical card.
My husband wants to get xanax prn for an international flight for our vacation, but he says he will lose his job due to DOT guidelines…its just for vacation. Is this true?
@ Sonia
Only if he tested positive on a random drug screen.
A driver who had been off on medical leave has submitted medical releases to our company to return to work. He’s worried that his taking LIPITOR and CLAVIX will medically disqualify him when he goes for his medical recert exam. Will it?
@ Douglas M
It does not disqualify him, but he will need to provide additional medical documentation for the CME to consider doing the examination.
Can you take CBD oil if you have your cdl class a license, or will you test positive on a drug test.
@ Mary
You may test positive for a drug screen. Then you have to explain yourself to the MRO and the company.
My diabetic medication (metformin/glipizide) was adjusted while I was attending CDL Training. I am now being told that I must be on my diabetic medications for 6 months prior to returning to CDL training
@ David
Sounds like a company policy, FMCSA would like to have you on a new medication regime for at least 90 days and provide the examiner with supporting documentation.
I was denied renewal of DOT medical card for the prescribed meds Tramadol and Trazadone. Are these drugs that are prohibited for DOT. I have been on them since 2008 when came back from Iraq. Answer would be great. Thanks
@ Phillip K
You need to provide medical documentation to the examiner so he understands your condition and present prescription. If you can, get signed medical release forms from your prescribing doctors.
I’m taking a 25mg pill of metoprolol does keep me from getting a two year card
@ Harry
It is a high blood pressure medication and will limit your card to yearly
I have been in opioid recovery for 5 years I currently take methadone, would this be considered a medicine not approved.
@ Jj
Yes. FMCSA guidelines are pretty strict on this one.
Do I have to disclose to my “employer” the fact that I take lorazepam as needed for occasional anxiety and ambien CR for insomnia? I know I have to report it to the CME, he has cleared me for use for the past 4 years. I would like to know if the “employer” has the right to know.
@ Brad
If you perform your duties without restrictions and you have a valid medical card, then why would they ask?
I guess I should’ve been more clear. Does the employer have the right to ask you about medications on an application for employment?
@ Brad
They can ask, doesn’t mean you have to answer. Sounds more like a legal question.
Is Adderall a disqualifying medication? I have never been diagnosed with ADD/ADHD but my doctor had put me on it for “motivation” during a depressive episode. I am currently off of the Adderall, is there a length of time I need to be off of it? Also, I take Zoloft and Abilify are either of these disqualifying?
@ Gus
Your medications will raise questions with the CME, but can be overcome with proper medical documentation.
I was diagnosed with general anxiety after I had an anxiety attack after my toilet leaked and severely damaged my home resulting in 15k worth of damage. I went to the doctor and cycled through some meds briefly and eventually started to feel normal again and stopped the medication along with working with my doctor approval of my choice to stop, she left it up to me to decide if I wanted to try another medication but I felt like I am ok enough now.
Since my anxiety and mood has been manageable and comfortable and I have no future appointments and am not on medication can I expect to have any issues at my next DOT physical examination?
@ Mike
Make sure you have a medical release from your doctor stating that you have been off these meds for however long its been and you should be fine.
I take mirapex medication for Restless legs..NOt parkinsons..I have always been able to drive Class A…but new MD says I can’t drive because of the Restless leg syndrom..and taking the mirapex..is this true
@ James S
Have a medical release form from your prescribing doctor explaining that you take the meds for restless legs and not Parkinsons. And get a second opinion from somewhere else.
I’ am going to start my training to get my CDL here in Florida. But I’m on Suboxone. Will I still be able to get my license in Fl.?
@ Carla P
The medication is going to require medical documentation. Be prepared to obtain the documentation that the CME will request.
Opana 5 mg 1 every 4 hrs. as needed for pain .. can I still drive a class B dump truck
@ Harold S
You are class B driver and are under the states variances. Check with your local DLD for the best answer.
Hi I was just failed by dot examiner for a prescription of suboxone in MA. What do I do? Or is there another route
@ Christopher P V
It will depend on the reasoning for the suboxone prescription. Medical documentation and a medical release form from your prescribing physician will help, but may require further explanation for the medical examiner.
I was just denied a med card I also being prescribed suboxone. Prior to this blog just in May 2019 I was at DMV in Vermont I asked about driving a commercial vehicle prescribed suboxzone . I was told yes depending on the examiner and if they felt I was stable and safe I could obtain a med card . I had also brought a letter from my prescribing doctor with my stability over the past three years. I’ve never had any relapse episodes what so ever and no negative ua’s I went to concentra yesterday and was flat out refused because I’m prescribed suboxzone I feel this is unfair I do not see any difference from my prescription s than ANYONE anyone on nitro for heart condition or someone on adderil. For hypertension or someone with diabetis on insulin or someone with seizures on meds. I feel discriminated to the max. This is not methadone where I’m falling asleep I feel safe on suboxzone I feel confident to drive any vehicle. This needs to be addressed so people can live earn an income to provide for their families in their recovery and be proud of their sobriety and not want to give up and feel useless. It’s all reflected on opioid abuse. THE STATE WANTS IT TO END WELL THEN where do people go if this continues.
@ Peggy
Your state DMV is correct, it depends on the FMCSA examiner. Some examiners fully understand the FMCSA guidelines and others took a class somewhere that said no to suboxone. Go get a second opinion from another examiner, especially one who under stands the guidelines.
Can I be punished for taking a prescribed medication even if the prescription is expired? Will the MRO deem that as a positive or negative test? Also where would I find that regulation regarding expired prescriptions in the DOT rules?
@ Adam D
MRO will list it as positive. No punishment other than employability due to a positive drug screen, but that is a company policy issue, not DOT
Will the prescription drugs Suboxone and Clonazepam disqualify me on my drug test
@ Larry S
You would need to provide prescriptions to the MRO doing the testing.
Yes, even with proper documentation the benzodiazepine will likely lead to your disqualification. The other med, which is also a sedative, is up to the dot doctor. This is from the 2009 expert panel of medical opinions in psychiatric disorders. It even gives a table on how long you need to be off your bento to drive. https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/Medical-Expert-Panel-Psychiatric-Psychiatric-MEP-Panel-Opin.pdf
My doc is considering putting me on 30mg of cymbalta for pain. Is this ia disqualifying drug as far as my DOT physical goes ?? We agreed to not take anything until we are sure.
@ S
Both the medication and the reasoning for the use if these medications are going to called into question. You will need medical documentation from your prescribing doctor. If you start a new medication you will invalidate your present medical card and will need a new DOT medical certification after you have gone through the waiting period.
I take Latuda, Zolpidem, and Doxepin can I pass if I have medical clearance from my doctor? What are the steps I need to take?
@ Andrew
You will not pass a FMCSA/DOT medical certification examination while taking these medications.
Do DOT doctors have access to see if you are taking any prescriptions through a data base
@ Mark
It falls to you to be honest about any medications you are taking. The CME is looking at a multitude of things, all of which are geared at safety and possible risk factors.
Also yes. They can check, they may not be prompted to and it is nonstandard, but 100 percent allowed on their state controlled substance reporting system.
I’m required to get a DOT Physical, non-cdl, just for my job to make sure I’m well fit, I take prescription narcotics for back pain, I know under normal drug test the lab will call, get Rx and such and it comes up negative, would same apply here or do I tell examiner and give him/her supporting documents up front?
@ SpudZooka
Tell examiner and give him/her supporting documents up front. Also explain that you are not a class A driver, which means you fall under the states variances and not federal DOT.
I take Clonazepam and Hydrocodone. I have a dot physical for a job I applied for. It is not a class A license. Would these disqualify me for the position?
@ Shane
You need to check with your state DLD regarding their guidelines. If the state wants a DOT medical examiner to do the examination, then make sure you explain, to the examiner, that you are not a class A driver.
They told me it’s all the same test… though I’m not getting CDL I failed, not sure about my career now. I passed the physical but as far as the the status it’s fail.
My husband has been taking Lunesta for over a year because he has trouble with waking up during the night. He tried to renew his Medical Card, and the doctor at Concentra told him he’d have to have something from his doctor showing he’s been off the pill before he could get a medical card. He doesn’t have any side effects, is there no way he can continue taking it and get a medical card?
@ Allison
The medication is going to raise questions so be prepared. Medical release from the prescribing doctor and get a second opinion from somewhere other that the last place you tried.
i may have failed a drug test durning my physical. im currently in CDL school, but don’t even have my permit yet. will this prevent me from possibly getting my license?
@ Danile A
No, but it does not help. Also all driving companies drug screen routinely before hiring and afterwards.
I went to a neurologist because I thought I was having seizures.After an MRI she told me that I dont have seizures, but she prescribe me a seizure medication anyway. Do I have to fill out a seizure exemption form?
@ Rafael
The medication will need supporting medical documentation to be given to the DOT medical examiner. No sign of seizures is one thing, but the medication is going to raise questions. Following that the medical examiner will make the final decision.
Related to seizure medication …can I take Lyrica? For fibromyalgia pain if have letter stating won’t affect driving? Ohio
@ Justin j
Yes, but the DOT medical examiner is going to request additional documentation from your prescribing physician. Be prepared.
Can you get your cdl in Tennessee if you are prescribed zubsolv?
Do they test for this on the drug test?
@ Alisha McM
Check with the state of Tenn. for the cdl question. Your DOT medical examination is going to be a different issue. The medications you are taking will raise lots of questions.
Am I able to take prednisone while driving? prescribed for the flu but it is a taper dose that would fall into work time. I am a CDL class b with passenger, school bus. I’ve had it before with no side effects but I do know if I get off it immediately without taper there is bad effects.
@ Nicole
You are class b, intra-state driving. You fall under the states variances. Check with your local DLD for the best answer. Most likely, no issues.
I need a list of medicines i can not take with a CDL License & to get my medical card for a CDL License.
@ Dennis R
Try finding the list on the FMCSA website pages.
Can you qualify for a CDL if you are on Tasigna for Leukemia treatment?
@ Stephanie
Condition and medications are going to raise questions. Bring as much supporting medical documentation as possible. It helps the examiner in his evaluation and his decision making process.
I have type2 diabetes and on metformin my dr now wants me to take trulicity is this allowed by dot guide lines for medical card
@ Kevin
FMCSA has changed the rules on diabetes. With good medical documentation from your prescribing doctor, you should be ok, if all else is within normal limits.
I am thinking about using Chantix to quit smoking again. I have used it before without any side effects. Will this effect my DOT physical.
@ Tracy
Yes, FMCSA guidelines indicate with-holding a medical certificate from drivers using this particular medication.
I know the “official time (180 days)” given by the government. Could someone tell me their time in receiving an answer to a FMCSA waiver on epilepsy. (Note that I meet all the requirements set by the waiver.)
Can a trucker be allowed to take amphetamine for adhd without having cdl’so took.
@ Teresa
Your cdl is state issued, check with them.
I am wondering almost the same thing. My taking it has never been a problem in Wisconsin, but all of the sudden the nurse practitioner doing my exam today cut me down to a year rather than two. I’ve been doing this since 2014, & this is a first. FYI, all MDs until now.
ARMODAFINIL IS IT DOT APPROVE?
@ Rick T
You’ll need medical documentation and medical releases from your doctors. They will need to provide any recent test results and a working prognosis of your condition.
can I still keep a CDL if I take Horizant ?
@ Gary
The prescription and the conditions that it treats are going to raise questions. Be prepared to supply supporting documentation and a medical release form from your doctors.
I am looking into CDL training but wasn’t sure if I would pass a dot physical. I’m on paxil for anxiety. The anxiety is controlled. And the paxil causes no side affects. What are my options.
@ Erik
You’ll need medical releases from your doctors and the CME may request further medical documentation in your case. If you can prove the information, then you should be good.
I would like to find the complete list of medications on the DOT “Watch List” if I could.
@ Victor I
Try the DOT/FMCSA web sites, they may have it.
I need a DOT physical card to continue driving a 14 passenger school bus. I am currently taking Metoprolol Tartrate and also Atorvastatin. will I be able to get a card?
@ Tom B
With medical releases from your prescribing doctors, you should be in good shape.
I am changing my medication from xanax to Prozac for anxiety so I can drive school and my doctor said it is ok to take the Prozac. I don’t want to get disqualified when taking my exam. Will Prozac disqualify me?
@ Anna
We will assume you ment school bus. That would put you under the states variances. Check with your local DLD for your best answer.
I take one oxycontin 80 mg ER tablet twice a day. I also take oxycodone 10 – 325 as needed for backup. I also take metoprolol tartrate 25 mg once a day simvastatin 10 mg once a day baclofen 20 mg 4 times a day Clopidogrel 75 mg once a day. Fenofibrate 145 mg once a day will any of these medications stop me from getting my med card in preclude me from driving commercial vehicle in the US. Thank you
@ Michael P
You will not pass a DOT/FMCSA medical certification examination.
Wow!
Would a once per day 10 mg dose of Escitalopram disqualify me from getting a class A CDL?
@ James
It will depend on the reasoning for the prescription. Proper medical documentation will need to be presented at the time of the examination.
I’ve been currently diagnosed with small bowel syndrome from having an aneurysm in 2014. I’m currently on an IV 4 days a week for 12 hours via a picc line in my upper right arm. I normally go on IV while I’m sleeping. I can choose any 4 days weekly. My IV is for a nutrition disorder & basically feeds me all the nutrition that normally would be needed in the body. I’m actually in the best shape of my life. Would this disqualify me from passing my physical?
@ Andre H
At present you would not pass a DOT medical certification examination.
Will warfarin prevent you from receiving your DOT medical clearance?
@ Harry C B jr
Depends on your diagnosis and the length of time that you will be on this medication. You will need a medical release form from your prescribing doctor and any other treating physicians.
i had a blood clot sept 2018.am on coumadin do i need a stess test to renew my physical.i had a stress test may 2017
@ ron
New stress test are needed every two years, but considering you recent medical episode, a new one may be requested by the CME.
Can I drive a commercial vehicle when on lyrica according to dot/fmcsa…
@ David
It will depend on why you are taking these medications. Medical release from the prescribing doctor will be a real help.
I’m a wondering after the QAnd A I have read how someone with, OSA, diabetes, very high BP, supposed to be taking blood thinners and nitro on Lyrica, and a tituiam rod in his leg which prevents him from bending his leg, has no feeling in his legs or hands, stage 3 kindey failure and has had his CPAP repoed by Medicare bc he didn’t use it for a yr and can’t take bp meds bc of his kidneys would be allowed to drive a semi 6 nights a week? Just mind boggling. Also, has been referred to by his doctor as a ticking time bomb?!.
@ Angie
Not sure where you read that a driver of this type would be allowed to drive a class A commercial vehicle. He would not pass a DOT/FMCSA medical certification examination.
Can you take Barbiturates for headache and drive school bus
@ Deedee
You would want to check with the bus company and see what they have to say.
I am taking Norco for a back injury I received in 2013 and also on ambien for sleeping problems at night. I went in to renew my medical card for my class A and they told me that both of those prescriptsions disqualify me from getting new card. I asked them when did that changed cause they were the same people that approved my last card. I showed them my old card and they took a copy of it and said will do some checking. Found out today that little shit heads cancelled my old card and now I’m without a job cause they approved it then and not now. Why’s that what can I do to get this resolved and a new physical done and get back to work any help PLEASE???????
@ Rick
Your medications and restrictions will cause you to fail a interstate class A DOT/FMCSA medical certification examination. You might check into what the requirements are to drive class A intra-state. Your local DLD should be able to answer the question. You would fall under the states variances and your medical examiner should know the differences between the two.
I am taking quetiapine (seroquel) for bipolar disorder. Would this disqualify me from driving trucks?
@ Aaron
It will raise questions that will need supporting documentation from your doctors. Your DOT medical examiner should be able to inform you of the needed documentation.
I take haloperidol 1mg 3 times per day for Tourettes. i have an extremely mild case of Tourettes.. Ive been taking it for 30 yrs. Will either disqualify me from operating a CMV?
@ Jackie
The condition and the medication will raise questions that will need supporting documentation from your doctors. Your DOT medical examiner should be able to inform you of the needed documentation.
We have a driver that has been prescribed Ambien to help him sleep. Will this prevent him from receiving a Medical Examiner’s Certificate? Thanks
@ Mike
Yes, it is one of the meds which will require a lot of documentation.
My Doctor prescribed Chantix to help me stop smoking. She told me it was safe to take, but when I picked up the Chantix it has a label that says it may impair my ability to operate a motor vehicle. I have a DOT yearly recertification coming up next month(limited due to sleep apnea that I control with a cpap machine). Is this going to show up on a tox screen? Do I need to wait until after I take the physical before starting this?
@ Benjamin G
Chantix is going to be a DOT disqualifier. Too many known side effects, especially just getting started on the medication.
A co-worker has a class A license and is taking diabetes pills, his sugar has dropped twice while driving a truck, and he has blacked out while driving, a co-driver riding along took the wheel, not allowing a crash. this same driver is still operating commercial equipment, is a doctor’s medical release sufficient when this keeps happening?
@ Daniel V
Your driver should be disqualified to drive until this issue is corrected and stable. A doctor’s medical release is insufficient in this situation.
I am a school bus driver in Arizona and have severe shoulder issues can I take Diclofenac Sodium 75 mg 1 at dinner and be able to drive then morning
@ Valerie B
It will raise questions with the federal DOT, but you are a school bus driver and fall under the states variances. Check with your local DLD for the most appropriate answer.
I have had migraine headaches with auuras that last no more than 40 min. I don’ t take medications for them because there isn’t anything that has ever worked. I have loved my entire life with them and have adapted. Will this bar me from obtaining a CDL?
@ Anon
It may interfere with your passing the DOT medical certification examination, not your cdl. If you have supporting documentation from your doctors and they are willing to sign a release form for you, stating you have no restrictions or limitations, then maybe. It seems that the auras will be the big issue, besides the headaches that follow. You will need to supply good documentation for your DOT medical examiner.
I am undergoing chemo treatments. I went through the complete dot physical. I doctor said I am in good health and completely able to do my job,but he refused to certify me. Also I had a note from my doctor giving ok for full work status. Was this a bad call
@ Kurt G
You are still undergoing treatment. Until fully released from his care, without restrictions, you can not qualify for a medical card. FMCSA guidelines are being followed. The good news is once fully released, you’ll be able to pass the DOT examination. Not a bad call just FMCSA guidelines.
I have been taking gabapentin 300mg for 10 years for neuropathy.. I am a local truck driver and have passed my physical every year and my drug tests. Went for my physical this year and passed everything, but was told she would not renew my license since I take gabapentin.. Cannot my primary doctor supply a letter documenting my history. I need my job.
@ John A
Yes, all the CME needs is supporting documentation from your primary doctor.
I have been taking Norco with a prescription for a few years now due to a problem with my neck that I will someday have to have surgery to correct. I want to get my CDL A and start driving trucks but I’m not sure how this would affect me.
@ Peggy F
You will have a tough go of it. You must be able to perform the duties of a CMV operator, without restrictions or limitation, to pass the medical certification examination.
My friend is prescribed vyvansse and has his class A. He had a note from his doctor and it’s always been openly disclosed on his DOT medical exam/card. His doctor recently changed him to a vyvannse/Adderall mix. Does this new medication require him to get a new DOT physical immediately? He has a note from his doctor that neither medication will hinder is ability to operate a vehicle. Is that sufficient until his next DOT exam?
@ Hunter
FMCSA wants any driver that starts a new medication to be on it of 30 days before taking a new DOT medical examination.
Doc,
What does FMSCA say about coming “off” medications, if anything at all?
@ J
Depending on the medications one is coming off, FMCSA has specific time frame guidelines for different meds.
I am a CDL holder in the state of maryland, I supervise school buses and my part time job I drive motor coaches. I am prescribed to take Metformin 500mg once a day, Modafinil once a day,(for Sleep apnea) Gabapentine 300mg for diabetic neuropathy, to take at night, Amolidpine, and a Ketoprofen 20% Gapentin 5% Ketamine 5% in lipoderm for pinched nerves in my lower back. with the everchanging laws in Maryland am I OK taking any of these? if not I’ll speak to my doctor and have my meds adjusted
@ David C H
Much depends on what class cdl you hold. Class A, it will raise many questions during the medical certification exam. Also check with your states DLD for their variances and requirements.
My license is Class B, with P, S endorsements
i spoke to my doctor, he says at the levels that I’m taking there isn’t any concern, except for the Gabapentin at 300mg tab. he said to be mindful when using that along with the Ketoprofen topical as to not use too much.
I am a Class A CDL Driver, and I have been prescribed 800mg Ibuprofen for pain from a small fall at home. Does this disqualify me from going back to work? Do I need a letter from my dr stating that I am ok to drive on this medication?
@ Don
Yes, a doctors release for you to return to work, without limitations or restriction, would be very helpful.
I’ve been taken Lyrica for 5 yrs and have had no problems getting recertified till now. All meds in order for diabetes and up to date. Dr thinks it causes drowsiness and dizziness, but that’s not the case. I drive local for a big carrier. Need help!
@ Grady W
Get your doctor to provide a medical release form explaining your medications and the time frame in which you have been on these medications.
Is Ritalin a DOT disqualifier
@ Kelly O
You would need medical documentation for your DOT medical certificate examination. In and of itself, it is not a disqualifier.
I don’t mean to Impose on your question but I am being prescribed Ritalin for Ideopathic Hypersomnia, I currently hold a Class A CDL in Missouri but only need a Class E for my Job. I’m trying to find out if this medication will disqualify me from holding a Class E license.
@ Travis
You will need to question your states drivers license department for the best answer.
Can I renew my CDL if I have a medical marijuana card?
@ Larry W
You need to check with your local drivers license division for the answer. You may be able to with a intra-state restriction.
I’m seeing a weight loss Dr that has prescribed appetite suppressant for me does that disqualifying me from driving?
PS awesome information on this site thank you for your help!
@ Gary
All depends on the type of suppressant you were prescribed. Some will be a disqualifier and some are not.
Which ones are a disqualification?
I take quetiapine/seroquel er for anxiety…does this drug disqualify me for a dot??? It’s not a controlled substance.
@ RAE
The meds cause side effects that will raise questions. Make sure you have a medical release form from your prescribing doctor and the length of time that you have been on these meds.
Doc l think lm in this category as well for PTSD
Sertraline
Trazodone
Prazosin
Tiggers are nightmares only.
I am currently taking sertraline (100mg twice a day), Mirtazapine (30 mg at night) and clonazpam ( 1mg twice a day) for issues associated with PTSD (i.e. panic, depression, and nightmares). I have been on the medications for over three years with no side affects. I`m taking the medication as perscribed and can get a note from my doctor stating all this. I’m getting ready to start a state certified (Washington) CDL course and want to know if it’s even worth the effort? Whats my first step?
@ Richard McC
Start with a medical release form from each of your prescribing doctor and the latest results of an test that has been completed. You are going to need documentation, so be as prepared as possible.
I know for a fact my supervisor is abusing anabolic steroids long term and his behavior is getting dramatically noticeable he has got a class a cdl I feel he is a danger to others as well as himself is there a way dot can test for this and is there an anonymous hotline I can call
@ Shawn
Report the situation to the HR department and let them handle it.
You’re gonna report someone for using steroids? Pshhh, what a beta b*tch. If anything they make your reaction times sharper
Hello my name is Casey I am planning on goin to school for my class a calls for otr or local but I’m on adderal 30 mg 2 times daily for narcolepsy without cataplexy so it basically just gets me woke up good bc of how deep I sleep I have been on it for several years and have no problems with it and he also prescribed me ativan 2 mg 1 tablet 2 times a day and a half at bed time for my anxiety I have been on that for 2 years now, I don’t have any problems day to day I can wake up and function no problem will this be an issue for me to be able to get approved to to keep my medication as I try to move toward in getting my cdl ? Thanks
@ Casey
Your condition and medications are going to be issues for OTR class A. Check with your local DLD in respects to driving intra-state only with a class A license.
I suffered a mild TBI 6 months ago, and have been diagnosed with PCS, severe depressive disorder, PTSD, and severe anxiety from the incident that happened. I have been a commercial driver for 10 years but now suffer from insomnia and have been in ambien(until it no longer worked for me, belsomira, melatonin etc),currently take 2 mg lorazepam, 200mg sertraline, 100mg topimax all daily and then 250 mg tramadol as need for pain throughout the day for a prior shoulder injury that was reaggitated from above incident(I had the injections in my shoulder and they don’t work any more). I have not returned to work, but will I be able to renew my dot card when it expires in 5 months?
@ Dave
No, you are no longer qualified to operate a cmv safely
Hello,
I take blood pressure medication and anti rejection medications for a kidney transplant I had 5 years ago.
My blood pressure is controlled and I don’t have diabetes.
Would I be disqualified from getting a DOT card?
@ Kris
No. But, you will need medical documentation and your primary doctors medical releases to get started.
My friend is a cdl A driver his dot card is expired he is trying to renew it and is prescribe nortriptyline hcl 25mg because of his headache and migraines but he only takes it while going to sleep will he still be certified for his DOT physical or well he be denied.
@ Leserey
He will need to provide supporting documentation from his prescribing doctor, along with a medical release form from his prescribing physician.
My friend was prescribe nortriptyline hcl 25mg cap. because of his headaches and migraines but he’s only supposed to take it when he going sleeps. Will that affect him from getting certified for his DOT physical
Will taking phentermine for weight loss disqualify me?
@ Lisa R
Yes
Why?
My husband has been prescribed Suboxone by a physician for several years and really wants to get his Class A CDL license. Will this medication cause him to not be able to acquire one or will documentation from his physician give him the opportunity to pass the medical exam?
Im in same boat with same question! I hope for an answer as well..reading for hours online & still no definite answer 🙁 i do know that suboxone wont show up in testing,but DOT dox have access to an Rx website that will show Rx patient has filled. So it depends on DOT doctor i suppose;but thats not a good enough answer for me.
I passd my DOT physical and im on suboxone
How did you handle the medical questions? I am taking something for a similar thing …. glad to about your results.
Nervous
Hi Trucker Doc’s, I too have been researching info on CDL Licensing & DOT-exams, surrounding the use of Buprenorphine. I’m a 54 yr old male from Vermont, and I’ve been prescribed Suboxone now for approx’y 10-years. (W/absolutely NO incidents) I’m going to get my Class-A CDL, (My mind is made-up, and I’m very excited to get my CDL) so I can begin a new Career driving all over the country & making a decent income. I desperately need my CDL license ! I have yet to talk to my Suboxone prescribing Dr, to ask for his full support, along w/his supporting documentation to bring w/me to my DOT Medical exam, to give to the DOT-Medical examiner, in hopes he/she will agree & honor passing my exam. I know some states don’t allow DOT Medical examiners to access the States patients prescription history, and some individuals lie about their Suboxone prescription, therefore dishonestly squeezing through the medical exam & CDL licensing procedures. That’s lying. And will soon catch up to the individual & his newly acquired CDL license. I’m not going to lie. I’m going to hesitantly TRUST my prescribing Dr. who is supposed to be a Professional in the “Medical Profession”, to advocate for me ! And I’m ALSO going to fully TRUST the DOT-Medical examiner, who is also supposed to be a Professional in the “Medical profession”, to agree w/the tests & studies that have have been done, proving Buprenorphine to NOT Impair driving abilities, specifically reaction time ! So, my trust is on these two Medical Doctors ability to follow their Medical-oaths and NOT use their personal/bias feelings surrounding Suboxone! ESPECIALLY if they feel Suboxone is a drug that impairs ones driving abilities ! Because I’ve been taking Suboxone twice a day for over 10-years now, coupled w/a 12-Step program, and it has changed my entire life, for the better 10-fold ! TO the point, where I would protect the life I have today w/everything I have ! I have been riding my Harleys, my cars, my trucks, for all this time w/absolutely NO impairment issues whatsoever ! So, as lomg as the Dr’s don’t use their Bias’, I’ll have my CDL permit on March 13th of this year, 2019, when I have my written portion of my CDL license scheduled at the DMV ! So, if Truckers Doc’s have ANY supporting info, advise for me, PLEASE LET ME KNOW ! Thank you !
@ Richard McG
Answered above.
Same boat here. I’ve been taking Subutex for about 7 years along with Seroquel and I’m seriously considering just trying to quit them both. My biggest concern is relapse. I haven’t touched a pain pill since the day I started taking the Subutex. I’m 53 and I’m finally in a situation where I can go to school for the 7-10 weeks required to complete the class and now I’m finding out about the prescription drug requirements. I’m in Georgia so if anyone can help I’m all ears.
@ Richard P
If you have been on these medication for 7 years, then you would need a medical release from your prescribing doctor and a release from your substance abuse doctors. It is possible, but there are plenty of hoops to jump through.
What state are you in?
@ Angel W
Plenty of documentation from the prescribing physician will be needed. There may be opportunity for his cdl medical exam.
I’m on cloNIDine and Ritalin for adhd but it says on my paper I was certified for DOT physical for a year do I still need a note from my primary care physician before I can obtain my clp I start trucking school the 27th of this month. If anyone could answer this it would be much appreciated thanks.
@ Jon
Your current medical card is all you need until it’s time to takE a new physical. Time of a new physical, get medical release form before you go for the DOT medical examination
I take 3mg of lorazepam at night. Does this disqualify me from a DOT medical card?
@ Jay
It will raise questions as to why you take this med. Make sure you have a medical release form from your prescribing doctor with a functioning/working prognosis.
I am currently taking Seroquel(antidepressant) and Doxepin(sleeping pill) daily before I go to sleep at night….does that automatically disqualifies me from getting a CDL?
I am interested of getting CDL training but want to make sure if these 2 medications I am taking would automatically disqualifies me or not. I am based in Los Angeles, California.
Thank you very much for your help and greatly appreciated.
@ Joe
The medications are going to set off red flags and will need plenty of documentation from the treating and prescribing doctors. And as an interstate driver, driving class A, your medications will be working against you.
I have been on a small dose of Clonazepam (1.5mg/day) for 18 months to treat mild anxiety. It doesn’t impair my daily activities, including driving, and never makes me drowsy. Is it a disqualier for a medical certificate for intrastate school bus CDL?
@ Christopher
It is highly unlikely, but confirm with your local drivers license department.
I recently got diagnosed with bipolar disorder and started taking depakote for it. I read that if you’re taking an antiepileptic for seizures it can disqualify you to be DOT certified again. I was wondering if it was the same for bipolar disorder? I really hope not because all other medications have not worked or have had negative effects on me.
@ James
The medications that you are taking right now, will disqualify you from driving class A otr, interstate.
With proper documentation from your prescribing doctors, you may be able to qualify for intra-state cdl. It will take a bit of back and forth, but you may be able to maintain your cdl.
How will topamax affect me returning to driving? I read the comments about gabapentin and know they are similar. But can’t seem to find a definitive answer anywhere else.
Suffered a head injury that lead to this.
@ Squatchytrucker
This medication is for controlling seizures and is going to raise many questions that will require supporting documentation. Be as prepared as possible. Both the head injury and the medications are disqualifiers without good documentation.
My husband was just prescribed 20mg of furosemide/day and the side effects are potential dizziness. Can he drive (class A) on this?
@ Heather
NO. He needs to be on the medication for thirty days before returning to driving. At that time he will need a new medical certification examination, so make sure he has the proper documentation before returning for the DOT exam.
hello, I was diagnosed with bipolar a few years ago and now take latuda. I am perfectly stable and have had zero issues with anything. I’m extremely concerned I will not pass my DOT medical exam, is this an automatic disqualification? If my perscribing doctor signed a medical release and the DOT doctor passes me, what are the chances of being hired with bipolar? Also, will Companies tell you ahead of time which meds they allow, so I can adjust if I need to?
@ Mary
If the meds are working and your primary prescribing doctor will fill in a medical release form for you and you supply any additional information that the examiner needs, then it’s possible to pass the examination. Proper documentation is going to be the key. As far as what companies will accept, that’s an unknown to us.
I have a Class A Cdl license in Indiana. I just had elective heart surgery to correct Afib and then developed a complication w a 2nd surgery that has a longer recovery time than what FMLA can allow for recovery. I am still taking Percocet sporadically for pain with doc approval. I have no side effects for this RX. With a doc note can I continue to take Percocet and pass CDL physical and drive on my job? (Employer is refusing to hold my job when FMLA time expires).
@ Shari S
If you are still recovering and taking the Rx. you can’t pass the DOT medical certification examination. You will need to be fully recovered and have documentation from your cardiologist before you are eligible to do the examination.
I was just prescribed Xanax temporarily for anxiety. I have to get my DOT physical within the next month. Will I need a letter from my PCP and still be able to drive?
@ Michael
It would be highly recommended.
Hi, I was just hired as a customer accounts manager with a company that for some reason require you to have a DOT physical. I have passed everything for my medical card but they will not give it to me because I am on Klonopin and Zoloft. I have to get a Letter of Safety from my doctor. This is the thing: my doctor is out due to a triple bypass and no one knows when he will return. The doctor filling in for him will not give me this letter cause I am actually not his patient. What do I need to do? Someone please help me.
If my liver enzymes are high will I pass a DOT physical?
@ Chris
Lots depend on the reasoning for the enzyme count to be elevated.
My doctor just put me on Prednisone, for a very short time. Will I fail a drug screening with that in my system ?
@ Tom P
No, but there may be questions regarding the need for the medication.
My husband is a diesel mechanic and holds Class B CDL. He does not drive a truck on the highway at all. He is diabetic and medications are not controlling his levels so he going to need to go on insulin. Will he need to get an insulin exemption in order to get a new medical card? We live in Georgia, and he works in Tennessee.
@ Stefanie W
He is a class B and will fall under the states variances. So check with his local drivers license department for the best answer.
How long does it typically take for the medical examiner to contact you if you test positive for any non-prescription drugs?
@ Nick
It is not the doctors responsibility to contact you for this. He would report to the authority that request the drug screen. That usually would happen within a few days.
I’m getting ready to start a Weight loss program with a DOT approved doctor is there any known medication that I might be able to take to assist weight loss and not be disqualified from driving
@ John
Your DOT approved doctor will know what is acceptable and what isn’t.
Hello, I’m currently a Limo driver in NYC. My company has asked me to get my B CDL so I can drive the limo bus. I had a brain injury over 15 years ago and since have been on citalopram 20mg once a day for anxiety/ depression from the injury that’s now and has been controlled for many years and a very small dose (as needed) of alprazolam .5mg. I also take metoprolol 100 mg once a day to slow down my heart( I have SVT, not heart disease). I have been on all of these for 10 years plus. Do you see anything that would immediately disqualify me? Is it worth even trying or am I wasting my time?
Regards
@ Christopher G
Have medical release forms from your doctors in hand and you should do fine.
I am a certified family nurse practitioner and am working in addiction medicine. I have read many comments about Suboxone, Subutex and Methadone but did not see Vivitrol. I know that Suboxone and Subutex show as Buprenorphine in a urine screen. Since Vivitrol injection only contains the Naltroxone and does not have an opiate component would it disqualify patients from receiving a CDL license? Would it show in a CDL urine screen? Would the CME immediately disqualify the person for being on this injection? Would a medical release and 30 day usage period be enough to allow the person to receive a CDL? If the patient is in a medication assisted treatment program and receives medication at that facility do they need to list Subutex, Suboxone or Vivetrol as prescriptions? Since this is a MAT program the medications do not show on an OAARS report when it is run so does the person need to report them as prescribed? Thank you for your assistance.
@ Tracy J
First are we asking questions about a cld license or a DOT medical card. All medications are to be listed on the drivers intake for a DOT medical card. They would need releases from any prescribing doctor. And a patient or client that is in an active rehab program would not qualify to take a DOT medical certification examination.
I have been on oxycodone for the last ten years, I had my DOT physical and received my 2yr med card. I both tested for and received my class A permit. I was cleared by the company’s MRO and was subsequently medically disqualified by the company safety dept. I was attending the company driving school and had 2 days left before I could test. To make a long story and potential lawsuit short….the company decided for whatever reason that they would not work with me on prescriptions at all. I have since received spinal steroid injections and am weaning off oxycodone for the first time in 11yrs.
My question is would the rest of my pain management regime disqualify me. Once I’m off of the oxycodone in a couple more weeks I will still be on Lyrics, Robaxin, and Diclofenac. I had several med releases that clearly stated these drugs in conjunction with the oxy would not effect my driving abilities at all. So should I maintain any hope of being qualified medically to drive it while taking these meds?
@ Sean J. B
All the meds are going to raise questions, but if you have proper documentation and medical releases from your prescribing doctors, then you still may have a chance. FMCSA is looking for safety issues in its guidelines and the CMS’s are to take all the available information into consideration. Good Luck
I ran into that once with the pain med. Went tto the companies driving class. Etc then they popped a random on everyone mine came up positive for hydrocodone i had all proper release from doctors. It even showed up on initial preemployment. Nothing was said. On application it asked no where about current meds i was escorted out by security. Called attorney and was able to sue them under the Americans with disability act. After i did this many others sued them as they went threw same thing at that time had had my cdl for 15 years never even so much as a over weight ticket. Alot of these companies are getting sneaky as how they do things.
A driver at our location that has a DOT Medical Card is asking if she can take a prescribed medication of Saxenda.
@ Carol B
She would need to be on the medication for thirty days to determine if there are any adverse side effects. Once clear that there are no side effects that would influence her ability to operate a cmv safely, then she could return to driving. A new DOT physical would be required and proper documentation with a doctors release form from her prescribing doctor also.
Driving a medical card 14,000 lb truck in NH. Vt. Can I take cyclobenzaprine 5mg up to three times a day, with no side effects, neck injury, feb 18 accident.
I m looking for an answer on this and can not find out anywhere.
@ Donald B
Your DOT medical examiner will have to answer this question because you fall under your states variances and not the federal guidelines.
I do. Same dose. 3x/day. Never been brought up in drug screening.
Can I take anti-Clement inflammatory or anti-histamines ?
@ Ulrike K
A lot will depend on your dosage and their side effects. You’ll need a medical release form from your prescribing doctor explaining your situation and need for the medications.
I take one 50 mf tramafol every morning for fibromyalgia pain. When is it safe to drive
@ Elizabeth b
Tramadol?
I have the same question, I’m sure she meant tramadol. I have lots of knee pain and tramadol helps and doesnt affect my driving ability
What are the next steps if failed the medical examiner report for CDL renewal? The drug Tramadol is not a narcotic. The Medical Examiner failed for taking this drug. She wrote on the medical form that the standards are not met because of being prescribed a narcotic. What do I do now?
@ Patty R
According to your prescription you are taking an opium based medication. Try getting a medical release form from your prescribing doctor. That may be very helpful for the CME to make a different decision, based on more information.
Hi I had a question about seizure medication I am taking 750 mg of keppra twice a day and I have a note from my doctor saying I am fine to drive. I just need a medical card not a CDL I have not had a seizure since 2003 yet I’m still be denied by a dot examiner from getting a dot medical card. Is there anything else I can do I am not able to get a driving job without a dot medical card.
@ Tommy L
As a class A driver you will not pass the DOT certification process. But if you don’t drive class A and only need a medical card, then you fall under your states variances and should be given a medical card with the states restrictions, if any, stated on the license.
I see many questions regarding passing a DOT physical but I can’t find what a driver is supposed to do if they have a current certificate but are prescribed a new medication. My doctor prescribed me Phentermine but I don’t want to take it because it isn’t on my long-form. What do I do?
My husband is a CDL B driver. He has taken 2 hydrocodones a day for several years, due to severe arthritis of the spine. He has a prescription for this, and his doctor is aware that he is a truck driver. She knows that the pills do not affect his driving ability. Will he still be allowed to take this medicine and drive a truck?
@ Julie B
As a class A driver the answer would be no. As a class b driver, with proper documentation from the prescribing doctor, maybe. Have a medical release form from the prescribing doctor and explain the situation, length of time he has been taking the medication, and the type of driving he plans on doing.
can a truck drive take this medication and drive a truck Escitalopram tablets 10mg 1x a day
@ Shelia
The medication is prescribed for other conditions that may effect the outcome of the examination. The medication itself is not the issue the examiner will explore, it will be the condition being treated.
My husband and I are both CDL drivers. He takes Simvastin and Citalopram, cholesterol and anxiety meds.
I am a breast cancer survivor, 5 years cancer free. I tak 5mg Lisinoprol, metropolol, and letrozole. Are these meds ok?
@ Maureen B
Yes, just make sure you each have medical releases from your prescribing physicians.
I take gabapentin (neurontin) for arthritis. Is this acceptable? This medication can also be used for seizures but I do not have any seizure disorder.
I am looking for an answer to this question as well!
@ David
You are going to need plenty of medical documentation before you go for your medical certification examination. Check with your local DOT/CME to get the proper forms and paper work before setting an appointment for the medical card exam.
I live in Washington state and I take 800mg Gabepentin twice a day. thei DOT doctor just told me that they wouldn’t pass me because of the doseage today they said that I have to be all the way off of it to get my pass.Does anyone know of a medication that will do the same job I take it for pain not sesures.
Yes. Cymbalta. Doesn’t cause drowsiness in most people
@ Lyndia
You need to check with your primary doctor and explain to him why you are being denied a medical card. A medical release form from your prescribing doctor may be sufficient.
is suboxone a disqualifying medication for class a cdl drivers if prescribed for pain management NOT opiate addiction? thank you.
@ Mike
in most cases it is an instant disqualifier.
I have I know someone who has a CDL with the same company for four years was hired taking Subutex and has passed every year the DOT physical, and now this year. A doctors field him said he don’t pass people on this medication he went to his second DOT doctor they passed them now they have to get a third-party specialist involved why is that
@ A
The medication should require a medical release form from the prescribing doctor. With proper documentation there should be limited issues.
This reply is for the Truck Doc please ! You say Suboxone is an instant disqualifier for a (CDL Class-A) driver attempting to get their DOT medical exam, when I’ve read a couple of your other answers to other Suboxone questions who asked you the same question, and you said that they should get a supporting letter from the prescribing Dr. stating that the applicant has no impairment effects from the suboxone, therefore giving the cdl applicant a chance at being accepted by the Medical Examiner for the DOT Physical !
Please explain why are you so inconsistent w/your experience & advise surrounding attempting to obtain a DOT medical exam to get a CDL Class A license !?? Your answers surrounding Suboxone & the DOT examiner were giving hope, and then this answer here in perticular, SHUTS ANY OF THAT HOPE RIGHT DOWN ! WHY !??
Like I said yesterday to you Dr, in response to one of your answers to another Suboxone patient inquiring your advise about Suboxone, that I myself have been on Suboxone now for over 10-years, and I have absolutely NO driving impairment whatsoever, and I’m seeking my Class-A CDL this week. And I will be asking the Prescribing Dr for a supporting letter from him to the DOT medical-examiner that I’ll be going to for my Physical exam. Because I will go to any & all lengths to get my CDL Class-A. license (Minus dishonesty & illegal behavior of course) This is how crucial & important getting my CDL is to me & my life. And I will NOT STOP fighting for my CDL Classs-A license either, if I run into any resistance. Also, I read that there have been legitimate Medical-studies & tests w/Buprenorphine (Supporting Suboxone as a SAFE medication to drive with) and the fact that it DOES NOT EFFECT one’s driving & reaction time, therefore not effecting their ability to operate a motor-vehicle safely, resulting in NO impairment ! Also, over the past 10+ years that I’ve been taking Suboxone, on a daily basis, I’ve been stopped by local & state police for a few traffic violations, like speeding, defective equipment, illegal-helmet (which I beat in a Court hearing !) and NOT ONCE did one of those “Trained” Police-officers ever have ANY REASON and/or “Probable-cause”, and/or ANY “Red-flags” that I might be impaired, even in the slightest amount ! Even after calling their dispatch for my past driving record that includes MANY-DWI’s !!! So, w/that said, I have literally driven into & through several Law-Enforcement impairment tests….EVERY TIME I GOT PULLED OVER for a routinely less-severe traffic violation ! So those Traffic-stops ALONE should be PROOF ENOIGH that my Suboxone Rx (That I take daily) DOES NOT EFFECT MY DRIVING ABILITY AT ALL !!! So, I’ve been stopped by Cops in my car, my truck & my Harley over the last 10+ years, while under the influence of Suboxone, and passed w/flying colors. And EVERY SINGLE TIME, the second the Cop approaches me, he is TRAINED to immediately look for ANY SIGNS of DUI of alcohol AND drugs….and/or ANY “Impairment” ! And EVERY TIME I have passed w/flying colors ! And these are cops who KNEW they were stopping a Multiple DWI Offender ! So, their senses were heightened, and were on High-alert ! And they still couldn’t find ANY impairment whatsoever. Even after following me, while I was driving, before turning on their Blue-lights & pulling me over for the traffic violation of speeding or defective-equipment. Also let me add. That I’ve been pulled over for the most redicilous reasons ! Once was for no mudflats. It was a Friday night, after midnight ! The time Cops are making DWI stops. And in reality the Cop was pulling me over just to see if I was still Sober & not under the influence of alcohol or drugs ! Because, once Cops KNOW who you are, and your past, they will make up reasons to pull you over just to make sure you’re STILL SOBER & NOT IMPAIRED ! Also, You see, my drivers-license has a Reatriction on it, because of my past DWI’s. That restriction is that I have ZERO ALCOHOL in my system while driving ! It’s not like most states laws @ .04%. My restriction states ZERO ALCOHOL in my blood when I drive ! ZERO TOLERANCE ! So, that makes me even more of a safe driver than MOST, because I won’t even have 1 or 2 drinks before I drive ! I’m in Recovery. And have been Sober now for just over 14-years. And I truly desperately need to get my CDL, so I can start a new, and “Last” chapter in my life, in order to support myself for the next 15 or so years, til my life ends. So, I’m PRAYING that my prescribing Dr will fully support me, and advocate for me to the Medical-examiner. And I’m PRAYING the Medical-examiner will “see” & “understand” the mountain sized life-changing obstacles that I’ve had to overcome over the last 20-years. And the rigorous honesty I put forth, in order to move forward & BETTER my life, ALL IN HOPES the Medical examiner will pass me w/my DOT physical, so I can get my Class-A CDL learners-permit.
Please respond w/your thoughts to my situation, and why your answers surrounding Suboxone have been so inconsistant.
Thank you so very much !
@ Richard
Suboxone is always a tricky question. As examiners, we need way more information then space on this site offers. Suboxone, in some cases, would pass a medical examination, supported by proper documentation. Some cases, not so.
Why are you on Suboxone???
I’m on Suboxone as part of treatment program can I get my dot medical card to drive 3/4 ton pick up n dual axle trailer in ky
@ MJ
You need to check with your states drivers license department for the best answer. Suboxone is going to raise questions at the time of the physical so be prepared with medical documentation and also explain to the examiner that you are not a class A OTR driver.
I was told by my medical examiner that I need a evaluation and clearance from a psychiatrist for the meds I am taking ( trileptal ) but psychiatrists are not qualified enough to say whether or not someone is stable to operate a DOT motor vehicle, I am from Connecticut can anyone help with a psychiatrist that has DOT knowledge in my area or surrounding states. Thank you
P.S. the doctor who prescribed the meds is not qualified to give me clearance as well.
@ Chris
The medical release form from the psychiatrist has to do with the meds that you take, not to evaluate your driving ability. Have the psychiatrist explain your medications and the dosage, along with any ongoing side effect, if any. Then take the release form to the CME so that he can make a well informed decision for you. It’s the CME’s job to make the final decision, but he needs the release form from your other doctor.
I am temporarily taking Dramamine to help with dizziness from the flu. Is it ok to drive? Is Dramamine on the restricted medication list?
@ Larry
If you suffered fro dizziness and were placed on a medication for it, then your medical card was invalidated and you need to do a new medical certificate. Once you stop taking the Dramamine, then go for the retest.
what is the dose limit on Gabapentin
@ Anna
Due to its side effects, it would not allow a class A, OTR driver to pass the DOT medical certification process. A medical release form from the prescribing doctor will be needed to present to the CME at the time of examination. The doctor needs to explain the dosages and the length of time that the driver has been on the medication. At least that way the CME has a more complete picture to make his final decision making process.
My husband has a bad back and has been on pain meds for many years, I would guess about 6 years. The dosage has remained the same in that time. He has never failed a drug test and his driving record is perfect. He has driven for over 10 years. His doctor has been the prescribing physician the entire time. He used to work at a company overseeing CDL drivers so he understands the effects on a driver. Because of that my husband has been allowed no more than two a day and he is NEVER take it 6 hours before his shift and never during his shift. With the new laws, the CDL examiner he saw this time told him he could NOT take that amount even though my husband’s doctor filled out the necessary paperwork stating he had been on it for a while and the dosage was ok. The examiner told him the only way he would issue my husband his medical card was if he reduced his dosage to one a day. This examiner doesn’t know my husband, he doesn’t know anything about him. But without dropping the dosage, the examiner was willing to prevent my husband from being able to work. His regular doctor was shocked by the situation. However my husband is forced to comply or lose his job. What options do we have? I cannot believe that a doctor who has never seen my husband before is able to completely decide what he can and cannot put in his body if permitted by a physician.
@ Shell
If you can, goes else where for a second opinion. The CME has no right to determine a drivers medications or their dosages, his only job is to determine medical fitness for duty according to the FMCSA guidelines. Go get a second opinion and make sure you have all the supporting paperwork in hand when you go.
I was wondering if my husband takes Ativan and has for over a year, Does he have to discontinue it for his truck physical. He is seeing a Doctor while taking this and takes it as needed . Thank You
@Jill
He should not discontinue any properly prescribed medication. Just make sure he takes a medical release form from his prescribing doctor when he goes for the DOT medical examination. Have the doctor explain that your husband has been on this medication for some time and has had no side effects.
I don’t think Ativan comes up on a regular drug test and I am also pretty sure it has a short 1/2 life.
Hello, I am trying to get my CDL. I am now trying to get my permit. November 28, 2017 I went to get my DOT PHYSICAL done. After completing my PHYSICAL I was told by MEDICAL examiner that I was disqualified because I had just started the medication chantix. I stopped taking the chantix that day. MEDICAL examiner was not able to answer my questions. Is there a time limit to when I can go back to get my PHYSICAL done again? Do I have to go back to that same examiner? What do I need to do to be able to get this physical out of the way so I can get my permit so I can start driving?? Please help.
@ Kortney
Chantix is a disqualified due to its known side effects. Once you have discontinued the medication you can then go to any examiner and have a new medical examination done.
Can you take Wellbutrin aka Buproprion for smoking cessation if you have a letter from your doctor??
@ Ace
With proper documentation and a medical release form from your prescribing doctor, more than likely you will be fine.
I’ve had a CDL Class A for 6 years now, and I have chronic pain. My pain management dr wants to insert a Intrathecal drug delivery, or “pain pump,” which is a method of giving medication directly to your spinal cord instead of taking oral narcotics. He believes I’ll be able to return to OTR driving since the cognitive abilities won’t be affected like taking oral medications. Will DOT allow the “pain pump”???
I’ve got the same question! Need an answer… fast!
I have same question, but it would be a non narcotic pain pump ( plaita) . Seems no one can answer so far.
@ Larry
Give us the correct name of the medications and we will do our best to answer your question.
Will I pass a DOT physical with a pain pump with dilaudid, with no side effects
@ Jeremey
There will be plenty of questions and much needed supporting documentation, as well as, a medical release form from your prescribing physician.
so my school wouldn’t take me while on Aderral, understandable. I switched to Vyvanse with proper documentation and a Dr note. Multiple potential employers have politely invited me to reapply after stopping medication on the “approved with Dr note” list. I’ve done so but now my ADHD is untreated. They argue that while I’m okay with the DOT on the medication their company doesn’t recognize this exception. I have my CDL A but am unemployable when on treatment. Recommendations appreciated.
I am prescribed Hydrocodone 7.5/325 and Tizanidine HCL 4mg for bad lower back. I only usually take it in the evening after a long day to help with pain about 3 times a week. With a prescription, would I be disqualified from driving?
I went in on Tuesday to have my DOT medical renewed. I carried in my “medications list” which included Tramadol 50mg 1 – 2 pills every 4 to 6 hours as needed for pain. (This was a physicians prescription).
I was told by the physician that “Tramadol” was an “absolute” MAY NOT ISSUE on the DOT physical if I was prescribed this medication. I was asked to get my physician to “suspend” the prescription and to permanently stop taking this drug.
I have complied. Please clarify/verify this information.
I went a few days ago and did my dot physical and the Dr told to get my Dr to sign a medical release form so I asked my Dr and she said no she will not sign it but she has me on no kind of restrictions what do I do at this point
I did my dot physical and I did both urine test and hair follicle test but they want me to get my doctor to fill out a medical release but my doctor said that she wasn’t gonna do it but she doesn’t have me on no kind of restrictions what do I do ? or what can I do?. I’m suppose to be starting school on the 30th of this month.
Is sleep apnea a disqualifier
It needs to be under control. If you use a CPAP you need to bring your printout with you for your physical.
How far back of a print out do i need. Ive used it for years.
@ James
For C-pap 30 days.
Not 30 days but 6 months is the standard.
At my annual CDL physical , the doctor gave me a medical release form. I am on wellbutrin and effexor for 3 years. Other antidepressants 14 years prior. I drive school bus. My use of antidepressants has only become an issue this and last year.
The examining doctor wrote on my physical form that I had medical form to get clearance for use of mental health meds. My employer got the original copy with that message. I never wanted my employer to know of my personal issues.
Is this acceptable on the doctors part???
this is what is killing me about applying for new jobs. Having to tell these things to people I don’t know. It isn’t their business. Plus I will fail the drug test due to LEGALLY prescribed meds. I guess everyone is 100% healthy but me.
Can you get a cdl while taking suboxone?
It is on a case by case basis. But you’ll be one lucky person to find a dot examiner to pass you. And if you do hold on to that release. Because if you’re ever stopped by dot. And it is found on you. You’ll be shut down then towed. And tell your employer also. Good luck because one or the other will refuse you for taking the medication. Even though they’re thousands and thousands of drivers taking either suboxone or subutex. Dot does not do a drug screen for these meds. But they can and probably will pull a Kasper report. And when and if they do then you’re disqualified for lying. It is a no win situation. Most driving with a prescription for suboxone/subutex has just not mentioned it.
I have not found any regulations on Suboxone in the fmcsa guidelines could you show where it is so I can review
@ Allen
It’s not a regulation, it’s a guideline for the examiners to use to evaluate a drivers risk factor. FMCSA guidelines are gray in this area.
I am hoping you can help clarify something with Ritalin. My husband was prescribed Ritalin following an accident that resulted in a traumatic brain injury and has been on it for the last 2+ months. He works in a safety sensitive position because he supervises employees with a Class B license. He does not possess the Class B himself. All employees have been informed by the employer that drugs are being added to the DOT Drug Testing Panel and that employees that are subject to testing should seek alternative medications or stop taking them all together.
We have been trying to determine if Ritalin is a banned substance but have been getting conflicting information. He needs to take this medication as the accident has left him with severe explosive disorder that leads him to lose his temper with the least provocation. Without this medication, he would probably lose his job. He already had several run in’s with upper management before he started on this medication. Is this medication something that he can get a letter from his doctor for? In the meantime, his doctor has prescribed modafinil. Is that a banned drug? It doesn’t work nearly as well, but if that is all he can take, it is better than nothing.
Thanks for any definitive information that you can provide
I am a CME and have a question on past marijuana use. If a patient documents on the physical examination form that he used marijuana two months ago is this a disqualifer? Or does this warrant a drug screen to verify they are not currently using? Thanks in advance.
is flexoril 10mg disqualifying for cmv driver
I have sickle cell anemia and have been driving for almost 3 years now. I take Percocet and Delaudid as needed. On the days I take these meds I don’t drive. My questions is how many hours am I required to sit after taking these meds? My dispatcher makes me sit for 24 hours but since I am a long time user of narcotics for chronic pain I believe if I only take Percocet that I am able to drive again after 6 hours. Honestly thats being overly precaution because most time taking a Percocet is like taking a Motrin or Alieve. It’s doesn’t do anything to me. Taking Delaudid however does have greater side effects so sitting out for 24 hours is usually needed.
Is suboxone a disqualifier in PA for a NON CDL medical card? There is nothing written that I have found that explicitly says one way or another.
will Trazodone make me fail a DOT physical?
I am an OTR truck driver. I have had adhd for 50 years. I dont take meds for it for fear of DOT physical CDL failure. As a result I suffer from major insomnia. I have been taking otr Walmart Equate DyphenHydramine HCI sleeping pills which I have in my truck. But after reading several websites i am scared they might be illegal with DOT. Ive been taking the DyphenHydramine HCI sleeping pills for 6 years now and they have recently lost their effectiveness. Is there anything I can legally take as a sleeping aid and have in the truck that will solve insomnia ?
@Michael
You’ll need to check with you primary doctor to find out what’s going to be most effective for you. And there’s a time period that you need to be on this medication, and not driving, to test the medications side effects, and most of the medications for ADHD are acceptable, with proper documentation from your prescribing doctor.
I take astorvaston Lisinopril metroplol will these drugs stop me frpm getting dot card.
Xanax works great as a sleeping aid for this ADHD person. None of the other stuff works at all on me, so maybe won’t work for you, but worth a try as no hangover and only long term issues.
you could try kratom, but I don’t that Kratom is water soluable (stays in body longer) it IS legal in 46 states. but it is getting demonized while alcohol gets the free pass. a lot of people and places consider it a fail IN the 46 states where it is 101% LEGAL.
I have a driver who is taking Norco and Fentanyl for current dental problems. He took a waiver to his DOT from his PCP who said in his opinion he was safe to drive, however, the ME said he will not certify him. I know he is on some pretty potent stuff here. My question is, is it worth seeking a second opinion here or will he get pretty much the same answer and is it actually legal for him to be taking these substances while driving? He takes his meds at night only. Thank you!
@Employer
As a class A driver, he would be disqualified until off these medications.
As a local driver on these medications, it still raises serious safety issues.
Honestly, prescribed or not, it sounds pretty fishy for a person to be prescribed fentanyl for “dental problems”—and then to add norcos on top! SMH I would keep an eye on that person. Seriously,
We have a driver that has been on Tramadal for 2 years and in August of 2015 and August of 2016 he was given a one year DOT Medical Examiners Certificate. This year when he went he was told that this medication automatically disqualifies him. What changed and are there any alternatives?
@Ed
Tramadal is not an automatic disqualifier. He needs to take a medical release form from his prescribing doctor and make sure the octor explains the driver’s condition and the need for the medication, and the length of time the driver has been on this medication without ill effect. He should be able to get a one year medical card.
Hi. I’ve been taking Xanax for about two years now. I’m 34 years old and two years ago my mother suffered a ruptured aneurism and two strokes during the surgery and I left my 8 years as an engineer on park avenue to be my mothers caretaker. She’s 57 and can’t see, walk, go to the bathroom, etc. I was diagnosed with anxiety disorder and I go to the doctor every month to make sure I’m ok because just seeing my mother on a 24 hour basis hurts. I even have a baby monitor for her to call my name that gets me up four times a night. My father is in the midst of hiring a 24 hour nurse now that we see the therapy and all of her doctors and 20 pills a day aren’t going to change her. I’m engaged myself to a woman with a 9 year old son that’s partly autistic. I want to be a ups driver and retire as a ups driver. I want a career and not just a job. Just last month my father had emergency open heart surgery and I had to take care of both of them. He’s starting to get better but it’s imperative I get this job at UPS. It’s close to home and checks off all the boxes I need to start my life again. Im 6’6″ 240 lbs and my doctor prescribes me 4 one mg Xanax a day. Just please tell me whatever I have to do to be successful when I go on that job interview. Thank you so much for your help and I look forward to hearing from you. Thank you again. Take care.
@Rob
If you are going for a class A license, it will raise a lot of questions.
If you’re going for a local delivery UPS job, then you fall under state variances. So check with your local drivers license department for their answer to your question.
Hi I take gabapentin for hot flashes will I need to get a note from my doctor
@Giana
It would be helpful.
I take oxycodone for chronic pain and i drive perfectly while on the medication, doesn’t affect my driving at all In fact I currently do a driving job and i have a doctor’s note from my physician saying i’m allowed to drive while taking this medication. Would I be able to get a CDL if I brought a note from my doctor saying it’s OK for me to drive?
As it stands right now the DOT 5 panel doesn’t test for synthetic opioids.
That is all going to change in October of 2017
Do DOT Drug Tests look for painkillers?
No.
Why not?
Because the wheels of government move slowly.
But I thought DOT tested for opiates?
Yes. DOT tests for drugs that are natural opiates such as morphine, codeine, and heroin. However, painkillers like LorTab, Vicodin, and OxyContin are synthetic or partly synthetic opiates, also known as opioids. They are not tested for in the standard DOT Panel.
thx for the info, i only ask because i was gonna go to truck driver school and they told me taking oxycodone was a disqualifier, maybe i should try a different school?
wow, pretty cool. Do you have to declare what you are taking under penalty of law? Nothing I take will show up at this time but the DOT will disqualify me for two of my 4 meds on the spot. I am thinking of going to heavy equipment school and (I think) will need at least a CDL-B.
I take addersll for ADHD. Is this a disqualified?
@James
Depending how long you’ve been on the medication and stable, get a medical release from your prescribing doctor, and it should not be a problem.
Jesse
It will raise a ton of questions and it is highly unlikely that you will get a class A interstate medical card on that medication.
I am taking Adipex for weight loss and looking for a CDL school. Will taking the Adipex prevent me from getting a pass on the DOT physical? Thanks!
@Liz
More than likely, yes, due to it’s other effects. It will definitely raise questions.
I am a CME, had a driver come in with dx of fibromyalgia and Insomnia and is taking meds that concern me; Flexeril and Gabapentin 300mg tid, daily and has been for approx. 3yrs. Her former PCP was her last DOT examiner and is now retired.
@Mark
Is there a question here?
What’s the laws on Chantix? 1 doctor told me it was fine to take with CDL and another said no..
As far as I know, Chantix is an automatic DQ due to side effects like seizures, dizziness, heart irregularity…I warn all of my drivers who currently smoke that if they have any intentions of quitting they should avoid Chantix, if possible.
@Lee
Class A driver – No!
Hi there, I am wondering if the prescribed medication Ropinirole @ 3mg at bedtime for Restless Leg Syndrome is a disqualifier to obtain my DOT medical card?
@Lance
The medication is going to raise many questions so make sure your have a medical release form from your prescribing doctor in hand when you go for your DOT physical.
I take Citalopram 5mg daily. Will this show up on a DOT urine or hair test?
@Chip
No likely. Drug test is not looking for this type of drug. And… with a proper prescription you would be okay anyway, on a drug test.
Can you drive a school bus while taking prescribed suboxone for opiod dependency.
I would like to know this too
And do they test for it? I’m on 1mg going in for physical now we will see
I Take seroquel at nite and clonezpam does this disqualify me for a chauffers liscence
@Stacy
First check with you local drivers license department on the requirements for this type of license and ask what medical restrictions apply. This is a state level question, and our focus is to know federal requirements.
@Eric
Most probably not, but conform with your local drivers license department.
I take buprenorphine – subutex and I have for the past year. Will that show up in the drug test? Will that dq me for class A CDL? Can the medical examiner or DOT in Washington state see what medications we get prescribed and filled?
My PD has no problem with filling out the paperwork and has several patients who have their CDL already but he didn’t do that paperwork for them and told me it’s no ones business but my owns. I’d rather be honest up front but I’d still like to know can they access what prescriptions we are currently filling…..,
will Eloquiss disqualify me. Had a knee surgery and prescribed the meds for 6 to 9 months. what kind of testing needs to be done if any or do I just need medical release form thanks for the help
@Zac
Start with a medical release form from your doctor explaining your situation and needs for your medications. It’s going to raise questions, but with proper documentation you may be OK, based on the class drivers license that you hold.
I have had 12 back surgery 2001 till 2017 my Dr. Said I can drive I had drove some.in about 8 deffent states I been on morphine 60 mg time release for 15 year have CDL and dot physical iam disabled why won’t a Dr. Do dot physical and some will by the company will not allow it
@John
Companies are allowed to have a stricter policy than FMCSA regulations. Sounds like you are restricted by a company policy if you have been able to pass the DOT physical in the past.
I recently have been put on Victoza to control my diabetes. It’s described as a noninsulin. Is this medicine okay for the D.O.T certification. Also, what is the allowed Ac1 levels? Thank you.
@Sam
The medication is not considered insulin and should pass for a one year card, as long as all else is in the normal ranges and your latest a1c results are normal. Make sure that you have a medical release form from your doctor explaining your condition, medications being taken and copy of your most recent a1c test. Your doctor will know what a normal a1c should be.
I’m trying to get certified to drive our company box truck, I don’t need the drug test just the physical, thing is I’m currently taking Suboxone and most likely will be for a long time. I have a medical condition that causes chronic pain and after getting a spinal cord stimulator that helps but doesn’t completely solve the problem my doctor determined a suboxone maintance dose would help be a safer long term solution then say oxy or hydrocodone. My doctor has provided me a note and fully believes this doesn’t effect my ability to drive . Can I get a medical approval or is it going to be a no go everywhere. First place I went wouldn’t even consider approving with Suboxone as listed med even with a strong doctor’s opinion that I’m fine to drive. At this point I’m tempted to just try without listing it but hate to be dishonest and I assume they will check database to see what I’m prescribed.
@Brett
You are going to be driving a box truck, less than 26,000 pounds. That means you fall under the states variances and not FMCSA. Check with your local drivers license department to determine the best solution.
The CME needs to understand the differences and should evaluate accordingly. You are not going for a class A license and should not be evaluated as such. You can’t grade an apple by an oranges standards.
Your PCP can complete you DOT physical for you.
i am on medications want to go with my son in his semi can i take prescribed meds i have with me cymbalta atenol naproxin ? thank you
Will HUMIRA medication for arthritis disqualify you for exam
@Andy
It will pose questions due to its other effects, but with proper documentation and a medical release form from your doctor you should be fine, as long as all else is within normal limits.
Can a firefighter who drives a fire truck, who wants to get a CDL license, still take suboxone? A letter from his prescribing physician could be provided.
@Rob
It may be possible, with proper documentation.
I drive School Bus in the state of IL. I see a Neurologist for migraines and degenerative disc disease in my neck and low back… compliments of being a driver.
I have been placed on 300mg of Gabapentine, 3 times a day…
Am I still able to drive the School Bus while on this medication?????
I received a document from the Physicians who provide our physicals, but the medication and it’s formulary – Neurontin, don’t show up as a “do not use while…,” so there is a lot of confusion as to whether or not I can take it and drive.
Please let me know what you can – Thanks!!!
@Erica
You drive a school bus, so you fall under the states variances and not FMCSA guidelines for a class A interstate driver.
You want to check with your local drivers license department and find out more about this medication and driving children around. It’s the states variances and guidelines that you need to comply with.
i have a class A driving license but have been off work for 2 years, because of vertigo. I was having them at least 2 times a month so put off work . I’m now on dilantin 300 mg a day for the past 2 months , no vertigo , Can I now go get my dot physical or will the medicine keep me from getting it back.
@Dee
Get a medical release form from your doctor explaining your condition and medications, with his working prognosis. This information will be vital for the CME to make the final decision in your case.
I am have CDL for hauling cars and the doctor has prescribed muscle relaxers, are these on the No list for driving?
@Paul
It all depends on the reasoning for the prescription. It will drug test positive and you will need to supply a copy of the prescription if needed. Also if the prescription was given for an injury that you are recovering from, then your medical certificate was invalidated at that time and a new medical card is required by the FMCSA.
if I lie about my prescription in mass will they know during my dot exam with no drug test?
@Johndoe
Not unless they check your medical prescription data base. Is it worth it?
I have recently been prescribed sertraline for anxiety. Will this show up on a drug test for my CDL and will it prohibit me from keeping my 2 yr Fed Med card. Possibly be going to change jobs will it b a problem on a pre employment drug screen. Not experiencing any adverse side effects
@Gel
This medication is going to raise questions. Mostly due to the potential side effects. You will need to be on this medication for at least 30 days prior to retaking your federal medical certification examination. Make sure you have a medical release form from your doctor explaining your situation and a working prognosis. This medication may show up in your drug screen. If it does, all you need is a written prescription from your doctor and be able to fax a copy to the medical review doctor.
can they check the V. A.’s database?
Can diazapam for anxiety a disqualify you?
@Oxford
In and of itself, no. You will need a medical release form from your doctor explaining your condition and need for your medication. With good documentation and medical release forms you should have no problems, if all else is fine.
Can anyone point me in the right direction for finding an approved medication list for CDL drivers. I currently need to go to the doctor to get put on something for anxiety attacks that happen on occasion.
I am on Effexor XR and take medication for ADHD. I just don’t want my doctor to give me a benzo or something that could affect my physical.
Thanks
@Kelly
The FMCSA does not have a list of medications, except for a very few. If you are going to start a new medication, you will need to be on that med for at least 30 days before going for a new medical certification examintion. Also you will need a medical release form from your doctor explaining your situation and a working prognosis. That information is very useful for the examiner to determine your state of ‘fit for duty’ status.
can you or have been on pain meds and have or get a cdl
Is there a list of medications or class of meds that are disqualifies for a CDL B for school bus driver in Washington state? I had my dot physical today and one of my prescription meds are illegal to drive on. I’ve been on it for years. When did the list change? Xanax and Clonazepan we’re prescribed to me for years. Now I can’t get my medical card until I have a clean UA.
Thank you
@Judith
Your examiner is over reading his rules and regs. As a class B school bus driver, you fall under the states variances and not class A Interstate driver standards. Check with your local drivers license department and confirm that your meds are accepted by the state. And let the examiner know what type of driving you do. You may want to have your doctor fill out a medical release form for you too.
I’m a CDL holder who takes oral medication for diabetes. I’m looking for information on how NON insulin injectable meds like Trulicity are handled by FMCSA. I can find info on insulin rules everywhere online, and I even asked the examiner at my last medical exam. But I can’t find info on non insulin injectable meds and cdl rules anywhere. Is it handled the same as insulin? Any info would be greatly appreciated. Thanks.
@Joseph
Non-insulin injectable will require a medical release form from your doctor stating the medications that you take and the length of time that you have been taking this medication. Also you will need a copy of your latest A1c as supporting documentation. Medical certificate will be for a max of one year.
Thanx for the info. One more question. Since my medical card is good until the end of December, would I be legal if my Dr. prescribed it for me now? I wouldn’t think so. I’m trying to figure out the steps I would need to take to start the drug legally if and when the time comes. Do I just go on it and take the necessary medical release form and A1C info to the DOT Dr. at the time of renewal? Somehow, I have to think that this wouldn’t be legal for the time in between. So what would be the step at the very beginning? Again, thanx for the help. It’s been fantastic.
I’ve just been issued a 2 year DOT medical card (I drive small DOT box trucks not semis, I just have a chauffeur license) and was not on any medication. I do want to start taking Phentermine 37.5. Assuming I get it prescribed by my general physician, how would I go about it with regards to my DOT medical card?
@Mike
You are going to fall under your states variances and not the FMCSA rules and regs.
Unless you are a class A interstate driver, all you should need to do is check with your local drivers license department to confirm what, if anything, needs to be done.
I have been taking phentermine for years as it works for my adhd
This year for my class A the medical examiner says I can’t take is because its an amphetamine. True? Can’t I get a Dr note to be approved to take this?.
I am looking for a pain medicine for my neuophthy in my feet and still drive a school bus in the state of Ohio. Thanks for your help
I was recently hired to get a class B cdl in witch I will be driving a school bus, I have a prescription for norco do to work related injury, can I be cleared to drive the bus on that pain medication if not what pain medication can I get cleared to take to drive.
What prescribed pain medication can you be taking to operate a school bus that you can get cleared on the physical.
i take sertraline hcl for anxiety , it has helped me and i have no side effects, will thi be a problem?
@Nick
It should not cause any issues. You will want to have a medical release form from your doctor explaining your medication needs and a working prognosis. That information is very useful to the CME in his decision making process.
@Eugene
Since you are a school bus driver and do not fall under the FMCSA guidelines, we would recommend that you check with with your local drivers licenses department for the best answer.
I recently was put on a low dose of suboxone will this keep me from getting my medical card in Pennsylvania
@Greg
A lot will depend on the reasoning and the type of driver class you are. In most cases, the examiner will want a medical release form from the doctor and he will also want you to be on the medications for a period of time, to determine if there are any side effects that would pose a safety issue. So have your doctor complete a medical release form explaining the reasoning for the medication and a working prognosis, that would be a big help for the examiner. If you operate intra-state only, then you would need to check with your local drivers license department for the most state-specific answer.
Suboxone does not show up in drug test.
are you sure? I posted on this topic above and then thought about it. My pain med shows up on a 5 panel and it is a synthetic. but I am allowed to “fail” because it is a legal Dr. Prescription, and not a driving job.
I meant to note I might be looking into getting a CDL-B, unless I am farting in the wind due to my meds. aka don’t waste the time with the training.
I take gabapentin for nerve pain associated with my neurofibromatosis. I also take hydroxyzine Associated itching from the Neuro fibromatosis. how would this affect me getting a medical card?
@Larry
You’ll need a medical release form from your doctor explaining why and how these medications are working for you and what the possible side effects are. That helps the CME make the best and most informed decision.
Is cymbalta for depression and some arthritis pain a problem for class A CDL interstate drivers?
@Mary
Start with a medical release form from your doctor explaining your condition and situation. That will be a huge help to the medical examiner.
Thank you for the information!
I do have a question about my specific situation. I hold a class A CDL in GA, it expires in 2 months. I had a work injury a couple of years ago and take a medication called “Nucynta ER” for the pain. I understand that this is an opioid in the same class as percocet. If I complete a DOT physical to retain my CDL will I have any issues with this med? I am not currently driving but my state requires a valid physical to renew a license.
Thank you.
@Phillip
You are going to need a medical release form from your doctor explaining why you should be taking these medications. Also have him explain what his working prognosis is and his future expectations are.
Ok, thank you very much. I will speak with the doctor the next time I am there. I don’t have any intention of taking a driving job at the moment but may pursue it once I am over the injury. The hang up for me is that I have to renew my license and if I don’t have a medical card I will loose the CDL, whether I am actively driving for anyone or not.
@Phillip
Speak with your local drivers license department and see if they will allow you to self-certify in a “excepted” status. That way you will not need a medical card *As long as you are not driving a CMV*.
If you want to go back to driving you will need to self-certify again in a “non-excepted” status, and you will need a current medical card.
Ok, great. Thank you again. I’ll give them a call.
Just wanted to update. I completed the self certification form through the GA DDS. I selected the option for intrastate exempt. Since I am not currently driving this allowed me to keep the CDL without having to submit a med card. If/when I drive again I’ll have to re certify and provide a card. For now though, it took care of everything.
@Phillip
That’s good news. Happy we could help. Well done and thank you for the feedback!
Hello and please help me figure this out!
I’m taking 1-2mg suboxone daily!
Will this disqualify me from obtaining my CDL A
@Robert
It will all depend on the reason and the length of time that you have been on these meds.
Start with a medical release form from your doctor explaining your situation and conditions. If you can, also have your doctor state his working prognosis and future expectations. That will help the CME understand your situation and make the best decision based on his findings.
I have a driver who has CAD, HTN and diabetes, he desperately wants/needs to quit smoking. He has been approved by his Dr and insurance for 6 months of Chantix. Is this drug prohibited for CMV drivers?Should I advise him to take a waiver to his DOT ME from his PCP? The FMCSA website is vague on this unless I am just not looking in the right place!
@Employer
This medication is a disqualifier via FMCSA guidelines and regulations for a class A Interstate driver.
If you are taking BRILINTA® (ticagrelor) and Atorvastatin can you still drive a truck based on FMCSA guidelines?
Thanks
@Marian
It will depend on the reasoning for the prescription. And we would recommend that you get a medical release form from your own doctor before going for your examination.
I have ADHD and am on ritilan to help me focus a throughout the day. Will I fail my medical cert and drug tests. Which would affect my Career.
Ritalin in your system can be detected and it will show a positive drug screen for amphetamines . I’m pretty sure your going to need a note from your psychiatrist / primary care Doctor Who prescribed the Ridlen for you . As for keeping you employment, that’s up to the doctors and what they sign offf on. Best of luck to you,
I am prescribed tramadol HCL 50 mg one to two tablets daily that I have been taking for two years. Will this show up on a prehire DOT drug screen test and disqualify me from getting hired?
@Ray
It will show up in the pre-hire drug screen, but if you have a medical doctors prescription for these, then you will be ask to provide that information to the MRO following the positive test results. So the test will be positive, then the MRO will get in touch with you and ask you to fax a copy of the script, then he will retest the split sample and make his final determination. If everything is in the normal ranges, you should be fine.
I have been taking Nuvgil for 3years by Script for Severe Shift work disorder, Sleep Apnea ( the type that your so tired your brain quits telling you to breath). My insurance covers this med. but it is ridiculous expensive. I am not comfortable with this. I recently spoke with my Doctor about switching to Aderhal instead, only because of the cost. The Doctor said yes, that we would and could. I left the apt. thinking we switched. Here is my dilemma. I have access to Aderhal from a bunch of meds. my mother had when she passed recently. Thinking I would be covered by script, I took one. Turns out that the new script would not go thru until the Nuvigil script expired. After I took this I had a random and tested positive for amphetamines. Thinking I had a script.no problem. Well their is a time lapse in the script. The MRO wants a copy of it and it must be dated before the Random. So here I am, with a script that is 20 days after. I contacted the Doctor and they wrote a letter to the MRO who is rejecting this and is firm on the Date. The MRO cares less about the Nuvigil. Do I tell the MRO the truth. Here I sit with a prescription, Doctor supervision and a bottle of aderhal with 90 pills and I am going to fail a drug test. Not sure what to do .
@Dave
You could try and have your doctor write a note to the MRO, but in reality, you are probably not going to pass this drug screen. MRO has to function under FMCSA regulations and you are outside of those regs.
So…are any pain pills acceptable while carrying CDL
@Lena
All depends on the reasoning for the medication. You will need a medical release form from your doctor explaining why you are taking these medications and what his prognosis for your condition is.
I was prescribed Celexa and klonopin for anxiety for few months between 2009-2010. I have not had had any anxiety ever since. It’s been almost 7 years. I have not been on any medication ever since. Can I still pass the Medical exam and get my cdl?
@JT
With a solid explanation, and since the condition was so long ago, you should not have any major hold ups. If there is a way to have your primary doctor fill in a medical release form stating that all of the information is correct, then you should in good shape.
Hi,
Is gabapentin a dis-qualifier for my CDL? I currently drive inter-state.. My doc prescribed it for sciatica pain due to pinched nerves.
Is Robaxin also a disqualifier. I am getting older (57) and want to keep my license for another 8-9 years.
Thanks.
dave
@David
These medications and the condition for which you are being prescribed would have you disqualified. One will be very questionable due to being an anti-convulsant and the other is a muscle spasm controller. These all imply that you are not medically fit to perform the duties of a CMV operator and would have you listed as an unsafe driver. Try to get the condition under control as quickly as possible and get off the medication and you should be OK. Good Luck.
The gabapentin is being prescribed because of nerve pain. I have pinched nerves etc. I’m not taking either right now because I like getting paid. I was not sure if gabapentin would make me fail a random.
Robaxin was suggested by someone as an alternative to tramadol.
Will gabapentin show up on a DOT drug test?
@Bob
More than likely, and given the reasoning for taking this medication will cause many questions. Once found in the DOT drug screen you would have to give the MRO a copy of the prescription or fail the drug screen as positive. Given the known side effects of the medication also would disqualify you as a driver. FMCSA is looking for safety issues and this is a big one.
Can I pass the DOT test if I take methotrexate 2.5 for RA. I no longer have RA symptoms but I’m still taking the medication.
I have a prescription for Phentermine 37.5mg for weight loss ..I have not begun taking it .I am not sure if it will disqualify me from renewing my CD. Please Help
@Angela
This will most likely get you disqualified until you get off the medication. Too many side effects that are not working for the drivers.
If you get a medical release form from the prescribing doctor and you have been on the medication for over thirty days, you may get by, maybe. Good Luck
Back in 05 I was taking Adderall for ADHD I was told by the company it was fine. By what I am now reading it’s no longer accepted, is that correct ? I was thinking about getting my CDL A back
@ trishim
It will need documentation from the prescribing doctor and a medical release form also.
Can an individual with a CDL license take medication called Victosa?
@Rhonda
Yes, just make sure you have a medical release form from your prescribing doctor explaining your condition and the length of time that you have been using the Rx.
will taking escitalopram stop me from driving class-A cdl. I have taking it for about 15 yrs and it helps very much and there are no drowsy effects.
that should be long enough time to get medical release
@wb
Make sure you have a medical release form from your primary prescribing doctor explaining your need for this medication. With that in hand you should be alright. If this has been a serious issue, then you may want to have your psychiatrist complete a medical release form also.
I have Type 2 diabetes, I am a Canadian CDL truck driver who travels into the United States on a regular basis. My diabetic doctor wants to put me on trulicity – which is a once a week non-insulin injection to help control my blood sugars. He feels this will help regulate me better than the oral medication I take now that has to be taken daily at certain times with meals and will fit into the schedule of a truck driver’s life. Will trulicity prevent me from driving into the US?
@Jacqueline
It should not be an issue. You will want your doctor to give you a medical release explaining the shift to an injectable and support the new findings with a recent a1c. It just requires that you have supporting documentation from the prescribing doctor.
i have been prescribed different pain meds by a family practitioner at the va. Tramadol, hydrocodone, Oxycodone. I do not take all of them at the same time, just putting all of them down that i have taken in the past 15 years. i only take one kind at a time. trying to find the one that works the best for chronic body pain. i have been diagnosed with Fibromyalsia and Chronic Pain. will it be possible to obtain a cdl. I am intending on going to school for truck driving, but dont want to pay all the money and go through the school if i cant get a medical card. Thank you for your time providing me with much needed information.
@Douglas
Your list of medications are going to cause plenty of questions. FMCSA and the CME are going to need supporting documentation regarding your needs and any side effects that these meds may cause. You want to have a medical release form in hand before you go for the DOT medical certification examination. Have your doctor explain your condition and the needs for the present medication protocol. That information will be a huge help to the examining doctor.
I have been diagnosed with Stage IIIc colon cancer. Already had surgery to remove tumor and lymph nodes. Doctor suggests I start adjuvent chemo. Can I drive while taking FOLFOX regimen?
@AV
Well if you have fully recovered from the surgery and the doctor has released you to return to work, then you need to take a new DOT medical certification examination before returning to driving. Get a medical release form from your doctor and take it with you for the DOT test. The CME will need this information before he can do the test and needs the information to help him determine your level of medical fitness for driving.
Yes, I was determined medically fit to drive after surgery. However, my question is: Can I legally drive while I am on a 6 month regimen of chemotherapy. I cannot seem to get a straight answer. FOLFOX is the regimen, and my ability to be able to work is a determining factor is I will take the therapy.
Thanks for your help!!!
@AV
OK, so who determined that you were medically fit to operate commercial motor vehicle?
Second are you going to be driving local or OTR?
And thirdly, given the medications side effects, it would be an unsafe issue for you to be behind the wheel of a vehicle for any period of time.
We know you are looking for a solid answer, but without a complete picture of the situation, the best you’ll get is a vague answer.
I had a new exam with a CME after recovering from surgery. I am a line haul driver covering 600 miles a day, 5 days a week (12 hour days). I am home every night with weekends off.
My concern as well is the possibility of side effects from the Chemo. I am aware that it affects everyone differently, but figured the possible side effects would disqualify me. I just want to be sure before I decide if I want the chemo or not. I suspect it is best to err on the side of caution, and not receive the chemo.
Thanks for your help!!!
I am 69 and in good health, no diabetes no high blood pressure. I have a Class A CDL that I wanted to keep. I have used a CPAP for the last three years and am in 95 – 100 per cent compliance. 6 months ago my Doctor at VA put me on Ropinirole HCL 0.5 Mg. for restless leg syndrome l- tab nightly. He also prescribed Zolpidem Tartrate 5 Mg l- tab nightly.
I took my yearly physical last week 12/20/16 and DOT Doctor said he can’t issue health certificate without a medical release letter from my VA Doctor. I have been to VA Doctor twice and refuses to issue letter for liability reasons.
My health certificate expires 12/29/16 some I’m in trouble.
I’m not presently driving but hate to lose my CDL in case l need to supplement my Social Security.
Any suggestions appreciated.
Signed. Depressed. Henry
@Henry
Your VA doctor is misunderstanding what is needed. He is not assuming any risk factors.
What the CME needs and the VA doctor should provide is a release for you to continue driving while using the prescription that he, the VA doctor, has prescribed.
It just helps the CME make a decision as to your ability to continue to operate a CMV safely. It also open a line of communication between the CME and the VA doctor. The final decision to qualify you rests with the CME.
I was certified for another year card in back in October and everything checked out for my diabetes and sleep apnea. I am a type 2 diabetic and I am on Victoza and Amaryl. Recently in my last endo appointment, my sugar has climbed to where the non insulin meds are not getting it done. The doctor wants to put me on long lasting insulin to help bring down the sugars.
What would I need to do since I’m already certified for another year with my state and the Federal DOT? Do I need to do a exemption waiver or should I hold off until next recert. I am a class B driver with air brakes.
@Matthew
There are a few medications that may support the direction that your doctor wants to go in. They support the treatment of diabetes without being insulin. Ask about them first.
You are a class B driver and do not fall under class A interstate driving standards, so also check with your local drivers license department and see what they will need for you to continue driving. Putting you on insulin invalidates your existing medical card and will, most likely, require a insulin waiver from the state.
Last year I got my DOT certificate and was honest about taking generic Xanax. My prescription is for only 10 pills at a time of 0.25 mg and the doc told me not to take any no less than 8 hours before driving. Today I go to get my physical renewed, went to a different doc. I’m an honest person and was honest with this doc of my medication as well. She told me it was a Federal Law that if I take Xanax I cannot drive a school bus! So, one doc says I can and one doc says I can’t. Who is right?
I had a TBI 1 year ago and also had back surgery for 4 herniated disc in my lower back. I posses a class B with Haz. Been on long term disability since the head injury. As of now I am on 350 mg 3x a day Carisrodol and 3 mg of Ropinrole 1 x a day. Doctor has me at a 35 lbs weight lifting and driving as tolerated and to avoid night time driving. My long term just told me their doctors don’t find me disabled from driving and took away my benefits. Stating I can return to my driving job. Am I able to go drive a truck again right now??
@Wendy
You are going to need to explain your job to the doctors and the CME that does your examintion.
As a class A Interstate driver you could not qualify to pass the DOT medical exam.
As a class B driver, working Intra-state only, you may have a chance with proper documentation from all of your doctors, once fully released to return to work.
Does a back injury caused by an accident, in which three disks are herniated permanently disqualify me from driving a commercial vehicle? Out right now on a medical leave and not sure path for rehabilitation yet but rumor had it I “can’t” drive again. Your thoughts please.
Thanks MIKE
@Mike
Until you can qualify as ‘medically fit for duty’ you will not qualify as a driver for interstate driving.
I’m a class A driver will using of gabapentin disqualify in a new employment drug test
@Keith
As long as you have a valid medical doctors prescription available for the MRO, if he asks for it, then you should be fine.
I have had anxiety for several years. My doctor has given rx for lexapro at bedtime..and alprazolam TID PRN. The lexapro is helping so I barely need the alprazolam. I have documentation from my doctor that I am able to perform all of my duties at work, including my class B CDL. Will I be disqualified? Will my employer be notified that I am taking these medications?
@Stewart
Medical records are not shared with the employer by the CME. If the company requires a copy of your medical records, then it would be you who shared that information.
Get a medical release form from your prescribing doctor explaining your medication needs and usage. As a class B driver, you are not held to the same level of examination as a class A, so you should be fine.
what would be a reason to have take the DOT medical examination every 3 months
@Donald
You cannot take the DOT medical exam every 3 months. If you have a new medical condition that needs to be gotten under control, you may get a one-time 3 month card to get the condition under control. If not under control within the 3-month period you will be disqualified. You do not get another 3-month card with that medical problem.
I have been driving for 20 years and my back is paying for it. I refuse pain meds but my Dr suggested Neurontin because of the nerve issues. I researched and see that neurontin is an anti seizure med which is automatically disqualifying. But since not prescribed for seizures (no history of any type of seizures) would it be ok with a Dr note saying will not affect driving? She said it would really help with the nerve problems stemming from my back
@Paul
You want as much information from your doctor explaining the needs for this medication. Because the meds are usually for seizures it will be an instant question. With proper documentation you should be alright, if everything else is normal.
Also a medical release form along with the other documentation will be helpful too.
As long as you do not have history of seizures in the past, you should be okay with taking neurontin. Be cautious when you start taking for the first week or so, because it may make you drowsy. I am a certified DOT medical examiner, and can surely say that is not an issue if you are tolerating it without getting drowsy. I also practice in urgent care setting, where we see many patients with migraine like headaches for which I have prescribed anti-seizure medications which has helped patients. Majority of practitioners know about common off label usages of the medications that is routinely prescribed.
Hope it helps.
DOTNP.
I had my DOT physical and was denied because i take insulin. My sugar level is below 120. One person said if you are driving a air brake truck you would be denied but not for regular brakes. Is there insulin regulations?
@Alan
A lot depends on the class drivers license you are operating under.
As a class A you would be disqualified without a FMCSA insulin waiver.
But if you are driving a class B and running within the state you should be fine. Best bet is to check with your local drivers license department and see what they have to say.
It will also help if you have a medical release from your doctor. Good luck.
Can my dr prescribe phentermine 37.5 as a weight loss aide? Or would disqualify mr cdl or med card?
@Ryan
You would need to be on this medication for at least 30 days before driving again. You and your doctor need to see how you react to the medication. It could cause a safety issue and that is what everyone is looking out for.
hi is it ok to get testosterone injections once per month for having a deficiency and still operate a class A vehicle or will i test dirty
@Lonnie
This should not be a problem and if some weird reason it did test positive, you would have a medical release from your prescribing doctor to support a negative finding.
I was just put on Lyrica for Neuropathy. Would this condition and or medication be a disqualifer?
@Jeff
Depending on the class drivers license you are operating under: Class A and it’s going to raise questions. Class D it it will not be major question. Class A, make sure you have a medical release from your neurologist explaining your condition and the need for the meds.
I recently took a DOT physical and received a 2 year medical card. I stated I took Tramadol, Ambien, Zoloft and Tizanidine and have been for at least 10 yrs. Everything but Tramadol is taken at night. The doctor stated I should be fine and stated I could drive a commercial vehicle.
I started CDL school this week and talked to several recruiters. I talked to 2 of them privately and stated I had just heard companies may not hire a qualified driver just because of their medications. One stated he would check, but wasn’t optimistic. The other told me (off the record) that it is very common for companies pass on hiring someone taking these medications just for their own liability reasons. Did I just give a CDL school $4000 to not be able to find a job? I would appreciate any feedback.
@Mike
Without a lot of documentation from all doctors involved, you should not have been cleared as fit for duty and given a medical card. Some of your medications should have been instant disqualifiers until you provided medical documentation to support the CME’s final decision making process.
With proper documentation from your doctors with medical releases from each of them, then you may be good to go. But your meds are going to cause questions for any CME or company. It can all be fixed with good documentation from your primary care physicians.
I did not see Venlafaxine HCL ER Caps. 75 mg 1 daily, do I need a note from primary physician regarding any medication ex, allergy Monoklust, 1 at night Tamsulosin .4mg daily
Your page has been most helpful. Thank you
@Lynda
Your medication will raise questions due to the purpose of the medication rather than the med itself. Get a note from your prescribing doctor explaining the needs for the medication and how long you have been using it. With that information in hand you help the CME make a more informed decision.
Is taking clonidine for hypertension disqualifying for DOT?
@John
It is going to cause questions because this medication has side effects that could impair your ability to operate a CMV safely. Get a medical release form from your doctor explaining your need for the medication and how long you have been using it. It typically is not used for hypertension, so have your prescribing doctor explain his reasoning for this medications usage.
I take vyvanse and I tried going in for a renewal and the doctor said its not allowed. I’ve tried non stimulant medications for my ADHD but they don’t work. I passed with this medication with my first physical with a doctors note. If I go off this medication I don’t feel safe driving, but if I can’t pass do I need to just quit driving?
@Jennifer
If you have been on this medication for any period of time, then try having your prescribing doctor fill out a medical release form. Have him explain the needs and uses of the medications and that you have had no ill effects from the medication. That should help with the CME’s decision making process.
Is a Class A CDL disqualified if taking Carvedilol; Levothyroxine; lisinopril; torsemide and Xarelto?
Many thanks!
@Marian
These meds are going to raise questions right up front. So start with medical releases from your prescribing doctors and have them explain why and how long you have been on these medications. The information helps the CME make a more informed decision regarding you and the FMCSA guidelines.
I am on Citalopram and have been on it for about 3 years. I am considering getting my CDL A classes. Before I move forward I want to know if this will be acceptable in clearing my DOT physical.
@O.R.
The medication is going to cause questions, just like the condition that it is being taken for.
Get a medical release form filled out by your prescribing doctor. Have him explain your present condition and how you have responded to the medication. Also have him state how long you have been on the meds. With all that information in hand, you should be in good shape.
I have been diagnosed as bipolar, my Dr wants to know if lamictal is a dot approved medicine. If not is there a recommended substitute?
@Steven
If you are placed on any new medication, you need to be on it for at least thirty days to determine your action/reaction to it. With proper documentation and a medical release from your prescribing doctor, with an explanation for the meds use, will be required by the CME that is doing your medical certification examination. That information is taken into consideration during the exam. It all helps the CME to make his final decision. So get a medical release from your prescribing doctor and your mental health doctor, if different, and take it with you to the exam. Good Luck
I drive intrastate in Texas. My doctor has recommended my to try Victoza. She says it is a once a day shot butnot considered insulin. Don’t want to jeprodize my cdl. Could I take this if im intrastate?
@Oscar
Most likely and make sure you take your most recent A1c results in with you for the medical examination.
States are different and you could possibly be on insulin and still drive intra-state only. Check with your drivers license department to make sure though.
Is Lyrica or Tramadol disquailifiers for a medical card even though they don’t cause any side affects?
@Tim
You will need a medical release form from your primary doctor, to take to the CME.
If I change my Diabetic injectable to a non insulin type, like Victoza, will that qualify me for a DOT cert. without the exemption requirement?
@Frank
Yes.
i have been taking clonazepam since i was 8 years old for very mild tourettes (i’m now 41) – no outbursts or anything like that – simply small facial twitches, moving of the hands/arms just like turning my wrist as a nervous reaction, minor anxiety – the clonazepam controls it just fine to where it’s un-noticable. there is zero drowsiness or negative side effects that i experience with my doseage (1 mg twice a day) – as stated, been taking this for 33 years as prescribed by my doctor – will the medical examiner at the dot physical, with proper documentation from my physician, pass me to get my cdl? i’m in california.
@Arturo
The CME should take all of the available information from the PCP into account, and then based on any other physical findings will make a final determination.
Can you take hydrocodone and posses a dot card
@Chad
A lot depends on the reasoning behind the medication usage. Without the proper documentation it is a disqualifier.
Read the other Q&A on this page to get an idea of whether qualification may be a possibility for you.
I am taking Requip 0.5mg 3@bedtime for restless leg syndrome.
I have had my CDL for 9 years
I recently have been denied on my physical for taking this medication.
I have been on the same dosage for over 20yrs.
I have never had complications with the medication.
Has there been a change with DOT regarding this medication?
My Dr is more than willing to give a signed statement and release.
This examiner will not accept the release.
I have no other medical problems, I am 64 and in great health, other than rls, which I have had since I was 15 years old.
@Jeanne
Get the medical release form from your doctor explaining that you have been driving with these medication for over twenty years and then go somewhere else for your DOT examination. Where you are going right now, someone is over reading the regs.
I had a big back surg last NOVEMBER ( 2015 ) I started trucking in March was on 30mlg fast acting Morphine stopped all when started driving last two lot of pain in low back so I took one 30 mlg fast acting MORPHINE help pain but now I have to go renew my CDL MEDICAL card ( take PHY ) is this going to still show up and screw my testing? THANK YOU SAMMY
@Sammy
Urine test in DOT examination is for proper kidney function, not for drug testing.
Drug testing is done at the request of the employer and is a separate test from the DOT physical exam.
I have been prescribed Adderall XR 20mg. Wondering if it is ok to take or is it not ok per DOT rules? If so is there any special documentation I need from my doctor?
@Don
Yes, just make sure that you bring a medical release form from your prescribing doctor explaining the need and usage of the medications that you’re taking and that will be a huge help to the CME.
I am taking a variety of meds. Low dose of gabapentin, meloxacam, and tizanadine for very mild neuropathy in my back. I have been on it for about 4 months. I am about to lease on to a company and am worried about passing my dot and drug test. I take my meds at night during my 10hr break and have no side effects. Am I ok?
@Jodi
You want to have medical releases from your prescribing doctors explaining your medications and their uses. If you have been on these meds for a while, then have the doctor explain how long and that there have been no abnormal reactions to the meds.
If these come up on the drug screen, then all you will need is a copy of the prescription for the MRO when he calls and ask for it.
I have been prescribed suboxone for 2 and a half years and also had my passed My DOT physical with the knowledge i was taking this . The Drs. Asked for a letter from my prescibing Dr. This year i was rejected .I asked the Dr if things changed and was on the disqaulifying list and she said she was unsure. I made her aware of the two previous Dr.that gave me med. Card. She still didnt. Is this a disqaulifying script and what do i do from here?
@Ehrin
It is in a touchy position with the FMCSA, but if you bring a medical release form from your prescribing doctor explaining the length of time that you have been on the medication and the purpose for the medication, then you should be in pretty good standing with the CME.
any up dates or advice? I have been on suboxone for 2 years and 8 months and have been taking them for back pain and to stay off all other drugs. I have been winging down and only take 1, 8mg strip a day now..I have worked very hard to get this far in my recovery. what is the best way not to get disqualified for my med card? I’m in Ohio if that has anything to do with it.
@Shaun
Make sure you have a medical release from your prescribing doctor explaining the need for this medication and that you have had no negative side effects from proper usage. Have him explain that you use this for pain and not for drug rehab. That should help.
I have chronic back pain and take marinol once a week, when I get home from work. The effects are worn off by the next morning. Is this a disqualifying prescription drug ?
@Ken
Not if you have your doctor fill out a medical release form explaining your medication usage.
I am a hazmat DOT driver. I have cronic pain in my ankle from a break/surgery.
my doctor is wanting to try some oral and topical medications.
I need to know if I can take them.
Lyrica
Gabapentin
Zanaflex
creams
Pennsaid
Biofreeze
@d b
You need a medical release form from your prescribing doctor explaining his thinking behind the use of these meds. Some of them will cause serious questions, but a proper explanation should help cover your bases.
Gabapentin is a dis qualifier because it’s considered a seizure medication
Hello. I’m applying for a UPS non CDL driving position in Texas. I take on occasion Restoril for sleeplessness. I’m only prescribed 15 a month. Restoril does show up as a benzo if tested. How that affect the DOT physical? Should I even tell them? I do want to be honest if it’s necessary. Thanks
@Rich
If the meds show up in the drug screen, then the MRO will want to have you send a copy of the prescription. That allows him to make a positive test negative. Otherwise you should be OK.
I have my CDL’s and just found out I have Neuropathy & need to take Gabapentin. Can I still drive truck?
@Roger
The medication is going to cause a lot of questions. So you want to have a medical release form from your prescribing doctor explaining why he is using this particular drug. As an anti-convulsive, it’s a disqualifier, but as a pain med with proper documentation, you could be OK.
Can CDL drivers be qualified while taking suboxone?
Don’t tell the doctor you take them to be safe. I learned this the hard way this past year when I lost out on a dream job making close to $100,000 job. Even with my medical release form she still wouldn’t give me a new medical card.
And I have been issued 5 cards since I have been taking it subs
Have used hydrocone for back pain for 15 years. do I qualify for a cdl license? Have already had one for 30 years.
Will Sertraline anxiety medication taken at 6:00 P.M. cause a disqualification of a medical dot physical for a class B CDL bus driving licsence?
@Tara
Get a medical release form from your prescribing doctor and have him explain what your medications are being taken for. The release is what the CME is going to be looking for. With that information available right up front helps him in the decision making process.
Hi
My DOT needs to be renewed. I have a class B license and drive a bus. I am currently taking Bupropion to quit smoking and Trazadone for help sleeping also Mirazapine for depression. Is this going to cause problems getting my DOT medical card renewed?
Thanks for your help.
@Lisa
You want to make sure you take medical releases from your prescribing doctors explaining your need for these meds and how you are handling there effects, if any. Then it falls to the CME to make the best decision, so provide what he needs before he asks for it.
Thank you very much. I have been on all meds since Feb. But will make sure l get the form filled out by my Dr.
Lisa
can I take Melatonin and still keep my DOT card or will Melatonin come up in routine DOT physical?
@Robert
You should not have problems with this over the counter supplement.
I have been prescribed OxyContin/Percocet through a pain management facility since 2009 for lower back trauma suffered as a law enforcement officer. I recently retired from law enforcement in December of 2015 after 25yrs of service, and am now looking to start a second career. My condition is completely regulated and monitored through my prescriber. My PCP recently drafted a letter listing my meds, the rerasons why I’m prescribed these meds, and described the fact that I’m completely functional and that I do not experience any adverse effects from these medications because of the length of time that I’ve been under this type of treatment.
The letter also gives statistical information in regards to the ability to safely function while operating a motor vehicle while being prescribed this medication. This is to compare drivers that are not under going this type of treatment. Does this type of information that I have available, supporting the use of this medication, influence my attempt at acquiring a DOT?
@Rick
Your meds list is going to cause a lot of questions and with proper documentation, which you have already, you may be OK.
You might also be looking at intra-state only due to injuries and pain meds.
Take all available information with you at the time of the examination, it will be of great help in the CME decision making process.
My name is Dawn, I’m disabled and I’m on Social Security. On 12-20-2011 I was hurt at work. I’m on Hydrocodone 7.5/325 and I’m also Taking Tramodol 50mgs. Because of these meds, I also take high blood pressure meds, meds for my thyroid. Please tell me that these meds are ok to drive a truck, or be a bus driver for the schools.
No one should trust you behind the wheel of a truck and especially a school bus filled with children!! Are you nuts that your lack of common sense really just made you ask that question? Keep people on the roads safe by keeping your unsafe medicated disabled ass home for Christ sake!! If you really had to ask them the answer should be NO!!!
Ms Francine,. I just had to say the response you wrote to Dawn R was so rude! There is are tactful ways to express yourself and your parents definitely didn’t teach you right. Sounds like you just stepped off the Jerry Springer show.
Francine….. I’m new to the search on prescription meds and which ones disqualify you from a driving job, I just read your response to Linda, and I’m shocked you could have such a response…… I hope you never know or have to endure going through surgery, and health problems that keep you from working and especially being disabled!!! Try living on 700.00 a month after you’ve had several neck and failed back surgeries as I have and you’ve tried to live without medicines but the pain alone will make you insane so at least we disabled are trying to function even if it’s enough to make our bills and eat!! I hope nothing like the way of life we try to get through ever happens to you.
@Dawn
I don’t think you would be able to pass the DOT examination and I’m not sure anyone wants their children riding along with a potential safety issue. The list of medications that you are taking will raise serious questions with any CME and would require a tremendous amount of supportive information.
Don’t take meds while at work I take vicodin 10mg and ambein when I get off work at night bottle Cleary state take in morning after workthey put on my dot form when I’m susposed to take my meds
Is naltrexone prescribed by a doctor a banned substance
@Dan
It will depend completely on the reasoning for the prescribed medication. For drugs and alcohol withdrawal it will need to go through a waiting period and a medical release form from your prescribing doctor.
Got a prescription back in October for my teeth and I only take it when they are bothering me. Can this stop me from getting my DOT certificate
@Juanita
Is it a pain medication, or a anti-inflammatory, or a antibiotic or what? Not enough information to answer your question.
I have basically the same question. I was prescribed 10/325 oxycodone back in January for a tooth extraction. I had a few left and I took one this Friday afternoon. I take a pre-employment drug test today. I have conflicted info. I’ve NEVER tested positive for a drug screen and have driven for over 20yrs
@Barbara
The DOT drug screen may pop positive, but if you have a valid prescription then the MRO should call you and ask for a copy of the script. Without a valid script and positive may cause some serious questions.
I take Gabapentin 3x a day for neuropathy, I also have a waiver for an anti-seizure drug that requires me to take the DOT physical once a year. My question is how many waivers am I allowed, and is Gabapentin a disqualifier?
@Michele
You need a FMCSA seizure medication waiver. With that in hand you may be qualified, otherwise you are not considered medically fit for the safe operation of a cmv.
just fail dot medical certification where is it posted that I failed and what can I do its a medication issue
@Leanne
Not much to go on here. What meds and for what conditions? On meds – you need a medical release form from your prescribing doctor to give to the DOT physical examiner.
The failed DOT exam is reported to the Federal database.
I applied for a position as a transport driver for the railroad in April this year, the DOT Dr disqualified me due to some medicines I’m taken, but the person I applied with gave me no information as to the medical release form. I’m still on the same medicines but am now living in Texas and when I was disqualified I was in Louisiana. I now have the opportunity to apply for another transport position, will my prior disqualification in Louisiana keep me from the position in Texas since it’s a national database.
@Eva
Have no idea what meds you are taking, so…
All you should need is a medical release form from your prescribing doctor. Since you have been taking the medication for some time now, the doctor will have a better picture as to how you would react to the medications, if any. A lot will have to do with the reasoning behind taking any medication, but the medical release will be a huge help.
Database will have one thing on it, but is not used to determine medical fitness for duty status. Only the CME does that for you.
I take Lithium and Geodon for bi-polar. I’ve been functioning well and steady on this treatment for a year. A friend drives a garbage truck for a private sanitation company. I feel this would be a perfect job for me. I love to drive, have a clean driving record, enjoy physical work, the pay is real good, they have good medical insurance. I worry that I will have difficulty getting my cdl because I take medication. Is it possible to get my cdl if I can prove that I am an alert and consientious driver while I am taking medication?
@Violet
You will want to check with your local drivers license department for some answers here. You may not need a full class A CDL to drive a garbage truck, maybe just a class B or if the weight is not in excess of 26001 pounds, you may not be required to get a cdl at all. That’s for the local DLD to guide you on.
As far as the medical certificate is concerned, you want a medical release form from your doctor explaining your situation and your medication usage.
Class A, your medications will raise questions, but a lesser class and within the state may go for state variances and the medical certificate examination is not as rigid. Good Luck
I was recently denied a medical card for listing cannibis oil as an over the counter medication on my DOT physical questionnaire. Oil is legal in the state where I received the exam and can be purchased at any health store. Was my physician justified in making this decision?
@Joann
DOT medical certificates for interstate drivers is a federal issue. So for a federal medical card, yes your medical examiner is justified in making this decision.
Your ability to purchase and use oils of the cannabis plants are a state level issue and falls under different rulings.
I plan to get re-certified to obtain my cdl. I am Pre-diabetic and has been prescribed Metformin, which is keeping my blood sugar to safe levels. I’m am on two medications for blood pressure: am lodi pine Besyate. For indigestion it’s Ranitidine. My question is am I qualifyed to operate a tractor trailer?
@Rock
Make sure you take a medical release form from your prescribing doctor explaining your medications and their usage. If all else checks out, you should be good to go.
I was denied my medical card for taking nitrostat. I got a stress test and passed. Why did the doctor denied my medical card.
@Eric
You should have been asked to provide additional information to the CME, so he can make a better judgement call regarding your present condition. Get a medical release form from your prescribing doctor explaining your situation and medical needs. Take that information with you and go get a second opinion from another CME.
I UNDERWENT A COUPLE OF HERNIA SURGERIES AND HAVE BEEN RELEASED BY MY DOCTOR. I WAS ON MY LAST DAY OF PRESCRIBED PAIN MEDS. THE MEDICAL EXAMINER STATED I HAD TO GET A DOCUMENT SIGNED (THEIR FORM) FROM MY DOCTOR SIGNING OFF. MY DOCTOR COMPLETED THE FORM. THEN THE EXAMINER WAS SHOCKED THAT HE SIGNED OFF AND SAID SHE WILL NOT ISSUE IT AND WILL MANDATE 30 DAYS OFF BEFORE I CAN RETEST BECAUSE SHE IS SKEPTICAL THAT HE WON’T PRESCRIBE MORE. IS THIS LEGAL??? IF I WAIT A COUPLE OF DAY UNTIL IT IS OUT OF MY SYSTEM AND I TEST NEGATIVE HOW CAN SHE HAVE THE AUTHORITY TO NOT GIVE ME MY MEDICAL CARD (ALL OTHER ASPECTS OF THE PHYSICAL PASSED)
@Gregg
Well since there is no drug testing on the DOT physical and your CME has ask for your primary to sign off and he has, I am not sure where she is getting her authority from. Yes you need to be off your pain medication so you can qualify as fit for duty. She is to determine fit for duty, end of subject.
You wrote: <>
With due respect, you are not correct here. I have held my Diabetes Mellitus Exemption, issued by the FMCSA, since 2008. They implemented that program shortly before 2008. This allows me to drive interstate with no restrictions. I always like to reassure hesitant employers by showing them my Dexcom continuous glucose monitor, which beeps to alert me when my blood glucose level *starts* to get too high or too low.
As for the state of California, they restricted me to not driving passengers or hazmat, but that was reversed after I complained to the Governor about that practice.
Will taking tramadol with a prescription disqualified m ?
@Ricardo
You will need a medical release form from your prescribing doctor so the medical examiner can make a more informed decision. The final decision still rests with the medical examiner.
Is degenerative disc disease a disqualifying condition? My pcp put me on gabapintine for the pain as needed, but also Aleve for the inflammation. I’m not really sure if I would pass a physical because of the medication and the reason for it.
@Robert
The medications would cause questions, but you also need to be able to perform the duties of a CMV operator. So the CME is looking to determine medical fitness for duty before he will pass you.
It sounds like you may have difficulty doing the physical aspects of the job. If you can do the job then make sure you take a medical release form from your doctor to explain your medication usage and needs. It helps the CME make a more informed decision regarding your situation.
In Alabama,beside a church bus,what else am i legal to drive with cdl-A class but no physicle card in alabama only?
@Tandy
This is not a medical certification related question. You’ll need to ask your local drivers license department.
Can you please explain why methadone automatically disqualifies one for medical when much stronger pain meds dont. It works wonders and does not affect my mental like oxycotin and oxycodone. I understand the bad reputation because it also used to treat substance abuse in clinics which is partly run by federal government (where they do profit) while subutex and suboxone is allowed and treatment is all they are used for. Afterall they use methadone do get off prolong use of those allowed pain meds… it just doesn’t make sense to me at all. You can get clearance from Dr for the pain meds as well as medications that ONLY treat abuse… but not one that helps with that AND pain and is prescribed for pain. Please enlighten me???
1. Baewert A, Gombas W, Schindler S, et.al., Influence of peak and trough levels of opioid maintenance therapy on driving aptitude, European Addiction Research 2007, 13(3),127-135. This study shows that methadone patients aren’t impaired at either peak or trough levels of methadone.
2. Bernard JP, Morland J et. al. Methadone and impairment in apprehended drivers. Addiction 2009; 104(3) 457-464. This is a study of 635 people who were apprehended for impaired driving who were found to have methadone in their system. Of the 635, only 10 had only methadone in their system. The degree of impairment didn’t correlate with methadone blood levels. Most people on methadone who had impaired driving were using more than just methadone.
3.Cheser G, Lemon J, Gomel M, Murphy G; Are the driving-related skills of clients in a methadone program affected by methadone? National Drug and Alcohol Research Centre, University of New South Wales, 30 Goodhope St., Paddington NSW 2010, Australia. This study compared results of skill performance tests and concluded that methadone clients aren’t impaired in their ability to perform complex tasks.
4.Dittert S, Naber D, Soyka M., Methadone substitution and ability to drive. Results of an experimental study. Nervenartz 1999; 70: 457-462. Patients on methadone substitution therapy did not show impaired driving ability.
5.Lenne MG, Dietze P, Rumbold GR, et.al. The effects of the opioid pharmacotherapies methadone, LAAM and buprenorphine, alone and in combination with alcohol on simulated driving. Drug Alcohol Dependence 2003; 72(3):271-278. This study found driving reaction times of patients on methadone and buprenorphine don’t differ significantly from non-medicated drivers; however, adding even a small amount of alcohol (.05%) did cause impairment.
It has a bad reputation but NO science backing it… just bad stigma
so why has,nt anyone had methadone taken off the d.o.t disqualification spec.s ??? How can I do it, As ones know that take it, It does nothing to your driving abilities, Theres many far worse drugs out there that should ban a driver,This law needs to be changed pronto because many good drivers are losing their jobs over this,If you know how we that care can help or get this law changed please reply.
@Kevin
Basically it should fall under the same guidelines and understanding as all of the pain relieving medications.
But that being said, too many CMEs never understood the relationship between the drugs, time and the drivers. So they just ass-u-me that this medication is a total disqualifier.
Since FMCSA has no new guidelines for the new DOT examination and have left the examiners without some level of guidance, you are going to see more good drivers being disqualified due to possible risk factors, so the examiners will be very leery of any medication that a driver may be taking.
If suboxine is allowed, how about Fentinyl patches? I’ve been on it for 6 years, no MV accidents or alcohol incidents in 20 yrs. I had a CDL, but let it expire, now I want to go back and drive class A. Please send me an email ,Thank You!
@Paul
Make sure you have a medical release form from your prescribing doctor explaining what medications you take and why. The CME needs as much information as possible to make the best possible decision in your case.
Sorry friend fentanyl is an opioid medicine and automatic dq. It is a hundred times stronger than heroin . I know, I was on it for 18 years and it never affected my judgement of driving my car or 32ft rv. I was on it for an injury I received when rearended by semi driver who was impaired. I have permanent damage to my back and neck from it. I can guarantee as so as the MRO sees fentanyl on your list, you’ll be dq’d. Sorry to bear the bad news and I am in no way trying to be rude just truthful. I had to surrender my Oregon CDL that I held for 20 years when I was out on Fentanyl.
Hello,
I just went for a Physical. I filled out the paperwork. I wrote down that I had taken a prescribed 1 mg film of Suboxen about a week ago but can no longer take it because it causes me to vomit. The nurse said when the Dr saw that I wrote down suboxen, he immediately disqualified me BUT will give me an opportunity to get tested (which they did not do on that day) by my primary dr to see levels of Suboxen in my system.
The reason I am telling you this is 3 fold. Had I NOT mentioned the Suboxen and went ahead and did a Urine, had it been found, I would have gone through a lengthy review, which I would have been successful in BUT it takes DAYS/maybe even WEEKS to accomplish
#2 Since I mentioned it on the form asking what meds I was taking, the dr rejected me immediately.
#3 Because he rejected me immediately, he gave ME the opportunity to go to my primary dr and get tested, which will be almost immediate. If the result is NEGATIVE for Suboxen, then I can immediately go back to the DOT exam and take the Urine test (with results from primary in hand of course)
I am not too worried about being restricted concerning Suboxen because it does cause me to get pretty sick right away. I did take it about a week ago because I had nothing else and I was in a lot of pain.
I, once again, did NOT realize that Suboxen was given to people who are drug addicts. The reputation of a drug WILL follow YOU into the office, forcing YOU to explain that YOU are not a drug addict.
I went through the same thing when I was given methadone as a supplement for pain.
As a side note: I did NOT know that Methadone will totally screw up your teeth so I am suffereing from the side effects of Methadone. I have chipped teeth (2) and one tooth that fell out in the back. DAMMIT!
Now I need to find out WHAT the hell I CAN TAKE and pass a physical and THEN find a DR who will prescribe it! I am in MA and the only people in this state that has pain medications are the drug addicts, drug dealers and the RICH! (We KNOW that THEY will NOT BE DENIED, if THEY are in PAIN. We LITTLE people have to suffer, jump through hoops because of the ridiculous laws they have put in effect!
Why don’t they just enforce the original laws on the books and clean up the DRUGGIES and their DEALERS?? No, I guess punishing the people who are really IN PAIN IS THE ANSWER!! UGH!
I went to renew my medical card, and it was put on hold do to me being on subutex even tho they gave it to me 2 years ago being on the same med. I don’t drive a semi it’s a maintenance truck over the 10,001 requirement. I’m in the process of doing the waiver. So my question is with my Dr’s approval and note saying I’m very competent on the medication and has no adverse affect on me. Do I even stand a chance on getting my card. Also they said I have to pull my medical records but how far back do I need to go. It’s all I can do to get any answers. Thanks
I am trying to find out what medication is dot certified for quit smoking thank u
@Mennie
The list is much shorter to find out which ones are not qualified.
Any medication that has the ability to alter a drivers ability to safely operate a CMV is on that list. So if the side effects on the box indicate that you may have difficulty do your job safely, then it will be a disqualifier.
@Josh
Someone is testing you outside of the state variances that you need to be tested under. Explain to the examiner that you are a local driver and fall under the states guidelines and not in the class A federal guidelines.
You should do fine, especially if you have a medical release form from your prescribing doctor. You may need to check with your local drivers license department for final clarification.
The new Medical Examiner’s Certificate asks about illegal drug use back 2 years. One of my driver applicants answered truthfully that he had used marijuana within that 2 year look-back period. He is not currently using and has passed a pre-employment drug test. The Medical examiner flagged his application as not qualified and indicated that he needed to see a SAP before continuing his application. I can’t find any indication that past (but not current) illegal drug use is a disqualifying condition. Any ideas on what to do next for this driver?
@D.E.
Get a second opinion from someone else. The examiner may be over-reading the guidelines and may be testing at the class A interstate level.
Also the new forms ask about any use and the examiner may only be looking for a solid confirmation from a SAP that there is no usage, but in the end it will fall to you to make the final hiring decision.
Hello Big Rig driving peeps!
I’m currently on 1mg dose of Suboxone daily!
And where I work the Boss asked me to get Class A Cdl license and start my own crew !
Since I’m on a low dose should I
A. Keep it to myself and not tell the MRO. I mean how could this be found that I’m prescribed it!
B. Get a note from prescribing Dr explaining how I’m doing with it and why!
C. Quit taking meds soon!
All honest opionions welcome !
Thank you and God bless you!????????
if you take lyrica can you still drive
@Robert
Not without proper documentation from your primary prescribing doctor.
Is Ritalin a disqualified and is it tested for on the 5 panel test used now for drivers
@Duane
You want a medical release form from your prescribing doctor explaining your need for the medications and the length of time that you have been on them.
Not tested for on the DOT 5 panel, but needs to be disclosed during the DOT examination. Having the medical release form in hand before you start is a huge help and answers many questions before you ever start.
I have a Class A CDL. I take 10 mgs of Ritalin a day and got my DOT medical card renewed today. (For one year, not 2 years because of the medication) Ritalin is a stimulant and not not an amphetamine and is considered a class 2 medication. Adderall is a class 1 medication because it is an amphetamine. You cannot get a DOT medical card if you take amphetamines. (That is what I was told by the Doctor) If you take Ritalin for ADHD, have the prescribing doctor write and sign a statement to the doctor that does your DOT physical. That is all I needed to do. Whether a company will hire a driver who takes Ritalin is another question. The drug will show up on a urinalysis.
I got into an accident in my personal vehicle in aug. 2014, have been written off work since then. I have had 1 surgery (disc arthroplasty) and still have 2 herniated disc in my cervical spine, and 3 bulging disc in my thoracic area, because of this I am in pain management program and currently prescribed oxycodone, my med card is going to expire soon but I dont want to loose my cdl as i still have hope that i will be able to go back to work one day after the surgeries and meds are done. Will they give me another med card, even though i am prescribed oxycodone since i am also written off work??? I know i cant work while i am prescribed this med, but can i still get a new card so my cdl doesnt expire (ect)… for when i don’t have to take the med anymore?
@jesi
Well your medical card was invalidated on the date of your auto accident, so you will need to get a new medical certificate before returning to work. If we read everything correctly now, you can not qualify as a fit for duty driver, so you can’t qualify for a new medical certificate. You will need a medical release form from your doctor before any CME is going to do a new examination.
Right now you need to talk to the drivers license department in your state and explain your situation. They should have a policy that helps you keep your CDL while you are in recovery. Once fully recovered and you have a medical release form in hand, then you can go for the new medical card.
I’m a cancer paitient who has over 2 million chargeable accident free Istopped driving a truck for a living in 2013
I take pain medication for a medical neccasary reason. I renewed my DOT medical card in 2011. While at the location of my physical , a nurse practitioner did my test. He noticed my fentanyl patch and immediately said I had failed my physical
I informed him that according to the DOT regulations, all class a narcotics are strictly FORBIDDEN UNLESS THE DRIVERS DOCTOR CLEARS HIM TO DRIVE. MY oncologist of over 12 years at that time understood and agreed that since I’d been on these medications for years , I was fully functional in every sense to operate a commercial vehicle . I’ve become acclimated to this medication that it does not affect my cognitive abilities whatsoever. He had me tested by another Dr who specialized in the mental cognitive testing. He cleared me also
So after I informed the nurse practitioner of this, he said it doesn’t matter I was to be disqualified! I then asked him to bring in an actual lisenced Doctor and the Dot book and I’ll show them the allowed exception that I legally was entitled to
He took my Drs phone number and was gone for like 45 minutes!
He and the head doctor then came into my room an handed me a 1 year medical card
This is 100% true. Like I said I no longer drive. After fighting cancer from 8/98 until 2012 with 6 relapses. Multiple chemo treatments radiation therapy until the level I cannot have anymore radiation therapy
Enough was enough took my Drs advice stopped working and was approved in 6 months for permanent SSDI I lost over 60k a year by not working. That hurts bad life is now $$ very difficult
But just hope this helps someone out there
Hagar
@Hagar
Thank you for taking the time to share your experience, that persistence and knowing the rules pays, especially when others are not going to take the time to help you.
We wish you blessings on your new path in life.
My prostate cancer has reappeared. Can the disqualify me as a school bus driver?
@Lynn
As an intra-state only driver you should check with your local drivers license department. As long as you can perform the duties of a driver and are under ongoing care you may be fine. But check with the DLD for final confirmation.
I have been on Time release Xanax for 7-8 years I do not have any side effects and can not even tell when I take 1, I take I a day. can I still drive a commercial vehicle?
@Stephen
Get a medical release form from your prescribing doctor explaining his findings and results and you should be good to go.
I am going for a DoT medical card, not for CDL just to save company on insurance thru new thi g they’re doing. I currently take suboxone and valium prescrobed by my physician. I have no issue from drugs and am on a low dose. Should/can I ommit these things since they are not tested for and skip possibly loosing my job? Thanks
Drive a regular truck under my standard licence. Have been on meds for years and never had any accidents before or since on them.
@Bob
Do not omit. You have a properly prescribed medication that is being given by an attending physician. All you would need is a medical release form and a copy of the script. If you omit, it’s considered lying and isn’t worth it.
Is hair follicle testing going to become mandatory for DOT and do they tezt for same meds as regular 5 panal DOT test just farther back
@Kevin
Hair will not, at present, be part of the DOT urine testing. Yes, they look for the same things as the basic 5 panel.
Can you get your CDLs and take Suboxone?
@Richard
It will raise lots of questions and is difficult to substantiate. Get a medical release form from your doctor explaining your condition and the reasoning behind this particular drug usage. It may be doable, but don’t hold your breath on it.
Been on this medicine for 12 years and my doc would be happy to send a medical release. Hope it is okay.
Richard,let us know how it turns out because I’m in the same boat.
I got my CDL and DOT med card while on suboxone. Nobody asked me for anything other than the company for a letter from my Doctor stating that it would not affect my driving capabilities
Let me know how it goes for you cause mine runs out in 2 and a half months and I have to redo it so I hope I dont run into any problems this time as I am also prescribed klonopin now. But either way if w.e medication you are PRESCRIBED excluding marijuana if you have stability with the medications you should have no problems as long as your doctor is willing to write a letter for you stating again that their is no problem for (name) to drive under (medications) being prescribed ASLONG as they are taken as PRESCRIBED. Hope this helps and hope the world has not become shit because if your a good dam driver and your stopped from it because of a medication that does NOT affect your driving capabilities then the trucking industry is turning into shit cause i see people flipped over all the time crappy drivers killing people and its rarely very RARELY based on any type of medication the driver was prescribed so if they want safety they need to see a driver is truly capable of driving and thats it.
If a driver is taking Addrell, does this disqualify him for a CDL ?
@Michele
It would depend on the reasoning and the length of time that the driver has been on these medications.
It would mostly test positive on a DOT drug screen, so make sure you have the prescription available for the MRO.
My husband wants to begin taking adipex (a prescribed weight loss medicine). It is a phentamine. Will this affect him having his CDLs?
@Kelsey
Unknown. It needs to be used for a period of thirty days to determine its effect and side effects, if any. He should not be driving until this information is known. If it is prescribed, make sure you keep copy of the prescription on hand in case he is drug tested and it comes up positive.
Can I get a DOT medical card to drive a vehicle (10,000 to 26,000 lb) if I use insulin for diabetes even though the vehicle does not require a CDL? I am not sure I am asking the right question.
@Stephen
If you are going to be an intra-state only driver, you should need the correct information from your state drivers license department. Their rules are a bit different from the FMCSA.
You may not need a CDL, but each state is different with insulin dependent drivers, so check with them for sure.
I take Pioglitazone, will that keep me from getting my dot med card?
@lloyd
If you have been on the medication for any length of time, then make sure you have a medical release form from your doctor and a copy of your last A1c. That should provide the information that the CME is going to be looking for.
Can a person taking muscle relaxers for a back issue and having a weight restriction of only being able to lift 20lbs be able to drive Semi in Michigan and still be safe for themselves and the other people on the road according to DOT standards??..
@Bob
No, you could not qualify as medically fit for duty. And at present your medical card should be invalid, until you can pass the DOT medical certification examination.
Looking into getting my CDL but I take a high dose of Gabapentin (Neurontin) for some nerve pain in my legs & to level out my mental illness. It’s working great but I’m concerned I’ll have to overhaul my meds routine if I start driving. Can you drive while taking Gabapentin?
@Jenn
This medication is going to cause a ton of questions before you ever get started.
Best bet is to get a medical release from your doctor explaining why you take these medications and how you have responded to them. With that information in hand you have answered many of the questions that the CME is going to have. But it is not a guarantee that he will see fit to pass you on the medical certification examination without further information.
Will victoza show up in a random drug test.
@Sophia
This medication is for diabetes, so why are you worried about it in a drug test. The short answer is no and they are not looking for it.
If I fail my drug test, is there a grace period in which I must wait to try and take the drug test again?
@Josh
No grace period that we are aware of. You can retest as soon as you can pass the test.
Will a prescription of Carbamazepine XR 300 BID make me ineligible to get a DOT physical card?
@ Dennis B
This medication is going to raise a ton of questions, so be prepared for them. The main question will be, why do you take this medication? And you will need supporting documentation from your prescribing doctor before any CME is even going to start an examination.
i am a doctor who has a patient who has been on suboxone for five years. he has been compliant and committed for the entire time. he is currently tapering off the med. he recently went for a DOT physical card and was told that he did not qualify because of the suboxone. he lives in NY.
i consulted the federal web site and found that only methadone is an absolute disqualifier and that the
individual clinics within the individual states determine the guidelines. do you have any recommendations for my patient? he really needs his job. thanks
@ Lucinda
As you dig deeper you find that there are lots of gray areas in the guidelines. Ultimately it will fall to you for the final decision. If you feel that the driver has been compliant and is trustworthy and safe, then you can issue a medical certificate. You will want to issue for a year at the time to continue to monitor his progress and get a medical release form from his prescribing doctor to support your decision making process.
Does methadone come up on a dot phisical drug screen
@Mike
Yes.
Does taking adderall if prescribe by my doctor stop me from getting my medical card for class A
@ Shawn
No, it will require proper documentation from your prescribing doctor.
I am a 51 y.o. male who is wanting to train and get my CDL. I have had 2 back surgeries and take prescribed pain meds. My doctor will fill whatever form is necessary to clear me to drive. Will that be a major problem in obtaining my CDL from the medical examiner?
I am being treated for chronic pain because of a car accident. Since then I have been treated with everything from OxyContin (3-80mg a day), 4-5 Tylox a day & others. Now I take 3- 15mg morphine we pills a day and 1-15mg immediate release if needed. These doses make it possible for me to be able to get up and work by taking the edge off the pain. My boss said that I need a doctor to say I can drive while taking my medicine. Is this possible ?
@ Kenneth K
All depends on what class drivers license you carry. As a class A driver you have been disqualified since the accident and would have to pass a new medical certificate examination, which you won’t pass at this time. If yo are a class D driver in a small pickup truck, then your prescribing doctor may indicate that you are safe to drive. And he has prescription information for a positive drug screen. It would be very unlikely that any doctor is going to state that you are safe to drive anything on these medication, so until you are fully healed and off the meds, you probably should not be driving.
I was prescribed Wellbutrin Sr 150mg to help stop smoking. if taking this will it disqualify my medical card
@ Scott
You would need to be on this medication to determine its effect and side effects. After you have been on the medication for thirty day and with a doctors release form stating that you can perform the duties of a CMV operator without negative side effects. You should be alright.
I am a bus driver for about 14 years I have been a diabetic for six of those years just recently my doctor wanted to put me on insulin, because my diabetes is out of control I’m on the highest level of oral medication I could take. My question is can a bus driver in the state of California be on insulin at night would that affect my CDL license. I was told that a bus driver can not be on insulin but my position is that I won’t be at work I will be taking insulin at night at bedtime will that affect my medical cert.
@ Charles
You want to check with california state drivers license department on this. As a class A interstate, you would be disqualified, but as an intra-state driver within california, that would be a state question first.
Does Ritalin disqualify you from getting a medical card? Also-what about depression drugs like welbutrin (Bupoprion)
@Fred
You are going to need medical release forms from your primary prescribing doctors explaining your condition and situation. If everything is under control and your doctor feels that it would be safe, then you may be OK, with proper documentation.
i’m taking 300 mg of Gabapentin twice a day. Am I allowed to take this and drive? Would i pass a drug test?
@Digger
This would totally depend on the reasoning for taking these medication. Not enough info to give you a yes or no.
i take it for my back pain. its the only medication that works besides hydrocodone
@Digger
As long as it is properly prescribed by a physician and you have a copy of the prescription for the MRO when he ask for it, then you should be OK.
Had a tia on1/2016 med card was denied 8months later got medical release and received med card but my company would not accept it they wanted me to go back to there doctor and she insisted on 1 YEAR
@Andrew
FMCSA wants a one year post TIA to rule out the possibilities of stroke. That’s a FMCSA thing.
Not sure why any one would have cleared you before that, unless you presented them the supporting documentation for the CME to make a differential decision in respect to a FMCSA guideline.
I had all my documentation medical opinion reports stress test releases from neurologis and cardiologist
@Andrew
Sounds like your company is making sure everyone is safe, and they are sticking to the guidelines. Companies are allowed to have even stricter rules than the FMCSA recommendations. So this is now between you and your company.
I just went for a DOT physical and was only given a 3 month medical permit based on the bipolar condition my medications revealed. I was told the rules are now different and that even with the note from the treating doctor I could only possibly be issued a 1 year medical card in any case. I guess I have 2 questions, is this true, and should I consider finding a different line of work as these tightening restrictions could edge me out at any time.
@Nick
The one year medical certificate is a truism. FMCSA wants all CME to monitor your progression every year. And all you should need is a medical release form from your doctor explaining your condition and his prognosis.
There are no new rules regarding a condition like yours, just a need to understand what the guidelines say. Try a different CME next time.
Thanks for the response. I have been driving for a while and found this response alarming. Most of the big companies I know of won’t take you if you don’t qualify for 2yrs . The CME even said the release form was good for 2 years so I will defiantly get a second opinion as I have little reason to believe I can’t do my job for only a year.
I had a medical marijuana card that will be expired for two years in April. Will this keep me from obtaining my school bus license? Should I let the CHP officer know before I start my testing there?
@Jacquie
You are in a state that has an allowance for marijuana, so you will fall under the states laws here. Not sure what your needs are going to be to acquire a drivers license to transport children in your state with your medical permit. Check with the state first and see what they have to say. Just ask questions.
I HAVE BEEN CLEAN OF DRUGS FOR TEN YEARS, CAN I DRIVE A SCHOOL BUS
@Charlotte
If you can perform the duties of a driver and pass the physical, then you should not have any issues.
You may want to check with your local drivers license department to make sure they do not have any surprise in store for you though.
I am prescribed Xanax which I take 1mg at bedtime. I am also prescribed Oxymorphone ER 30mg one pill twice a day for my chronic pain. I have a class A CDL and am about to start a new job as I am a new driver. Will my medication I am prescribed to disqualify me from a job?
@Cory
A lot will depend on the length of time that you have been on these meds. Get a medical release form from your prescribing doctor explaining the length of time and the need for the meds. That will help the CME with his decision making process.
Have Medical Marijuana card and going for CDL (didn’t realize couldn’t have). Doctor is stating I need to attend rehab and get letter of completion before she can give me physical. Can I just test clean and be done with it. Do I really have to attend rehab for a doctor prescribed medication, can’t I just stop?
@Ralph
If you test clean, because you have discontinued using, then you should be just fine. If you go back to the same examiner they will want to see what they ask for. As a driver you are going to be tested randomly through out your driving career, that happens to every driver. Drug and alcohol testing is mandatory for all drivers.
My fiance was recently prescribed ritalin. Will he pass the DOT physical while taking it, or does he need to get the medical release form?
@Sue
He will need to be on these medications for a period to determine how he will react to the drugs. So he will have a short waiting period and then he will need a medical release form from his prescribing doctor explaining why he has been placed on these meds. The CME is going to have questions and you want to have the answers before hand so things go smoothly.
I been driving for 4 years. I take Suboxone 8mg strips. Been taking them for 4 years. My first physical I had to get a note from my doctor stating it was ok for me to take suboxone & drive a truck. That was no problem. Well I went to get my 2 year physical done a few days ago and the lady told me that I could no longer drive a truck and take suboxone, I had to chose which one I wanted more basically. So even if I have a note from my doctor saying it’s ok, i still can’t get my health card?
@Nathan
You will need to support the requirements for the meds you are taking with documentation from your prescribing doctor. If you have been taking this medication for years and driving, you need to have your prescribing doctor complete a medical release form for you, explain what you need these meds for, and your condition, and that you have been on them for an extended period of time without incidence. Some examiners are very strict on this and won’t budge, but there are examiners that truly understand the situation. You may have to search around to find an examiner that does understand, but they are out there. Good Luck
Wow, I just experienced the SAME exact thing. I think it is a new rule.
I use a suboxone, but don’t have a prescription. I was completely off of suboxone and doing fine, but recently, feeling the need to use, I bought some suboxone and started taking the dose my doc used to prescribe.
I’m afraid if I get a prescription now, I’ll lose my job. I know I’ve put the cart before the horse, but suboxone does not impact my driving and it’s better than falling back into addition. What should I do?
my “new” Dr the one i been seeing for decades moved up to management.
are these two meds ok with the dot?
SERTRALINE 25 mg tablet.
TRAZODONE 50 mg tablet.
given to me case i am having trouble’s sleeping and getting proper rest. then falling asleep during my work shift. also general fatigue. (getting very hard to work more then two/three days).
the report pages read like a scary novel.
i do not get it both meds have the side effect is not being able to sleep?
as well as a couple others that scare me.
should i worry? not take these?
@Tom
You will need a doctors medical release form to explain your need for these meds. Both of these medications are going to cause questions. If you have been on these for some time, you will just need the doctors medical release. But if you are just starting them, then you will need to go through a waiting period that allows the doctor to see what the other effects of this medication are and how you re-act to them.
If a driver has been taking Trazodone for a few years in the evenings to help with sleep (no history of depression), if they have a medical release from their primary, how long will they be able to get a certification for? Assuming everything else in their health history is clear.
@Emily
More than likely one year at the time. The CME will want to have a medical release form from the prescribing doctor and will want to continue to monitor the drivers condition with the help of the prescribing doctor’s input.
I’m taking prozac, can i still drive a truck.
@Peter
Make sure you have a medical release form from your prescribing doctor and an explanation for the prescription. With that information in hand, you should be OK.
I’ve been driving for 19+ yrs. Now i’m on Kidney Dialysis. Will this Disqulify me to Drive?
@Dennis
Interstate yes, intra-state only, you want to check with your local drivers license department to determine what paper work they will need to qualify you to drive in state only.
I recently tested positive for a random drug test at my place of employment. As a result I was terminated from my job. I am due for my DOT physical and recertification. what is the status of my CDL license?
Can you take hydrocodone at night and still get a medical card ?
@Bob
Do you have a valid prescription and how would you pass a random drug screen?
So the answer could be yes, with proper documentation; or no without it.
I am an independent owner operator and I had neck surgery in September and went back to work in December cause I couldn’t find a competent driver, I take a low dose Percocet at night, with a prescription from my doctor, do I have to get a release from my doctor should I get stopped or heaven forbid an accident, and can a DPS call for a drug test during a DOT inspection as when I’m out on the road I take them with me???
@Chillimaru
You want to have a copy of the prescription available to you at all times. Also you will want a medical release form from your doctor. And yes the DPS can call for a random drug screen anytime he feels the need.
@Tim
Medical certificate is one thing and the cdl is another.
Check with your state drivers license department and ask them this question.
I have a CDL and work for a major parcel company that does random drug testing. After doing my UA I was contacted by the MRO and was told I tested positive for amphetamines (Vyvanse) which is prescribed to me. I also take a prescription pain medication (Hydrocodone) which did not come up in the test. Unfortunately when asked what medications I was taking, I told them about the Norco. Even though there was no positive for opiates, they’re telling me because I mentioned it to them that I was taking it, now I have to get a doctor’s note to submit to the company cause the company is aware of it now. In reading the language DOT Rule 49 CFR Part 40 Section 40.139
(3) To be the basis of a verified positive result for opiates, the clinical evidence you find must concern a drug that the laboratory found in the specimen. (For example, if the test confirmed the presence of codeine, and the employee admits to unauthorized use of hydrocodone, you do not have grounds for verifying the test positive. The admission must be for the substance that was found).
If there is no positive result for opiates, is the MRO allowed by law to disclose this information to the company?
@John
The MRO is looking for a properly prescribed medication to rule out a positive test result. That was all he needed. You gave him more information then he needed and it is his responsibility to report that, even if there was no positive testing. He has no idea if you have been taking this medication for a long time or just starting. Either way a note from the prescribing doctor for both of the medications will clear up things.
I was put on a low dose high blood pressure medicine ( lisinopril 10mg) during a high pressure time in my life. I am since off it and have made life changes, eat better, no salt/sugar, and I exercise. My blood pressure is good (120’s/70’s). I’m due for a CDL physical. My question is; due I need to report this on my medical long form?
@ Todd
Just make sure you get a note from your previous prescribing doctor indicating that you no longer need the medications. With that info in hand you should do just fine.
I want to know if the new diabetes medication trulicity or victosa although injectable non insulin can be used while maintaining a medical card for a CDL?
@Peggy
You would need to be on these medications for a period of time to see how you respond to them. But as long as they can control your condition and you have normal A1c’s and the doctors release form, you should be OK.
I started driving a year ago. I went today for renewal of my fed med card. Went to my family dr office. One of my dr’s associates did the exam. After I paid and did parts of the exam, he told me he would not renew due to the medications I am on. I explained that there have been no changes in meds, I am able to get a letter from the prescribing Doctor as I did last year when this same dr office approved my card. This associate still would not renew my card. i am on adderall and some anxiety meds. The only change in medication from when this same office approved my last card was that I no longer take a pain medication that was prescribed to me. Has anyone ever been approved, had no changes and then been denied? I feel they basically ripped me off of the $100 charge because this dr told me he had no plans to renew because of medications. Now I’m going for another opinion tomorrow (I explained to this examiner the whole situation). He sees there is no reason that dr had to deny me, especially if I have a letter from my psychiatrist deeming me safe to drive. Has anyone ever had this type of issue before?
@WI driver
Yup, you got ripped off by your doctors ASSociates. With proper documentation, you should have done just fine. Good idea to go for a second opinion. Just make sure you go with all the documentation in hand when you go for the examination.
This new examiner told me to bring in the do mutation so he can keep it on file as well. Told me if I cannot get it tomorrow just to call when I do have it in hand had he will get me in on the same day! He told me straight out that some docs read too much between the lines and really aren’t educated on what the actual guidelines are. This ASSociate told me straight out he had to go back and review the DOT guidelines. So he knew before they even took my $ that I was gonna be denied! Worst part….this is family physicians office!
Im really looking into becoming a driver. But im on medication thats so controversy for the medical card. I become disabled 20 yrs ago. My right arm and wrist were broke in 3 places. I have 3 plates and 15 screw in it. My left arm was broke in 17 places and has 17 plates and 50 screws in it. My left heel and ankle were crushed into many pieces. So many they couldnt count em they nust fussed it back together. I have tried all the pain meds they are, all prescribed! But im finally on a low dose of suboxone. I take 3,2.5mgs of it daily. And sumtimes not even all 3. I know that suboxone has a bad name cause it also used for addiction. Would this be considered a disqualified? What do i need to do on my part to prepare for the physical? (paper work). Who does the physicals? My doc? Or theirs? Anything you can throw my way would greatly be appreciated. Thank you in advanced!
@Gannon
Like we have said in the past. You need a medical release form from your prescribing doctor explaining the need for this medication and an explanation regarding your usage and how long you have been on the medication. If there is proper documentation and there have been no adverse effects then the CME can take all of the available information into consideration before making his final decision.
As far as examiners, you will need to find an examiner that is on the NRCME registry that can be found on the DOT website.
Or look for a local examiner on DOTPhysicalDOCTORS.
I understand that this is a redundant question but a answerer would be much appreciated. I was recently disqualified for my CDL medical certificate. When I filled out the required form I disclosed prescription hydrocodone use. This was voluntary and never expected a problem. I have been taking the prescribed meds for 12 years and disclosed them to every doctor that has done my certification. The certifying doctor was also my primary physician and prescribing doctor. The CME was a real jerk and would not even advise me what to do next. He simply told me that I was not certified and walked out of the room. Do I have to see him again or can I find another examiner? Does he report the failure to the proper authorities. What should be my next step for certification? Thanks for your time
@Greg
Medical release form from your prescribing doctor explaining your usage and how long you have used this medication.
Then go somewhere else for a second opinion. It may be listed on the FMCSA data base as a failed test, but not why the test was failed. A second examination that sees you are fit for duty would then over-ride the failed test results. And again, it may not have even been entered if the examiner did not finish the testing.
Can I take prescription amphetamines for weight loss and still be qualified to drive?
@Pat
Not without a doctors release stating that you are safe to drive and have had no ill effects. You will test positive on your drug test so make sure you have a copy of the prescription with you.
Can a person legally hold a cdl while taking Xanax, lexapro, and pain killers.
@Danielle
You will definitely want to have a medical release form available when you go for your next DOT examination. You are taking meds that will cause a multitude of questions and a medical release is going to be required. Make sure that your doctor explains his reasoning for the meds that you are taking and whether he feels that you would be safe to drive a CMV.
what if I took an expired prescription and I test positive for a drug screen
@Warren
That would now come to a decision between you and the MRO. He will tell you what he needs and you will need to comply with his request.
I have arthritis and expect to have a hip replacement surgery. Currently, I am taking an opiod medication, but I’m not currently employed as a driver (physically I could, but I don’t because of the medication). My health cert expires this month. All I want is to keep up my CDL in case I want to go back on the road after surgery. Will I have trouble getting my medical card? I have a regular appt with my doc tomorrow – should I have her fill out anything for the examiner? Think I’ll pass?
@Lady Luck
Yes, have her fill out a medical release form for you, so when you go for the DOT examination you have the information you need to give to the CME at that time. Also explain your situation and be prepared to answer a bunch of questions. Remember the CME is looking for medical fitness for duty and without proper information, you may have some difficulty.
I had a medical disorder called TTP. It isn’t listed as anything that should cause me a problem but. . during my most severe episode 6 years ago I had 3 TIA strokes, one of which provoked a seizure. While I was in the ICU at one hospital I was started on Keppra. I have had at least 2 EEGs since then and have shown no signs of seizure activity and have shown no adversity in 6 years of being on the medication. Now I have moved and decided that I wanted to get my CDL. I talked to my PCPs nursing practitioner and she informed me that I should have been weaned off Keppra 5 years ago, show no signs of epilepsy and was put on the Medicine as a precaution pending a test. My old PCP never weaned me off, never tested me for anything and has just been refilling meds for 5 years. Is my situation hopeless?
@Jim
Not hopeless, but you will have to be off the medications for quite a while before you could apply for an interstate CDL. Check with your local drivers license department and see what they have to say about going intra-state only. That gets you started while you are getting through your waiting period. Good Luck
I am officially off (well on a 2 week wean) the Keppra and have a medical release stating the situation, does that make a difference? This is a new development since my last post.
@Jim
Since your medication is used as an anti-epileptic med, you will need to be off this medication for quite a while before any CME is going to move past the wait period. The note from the doctor will be a help, so make sure he gives, as complete as possible, all the available information regarding you, this medication and how it has been being used.
Is there any type medical condition or medications that will disqualify someone for having a CDL Instructor classroom ONLY license?
@Cindy
Simple answer is yes, there are meds and conditions that would be disqualifying. You would need to know what the requirements are for the position and then base your decisions on the requirements. As a CDL instructor classroom only, there will be different requirements for you that are not part of the FMCSA requirements.
I have been prescribed Effexor 75mg for Depression and Phenteramine for weight loss. What do I do if I get sent for a random drug test? My MD is also my DOT physical doctor, however is not the one that does drug screens for my company. Are these meds allowed by DOT? I have read conflicting information.
@Heather
If you are pulled for a random drug screen, then make sure you have access to your doctor’s prescription. That will cover your bases as far as the MRO will be concerned. Proper documentation will cover your situation.
I know the DOT physical does not include a drug test unless requested by employer.
Now my question is, what if a driver has been on vacation the last 10 days and has used some marijuana during the vacation. When they come back from vacation, they have to renew their DOT card.
Granted their are still some traces of THC still in the system, would that show up in the urine screening (even though the company never requested one) along with the regular things they are checking for; diabetes, kidney failure, etc.
@Rodney
Like you read and like you said, there is no drug testing done at the time of the DOT examination, unless the company ask for.
Hi i am taking Methylphendate 2X a day. Will I still be able to drive?
@mike
You will need a medical release form completed by the prescribing physician explaining the reasoning behind this particular drug use. There will be lots of questions due to the wide variety of conditions that this medication is used for, so be prepared.
Is victoza DOT approved?
@Todd
It is very similar to an injectible that has been approved by the DOT. You will need to be on this medication for a while to make sure of its effectiveness and to rule out any potential side effects. (which there are a few – including some that would be seen as a safety issue). Also, make sure you get a medical release form from your prescribing doctor explaining its usage and how you have responded to the medication. You might want to take a recent A1c with you to support your treatment results.
does the DOT physical urinalysis detect prescribed drugs. or do i tell the doctor if i am on a prescription?
@Cal
Nope, the urinalysis is looking for proper kidney function and screens for blood, sugar, and protein.
And — You are required to complete your health history in your medical form, which includes medications.
thanks !
I failed a drug test at my work awhile ago and lost my dot license, i had to see a sap to be evaluated and take a couple classes and report back to him after i was done i took my return to duty drug test passed and resumed normal operations, 3 months later i failed another drug test, does anyone know if i have to go through the same process to get my dot license back? BTW im no longer with this company.
@Aphotic
You will need to check with your local drivers license department and see what they will require for you to redo your cdl. Since the cdl comes from the state that is the place to start.
Thanks for the reply, its not a cdl just a medical card basically to drive a dot certified vehicle.
@Aphotic
That falls within your local state regulations.
I have a Class B license with P and S endorsements. I currently drive a school bus. I have a really bad case of ‘white coat syndrom’ when my blood pressure is checked. My question is: can I take a Xanax prior to my DOT physical to help calm me down for the BP check? I don’t use Xanax regularly.
@Dave
Do you plan on telling the examiner that you are taking a non-prescribed medication to overcome your white coat syndrome? Probably not the best choice.
The examiners know that this is an issue, so explain your situation and go from there. They should be willing to take a multitude of readings over time to get you calmed down. It isn’t based on a single reading.
The Xanax is a prescribed medication by my PCP. He prescribed it for when I go to blood drives and to the the dentist. I thought if I use it before going for my DOT physical and explained to the DOT doctor that I took it to calm my white coat syndrom and that I don’t need it or use it regularly. Your thoughts?
I appreciate your advice. Regards.
@Dave
Most CME’s are going to have questions about your need to take a prescribed anti-anxiety medication to pass a medical certificate examination. Even with your medical doctor filling out a medical release form explaining the situation is going to cause questions. And taking a medication that is going to cause that many questions? Not sure what will happen in this case. What do you do to get through a visit with your own medical doctor? And if that works, why not try that with the DOT examination.
I take citalipram for depression. How long must I be on it and be stable to get my CDL health card?
@Craig
You would need to be on this medication for at least 90 days or longer to determine how you will act and possibly react to the medication. After that you will want to get a medical release form from your prescribing doctor explaining your situation and how you and your condition have responded to the medication.
My husband currently holds a CDL license and has now been prescribed adderall by his doctor. How does he get this approved in order to keep his license?
@Lynn
More questions than answers here. Why was he prescribed this medication, how long has he been on the medication, is he stable with its usage? There are lots of variables here and more information would be needed. Your best bet is to have your primary prescribing doctor fill out a medical release form and take it to a local CME to see what else in the way of information would be needed before he would pass a DOT examination.
My husband was just given Depakote DR 125mg for migraines. Is this approved by DOT? Will they allow him to drive?
@Lydia
Since this drug was just prescribed, your hubby now has an invalid medical certificate due to the facts that he has a condition that has required a new medication that is used for seizures. I know that it is being given for the headaches, but no-one knows how he is going to react to the medication and it has some serious safety issues attached to it. He will need to be on the medication for at least thirty days and when he starts driving again, he will need a new medical certificate. He should also take a medical release form from his prescribing doctor explaining the effects of the medications on the driver and why he is using this medication. That will go a long ways in helping the CME to make the proper decision regarding the driver and his medical fitness for duty status.
Can I take amitriptyline while operating with a CDL license or is it a drug banned by the DOT?
I don’t see an answer to the question about taking amitriptalene. Is this a banned medication for a truck driver
@Matt
It isn’t on a banned list, yet it will cause a lot of questions because of its usages and side effects. So make sure you bring in a medical release form from your doctor explaining what and why you are taking this medication.
Sir, I have had my CDL since 1981. I took my DOT physical last Tuesday 11/3/15. I passed everything with flying colors until I was asked what meds I was on. I have taken Ambien since 2004 so that I can get good sleep. I have been on a 25mg pain patch for 8 yrs for some nerve pain in back and leg. Dr gave me Percocet to take as need up to twice a day. I take 1/2 pill in morning to help get out of bed and one after supper before bed. I drive 2 to 3 times a week on 150-200 mile trips with my own equipment. The lady who was a nurse practitioner said I showed now abnormal behavior and looked to be in great shape. She got my medical report from my regular doc. She said it looked fine but I still have not got my card. She told me yesterday that the DOT DOC said she needed to do more research on the meds. I’m a responsible person and know I can not be impaired in anyway. I never take Ambien less than 8 hours prior to having to get up and drive. I guess my question is if I fail how long do I have to wait to take it again and will I have to do the driving test to get them back if I fail. I was grandfathered in. My last accident was in 1985 on ice. I have no tickets. Can I get a 2nd opinion? Or should I go directly to the DOC who has me in question and set down and speak to him directly. I am very concerned, I’ve been driving for years with same meds and no issue. I have a piece of equipment that will set and I will not put anyone else behind the wheel. To find others who will care for my equipment and maintain it the way I do are almost impossible to find. Its not worth the risk to me.
@Charlie
A medical release form from your prescribing doctor explaining your situation and the medications that you take will be a huge help. Also let the the CME know how much you drive and if you only travel within your state or not. That helps answer any questions that the CME will have. Right now all you need to do is pass the medical physical, and does not effect your drivers license, even if you were to fail at this time and you could re-take your physical in a day or so if you are having issues with the present examiner.
I have a driver in Texas who is taking tylenol 4 with codiene for pain. Can he be disqualified on a dot physical drug test?
@Ricky
If it is prescribed by a doctor and he is taking it as directed, then the MRO will want to see the script to confirm that your driver is doing as directed. He could be disqualified until he can provide the needed information to the MRO, because he will test positive. Once the MRO has what he needs and confirms proper usage, then he will change the test to negative.
I was having trouble sleeping at night so doctor prescribed me diazepam to help my mind settle and let me fall asleep can this prescription cause me to lose my medical card
@Henry
This medication is going to cause a lot of questions. You will need a medical release form from your doctor and he will need to have had you on this medication for a while before allowing you to return to driving. This one is a safety issue due to its known side effects. Your doctor needs you on this medication for a bit so he can support or deny that you are not having any difficulty with its effects.
Trucker docs my doctor has had me on the diazepam for at least a month now is that long enough?
@Henry
This will really depend on why you were prescribed the medications. This med is used for some things that would have you disqualified and some things that thirty days may be enough.
I have been one carbamazepine, and lomotrogine for at least 10 years. I had surgery in 2010 to cure my seizures. I have not had a seizure in 7 years. My doctor gave me a letter stating this. I will only be driving interstate. Can I get my dot card? I’m nervous about listing these meds
@Jimmy
If you are going to be driving interstate, then there will be tons of questions and medical support will be an absolute necessity.
If you are going to be driving intra-state, then there will still be questions and medical support will be needed. You should check with your local drivers license department and see what they have to say. It will depend on what you drive, where you drive and what your status is regarding your medical condition. Your medications will also raise questions, but if supported by your prescribing doctor on a medical release form, then you may be OK.
can i be on mirtazapine 30mg for sleep. i have ben on this medication going on 10 years with no side affects,.my dot doctor wants me to get off medication?my primary doctor says ok to use actually it is good for me to use, allows me to sleep great.
@Mark
The DOT examiner is not in a position to request that you get off of any medication that is properly prescribed by another doctor. The DOT examiner is only supposed to find any supportive information regarding whatever medications you are taking and request additional information from the prescribing physician. Go somewhere else if this is an issue, but make sure you take a medical release form from your prescribing doctor to answer any questions that may arise due to the meds you are taking.
I’m on cumedin do I need a Dr release to go back to driving a cdl job had a dvt
@David
That will be a big help to the DOT examiner. He is looking for supportive information so that he can make the best decision.
I have had my cdl almost 18yrs. About 5-6 yrs ago I had a really bad case of mono after recovering I still felt like I could never get enought sleep, after several sleep test I was diagnosed with hypersomnia, which was caused by damaged the mono did to my brain. I have been successfully diagnosed Provigil for 4-5 yrs. I went to get my new DOT physical ( at the same office I have been going to 12 yrs) well I had a new doctor who refuses to renew my forms, because of the provigil. Is there anything I can do or should I try for disability?
@Ronda
At this point your CME will need a medical release form from your prescribing doctor explaining that you have been on this medication and driving for the past 4 or 5 years and that you are not having any issues with its usage. The CME is only trying to CYA before signing a new medical card. He may also limit your medical card to one year at the time, so be prepared. But the medical release with a good explanation from the prescribing doctor should help.
I take prescription hydrocodone for tailbone pain. Will this fail me on a DOT drug screen?
@Doug
Yes and no. Yes will test positive and no if you can provide the MRO with a copy of your prescription from your prescribing doctor, then the MRO can make the same test negative.
I’ve been taking since 1999 @ different times different narcotic pain pills. I have chronic pain in my back and have had multiple surgeries and procedures. I’ve took legally with script Vicodin , morphine, OxyContin and lord knows what else. I have took dozens of random tests and hire drug test. I have never had an issue with an Mro calling me about these, I have always passed these test. I don’t understand why they have never once called. I have usually quite a bit in my system also. I always took these by the prescribed amount . I guess I’m so used to them they just have never affected my driving. Thanks everyone be safe out there!
9 years ago I had a pain killer addiction, all my money went to pills. A friend told me about the suboxone program. From that point on my life got better. I’ve been on suboxone 9 years. I drove a van 12 hours a day 6 days week. I drove 150 to 200 miles a day. I haven’t had an accident in over 9 years. Don’t know why there’s such a problem with suboxone?
@Tom
The CME must be helped to understand why you take this medication. So get a medical release form from you doctor explaining why you take this medication and how it is being used. That will help the CME make a better informed decisions. FMCSA is not monitoring what is being taught in the CME programs and there is a lot of confusion regarding this medication. Just remember it’s all about having a safe driver behind the wheel.
Thank you for your input . keep up the good work doc, your helping a lot of people. I wish all the doctors had your knowledge.
@Tom
Thank you for your appreciation. It goes a long way. Be safe and best wishes.
No medical examiner will give you a dot card even with a release from your prescribing dr in suboxone. It’s bullshit
I NEED HELP ASAP
I applied for a cdl truck job with Western Express. I am a type 2 diabete and take insulin. The DOT doctor at Western Express told me that I can’t drive and be on insulin. My diabetes was under control with insulin and medications. So I went to my primary doctor and after his examination, my doctor removed me from insulin and said my diabetes would be under control with just medication only. My A1C is 5.9, which is perfect. The doctor gave me a letter to give to the DOT Doctor explain that my diabetes is under control
The DOT Doctor at Western Express said that I needed to wait 90 days before I can drive.
I need to work. So what can I do or what form do I need to fill out to give to the DOT Doctor so that I can drive.
SO PLEASE HELP ME. If I can’t work I will be homesless.
Thank you
@Carl
Well the CME is going by the FMCSA guidelines and he has to follow the guideline recommendations.
You have just been taken off of your insulin and no one is 100% positive that you’ll be fine. So the 90 day wait is to confirm that you are OK without the insulin and that you are safe to operate a commercial motor vehicle.
Hello, I was diagnosed with adhd about a year ago and was prescribed wellbutrin for it(switched from adderall due to sides). Could you tell me if taking this would disqualify me from becoming a truck driver?
@Adam
This medication will cause questions, but if you have been on this drug for a while and your doctor will fill out a medical release form stating how you have used the medication and whether or not you are having any difficulties, then you might find a CME that will work with you. Remember it’s about safety to you and the public at large. This medication has side-effects that would cause any CME to have lots of questions and will need plenty of supporting documentation for you to consider driving commercially.
I take adderall , when the trucking company sent me for a random it was positive of course, long story short the MRO did not verify that it’s prescribed to me and I was fired, since then I have provided the MRO with a letter from my doctor with the information on it that they needed but they still have not cleared my record or notified the employer, so if I get an attorney can I have it cleared up? I’ve been driving for 17 years and now can’t get a job in Tennessee.
@Chris
So the MRO tries to get hold of you and can’t so he make the test results positive. And now you come back with support from your doctor. Why didn’t you do that to begin with? Have no idea what the attorney will be able to do, but should be able to get it cleared up. Not sure why you can’t get a job driving, since this information is keep private.
In Tennessee the DAC says policy violation, and DOT applications have a form you have to sign giving the last employer the ok to release your drug and alcohol results, because if you have a positive drug screen then it’s against the law for a company to hire you to drive unless you have gone through a SAP program, so I don’t understand why everyone keeps saying that the information is private, but if you want to drive a truck you have to sign the form for the release of the information, and the MRO did get in touch with me about the positive results and I gave him the information he asked for about me being prescribed the medication, so I did do this to begin with but it still happened, I understand that mistakes happen and this being the only mistake for me after 17 years I can’t complain, but them not clearing it up soon after so I could have gotten my job back, so I believe I have every right to complain now, my attorney said he has 6 other cases just like mine, because the labs process so many everyday,that they make mistakes, so my opinion is with all companies drug testing now that something needs to be done to prevent these mistakes, like every positive drug screen be verified with the prescribed physician, you should have to fill out a form when you take a drug screen with the medication you take and your doctors information. Thanks for your reply but since I have done everything I can to try and get them iyo clear this up and they have done nothing so I had to get an attorney and sue them because this is my career and how I support my family,I mean it’s been 6 months they have had plenty of time to make it right but they have never called me not once since its been going on, and when I call them ,the nurse is very rude, and no I have not been rude at all, they had their chance, I will not settle.
I was just given a prescription for Tramadol 50 mg, is this ok to take while I drive? I don’t want to lose my CDL.
@Bill
Until you have been taking this medication for a while and see how you are going to react to it, then you should not be driving and taking the meds due to the fact that their side-effects would, potentially, make you an unsafe driver.
My hubby is a long haul driver for a Wisconsin company, he takes 3 scheduled prescription medications, he takes 2 OTC suppliments, is it ok to set these up in a daily planner, or do they have to be kept in the original container. If I can set up the planner, does he have to carry the original bottles. Or will a med list with a picture of the script be acceptable.
@Judy
As long as the driver can support evidence of the prescriptions, then there should not be a problem. If he is drug screened and one of the medications causes a positive, then he will need to be able to send the MRO a copy of the prescription.
Question, Is Xantex a controlled substance or a banned substance for a California commercial driver. Thank you
@Stephen
You would want to check with California about what is acceptable in California.
As a commercial driver, you want to have your prescribing doctor issue you a medical release form to explain your need and dosage for this medication, if you travel out of state.
I have work for 3years and bin on methedone for 5years, now a couple days ago I came back from short std for breaking foot. I bin back 3week n they keep messing with me. So I said let go to lab core to give a urine because I’m sick people saying discrimination thing about me. So I go I give my urine n told them I’m on methedone again when I got job I said same thing. Now I ask them not to disclose to my company what medication I’m on hipa laws I didn’t want them no.so I passed test gave physical again. Doctor came in and treated me like I was a junky & told me I can’t drive regular class cars or trucks at work. But I only need a regular to drive. So they told my company what I was prescribed, with out my permission, they told me to get note saying I can drive. So I went to my doc &he gave letter. I come in next day n was told to leave n don’t come back with out a sign paper saying my job duty. Now how can they no what I’m on & now being treat like a drug attick. Making me lose wages. In long run they are trying to fire me because I’m on methedone. Now rember I bin working years there on it. I tell one doctor &now they say I can’t. By way I’m I’m in restoration work not heavy machine opoerator
I am a CDL class A driver for 27 years. In 1996 I was hit head on by a drunk driver in my car off duty and suffered T.B.I. closed head injuries and have had a headache every since therefore I’ve had to take prescription pain meds every since in one form or another. ie. tramadol, lortab Percocet vicadin and even oxycontin. I have had to switch it around every now and then because of the body getting used to the meds. I refuse to take the oxycontin anymore but am currently on Percocet 10/325 up to 5 per day but I don’t take very many while driving even though they don’t affect my driving ability. However it was time to re-cert my physical and the DOT-DOC decided that I would be unfit to drive commercially. I have researched the laws governing narcotics and the commercial driver and I understand that he can request a letter from my PCP that prescribes the meds. but I don’t see anywhere that he can just flat deny me without even requesting that letter. Also this same DOT-DOC has done my 2 year physical a number of times without prejudice knowing that I was taking the same meds plus more that I have since stopped taking like xanax from the anxiety caused by the TBI. Any advice would be appreciated.
@Tony
Your CME may be over-reading the guidelines and is not willing to take, what he perceives to be, the risk of putting you behind the wheel of a CMV. You are taking medications that would limit your medical card to one year at the time, but you do need a medical release form from your PCP, explaining your situation and needs for the meds that you take. So get the release and go somewhere else for your second opinion.
Can I take Byetta for Diabetes and still keep my CDL? It is non-insulin but is an injection.
@Tonya
Yes, just make sure you take a medical release form from your prescribing doctor along with your most recent test results.
Are School Bus Drivers on a fentanyl patch, allowed to drive?
@Leon
Not enough information to fully answer this question.
As a class A driver traveling interstate, you would not be qualified. But if you are a lesser license then you would need to check with your state.
I have deginative disk disease in the L area of my back.
I take morphine sulfate ir 25mgs prn once to twice a day for pain control and i have hydrocodone for breakout pain. I get up at 3am and take one then and somedays i need take one again when i go to bed or I just take the hydrocodone instead. I am very stable and have been on the meds for the past 10yrs. I have had my cdl med card renewed every year since I am given just a one year card. Will the new rules keep my from getting my dot card?
@D Burnett
If you passed last year, then there are no new rulings that will disqualify you now.
First, I would just like to apologize for the following lengthy topic/question which has been causing me to lose sleep for a little while now, but I really need clarification..
I am planning on getting my CDL to drive OTR but after spending the last couple hours reading through these Q&A’s, now I’m a bit confused regarding a certain topic – not to mention pretty discouraged. Here’s my situation…
For approximately 5 years my doctor has been prescribing me pain medication for a couple problems with my back (confirmed with MRI reports). Over the years my tolerance for the medications has grown and so have the strengths of these meds to the point where currently I am prescribed 80mg Oxycontin 2x/day which is the long-acting AND ALSO 30mg Oxycodone 4x/day for breakthrough pain..I know, it’s a very heavy dose. Well, recently I’ve realized and have had to come to terms with the unfortunate fact that these medications have actually taken hold of and ‘got a hook in me’, so to speak. Since after bringing this problem out of the shadows and admitting that it has become a problem (within the last couple weeks) I have sat down with my prescribing doctor (two days ago) and discussed it with him. His suggestion is to wean me off by reducing the amounts 25% a month until off.. However, my position is that I just want this garbage out of my life completely, NOW! The only problem with my idea is that on the strengths I’ve been on for so long there will no doubt be some serious withdrawls trying to quit cold turkey.
I did some research and came across a medication that prevents the withdrawls called Suboxone. But after reading many of the Q&A’s here regarding Suboxone, I’m a bit confused if this is a medication that will absolutely disqualify/prevent me from obtaining my CDL and driving OTR. Some of the answers seemed to contradict others and ranged from being a definate disqualifier to being dependent on a doctors note and/or up to the discretion of the person administering the test, so thats where I am confused.. It sounds like it is a gray area so please go into detail as to when, if ever, is Suboxone acceptable. Are there any CDL jobs that would allow the use of Suboxone and if so, which ones?
I do not want to risk the opportunity to begin a new career in driving but I’m in a tough position because although I am committed to getting off the pain meds ASAP, the looming withdrawl stage is terrifying to me.. If it means the difference between being able to get my CDL or not and Suboxone is the deciding factor then I don’t want to touch it, which I guess in turn just means I have to be miserable for a week or two, so a thorough and in-depth understanding of this medication in the realm of the CDL driving world would be greatly appreciated.
Thank you in advance for taking the time to read and respond to my questions and concerns.
Signed,
Losing Hope
@Discouraged
Based on the information that you are giving right now, suboxone will be a disqualifier for the CDL, because you are not presently using this medication and you would be using it to get you off medications that are very addicting. Both of these issues are going to disqualify you from a CDL at this time. Also, because you are trying to get off of addictive medications at this time, you would not pass the medical certification process, you are not fit for duty, according to the FMCSA guidelines.
So first take your time and get off the present medications. Then see what, if anything, is needed for your pain situation. Then you can go from there.
Thank you for taking the time to read and respond to my issue/questions. I have a few follow-up questions I was hoping you could answer for me..
So, you are correct that Suboxone is also addictive and I do not want to exchange one addictive medication for another so I decided not to start taking the Suboxone and instead just deal with getting off the current meds and then being done completely with any and all opiate based pain medications. My first question is, once I do get off of the pain meds and my body is completely clear of it can I then proceed with getting my CDL without any issues pertaining to this subject or would the medical examiner make me wait a period of time for some reason and if so, why and how long could I be delayed? This question is assuming I have quit the pain meds completely without any problems and my body had rid them entirely.
My next question is based on the paperwork that must be filled out prior to meeting with the medical examiner. I found it online and there is one question which asks “Do you have chronic lower back pain?” My answer would be yes ,however, if I am not taking any pain medication for my lower back pain and the pain is manageable and not debilitating in anyway, would there be an issue with answering yes to that question?
The other questions I have are does the Medical Examiner have access to the Colorado State pharmacy database and also my medical records? The reason I ask about having access to the pharmacy database is what if the medical examiner looks into that database and finds that I previously was being prescribed pain medication on a consistent basis (from the same doctor) and would that present an issue even though it was previously happening but not currently happening?
I really would like to get my commercial drivers license and I will do any thing required of me and take any advice I am given to lead me down this path to a new career. I greatly appreciate you taking your time and thank you in advance for your response.
@Discouraged
Start with getting off the medications and see how you’re doing.
Once you are cleared by your primary prescribing doctor, get a medical release form from him indicating how long you have been free from the medications and if you are having issues with your lower back, what new meds he may have placed you on.
You would want to answer yes to the chronic lower back pain, but if under control, simply state how you are handling the issue. Keep your PCP in the loop and a medical release form in hand before you start the process with the DOT.
I am looking at getting a DOT Physical card for a 14,500 lb GVWR or less truck that is less than 50 local miles driven each day and I have been on Suboxone for 3 almost 4 years. Is this going to be a problem? I understand it would be it it was for a CDL but is it for just a medical card?
@Chris
If you are intra-state only and need just a medical card, then check with your local drivers license department and see what they say. For DOT you will need a medical release form from your doctor explain your situation. With that a CME can make his decision.
Suboxone doesn’t show up on drug screen unless they look for it itself.
Suboxone doesn’t show up on drug screen unless they are actually looking for it, this is the case in Tennessee, I no for a fact.
Hi I suffer from trigeminal neuralgia, and I am taking carbamazepine, topamax and tram afoul. I’ve had this condition for about 4-5 years. Would this stop me from getting a DOT certificate? I won’t be driving but rather be working as a mechanic
@John
Will you be driving interstate at all or just intra-state? Will you have a class A or some other class license?
I am on Strattera for ADHD, Gabapentin for anxiety cause by my ADHD and Acomprosate for drinking will I be disqualified even with a release letter from my Doctor??????
@Micah
You are going to be ask questions regarding any and all of your conditions and your present situation. So start with having your primary doctor complete a medical release form for you before you go for the examination. This information is very helpful to the CME when having to make his final decision. Each person should be evaluated on a one on one basis, so any and all information that you can provide is a step in the right direction.
If I am going for a DOT physical only will the examiner already know what prescriptions I am being prescribed.
@Billy
No, you will be ask both on the federal form and by the CME. It is up to you to tell the truth. And if you are taking medications, it would be best if you have a medical release form from your doctor before you take the DOT examination.
Thank you for the information..
I have a driver with a sick daughter. He is think of donating his kidney in the next year. Would this affect him passing his physical? He is worried this will make him stop driving a truck.
@jstaff08
Once fully recovered and with a medical release form filled out by his surgeon and primary doctor explaining his situation and condition and as long as he can pass the medical examination as being fit for duty, then he should be OK.
Just remember it is a case by case evaluation, but he should not have any major problems once he is fully recovered.
I’ve taken both morphine and oxycodone for more than 10 years due to chronic pain resulting from a gunshot wound and have never had any side effects. Will I automatically be disqualified from driving a school bus? I also take maintenance drugs since undergoing bypass surgery 3 years ago. There have been no side effects with any of these drugs either. Please advise, your help would be appreciated.
@Steve
You are taking medications that are going to cause many questions. Your best bet is to get a medical release form completed by your primary prescribing doctor explaining your situation and conditions. Also, depending on what class of drivers license and what state you are going to be driving in, will come into consideration. With the medications that you are taking right now and driving a school bus full of children, you will have to answer a lot of questions because the risk factors are so very high.
How long after a patient has been discontinued from Methadone can qualify for commercial driver license in California?
@Gloria
You are going to need a medical release form from your doctors explaining when you came off the medication and what your present status is. It is not about a time frame as much as a how are you handling things today. Also what is the possible fall back to a narcotic intervention. Each case is handled on a individual basis and needs to be supported with proper documentation.
California has its own set of rules and regulations that sometimes go hand in hand with the FMCSA and at other times don’t. First check with your local Drivers License Department and see what they have in the way of rules for this situation.
Thank you very much!!
Im a truck driver,im on doctor prescribed vyvanse can i fail a d.o.t. drug test for this
@Charles
You wouldn’t fail the test if you have a valid prescription from your primary doctor.
The DOT drug test may come back positive, but the MRO will contact you for a copy of the prescription and then re-test the split sample. If you take your meds as prescribed and the split confirms it, then your drug test is negative.
Is Lirglutide (Victoza) allowed for a DOT Physical for passing?
@Jenny
Make sure you bring a medical release form from your doctor and a copy of your last A1c for the CME to view. Otherwise you should not have any issues.
Which diabetic medications are you allowed to take and still pass the DOT physical?
@Randy
All depends on the type of diabetes. Some medications will fly with very little explanation and a copy of a medical release form. Others won’t fly at all. Everything depends on what type of diabetes.
Do they test for benzodiazapines in the new hair follicle testing that some companies do? I take both a benzo and Suboxone and I took just a DOT physical awhile back without a drugscreen and she passed me with a one year card and I was honest about what I was taking and explained to her the dosage and reason why…….I am wondering if the hair follicle test is just a standard 5 panal test that they just use to go back farther with or do they test anywhere for specific suboxone and benzos….Im not gonna lie I just dont want to waste their time or mine if they test for it and I dont have proper paperwork……So is it tested for or not? I do know that I used to take proper paperwork from doctor in there and it was no big deal because neither showed up and they just asked why I was taking it and that was it I would get a card now its changed
@Sam
With the routine drug testing, you could explain your situation and the MRO would be able to determine the usage and would only need a copy of your prescription. With the hair testing, I believe the situation will remain the same. Since we have not seen much information regarding hair testing, due to its expense, we don’t have much much input. Just be prepared to have a copy of your medications and copy of your prescription on hand.
Ok…I will give it a shot. Thankk you for the input its just so confusing this hair testing thing I understand on one hand and the other I dont with them going back farther what dufference does it make what you took 3 months ago as long as you dont take it anymore and ever since I have been on a low dose of suboxone I have been truthful and had no problems. I have been told be some doctors that if I was on higher doses that it might affect my card but at a low dose some will give me a one year card and some will give a 2 year it seems like its a roll of the dice anymore……I think they just have themselves confused with this hair testing thing….Just my opinion is all and we all know what they say about opinions.
Sam
I am not applying for a truck driving position but I am applying for a position with the postal service and Have a question. I take phentermine 15mg twice daily for obesity which resulted in pre diabetes, I am no longer obese just chunky but my numbers for pre diabetes has not dropped. My doctor has recommended that I continue the 6month course of phentermine, will I be able to pass a pre employment drug test? I have a a valid prescription from my physician. should I stop taking the phentermine ????
@Jessyca
As long as you are not spilling sugar into your urine, then all you need is a medical release from your doctor explaining what is going on. You should be good to go from there.
I’m applying for a truck driver position that doesn’t require a c.d.l. But I still need a D.O.T. physical. This is not a drug test physical, just a regular D.O.T. physical. Does the doctor that’s doing the physical see my medical records? I only ask this question because I’m prescribed percocet & I would rather not mention my medication’s if I don’t have to. My primary doctor knows I’m looking for a driving position because of my back pain. I’ve been handling heavy boxes/cases in the warehouse field for about 15 years,so we thought driving a truck would be better for my back. What should I do? Do they see my medical records if there not performing a drug test?
@Dennis
There really is no reason to hide your properly prescribed medications.
You are going to operating a smaller than CDL truck so only your employer is going to drug test you for pre-hire. So you will have to answer the MRO-medical review officers- question about your meds and if they negatively effect you in any way. Don’t worry about the examination, the CME does not have access to your medical records except for what you provide for him. It’s the pre-hire drug screen that will cause you any questions.
I have a perscription for percocet for a herniated disc in my lower back & I also take lyrica and gabbapentin with perscription for numbness i sometimes get in an area on the topof my left thigh. I am not a diabetic nor do I have high blood pressure. The percocet was perscribed by my primary doctor & the lyrica & gabbapentin was perscribed by my Neorolagist. My question is can I get a D.O.T. card?
@Dennis
It will depend on the class of your license. Class A, you are going to need a medical release form from your doctor explaining your medications and their needs and effects.
Class D and all you need is a medical card to operate a smaller vehicle, then a medical release form and you should be good to go.
In New York State State can I drive a school bus if I have peripheral neuropathy
@Mike
That would best be answered from your local/state drivers license department. Each state is a little different and your local DLD should best answer this question.
can you be cal certified taking suboxone
@Steve
All depends on the reasoning behind the prescription. A doctors medical release form will be a big help to the CME doing the examination. Have your doctor explain why you are taking the medication and what his prognosis is for getting off the medication, if at all possible.
Hi i’m in the same boat. I just went for my d.o.t physical and passed with flying colors but I was honest and and told him I was on suboxone and he automatically disqualified me also did a pre employment drug screen which today notified my employer but the thing that gets me is my employer told me he was going to notify the registry and they were going to take away my CDL.can he even do that?
@Nick
They can’t take your CDL away from you, only your medical certificate. Once you have resolved the medication malfunction, you can renew your medical certificate.
Will Invokana make it so I can’t pass the urine test on dot physical? or can I get a paper from my doctor so I can pass it.?
@Esther
For this medication you will need a medical release form from your doctor and your latest A1c. That helps the CME with his decision making process by having all the information when he starts the examination.
I HAVE TO TAKE LEVOTHROID OR SYNTHROID FOR HYPOTHYROIDISM. I HAVE A CDL AND AM A TRUCK DRIVER. CAN I DRIVE TAKING EITHER OF THESE MEDICATIONS?
@Steve
Make sure you take a medical release form from your prescribing doctor explaining your condition. With the release in hand at the time of the examination, you should not have any issues.
I have had two heart attacks,the first one in 2011 that required a quadruple bypass. the second one June 30th 2015.Here is the list of meds I currently take. Are there any that would be disqualifying, and Im I going to have problems keeping my medical card. thanks
Atorvastatin
Carvedilol
Plavix
Losartan
Nitroglycerin
@Phillip
Following a heart attack you need a healing period before you can sit for your next medical to return to work. Since you have had a second heart attack recently, you will need a stress test every two years and a medical release form completed by your cardiologist before you go for the DOT examination.
Then based on that information, the CME will make his recommendations. Your doctor needs to explain what and why you are on the medications that you take and what the potential safety issues that may arise from their usage. Based on the cardiologist findings and medical release form you will probably be limited to a one year card and a stress test every two years.
I’m taking trazodone 50 mg tab. Will it prevent me from passing my D.O.T physicol?
@Javier
If this medication is controlling your situation, then make sure you take a medical release form from your doctor explaining your needs and the other effects that you may experience while on these meds. With the proper information from your prescribing doctor, the CME can make a better and more informed decision regarding you driving and taking this medication.
Do vitamins and OTR ibuprofen violate DOT regulations? Do you have to have a script for them?
@Cantrell
If any medication, like ibuprofen, or OTC vitamins are being used then you may need an explanation for its use, but what the CME is most concerned about is the possible side effects. Is it safe, are there possible effects that could cause the driver to lose control of the CMV that he is operating, etc? If your doctor recommended a specific OTC medication or vitamin, then a note to the CME would simply help him make a better informed decision.
I was a otr driver for 12 years. In that time i was prescribed celexa 20mg a day. I got out of driving a semi for 5 years and am going back into driving a semi. My docter gave me the celexa for a slight conversation disorder? “Stress i belive”. Am i leagle to still take this medication? I have a d.o.t. drug screen and physical and am not sure what has changed in the past 5 years with medications. Thank you!! Again, celexa 20mg dayley for slight conversion disorder from i.u. medical centers of Indianapolis indiana.. one other question? Will the d.o.t. even test for this drug or will it even show up? Happy 4th of july doc!!
@Rod
Due to this medication’s potential side effects you are going to have to answer some questions. Get your primary prescribing doctor to fill out a medical release form for you. The release will answer most of the questions that a CME is going to have.
As far as drug testing, if you have a prescription and the MRO can get information from your primary, then you should not have any issues.
Happy 4th to All!
Will taking buspirone 10mg twice a day Keep me from getting my DOT card or passing my DOT examination? Thanks
@Herman
This medication will pose many questions for the DOT examiner. Start with a medical release form from your prescribing doctor, explaining your situation and how you have handled the medication. The side-effects and possible other effects may be in question. Also indicate how long you have been on this medication. All this information done before you get the examination will be a huge help before you get started on the DOT medical examination.
my doctor prescribed Norco for back pain will this disquailify me from driving with a cdl don’t plan on taking while driving
@gregg
It’s going to pop positive on a drug scan and will effect your ability to operate a CMV. So, if taken as prescribed and not during driving hours, you may be alright. Make sure you have a copy of your prescription with you for any drug testing.
@Trucker Docs & Gregg, sorry about the book…
Usually Norco is given short term, however it has been prescribed successfully as a long term narcotic in the setting of chronic pain.
I’ve had rheumatoid arthritis for 5+ years, I’m on over a dozen prescription meds including Norco that has been dose stable for 5 years.
I’ve had 3 DOT physicals with 3 different CME’s (all two year) since my diagnosis and fully disclosed all meds.
The last CME was registered and the physical was done after the new regulations. I never knew about the release form until I visited this site today. I did bring my previous long form, done by my family doctor who isn’t getting a cert as he only has 2 patients that need DOT physicals, to my most recent physical. I had no problems.
I take Norco while I’m driving, the only effect it has is pain relief from the joint pain that is always present somewhere. ‘Forever’ pain, even when it isn’t severe can be physically exhausting. I didn’t drive at first, but after so many years at the same dose- 20 to 60 mg a day my side effects are nil.
I’ve never tested positive on a drug test, not even a call back. I asked the drug test place why it never showed up and they said if I’m taking it as prescribed it generally won’t.
So the bottom line is this- be totally honest with all providers and the CME. Don’t drive if you have side effects! Do drive if you don’t! You must be the judge on this. Sometimes the effect of pain on our driving skills is dangerous so know when you need to rest and plan trips accordingly. My long form has a statement written by the doctor- “these medications do not interfere with this driver’s ability to operate a cmv”.
@Gregg, I hope your pain is never chronic. If it is do what you can and stay out of the ‘pain’ clinics. If you love to drive it is one of the best therapies.
I know Suboxone is a testy subject regarding CDL medical exams. I have been taking 2mg Suboxone since 2009 and have a Medical Release Opinion Form filled out by my prescribing doctor. The reason my doctor wrote for prescribing me Suboxone is Opiate Dependency Disorder, which is true, but it doesn’t go into any detail as to why I was prescribed opiates in the first place. Is it pretty much up to the examining officers opinion whether I get cleared or not? I went to a walk in clinic to get the exam done on my own dime first to make sure I could pass, but I did not have the Medical Release Opinion Form yet and they said I could not be cleared while taking Suboxone. With the form filled out, will that make it so I’m able to be cleared?
@Matt
This really depends on the examiner. If the examiner actually understands what the drivers do and what they need, then you may not have any issues, once you have your medical release form completed by your primary prescribing doctor. If you go back to the same place, you won’t pass. It’s because there are guidelines in place that are being mis-read. So get the release and then go for another examination with someone who understands the driving community.
Hi doctor quick question I have a herniated disc in my lower back that causes pain but it normally only affects me at night while I am trying to sleep. My doctor prescribed me Percocet to take at bedtime he gave me clearance and said it won’t affect me driving in the morning at all as long as I get a good night sleep. With his authorization can the doctors on my job stop me from working even with his clearance? I am very careful how I take this and only take it before bed if needed but I am working for the city and I am still on probation and don’t want this to cause me my job. I thank you in advance for your answer.
@Kevin
With proper documentation from your prescribing doctor, you should be able to continue working. You may be drug tested and more than likely your test will be positive. With a prescription from the primary prescribing doctor, your drug test should then be negative via the MRO’s report, but proper documentation is going to be the key here.
If I ask my doctor to prescribe Viagra or Cialis to me, is this disqualifying?
@ Jason
Not that I am aware of. These meds do not disqualify you from anything.
Does anyone know off hand what the average wait time is to get an Insulin Exception approved by DOT. I was scheduled to go to class for a big company, even put in my 2 week notice at my current job but was then told by the recruiter that I would have to get an exception approved by the DOT before I could even start. According to the DOT website, they have up to 6 months to get my approval back. Are you kidding me? My position has already been filled even though I rescinded my resignation less then 24 hrs. after giving it. Any answers would be greatly appreciated.
@ Kathy
DOT website says six months, but I have seen them come back a little sooner than that. But I would not hold my breath for it. The FMCSA is just giving themselves a broad window to operate within.
I am a Canadian commercial truck driver and have been prescribed morphine for over twelve years for chronic pain syndrome. I have in the past while on the prescribed meds drove long haul US loads for three different companies all the while complying with and participating in random drug testing. I have been off the road for almost three years(my choice) but have now decided to return to the trucking industry. The first large company I interviewed with has expressed issue with this. In the past when I would provide a urine sample I would receive a call from the MRO who would interview me asking such questions such as are you taking your pain meds as prescribed by your DR. and do they have any effect on your ability to operate a truck etc. This company thinks that I am disqualified from driving US because of it. I believe as a Canadian driver the completion and passing of my Class ABZ commercial drivers medical in Ontario which lists my meds and that they do not effect my ability to drive a truck or bus which is completed and signed by my family Dr. is accepted as a valid medical card, Can you please help clarify this? Also I have been weaning myself off the morphine in small increments for six months, recently my Dr. has prescribed Clonidine to help address the withdrawal effects of this is this an issue? Finally it has been suggested by my Dr. that to help complete the total removal from the morphine use, that I take Suboxone for a short time, is there an issue with this drug.
I would appreciate your input;
Don
@Don
Suboxone will be a big issue, so don’t head in that direction. If your doctor will complete a medical release form for you indicating the needs and usage of your present medications, then the release will explain your long term usage and its effect on you. You have been on this medication for years, all that is needed is a solid explanation to the CME so that he has all the available information to make an intelligent decision.
Don
If it helps, I recently was going to return to trucking also and am on Suboxone and yes it has become and extreme issue I used to take it before when I drove and same as you show my bottle and script and all was good but companies are tightening up now so stay away from suboxone if possible. Yes it would help you but you just trade one addiction for another a lot of times so thats just a little FYI for you
Good Luck Brother
So are you saying that Suboxone, the supposed cure for my 14 year pain med dependency is worse than remaining on the morphine? By the way my situation started with Tylenol with codeine, escalated to straight codeine tablets and then to morphine in increasing prescribed strength as the years went by. All the while I was told by Dr. after Dr. and by several orthopaedic surgeons that as long as I was afflicted with chronic pain that I would never become addicted and Workers Comp seemed to be of the same opinion as they would rather pay for five hundred dollars worth of narcotics every month instead of covering say a third of that amount in physical therapy or chiropractic care which had been helping but not fast enough to satisfy Comp.
Don
@ Don
With proper documentation on the medical release form, you may be OK.
Where my problem came in one when my company has all of a sudden decided they are going to do Hair Follicle testing where they cut hair off and test……it goes back 3 months……..I was trying then my company kept telling me that suboxone is a narcotic and its diqualifying to us so you may not drive on it……so I was basically screwed my driving career down toilet because this companies doctor would not listen to anything positive about it he already had in his mind that it was bad and that you could not drive on it so I was just left out in cold…..he told me to hit the road that no way was I driving for them
Good Luck to you
My son is a trucker. He has a lot of back and neck pain. In the past his doctor has prescribed both flexeril and lortab on and off but he has gotten conflicting information regarding the legality of taking them. The question is simple. Is there a pain medication that is legal to take as long as a doctor has prescribed it?
@Nancy
You need a medical release form completed by your primary prescribing doctor. He will need to explain the need and the usage of the medications that he is prescribing. FMCSA is looking to keep everybody safe. These medications can effect the drivers ability to perform their duties safely. All pain medications are going to have to have a medical release form completed by the primary doctor with a solid explanation for usages.
I am confused and I know the question has been asked about suboxone, I drove a truck back in the 2000s and would fill out my form for DOT physical and put suboxone down but then it would never show up on a drug screen so I would get asked questions by doctor doing physical and show him/her the bottle and get a card. Now they do all kind of testing a friend had hair testing. Did the DOT get stricter now and go farther than just the mandated 5 Panal test they used to do? I was going to go with same company but I cant because Im sure I will probably be failed due to suboxone which I have taken 10 years and funny thing I worked for this company before while taking suboxone this has me all confused…I know it can cause bad side affects for people just starting but being on it this long I feel no affects and I cant take anything else bad and switch around as I have to go monthly to doctor to get it and he drug tests me everytime before he will give me a script So obviously the DOT is tightening up or they are allowing more than the 5 Panal test they used to mandate
@Steven
Companies are tighten the drug testing, not the DOT, at least not yet.
All DOT drug screens look for the same things that they did a few years ago.
Also, if you have a proper prescription from your doctor then there is no need to worry about testing positive. The prescription from your primary doctor will take a positive test and turn it to a properly prescribed medication/negative.
Hi
So it will even turn a suboxone script from a positive to a negative or do you need other info now
@Steven
From a drug testing stand point the properly used prescription with a copy of the prescription and the doctors name should clear you for the drug test.
From a DOT medical examiners stand point you will want to get a medical release form from your prescribing doctor, and be ready to answer a bunch of questions.
If a drive is diagnosed with add and they give him prescription for methylphenidate is it okay to drive and still maintain your dot card in the state of mass.
@David
Best bet is to take the medications for a period of time prior to going back to driving. You and the doctor don’t know how you are going to react to the medications and there are side-effects that would be potentially dangerous for a driver. So test it out first, see how it works for you and then go back to driving, with a prescribing doctors medical release form in hand.
Hi
I have a question……I notice some companies including the one I am going to work for now do Hair Follicle Testing………is this still a 5 Panal Test or do they test for more. I also heard that some examining Drs. now look at some national database for perscription drugs when examing an applicant. Is this true? I mean I am honest and all but just wondering because this is all new to me since I have not driven since 2009 so I was just wondering, this hair follicle is completely new
Thnak
Kenny
@Kenny V
When the employer is requesting the test, they can ask for whatever they want.
In most cases they are looking for schedule one drugs, not standard prescription medications.
Ok, thank you…..goes to show what I know……..I thought it all had to be the 5 panal test thats why it confused me…….no I dont take schedule one drugs or anything but like I said it was new so I was like this is wierd because I thought they could only Use a 5 panal test test at least this is what I was always told then I go to work for this employer and they go cutting some of my hair off
I had open heart surgery on Mar 31. The Doctors put me on Eliquis for my heart, Lipitor for my cholesterol and Nuvigil for sleep apnea. When they realized they had to do an ablation for Arrhythmia, they put me on Lisinopril and Carvedilol. I had the procedure about 6 weeks ago. can I get my medical card while on all these medications? Lisinopril and carvedilol both say not to drive or operate equipment while taking until familiar to the effects. Do I just need to get my cardiologist to sign off on them?
Thanks
@Ted
First you need to be fully healed and fully recovered from the surgery. Then once you are there you will want to have your cardiologist fill out a medical release form for you. By then he may remove some of your medications and the list may be short. When you are at that point, your questions may have changed. You are just a little ahead of yourself here. Get healed up and then go from there. Good Luck.
Hello,
Maybe some can clear this up for. I have DOT physical card that is still valid. I have no experience driving a truck I am considering a driving school I passed all my written tests ect.
Now the issue I have is Medicines I have prescriptions that I take that i take that may not be allowed
Klonipin being one of them.
I also have a note from my doctor stating “patient cleared to drive with DOT regulations with current medication regime.
All sounds good but inst it the insurance company that makes the judgement call?
If I go too a driving school and I pay Im sure I can get a CDL but can I get hired?
I may also go to a school that train you and then you drive for them for a year to pay off the school
Will they accept me?
Maybe I can Finally find out.
Thanks so much
@Phillip
If your doctor is a CME and can justify why you are taking these medications and he feels that you are safe to drive, then get a card from him. Otherwise you are going to have difficulty getting into driving school, if you are considering over-the-road driving.
Your medications are the issue. Your doctor should know whether the medications will allow you to pass.
As a CME, there would be lots of questions to be able to justify you being behind the wheel while on these meds. Start with a proper medical release form from your prescribing doctor and then check with your state drivers license department. You may be able to drive intra-state only while taking these meds.
I have been on clonazepam for 9 years. I have had a medical card and been driving. I applied for a new job and this time the doc has a problem with the clonazepam. I don’t understand why. Please help
@ Steve
Start with a medical release form from your primary doctor explaining your situation and need for the meds. That release should answer most of the CME’s questions and gives the CME enough information to make a good decision.
i know a person still driving over the road but he`s on total disability can he still obtain a medical card and still drive?
@ Vern
Some of the drivers have some level of disability, but they still need to be able to pass the medical examination. The examination is designed to determine ‘medical fitness for duty’. If a driver is on total disability and is drawing funds of the government and he is driving and gets found out, the fed’s will fine him and want their money back, because he is not totally disabled. He’s working for a living and asking you and I to foot his other funds. Not good for anybody at this point.
Just prescribed Prednisone 50 mg for the next 5 days for Gout. Is this DOT legal for a truck driver?
@Charley
Shouldn’t be any problems with it.
i been taking prednisone 5mg for a couple of years. will this disqualify me from DOT exams? Please help.
@Mark
The medication is not one that would have you disqualified, but what is the underlying condition that is being treated may. Get a medical release form from your doctor explaining your situation. That would be a great help to the DOT examiner.
I was given a sleep study some time ago. The doctor that reviewed the results determined I did NOT have sleep apnea. He prescribed Ambien to help me sleep. Am I allowed to carry and use Ambien in a CMV? I’m about to go back OTR and don’t want to jeopardize my career. Thanks!
@ C Dub
That’s one of those questionable medications. This medication has been known to cause some very strange side-effects. If you have a medical release form from your doctor and you know how you react to the medication, then you just need to let the CME know how and when you use the medication along with the prescribing doctors medical release form. That should answer most of the examiners question right up front.
I was prescribed morphine as a pain reliever for my back. I read that I can get an exemption letter from my doctor. What I want to know is what are the realistic chances of me getting my medical card? What steps to I need to take to get it?
@Tom
I know of no exemption letter that is going to let you drive while on morphine.
You might get a medical release form completed by your prescribing doctor and take that with you when you take the DOT physical examination. But the medical release form is only going to be advantageous once you have healed from your injury, if there was one. Otherwise you will need to consider another medication or wait and get over the back pain.
Can I take cyclobenzaprine and drive 18 wheeler ?
@Charles
This medication is for short term usage and while you are treating for your condition, it would probably be best if you didn’t try to drive and take the medication. The side effects would be the major question and you may not be as safe a driver, as you usually are, while under this medication regime.
Ok, im trying to go get my cdl permit but i need to get my dot physical first. I’ve been on suboxone for about a year and a half. I’ve read as long as you have a script and also have your doctor sign a form saying it wont affect your driving that it wont disqualify you. But i also read that it does disqualify you. I had gone to a doctor and i told her i was on it then she gave me that form saying to have my doctor sign it saying it wont affect my driving. So since she couldnt finish it she said i can give u half your money back so i told her yea plase cause i travel for work and i need to get everything done fast. So she said she understood. But it seemed that she didn’t know much about it. So should i return their and give her that form she wanted my doctor to fill out. Or should i go somewhere else and not even mention the suboxone and have clean urine. I really need my cdl cause i have 3 kids and my wife is pregnant with twins and she will have to stop working and become a stay at home mom so everything will fall on me. My family lives depend on me getting my cdl. So does suboxone disqualify me or should i go somewhere else and give clean urine.
@Roger
Get the medical release form filled out by your primary doctor. Have him explain the need and usage of the properly prescribed medications, that should answer the CME’s questions.
Go back to the original doctor and finish the test with her.
To lie on the federal forms will cost you more in the long run, including your CDL and the trust of others that depend on you.
You should do fine with the proper information in hand. Good Luck
Well i went back to my doctor to get the release form filled out and they told me that they can’t due to legal matters. Im pulling my hair of my head. What now!!#
@Roger
Your doctor does not understand what he is being ask for.
No legal matters, just answer questions regarding you and the need for the medications.
The responsibility of the decision to qualify a driver for a medical card falls on the CME, not your doctor.
Hello my situation is as follows and any advice would be appreciated. I have been driving a box truck that’s rated 12-13000 for the past 6 years. During this time I have been stopped various times for dot inspection and never was told an ything about a medical card. this week I was stopped and told to go online and answer the questions on the dot website and it told me I needed a dot medical card. So I went to an examiner and was honest that I take suboxone which is similar to methadone. It’s used for treating people who are/were opiate dependent. I have been taking it for 2-3 years and driving without issue. Now I’ve been told suboxone disqualifies me from getting a medical card which I believe means I can’t drive anymore aleast for now. Just wondering what the options I have and what the best course of action is. My doctor was aware of my job the entire time and thought it was fine but evidently didn’t know the regulations. Once again any input is much appreciated
@Sean
Since you are not a class A driver and are not operating an 80,000 lbs truck, you do not need to qualify as an OTR type driver. So get a note , along with a medical release form from your doctor, explaining your need for the properly prescribed medications that you are taking. Also explain to the examiner that you drive a 12-13,000 pound truck and stay local. That should answer most of the examiners questions.
I drive an under 16,000 pound, 25 passenger + driver bus for our church. Passengers do not pay nor am I compensated. I am a diabetic on insulin. When I went to have my medical card renewed I was told that, because I am on insulin, I could no longer drive the bus. But that I could apply for an exemption through US DOT. All I found on their site were exemptions for commercial drivers. My license does not allow me to drive commercially. This license only allows me to drive a church bus meeting the above qualifications. My A1C, checked every 6 months has been 6.9, 6.9, and most recently /6.8. Do I have any alternatives or am I just out
@Juhn
You need to find a CME who is not over-reading the regulations and understands what you do for the church.
Get a medical release form from your primary doctor and take it with you to the next DOT examination. Also explain to the examiner what it is that you do and that you are a volunteer. He should make your card good for one year and intra-state only, which should allow you to do your church bus driving again.
I just have a quick question about a medication that I was given for a skin condition. It is a steroid cream called Halcinonide (halog). I was wondering if I can used this product and still drive a CMV? Is there possibly any problems that could come up taking a random drug test? And lastly if you know do I need to tell my employer that I am using this medication? Thank you very much.
@Snazzy_hat
This is an over-the-counter medication, so unless you are prescribed a stronger version and the medications have a negative side effect you should not have any issues.
If your doctor prescribed a stronger version, then you have to look at the side effects to determine what your safety issues may be. Also, if you were prescribed this medication and you popped positive on a random, all you have to do is provide the MRO with a copy of the prescription and you should be fine.
If a diabetic that injects insulin takes the dot physical, would he be taken off the road till he completes the waiver process.
@Thomas
When a driver is insulin dependent and takes his medical certificate examination, his examination is completed and his medical card states on it that the certificate is good ONLY with a diabetes waiver. So to answer your question, the answer is Yes.
my husband needs to recertify. He had passed all the requirements, and needed to go for a follow up after a simple eye surgery. He now has 20/20 vision! SO we went for the card, as stated he would receive as the eye surgery was of course important to complete the medical exam. While there, his doc was out, and the PA told him he had to go for a A1C test first!!! He is type 2 NON INSULIN dependent, and well controlled with his medication!! Now, his card will be late! I never heard about this test for non, or borderline diabetes// Can she really do this?? were a mess. we went there because he had a pulled muscle, and now this?? really??
@Marge
If the diabetes is controlled and you have a medical release form from your primary doctor, then there is no FMCSA regulation for any CME to do an A1c.
Someone is out of line and over reading the FMCSA guideline. Either go back with your regular doctor or somewhere else. No CME is to be making any type of diagnosis. They are to require information from the primary doctor use the medical release form from your PCP.
Ma’am, I’d like to offer my congratulations on your husband’s very successful eye surgery! I’d also like to offer a different perspective from another CME who administers the exam…
A CME may not have any idea if your husband is compliant. Sadly, I have run across drivers who tell me they are compliant, but when I ask about a recent lab, it’s either out of date, or very recently, I had one that was 14%! So any driver simply telling me that he is well controlled doesn’t really mean anything.
If the PA is part of the same practice and asking for one, it’s entirely possible that your husband hasn’t had one done in a while. It’s also possible that there is something in your husband’s chart/exam that raised a red flag and prompted the request. Were you able to ask the PA for her rationale?
So, I politely disagree with Trucker Doc. If your husband is well controlled on meds, he very likely has a recent lab, and can share that with the CME. And if not, it’s important for him to know how he is doing.
I *do* ask for a recent hemoglobin A1c. It indicates that the driver is getting regular care and follow up and it shows whether or not they are taking care of themselves. I would, of course, accept a letter from a PCP saying that the person is well controlled. In an ideal world, every driver would come with the necessary paperwork, but in reality, very few do.
In the absence of other documentation supporting that statement, I feel that a HgbA1c is a reasonable way to assess control. There are existing recommendations regarding ranges of hemoglobin A1c values which are helpful in guiding certification decisions.
I am sorry that you had such a frustrating experience! I hope that you are able to resolve this in a time frame that is is useful. Best of luck.
Question regarding the storage of prescription inside the cab of my semi… in the state of Fl must you retain your meds in their individual containers or may I place them in one of those daily organizers, you know the ones that are divided by the day and then by ‘morning’ and ‘evening’ and ‘bedtime’ (for example)? I would still have the script bottles with me but it is just so much more handy to open one container and not three or four.
@Mitzi
As far as I know, as long as you have the prescription on hand, you should be able to store them any way you like.
My blood sugar #’s have been increasing fast the past few months and my dr is sending me to an endocrinologist who I expect will put me on insulin. Once that happens do I lose my medical card when I take that first shot or is my card good until it expires? If so, what is the quickest way to re-establish my card?
@Tim
If they are going to place you on insulin, you need to start the process of acquiring a insulin waiver. There is going to be a waiting period to get your diabetes under control and stable. During that time frame your medical card is invalid as an interstate driver. Remember, anything that takes you from behind the wheel causes your medical card to be invalid. It is a safety issue not a personal thing.
You will need to pass the new medical examination after the waiting period and start the FMCSA waiver process as soon as possible.
I’m on baclofen 20mg 3x a day. Will this dq. me, or will I be ok, or do I need to have the prescription changed
@koi
All you need to do is get your prescribing doctor to fill out your medical release form for you and explain the need for the medications and if it would interfere with your ability to operate a CMV safely. After that you should be good to go.
If your just renewing your medical card and a drug screen is not requested will they even no your prescribed medication ?
@Troy
You are asked a multitude of times to give that information. Not just prescribed medications, but over the counter medications, as well as, vitamins and nutritional supplements. Many of these can present with a safety issue during long driving periods.
I went to renew my dot medical card a d got an automatic fail due to methadone. As of january this year. Methadone is no longer allowed. Can you tell me what pain med My Dr can give me now ? Nobody seems to know. Im from NH and the dot here can’t give me any solid info. On guy said none. When I told him about the 391.41 rule. He said he never heard of it. Please let me know. I have a week left before I lose my job. I was told oxycodone is ok and my dr will give me the exception letter like he did with the methadone. Thank you. Rick G. NH.
@Rick
You need to talk with your primary prescribing doctor. Methadone is a disqualified for a driver. Have your doctor work with you on some other pain medication and after you are stable on the new medications, then have the prescribing doctor fill out a medical release form for you.
Take that information to the DOT examiner and he should be able to work with you from there. The CME has to work with rules and regulations that your primary doctor doesn’t even know about. So help the CME with information from the medical release form and you should be good to go.
if I don’t list a certain medication that could cause trouble on my dot physical paperwork, will I get into trouble
@Matt
If you get caught lying on the forms, it can cost you your job and driving license.
Not really worth it and potentially you place yourself and other in harms way. Still not worth it.
well ive been on Suboxone for 7 years and have had my class A cdl for 17 years.I have a letter from my prescribing doctor that states he knows my job description very well and feels I am safe to drive a commercial vehicle.I have been to 2 different CME’s and they wont clear me.Im A mechanic for a constuction company and only drive once in a while.I love my job and have been there almost 5 years.Please help Im willing to travel wherever i need to find a doctor that understands my situation.Im located in Saratoga N.Y.
@Matt
Not real sure what the major issue is with not being able to understand your situation. A medical release form completed by your prescribing doctor and a clear understanding of what your job entails, is really all that is needed.
Unfortunately I don’t know anyone in your area to send you to.
A big thank you to this site. It pointed me in the right direction to finding someone to medically certify me.
To all of those people on suboxone don’t give up. Get yourself a medical opinion release form filled out by your doctor and start calling CME’s until you find one that understands your situation. They are out there. You may need to travel a little out of your way you may not. Again, A big thank you to truckerdocs!
@Matt
Thank you for sharing your experience. This will be a great help to others.
We appreciate your appreciation!
(Link to medical opinion release form)
I have been driving a CMV for 8+ years now and have had dot medical cards and even a cdl now but I just went for my dot exam and was told because I had 1 seizure 13 years ago and have been on medication I can not get a dot card the dr said she would have to call and invalidate that card I was not aware that was a disqualifying issue how ever I was never diagnosed with epilepsy my main concern is once she calls to say that card is no good will I lose my other dot card that is valid and wil I lose my cdl?
@Brian
It may go into the FMCSA system, but should not effect your drivers license.
What you need to do is get your primary doctor to complete a medical release form for you and take it back to the CME. That release should answer the CME’s concerns and it may prevent the invalidation process.
Took my dot physical Feb 23 2015. I’ve been taking suboxone for 9 years haven’t been in an accident in over 9 years. I drive 14 hours a day 6 days a week. I asked the examiner if I could a waiver or exemption she said no. I had a 6 month leave of absence to get off suboxone. 2 weeks before the 6 months was up, I took physical passed physical and drug test. Told H.R. I was ready to go then was told by the examiner out of the blue I had to be monitored for 6 months to a year. End result is I lost my job. She asked you for help you told her she could give me 3 to 6 month certificate if I do good, then give me my 2 year certificate. Why did she do that.
@Thomas
Since I have no reference regarding this issue, I’m at a loss.
The CME should not make a determination on your medications. The CME needs a medical release form from the prescribing doctor. Once you do that you should have been OK. But that being said, some CME are very cautious about drivers and their medications. Can’t explain someone else thinking for you.
I take tramodol for my back pain. Can I still pass my dot physical in Mn. ?
@Ron
It will depend on a number of other factors. First, bring a medical release form from your primary prescribing doctor, that will answer many of the questions that the CME will have. The CME needs your doctor’s explanation to help him determine your safety as a commercial motor vehicle operator.
After that you will need to follow the DOT examiner’s request for supporting information. Good Luck
Can i take xanax and pass dot drug test?
@Derek
If you take it as prescribed and have a written prescription for the medication, then yes you can pass the DOT drug screen.
Can I certify driver for CDL, who is on long term Suboxone treatment
@Narinder
Only if you have supporting information from the primary doctor along with a medical release form indicating that the primary prescribing physician understands the full and complete job description of the driver. After that it is up to you to make the final decision as to whether you feel that this driver can perform his duties in a safe manner.
I had a medical completed and was granted a 2 year medical card. I was diagnosed by my own DR of hypertension and take medicine now. Do I have to report this to my employeer or get a new medical certificate? In my employee handbook it states i need to notify them of RX changes. What does the DOT require?
@Tom
Each company has its own policy, so we can’t answer for the company.
FMCSA wants to know, at the time of the examination, what meds you are taking and how you are responding to them. As long as you are not having any aberrant reactions with the meds, then there is no issues from them. You will need to have a medical release form completed by your primary prescribing doctor when you take your next DOT examination and you will be limited to a one year medical certificate since you are taking HBP medications.
My pain management doctor prescribed me methadone for back pain and has told me he would be glad to sign off on anything I need him to. I am not a CDL driver. I only drive an intra-state rollback/wrecker locally and need a DOT card to do so. If I get the release filled out can I still take my medication? It’s flippin crazy to me that some of these docs will allow people to drive on oxy and morphine but not methadone. It’s idiocy at it’s finest. Thanks for answers.
@Matt
Since you are not a class A driver, your rules are really just your state’s rules.
So if your state allowed you to drive intra-state only and take your presently prescribed medications, then there should be no problems. Just have your prescribing doctor fill out a medical release form for you and you should be good to go.
This doctor told my company that he couldn’t qualify me at all and they fired me. Should I have an attorney look into it?
@Matt
Guess it depends on what you think the value of the job is worth.
The CME is not reading the information and guidelines correctly, so you could get another opinion, explaining your type of work and your driving requirements and responsibilities.
Hi i am on risperdal 0.5 mg at bedtime i passed my physical but i was wondering can companies still refuse to hire me even if i have a dot medical release form and note from my psychiatrist and psychologist? should i get this medication changed?
@Joshua
If you have a doctors note explaining your need for these medication and it leaves you in a position of being safe while at work, then there should be no problems. Just get a medical release form from your doctor.
I just took a leave of absence from my trucking company to address a mental illness that I have avoided treating throughout the years. I have previously been diagnosed as Bipolar 2 and prescribed with a drug called Depakote(although I didn’t take this drug more than a few days and never followed up with additional treatments). I want to get a handle on this ongoing struggle with manic behavior, and was curious to know if by doing so, I will be disqualified from driving for any period of time.
@Circus Bill
At present it appears that you are not in a driving situation. So once you have your condition under control, just have your doctor complete a medical release form for you to take to your next DOT examination. That release will answer most of the questions that the CME will have. Good Luck
can i take sertraline if i have a cdl licence and i don t wanna get in some kind of a trouble?!
Thanks
@Nick
You want to have your prescribing doctor complete a medical release form for you. That release will answer most of the questions the CME will have. That should be all you need to do.
I disqualified a driver today because he was taking lorazepam 1mg twice a day for anxiety. He has been taking this medicine for 15 years. Could I have cleared him with a letter from his pcp stating that he could drive while on this med? I still wouldn’t feel comfortable clearing him even if he had this letter but wanted to check. I thought benzodiazepines were an automatic disqualifier
@Patti
It’s kind of hard to call it an automatic disqualifier if he has been driving for 15 years on the medication.
Your best bet is to start with the pcp medical release and then make your decisions based on that information, along with what you feel is right. It falls to you to make the final decision and you are also dealing with a person’s livelihood. Keep them safe and monitor closely.
hi, I am in a quandary. I have a patient who has tapered off of Suboxone with the help of his provider, but his last dose was less than a week ago. How long should I wait before certifying him (no other significant issues) and for how long? This gentleman was on Suboxone for many, many years. Any insight would be much appreciated. He has agreed to bring documentation from his provider.
@ Peabody NP
As long as the driver is being evaluated and monitored by his primary doctor and you have a completed medical release form from the prescribing doctor, then you can move forward.
Use good judgment. If you want to also monitor for a period of time, then limit his medical card to 3 or 6 months and re-evaluate. After the first re-evaluation, if the driver is doing well, then you can move him on to his two year card if he meets all the other criteria. You can certify for up to two years if there are no other limitations.
Thank you for your insight, much appreciated.
I am a diabetic trying to renew my medical card. I took the physical examination and was passed by the Physicians Assistant I went to. This PA is registered on the national list and is part of the staff at the medical group I go too.
Here is my problem : I have been taking a new drug called Invokana, it is a new type of diabetes drug that works differently than older diabetes drugs. Instead of sugar being dissolved in the bloodstream ,this drug causes sugar to be released by by urination instead. Now my blood sugar levels have been in the 103 to 120 range which is where they need to be for over two months now, however the urine test showed a high amount of sugar in my urine, of course this is the result of how the drug works. California DMV office I went to did not accept my medical exam paperwork and sent it to Sacramento for review. What the heck can I do, because my medical card expires on Feb 27th ?. Also how is it that a DMV field office can go against the qualified medical opinion of a medical professional ?.
@Tom
At this exact moment we have not had any word from the FMCSA or the DOT regarding changes in the sugar in the urine. Their standpoint is and has been, there is to be no sugar in the urine.
So until the governing authorities suggest another means of determining your diabetes is under control, you may be caught between a rock and a hard place. Your California DMV is set to follow the same rules and regulations that the CMEs have to follow at this time.
An update on my situation : For any driver taking Invokana, I will suggest that before you do your DOT medical card physical that you get with your primary care doctor and have them write a letter stating what Invokana does and how it works. There also should be forms available for that purpose available in all state DMV offices. My doctor filled out a Ca DMV form stating the reason for the presence of sugar in my urine. My blood sugar levels since taking Invokana have dropped to the 90 to 115 range, so this medication works well. Ca DMV didn’t understand the numbers for some reason. Sugar level in urinalisis was 1000 and that would mean a blood sugar level in the 300 to 400 range, They figured things out and approved my new medical card.
@Tom
Invokana will cause a positive test for glucosuria. Some examiners are aware of this problem, others are not.
The only way around the problem you will have with a urinalysis positive at your DOT exam, is to take recent blood glucose evaluation records, A1c, etc information for the medical examiner. A medical release form from your treating physician should certainly help.
I straightened things out with DMV. My regular doctor said he should have told me when my medical card was due for renewal and he would have filled out the required form for DMV. Yes some know about it and some don’t, it certainly was new to the field people at my local DMV office. At least next year I will be better prepared.
I use to have an addiction problem but luckily never got into much trouble. Now I have been taking suboxone. I am a delivery driver and I was wondering if this can interfere with my eligibility in any way to drive commercially.
@Matt
Without a medical release form completed by your primary prescribing doctor, you will have issues.
With the proper release form you should be OK, as long as things are being used correctly.
What does the A1C level have to be to pass the DOT physical? Also, do they do a prick test for glucose in the office? If so what does that have to be? And finally, if the urine reli-on test strips show just a slight indication, the first one after none, does that disqualify? Thanks so much.
@Mary
All you have to do is give a urine sample in a cup. If there is sugar in your urine, then you are disqualified until you get it under control.
I am recovering from knee replacement surgery and wish to return to driving after my recovery is complete. I still have some pain which can normally be controlled by ibuprofen. Occasionally, I need to take a Norco for pain as ibuprofen will not touch it. I had passed a DOT physical before my surgery but had not taken a drug test at that time. How long does Norco stay in your blood? Should I get something such as Tramadol for my pain as opposed to taking Norco?
@Rick
First and foremost you need to be completely healed before you are going to pass a new DOT examination.
So once healed, you should be off all your medications. If, at the time of your next DOT examination, you are still taking medications, just get your prescribing doctor to complete a medical release form stating your need for the meds at the moment. That will answer all of the CME’s questions.
I see many questions similar to mine so if it seems redundant I’m sorry but I don’t see a clear picture. I’m trying to obtain a class “B” cdl with P&S endorsement to drive a school bus. I have been taking dilaudid, morphine, and neurontin since 2009 do to a major back injury requiring surgeries to get me out of a wheelchair and cancer. I maintain a healthy diet, exercise, do not ever drink or do illegal drugs, or anything else that can possibly effect my mental or physical abilities. My medication is managed by a pain management dr and I see Dr’s regularly. I’ve tried many times to come off the medication or change to less of a medication and every time it fails. I do live with the help of disability now but I’m trying to work for my life as I have been taught and honestly can’t stand being out of work anymore. Do you think I can obtain this license and drive a school bus with these medications in me. Will I be required to have my Dr fill out a certain form?
@Little new
Start with a medical release form completed by your pain management doctor.
With that in hand, then go to the DLD of your state and see if you could and would be able to drive with these medications. They should be able to steer you in the right direction from there.
Don’t take this the wrong way but whoever is making the rules is an idiot. There is absolutely no data that correlates painkillers and benzos with driving accidents and deaths. Alcohol, yes, but the morons don’t test for that. They don’t have their feet on the ground. Good drivers are good drivers, no matter what they’re prescribed. Period.
I was put on neurotin 5 days ago can i get the doctor to take me off these so i can go back to driving
@Bobby
That is a discussion you need to have with your primary prescribing doctor. There must have been some reason for putting you on them in the first place. So check with him and explain that effects your driving career.
Also, a medical release from your doctor may be helpful too.
I have a question, I had a DOT screening this morning for a job. I have a prescription for Norco. I passed my physical but due to the fact that I take Norco they are requiring me to have a SAP evaluation. I’ve never had a DOT medical card. Ive provided them with a release form from my primary physician but they are refusing my card until I see the sap. The company I’m applying with will not pay the $400, What are my options?
@allen
The medication that you are taking will have lots of questions attached to it. The CME is covering his behind by asking for a SAP, even though you have a medical release form from your prescribing doctor. Take the medical release form with you to the SAP and see what they have to say. Can’t answer any questions about who should pay for what, and there are only one or two options. Don’t see the SAP and look for another job or find the money, but take the medical release form with you. You may find that the SAP is more understanding then the CME is.
Hell, I have been taking a narcotic called Percocet for several years. This medicine does not cause me any side affects except pain relief seeing how long I’ve been on it. I got temporary disqualified at my medical examiners office and was told by them to stop taking them. I need them to feel normal.Can they qualify me if I get a lbetter from my doctor that this medicine no longer give me side effects
@april
You do not have to stop taking your medications. What you need is a medical release form completed by your primary prescribing physician. The medical release will answer all the questions that the DOT examiner has. Like why are taking these meds, for how long, are you safe and are you having any known side effects?
Hello,
I have been taking an oxycodone and gabapentin regiment 24 hrs a day, 7 days a week since 2007. I have had a class B CDL since 1996. I have had numerous drug tests over the years and have never gone against my doctor’s orders or advice. I take 1800 MG of gabapentin a day and 60 mg of oxycodone a day, every 5 hours. I currently have been driving a school bus since 2013. I have been cleared by my DOT Physician and my Primary Care Physician. If I were to get into an accident, could I get into trouble? My M.D. says I could easily be on disability with my diagnoses of chronic pain, DDD, Nueropathy and Sciatica among others. Am I playing russian roulette taking oxycodoone every 5 hours? I have been taking this drug for over 10 years and have tried everything else after one laminectomy in 2009 and a discectomy in 2012. this is my second career. I had to quit working as an electrician after the surgeries. should i keep driving, or go for the disability? I am wheelchair/crutch bound without my meds.
@Jack
Tough call. If you are cleared by both the CME and your primary doctor then the only real risk is an accident. And under the influence of a properly prescribed medication, would be cause for questions. There is a risk and you seem to have the situation under control at the moment, So follow your gut and be safe.
I am writing in regards to a DOT medication question. I am a semi truck driver and have a prescription for percocet . Is this prescription gong to fail me when I go in or do they accept it?
@tabatha
The questions regarding this medication can easily be answered by your primary doctor. Have your prescribing physician complete your medical release form. And be ready to answer any questions. If you are drug tested for any reason, you may pop positive and you will need to comply with the medical review officers request for a proper prescription. But the short answer to your question is no, percocet is not an instant disqualification.
What are the DOT rules regarding Wellbutrin? One company has told me that a driver has to be on Wellbutrin for 90 consecutive days in order to be legal to drive. Is this accurate and true?
@Ronald
The CME is looking for a few things here. How are you responding to the medication, are there any ill effects. Is your condition safe, stable, and has the medication been shown to be effective. That is why he is requesting a 90 day and see period. Have your medical doctor fill out your medical release form be fore you go for your DOT examination. The release will answer lots of questions right up front.
thank you
@Ronald
You are very welcome.
I’m writing you with regard to a never-say-quit family member that’s a 48 year old male, was deemed “disabled” back in 1996 due to an injury. He had a number of surgeries that required that heI live as sedentary of a life as possible while recovering from surgeries; in turn he gained a LOT of excess weight. Pain was extreme causing him to seek medicinal relief through what was back then a medical breakthrough. It came in the form of a Medtronic brand Pain Management Intrathecal Pump. The substances that are dispensed into his system via pain pump: Morphine,Baclofen & Clonidine.
This individual has been operating motor vehicles at the Class “C” level since the pump was implanted in 1997; to date makes it 20+ years with no problems. In other words, they are WELL-ACCLIMATED to the pain management drugs in pump.
Flash forward to a 1-1/2 ago when life circumstances caused him to take drastic measures in losing the excess weight he’d gained. They’ve lost over 110 pounds to date. Here’s my question: they realize that the substances dispensed by his pain pump are narcotics, but can they still earn a class “A” CDL if the pain management doctor fills out the medical release form required by the DOT Physical Examiner… Or is this individual going to be denied the opportunity to a Medical Card?
@Anonymous
Mainly, make sure his prescribing doctor and pain management doctor complete his medical release form for him before he goes for the examination.
He will most likely be limited to intra-state only, or he may be eligible for some type of FMCSA waiver. All depending on what type of driving he is looking to do.
California class a ups feeder driver a diabetic on invokana to control diabetes has worked so far but have dot coming up and invokana releases sugar in the urine are any waivers for this drug ?
@Steve
Before you go for your DOT examination, make sure your primary doctor completes your medical release form for you. That will answer any questions that the CME will have.
I have been prescribed Topamax to help regulate my migraines. Can I drive on this? I know it’s a seizure med. I’m afraid I will lose my CDL.
@Melissa
As a seizure medication, you had best have your primary doctor complete your medical release form for you, explaining your condition and why you are taking this particular medication.
It will be a major concern to the examining CME, but with your doctor’s explanation and medical release form ready to go, you should have all your bases covered. Good Luck
My patient takes trazodone for persisitent insomnia. She is driver for the ride. Can she continue to take this medication which is not habit forming. If not, can she take a short acting anxiolytic medication such as ambien. lunesta or sonatat?
Question: According to the Texas CDL Handbook. A driver must meet the qualification requirements of 49 CFR. part 391. Where can I find this? Due to the brief qualification requirements, say NO rheumatic, arthritic, orthopedic, muscular, neuromuscular, or vascular problems that would affect vehicle control. Does this mean if afflicted with any of the above does it also disqualify you from applying?
I was taking Vicodin three months ago for pain but have not taken any since, do I have to disclose that on my dot physical?
@Bill
Not so much the medication, but the reason for taking the medications will be of interest to the medical examiner.
I have a class A CDL My Medical card is up for renewal I have a bad back and shoulders
I have been prescribed Percocet and Cyclobenzaprine for off duty hours and Tramadol for on duty
However I don’t take them as often as prescribed I take maybe 1 Percocet after work at least 12 hours before my next shift and I cant remember the last time I took a Cyclobenzaprine or Tramadol
will this disqualify me? I rarely drive a truck and am an equipment operator
@Steve
Make sure you have your prescribing doctor complete your medical release form for you before you go for your DOT examination.
That form will answer many of the questions that the examiner will have regarding your conditions and need for the medications that you are prescribed. There will be safety questions and your personal doctor’s opinion will be of great help in the decision making process.
Has the 5 panal drug screen they used to use for Class A drivers changed in not qualified as I am tapering suboxone and do not want any positive test on any of my info but I was just curious as to what changed with the new laws I still wont drive till I’m off of it totally its too risky
@KenK
May show up as a positive, but if your doctor has written a prescription for the medication then the MRO will just need to see a copy of the script. That makes a positive test negative.
Even suboxone? If you have a script its not a disqualified……..i also was prescribed a little klonopin since I am tapering the suboxone so if I have the script for both it makes a positive a negative with the DOT?
Buprenorphine and other semi-synthetic and synthetic opiods WILL NOT result in a positive. Popular painkillers such as Percocet and Roxicodone are semi synthetics, if enough is taken they may show positive in the initial screening although the GC/MS confirmation will verify that it is not an opiate they test for and will result in a negative test. What is tested for is Morphine, Heroin and Codeine metabolites. Herion can be detected as such up to 24hrs after use then metabolizes into morphine and said metabolites. You can use Wilipedia or ChemSpider to find out what metabolites a medication breaks down into and reference the DOT test to see if it will be detectable. Suboxone aka a Buprenorphine DOES NOT show up on standard 5 panel which is a DOT test. They cannot deviate and test for anything else as it’s standardized by the Federal Motor Carriers Association.
Also, benzodiazepines are not tested for, common benzodiazepines are Xanax, Klonopin, Valium ect.
Also, fwiw, Buprenorphine (suboxone/subutex) is included in the prohibited medications list. I had to stop taking it (for pain management, I have Crohn’s Disease) as directed by the MRO. I even had my doctor fill out a release that I was able and capable of operating a CMV while taking suboxone, and I had been on it for three years and no other MRO took issue with it. They never would have known, as I never aroused any suspicion for them to look up my prescription history, although my honesty got me into some hot water. I learned the hard way, hopefully you won’t have to do the same.
True. I was on Suboxone for pain also. I didn’t mention it because it didn’t affect my driving at all, and figured why take the chance. The Dr looked in the Prescription Registry that’s now available to most physicians and saw I was on Suboxone. I had to get off of it, which isn’t easy. Be careful. Some of the DOT docs are checking the registry. He told me it is a disqualifying drug! Gotta be honest. It really fires me up, but it is what it is!!!
can i take norco and have class a cdl license
@Jerry
Not without some type of medical release form completed by your primary physician.
Otherwise it is a disqualifier.
Thank you so much for this very informative website and for taking the time to answer all of these questions, although many are the same and mine will be also. I currently take oxycodone 15 mg 4x daily for degenertaive disk disease. My nephew is a truck driver and has got my interest going. I recently had 2 procedures done on my back and I have faith that once I heal I will be pain free. I have been taking the medication for so long that I have no side affects and it just relieves my pain. I know I would have to have the medical release form complete and the Dr. to sign off. If he does will this be ok? I am also going to wean myself off the meds if I am in fact pain free after I heal and I am having faith in this. My concern is that once I go through the school, if I still have a small amount in my system because I have not fully gotten it out, will I be disqualified if it is explained that I am in the process of getting myself off? It is an addictive drug and although I am not an addict, my body is and one cannot just stop taking this drug without severe withdrawal when you have been taking it as long as I have. I have also considered stopping at once and taking suboxone but i feel if I do that, then I will have to ween off that and I would rather just stop. And final question, can you please tell me the process, as in the steps to get your CDL? The reason I ask is so that I don’t waste my time or the schools time. I would like to start school while I am weening off the meds and with this school, they actually put you to work with their company after school. So I am just trying to figure out the process so I can make sure the drugs are gone from my system before I drug test. Thank you so much again and I hope this all made since
@Kim
Do first things first. Get completely healed first.
Then talk with your doctor about getting of the present medications.
Once off the meds you’ll get your medical release form filled out.
Then you can go from there. Make sure you have your doctor help you get off the medications. You can’t just stop and not have your doctor be aware of this issue.
And the DOT medical examiner needs to know that you are working with your doctor regarding your present medical state. Once you’re healed up, then it will be time to get started.
I am a school bus driver. I had been taking 50 mg of Seroquel for sleep, the normal dose as an anti-psychotic is much higher. When I had my last physical I was told I would have to stop this medication because it could cause drowsiness. I explained I had been on this medication for 3 yrs for sleep, not as an anti-psychotic, with no daytime drowsiness and could I bring in a release form from my doctor. He said no and he needed verification from my doctor he would not give me this medication. I did this and now suffer from lack of sleep. Why could he not take the release form and where can I get a list of drugs that cannot be taken. No one seems to know.
@Peggy
Get your medical release form completed by your primary prescribing doctor.
Then take it to someone else for your DOT examination.
I take phentermine 35.5 MG to loose weight , will this medication disqualify me from getting my medical card and or will it fail my urine test and get terminated. ?
@Sammie
This is a medication that recommends that you not drive or do any activity that requires you to be alert. And it will probably kick positive in your drug screen.
Make sure your doctor understands what you are wanting to do and make sure you have a medical release form completed before you go for your DOT examination.
i dont have sleep apnea. but i do take on a rare occasion melatonin, it helps me to relax and fall asleep. but an inspection of my truck today . they found my bottle of melatonin. and terminated me on the spot. i dont feel this is right .. i havent even taken this over the counter vitamin while i have been on this job. what are my rights?
@Steve
Not real sure why such a thing would happen.
I would check with the FMCSA regarding this issue. Or check with the state DOT. It’s not a federal thing.
I’ve been taking vicodine 7.5 milligrams for over a year now for a work injury that hurt my back. I have absolutely no side affects from this medicine. Could I still go to a trucking school and get my CDL back
@Mike
Make sure you have your primary doctor who prescribed your medications, fill out your medical release form before you go for your DOT medical examination. That release will answer most of the questions that the CME will have. Good Luck
I’m starting driving school and im on paxil for anxiety with no problems but when they asked me if I’m on mind altering drugs before starting school I said no. Am I going to have any problems? I’m scared I won’t pass the DOT physical.
@Rich
Best choice is to have your prescribing medical doctor complete a medical release form for you.
This will answer most of the questions that a DOT examiner will have. Your meds don’t appear to be mind altering so just make sure you have the release and a copy of the prescription on hand before you go.
My question is that i take tramadol for nuropathy in my feet. It causes me alot of pain i take two pills at bed time. Will this disqualify me from a dot card and will it show up in my drug test
@James
Tramadol is one of those medications that is going to be tough to support in an interstate driving situation.
Unless you have a medical release form completed by your prescribing doctor and he is willing to sign off on your usage, you will have many questions regarding its usage and safety issues, from any CME. If you doctor feels that you can operate a CMV safely, then try the medical release form.
Or you may look into driving intra-state only.
I am on Testosterone Replacement Therapy and I inject 1ml of Testoterone Cypionate once every two weeks. My doctor told me that the DOT has changed their regulations in May 2014 and that Testosterone Cypionate would disqualify me from passing my DOT physical. Is this true? It makes no sense to me since it is not mood altering and has no effects on my mental or physical faculties.
@Tod
Unless your doctor is on the NRCME and does know the rules and regulations from the FMCSA, then he may not really know.
Just have the prescribing doctor fill out your medical release form for you before you take the DOT examination and you should be good to go.
I tool 2 tramadol tablets at 12:30 am Tues morning. I never took any before or since. I was called in for a pre-employment drug test Thursday morning for a school bus driver job. Will tramadol show up in the drug test?
Does sumatriptan disquiet drivers in California CDL.LICENSE privilege
@Carol
If you have a prescription and it tests positive the MRO will want a copy of the prescription. If you took someone else’s pills, you may have a problem. In most cases the medications are through the system within a few days.
is meclizine a disqualifier or is it tested for in a dot drug test?
@Dale
Make sure you have a medical release form completed by your prescribing doctor done before you go for your DOT examination. There are side effects that will trigger any good CME to re-consider your DOT medical card. Also, if tested for drugs, you may test positive. So make sure your have a copy of your prescription available for the MRO when he calls. That is the only way you can get your positive test results back to negative.
My husband has his DOT medical card but is on Suboxone. He’s wanting to get his CDL A/B. Is it allowed to be on Suboxone?
@Jess
Make sure he has a medical release form completed by his primary prescribing doctor in hand before he goes for the DOT examination explaining the uses and needs for such a medication. Good Luck.
Hello. Follow up? How did your husband do? I also have been on a very small dosage of suboxone (4mg) for 6 years. Its next to nothing but it’s in my urine. Quiting would be very difficult after 6 years. It has been beneficial to my life and chronic pain. I can live normally drive daily and am aware/unimpaired from my 4 mg. suboxone …and I don’t “get high”. I don’t have that lifestyle because of the suboxone and doctor visits. My doctor suggests I remain on it if possible. He will write whatever letter needed. Did your husband pass? Did he get hired? Thank you. M
yes i to would like to know if they gave you a pass
Will soma cause you to test positive on a DOT drug test.
@Stan
If you drug test positive, the MRO should call you and have a copy of your prescription faxed over to him. If you are properly prescribed and uses are in proper proportions then a positive test should be negated to a negative test.
I take Trazadone, never heard it called Methadone, for mild sleep insomnia and also taking zoloft for very mild depression. I have been on these meds for yrs, will they disqualify me from passing DOT physical?
@Lance
The very short answer is Yes. FMSCA has a few drugs that are instant disqualifies and methadone is on that short list.
You might try having your prescribing doctor complete a medical release form before you go for the DOT examination. His explanations regarding your medication needs and usage will help the CME make a more informed decision regarding your particular situation. Good Luck
I went last week for dot physical and drug screen. I passed drug screen,they only test for 5 drugs marjuana,cocaine, amphetamines,opiatesandpcp i have the fed regulation paperwork in my hand from the doc.Lond story short ive taken methadone for 11 years for knee pain.When the nurse came in and asked if i was on any meds i put my foot in my mouth and told them.If i wouldve kept my mouth shut i wouldve walked out with my dot card. Funny thing thou i knew that going in but i told the truth and now im unemployed.If their so tuff on methadone why dont they drug test you for it. lol
@Brad
It should have popped positive with the opiates.
You might try a medical release form filled out by your primary with an explanation of what and why you use certain medications and for what length of time you have been using these meds.
if the drug screen is a standard 5 panel, methadone will not show.on this particular test under opioids. It has to be requested for and tested for specifically methadone.
To drive a school bus is it ok to take aderall and prozac
@Tammy
Your best bet here to to check with your state DMV. Bus driving within your state falls under a different set of rules than FMCSA and interstate drivers.
I’m an OTR driver. I used to take Bupropion for stress, anxiety. As a side effect it helped me stop using smokeless tobacco. I stopped taking it about 4 years ago. I remember taking random drug tests and not having any problems. All of things have crept back into my life, including the dip. I’ve thought about getting another script for it. Would it be a problem to take this drug now?
Thanks
@William
If you do, make sure you get a medical release form completed by your primary prescribing doctor explaining your needs for the medications and their effects on you. The side effects are going to be looked at very strictly due to the negative issues that have been associated with this pharmaceutical.
I recently went to renew my medical card but doctors said a new law on October 6 regarding pain medication norco saying if your taking that pain kill medication it disqualify you for getting a medical card. I have low chronic back pain for the last 8 years caused by falling off my semi truck at work
@Reyes
Get your medical release form completed by your primary doctor and have him explain in the release the need for and tolerance of your medications.
Then take the release form to the medical examiner to get your medical card renewed.
Is Phentermine a disqualifer for passing DOT drug test? Want to lose weight to get healthier and this medication was suggested by doctor but do not want to take any unauthorized meds?
@Jeannie
Properly prescribed meds and proper usage are easily supported for the MRO during a drug test.
Just make sure you have a prescription handy if the MRO calls and interviews you.
I’m on Lyrica 75 mg 2 times a day for nerv damage in back that causes my feet to burn. The lyrica works well and have been on it for 5 years. Can I pass a DOT Physical on this medicine.
@ Bobby
More than likely. Just make sure you have a completed medical release form from your prescribing doctor explaining your condition and need for medications. The release form answers a lot of the questions that your CME will have at the time of your DOT examination. Good Luck
I just failed my DOT physical, because my doctorsaid he tthought it would be unsafe for me to use the Valium he prescribed me. I operate heabe equipment everyday. And he knows this. He told.me not to drive or operate for three day umtill I know how it affects me. So I did. Three months later and it still doesn’t make me tired but works for my axngsieth. He wrote on the physical paper that it would be unsafe. Is he just scared of official paper work because I’ve been on the Valium on equipment for three months. And do o need a DOT card if on not driving a vehical.
Hello. I have a prescription for tramadol that specifically states I can only take it on a ten hour break. This was prescribed due to a torn rotator cuff, and in the last 60 days I have only taken 8 pills. My docror has done a written certification that i am stable on the medication. I also take etodolac twice a day. My company is aware of both medications, but are leery of the tramadol. Does tramadol show in a drug screen, and would it be a disqualifying medication per DOT? If it is, what would be an alternative for the rare times of acute pain. Thank you
Hello friend, Typically medications such as painkillers run through the system within 3 days on average. Unless you’re blood is tested. You are certainly allowed to have the Tramadol if it is prescribed to you. However i do not know what the specifics are regarding DOT regulations. In my experience you could be held responsible if something were to happen while the chemicals are in your system. Tramadol just this past month was determined to be a controlled substance for i dont know why, but it is a recent development. The issue comes down to legality. Are you legally able to have it? Yes, it was prescribed. Could you be cited for having it in your system during a DOT test? Possibly. Could you be held responsible in the event of an incident on the road requiring a drug test? Likely, Yes. Its splitting hairs, i know. But when it comes to the DOT someone is always responsible even if its not their fault. Hope this helps.
@Rob
When you go for your DOT medical card, you will need to have, in hand, a medical release form completed by your prescribing doctor. That will explain to the CME what you are taking and how you are reacting to the meds. The meds may cause a positive drug screen, but with proper usage and a doctors prescription, you should be OK. Good Luck
I take 25 mg of Meclizine twice a day for Vertigo. When I went for dmv cert I was told by PA that I cannot get med cert because of the meds . He suggested I see my PCP and go off the meds for 6 months and do a review if I don’t have any events in that time line with Vertigo. He never made it clear If it is the Vertigo or meds that stop me from driving . Can you explain .. Thanks Joe
@Joe
With the information you are giving me, I suspect that he is questioning the vertigo. So follow up with the recommendations and you should only need to do a two month symptom free waiting period.
can i drive truck while taking tramadol and flexeril?
@Dave
First question would be – Why are you taking these medications?
This just raises more questions and not enough information.
Read the other Q&A on this page to get an idea of the appropriate answer to your question.
Can you take victoza which is non-insulin and still qualify as a driver
@Chris
If you are taking this medication and you are not having any issues, then have your medical doctor complete your medical release form for you and take it to your DOT examination. The release will answer all the questions that the CME has and that should be all you need. You will be limited to a one year card though, because you are a diabetic on medications.
The questions & comments are quite interesting to me. In, or on 8/17/89, while on a “yard tractor, the operator put it into motion, I couldn’t hold on to the safety bar, & came to 12 ft. away on concrete. That ended 24 yrs. of accident free driving (over 3,000,000 miles) mostly flatbed-high, wide & long. In that time I pulled reefer, dry box along with over dimensional loads.
The “Union” got his job back, I got operations on my neck-2, rt.knee-2, 1 on the lower back in 2008 (didn’t work), the last one this May 8, 2014. The end results are this: No more pain, I’m weaning myself off of methadone, [at one time I was on 140 mg. per da., then got it down to 60, now I’m down to 25 & tomorrow my wife will drop it to 15 mg. By the time I go for my exam, I Will Be Totally Off Of All Pain Medications.
Why do I want to drive, after all, I’m retired!, I’m 75. Someone else who thought playing what he thought were harmless jokes, & very nearly destroyed my life, now I would like to have about 5 years back. Wes
A friend of mine asked me if his using “Ritalin” would prevent him getting a medical card, & driving. I told said, I don’t know, perhaps I can find out for you. What do you think?
@Wes
In and of itself, it causes questions.
Just have your friend get a medical release form completed by his primary physician and take it with them to the DOT examination. That release will answer most of the questions that the CME will have.
I was at a Truck driving when they did a physical I told them I have been on medication for OCD it is Alprazolam. They said sorry can’t take you cause medicine makes you drowsy I told them I have been taking it for years it has never made me tired. Could you explain???? Thank you Lori
@Lori
Go get your medical release form completed by your prescribing doctor and take it back to your next DOT examination. The DOT examiner is looking for an answer regarding your need for the medication and your response to the medication. The medical release that is filled out by your prescribing doctor will answer the CME’s questions.
I am shocked at the way Suboxone is looked at. I have seen what a life saving drug this is for both My husband and My brother. Neither of them get high off of the suboxone or would in ANY way be impaired from driving or operating machinery, as a matter of fact that is what they both do for a living and have never had problems getting the simple medical card portion of the DOT certificate (not for driving a CDL vehicle, just the medical card portion) until this year by doctors who obviously have no idea how Suboxone really works for people. It does NOT impair you the way pain pills would. It gives people their life back only to be judged by medical examiners who think they know how every person reacts to a drug. What a shame.
I’m not certain that the medical examiners who did they exams on your husband and brother have no idea how Suboxone works. I actually believe they have a very good idea. However, this is out of the medical examiners hands as this is one of the VERY FEW medications that are identified by FMCSA as an automatic disqualifier. The fact that they did not pass their exams is not the examiners fault. Your husband and brother may want to take a look as to why they are taking this medicine and perhaps try something else if they want to stay employed. Ask yourself if you would want someone taking this medicine driving on the highway next to your parents or children. Would you find it ok if your surgeon or dentist were taking Suboxone?
@Objective
I can agree with parts of your discussion, but there is some information that you quote that is erroneous.
If, as you stated, Suboxone is on a list of VERY FEW medications that are identified as an automatic disqualifier, please forward the pages and or charts that you found that on in the FMCSA handbook.
The list of drug disqualifiers is a very short list and Suboxone is not one of them.
Your point is well taken on the facts that someone under the influence of this medication should not be driving. But there are individuals that have suffered for years with TRUE pain that will establish a tolerance for the medication and function without any problems. That decision making process has to fall back to the primary prescribing doctor’s interpretation of the medications effects on any particular individual.
The CME must utilize all the available information from the PCP to make his/her final decision: Is this driver’s physical, mental and emotional health in good enough condition to operate a commercial motor vehicle safely?
a job I’m applying for in Massachusetts uses a dot drug screen and sends to the lab the position is not a driver but a factory worker my question is will suboxone show up?…..
@Joshua
Most likely yes, but if you have a valid prescription for the MRO when he calls, you shouldn’t have any problems.
Hello, my fiancé has been wanting to get his cdl for a while now. He is finally ready to start the process and begin school. There is only one thing, he is prescribed methadone and doesn’t know how this will affect the process of beggining school and getting his cdl. If you could explain to me the process of obtaining your cdl, drug test involved, and if he could proceed on methadone? Also, if he cant be on methadone what could be used as a substitute that he could use while getting his cdl. Thank you so much.
@Samantha
Methadone is a disqualifier and there is no getting around it. So until he is off the meds he won’t be able to get his cdl.
You’ll have to check with his medical doctor to determine what other options he might have.
Is taking doxepin for depression a disqualifier for a dot exam?
Also would you suggest I talk to my doctor to switch to a different medication to be able to pass the dot exam..
@Kevin
Start with a completed medical release form from your primary prescribing doctor. The form needs to be read by your doctor to determine what will qualify you to drive and if he needs to change your meds.
I am looking to get my class a cold I take clonozapham .5 mg once per day and hydroxyzine 10 mg will this hurt my chances of getting a medical card
@Dale
Just make sure your primary doctor fills out your medical release form before you go for your medical certificate.
That release will have answered most of the CME’s questions right up front.
Good Luck
Nuvigil was prescribe to help me keep alert as I have sleep apnea ( I am using a CPAP) and Strattera (atomoxetine) for my diagnosed A.D.D. by my psychiatrist. I can not find a verification on whether or not I can use these medications. Please help me I miss my meds
@David
All you will need now is to have your prescribing doctor fill out your medical release form and take it with your when you get your DOT certification done.
With the info in hand, you already answer all the questions your examiner will have.
I am on Prozac 40mg once a day and klonopin .5 mg 1 pill twice a day. Would this keep me from getting my medical card or what would be the best thing for me. I go Friday to take drug test and dot physical. Thanks
@Brandon
Make sure you have your prescribing doctor fill out your medical release form before you go.
That will answer any questions that your DOT examiner will have.
If your medications pop positive on the drug screen, the MRO will call you to confirm your prescription.
These two steps will help you qualify for a medical card.
I have a CDL and have a legitimate prescription for oxycodone 5mg. The prescription is for two 5mg tablets every eight hours. This medication was prescribed by a Dr for lower back pain due to bulging g discs and degenerative disc disease. I do not use the medication when I’m at work. I only use it while at home and not driving. I have read different things and been told different things. Does this medication show up on a DOT UA? If so do I just supply the MRO with the script when they call? When I go for a random UA do I tell them about it possibly being in my system? Your response is appreciated.
@Lennard
Just be ready to provide the MRO with the script and you should be fine.
I am on the same thing and have been for 12 years. It doesn’t make me drowsy or affect me in any way. . My Dr gave the medical letter and it says I can take it three times a day as needed not to be taken within eight hours of driving. They denied it. Yet last year I was on 4 5mg three times a day and passed. Is there someone u can talk to above them. The medical director denied without seeing me and refused to even talk with my Dr. Can they do this? I’m a single mom and will be losing my job. Can I go somewhere else with new letter since were in process of decreasing? And do I have a period of wait to retest?
@Sheri
Start with a medical release form from your prescribing doctor and have him explain your condition and the needs and usage of the medications that he is prescribing.
With that information in hand, go get a second opinion somewhere else. CME’s are supposed to look at all the available information before passing or failing a driver for any reason.
If I am on a prescription for Vyvanse wich is an amphetamine, And I have the form from my prescribing doctor stateing why I take it, and that I am able to operate a Commercial motor vehical safely. The medical examiner agreed and passed me so I have my DOT medical card now. I am now applying for jobs when the vyvanse shows up on the drug test will the companies hire me because I have this approved or will they not because I didn’t pass the drug test because the vyvanse showed up?
@Ryan
Basically the Medical Review Officer MRO, will be the final determiner here.
Just do the test and have your prescription ready for the MRO when he calls to confirm your prescription. A positive test now becomes negative, due to proper usage.
Due to mild anxiety, my Dr. prescribed a dose of 10mg Escitalopram taken daily. I’ve been taking this med for about 4yrs with no adverse side effects. Is there any reason I would not be allowed to get my CDL and drive commercial vehicles? Thanks for your advice!
@John
Get your medical release form completed by your medical doctor explaining your meds and their usage, before you go for your DOT examination. You shouldn’t have any issues after that. Good Luck
Can my husband keep his cdl while taking victoza.
@Tina
As I understand the medication, it is a non-insulin injection. If this is true, then have a medical release form completed by your primary doctor explaining this medication to the CME doing your medical examination. I believe that you would be able to continue holding your cdl.
I recently had my physical for driving and the doctor said that I couldn’t take Zoloft and drive. He said I would need a note from my primary care doctor saying I was off of it. He didn’t give me the option of getting the medical release form. I can find nothing in my research saying that this drug can cause problems. Did he make a mistake?
@Ann
Start with a completed medical release form completed by your medical doctor explaining your condition and need for the medications. Make sure that you take that form with you when you go back.
The examiner is just looking for an explanation regarding your med needs and proper usage. Good Luck
I have been taking Norco 10/325 for 4 or 5 years. Prescribed (4 a day) Along with Tramadol (2 a day). I have none of the side effects described by any one I can find, in fact I experience the opposite, I get more energy abut my primary care giver is afraid to sign off on any thing, afraid if I should have accident he will get sued. I am 80 years old he has probable been my doctor for 40 or 50 years. I hardly know what to do about that. Change doctors?
I have a legitimate prescription for hydrocodone/acetaminophen, 10/325 mg. Also carisoprodol 350mg. Do I need a physicians release form to pass a urinalysis for dot regulations, or are these strictly prohibited as per fmcsa
@John
Medications are not tested for at the time of your medical examination. But you should have your primary prescribing doctor complete your medical release form before you go for your DOT examination. That way the examiner has all the information he needs to make his final decision.
When you get drug tested by your employer, then you will need to have your prescription information available for the MRO when and if your test results come back positive.
can i get my dot card if i have a perscripton for oxycodone
@Duane
Get you prescribing doctor to complete your medical release for you and take it with you to your DOT examination. The release will answer a lot of the questions that the CME will have. Without the explanation, it is doubtful that you would be given a medical card.
Does an ICD disqualify you for a CDL?
@Ernie
Pretty much. Pacemakers are a stretch, but the defib unit is a CDL disqualifier for interstate drivers.
That being said, you may be able to drive intra-state. Check with your local Drivers License Department and find out for sure.
When a person goes for a CDL renewal, does the doctor have access to see what prescriptions you are taking?
@Ann
No, they do not have that kind of access.
The examiner depends on you to tell him/her about your medications and their uses. If you are taking medications for things like BP or diabetes, then make sure you bring a completed medical release from your primary doctor with you to the DOT exam.
I’m diabetic just got invokana 300mg to take once a day. Will this medication disqualify me. I also take metphormin ,glimipiride,lisonipril, and ganuvia
@Lina
As long as your primary doctor completes your medical release form and he feels that you can perform your duties as a commercial motor vehicle operator safely, then you should not have any issues.
I take morphine at night for a bad back injury and kolonopin for anxiety and to help me sleep can I still drive while on this I have been on both for yes and they do not affect my ability to drive I am also on adderal for ADHD as well have been on these meds for years
@Sheri
Before you go for your next DOT examination, make sure you have your medical release form completed by your primary doctor explaining your meds and the needs for your meds.
That will answer many questions that the medical examiner will have. Good Luck
I am CDL examiner and have a patient who takes Suboxone for pain. He does not have a substance abuse problem, but uses this drug to avoid addiction issues. Can I issue him a CDL based on the new standards?
@Joy
Make sure you have a medical release form completed by the prescribing doctor before you investigate any further. If his primary understands the driver’s job and is comfortable signing off, then you should be good to go.
But no medical release, make sure you can support your decision in writing.
I have been prescribed suboxone for 6 years now. It is a class 3 controlled substance. Can I have a cdl and be on this medicine?
@Anonymous
As long as you have your doctor complete a medical release form for you indicating the use and need for the medication, then you may be able to clear the DOT examination. Have the release form filled out first and then check on the medical examination.
If you are on prescribed oxycodone for pain, is that still a disqualifier?
@Sherry
You need some type of explanation regarding your need for this medication and a medical release from your doctor, that you can operate a commercial motor vehicle safely. Without that, the likelihood of passing the DOT examination is very thin. But with proper documentation and supporting information, then you may pass. Make sure you have all your ducks in a row before starting the process though.
I am a school bus driver. I had to stop taking Klonopin as DOT doctors said I can’t drive with this medicine. I been driving for 22 years. I take this medication for RLS. Now I am taking Requip..3 mg a night. Is Requip an accepted drug for driving a school bus?
@Cindy
Just have your doctor complete a medical release form, for you to take to the DOT medical examiner, and you probably won’t have any problems.
Ok so I want to take a transportation job, where I will be driving a mini van with a health transportation company, i posses a class d license and they want me to get a dot exam and drug test, I am prescribed pain meds (percocet 10/325 mg) also take anxiety med (Xanax) also have prn muscle relaxers. I have been on all these meds for at least 3-5 years and my question is will I be able to obtain a medical card as long as my dr fills out a form stating these are all stable medications and I’m safe to drive with no adverse reactions? Thank u for advice.
@Mindy
Yes, you shouldn’t have any problems if you can provide all that information to the DOT medical examiner.
I once drove a school bus, the examiner found my sugar at 210, I asked for an extension to give me a chance to change my diet to lower my sugar. She agreed to 90 days but 3 days later decided to revoke my certification, claiming dot required her to do so. I gave up arguing and wdnt on my way, but always wondered if she was lieing. I am now on injections and am disqualified, but when this Happened I was metformin, could she have let me have 30,60or 90 days to lower my sugar to determine disqualification?
@Reno
Yes, she could have, and with your diabetes not being under control as a driver it may have been the safest thing she could do.
Ahh, but not even 2 weeks after changing diet, my sugar went down to 150 then 135 then floats around 127 to 102, I decided to do injections because she removed my cert and I decided after 20years of driving (not all school bus, otr and local delivery had a cdl A), I had enough and the injections makes life easier on me. I was just wanting to know if I was being BS’d or not.
Thank You!! Reno
Hi just want.to know.about taking diet pills can discualify my cdl because are high caffein
Thanks.
@Jerry
When you take your DOT medical examination, your examiner will ask questions about over the counter medications. They just want to make sure that you are not taking something that would affect your ability to operate a commercial motor vehicle safely.
So as long as your ability to drive a CMV is not affected, and you qualify for all the medical certification requirements, you will be okay.
My question is how much more extensive is the cdl test when you are diabetic? Is a bad a1c a disqualifier? What range does it need to test in and what range does blood sugar need to test in and does federal or state law require access to blood sugar. Meter results or records of blood sugar numbers and if so how often? What does the test for the federal diabetes waiver entail that the state tests for diabetics don’t?
@dj
As a diabetic, yopur condition needs to be under control. Have your primary doctor complete your medical release form before you go for your DOT examination.
That will answer any of the questions your DOT examiner will have. The medical examiner needs the medical release form filled out explaining that you have your condition under control, that’s it.
Your medical card will be good for a maximum of one year, based on your present condition.
Aside from the obviously illegal drugs and prescription drugs used w/o a prescription, is there a list or history of over-the-counter or mail-order dietary/nutritional/herbal supplements causing problems on a DOT drug screen? Has there been an attempt to warn producers, retailers, and consumers about them?
Is tramadol a disqualifying drug from FMCSA, Doc gave client a 60 day Card, why?
@Richard
Without some level of explanation as to the need and potential side effects of this narcotic, you may be disqualified as a CDL driver.
Have your prescribing doctor fill out a medical release form indicating the need, if ongoing, and proper usage.
This helps the CME determine what is going on and how best to proceed. I suspect the reason your driver received a 60 day card was for the driver to get all his information together and get it back to the CME.
I take xanax only when needed I go for DOT urine screening in couple days. Do I need note from my doctor explaining why I take it.
@John
No. If the test comes back positive, the MRO will call you and ask for your prescription. That is all you will need to do.
i am currently on a suboxone tapper and have heard many different answer to weather i can obtain a cdl or heavy equipment certificate. any info on this would be greatly appreciated
@Larry
The medication you are taking has some negative sie effects that would inhibit your driving and heavy equipment certs.
If you have been on these meds for an extended period of time, then I would have your primary doctor fill out a medical release form and take that with you when you get your next physical done.
If meds are properly prescribed and your doctor feels that you would be safe to operate heavy equipment, then the release would be a big help to the examiner. Good Luck
I am being tested to be a kidney donor. Can a CDL holder donate a kidney without worrying about medical waivers? How will this affect my medical certificate?
@TJolly
You can be a donor and overall it does not effect your cdl.
Be aware that once you go in for the surgery, you must be fully healed from the operation and you will need to get a new medical certificate after the surgery. Good Luck
will taking a blood pressure medication like lisinopril disqualify me from driving a truck
@ K Hoff
No, it only limits how long your medical card will be good for. One year is a maximum length card, as long as your blood pressure is being held below 140/90. Otherwise the card will be for less until you get the pressure under control.
Will I be disqualified if I take victoza for my type2 diabeteis
@Fernando
No, but I would recommend that you have your primary doctor fill out a medical release form for you before you go for your next DOT medical. Your certification will be good 1 year at a max.
I currently hold a class A license but am unable to drive due to inulin use. I am looking at a job needing a class C license. do the same DOT rules for insulin use apply with a class C license driving a refer bobtail truck?
@Mike
Each state is different.
From a federal standpoint, you would have to obtain a insulin waiver.
But if you are going to drive intra-state only then check with your local DLD and find out for sure within your state’s rules.
I was recently prescribed Imitrex after being diagnosed with debilitating but infrequent migraines. Before I always controlled my migraines through otc medicine and avoidance of triggers. My migraines start out with a “soft” headache and eye socket pain that lasts around a half hour before things get bad (more than enough time to safely stop a truck if need be).
Will I be disqualified from obtaining a CDL because of this?
@Plain Jane
The medication is not a disqualifier, but you will need to explain the potential side effects. Use the medication for a while and see how you react to it.
If all goes well, then have your primary healthcare provider fill out a medical release form explaining your medication usage and its effectiveness.
This will answer the DOT examiners questions.
Can I take dilantin and pass the medical exam for the health card if seizure free over 1 year? If not are there other meds for this that are acceptable?
Do Dot test for suboxone?
@Garnett
Not on the DOT physical examination for your medical certification, which is not a drug test. But it should pop positive on your pre-employment or random DOT drug screen.
Is a cdl driver that gets cortisone injections once a month for upper back/neck pain pass the DOT physical and drive legally?
@Keith
If the condition is under control and there are no other limitations, then you shouldn’t have any problems.
Can you drive while taking opana 20 and percocet both x1 every 12 hours….
@Sylvia
Possibly, but only if you have a medical release form completed by your primary healthcare provider.
It needs to state the reasons and amounts of your prescription. And it needs to state that you are safe and stable to drive without possible side effects of the meds. Good Luck.
Can I have a CDL if I am taking vicadin
@Rick
The side effects of this medication is that it may impair your thinking or reactions. Avoid driving or operating machinery until you know how Vicodin will affect you. Dizziness or severe drowsiness can cause falls or other accidents.
If you get a medical release form completed by your primary doctor, then you may have a shot at getting a CDL, but be aware that the side effects are not conducive to commercial truck driving.
I am currently on Ketorolac, and Rizatriptan for migraines. Would these medicines disqualify me from getting my cdl?
@Corrina
Both of these medications have components that could be disqualifiers.
Have your primary doctor complete a medical release form for you and take it to the dot examination. This will answer a lot of questions right up front. With a release and proper documentation you may be good to go.
my husband has just finished the truck driving course he has been taking Hydrocodone for 3 years for a bad knee . At the school they told him he could drive as long as his DR would sign off now hes being told that DOT does not allow it. Is this just the person hes working for or is it DOT policies
@Chrissy
He will need a medical release form completed by his primary doctor, explaining the needs and usage of the medications that he is taking.
Federal DOT has a set of rules/law that must be adhered to. The Medical release form from his primary allows the rules to be evaluated a little differently due to outside circumstances and situations.
I am on Ambien to sleep and small dose of Carbidopa for restless leg that only bothers me when i am laying down. As long as i take these two i sleep great and function great. Will I be able to pass the DOT Physical?
I was told i did not qualify and to bring a written doctors statement. Will that get me reinstated?
if someone has positive drug test is there anyway he can save his cdl
@Debbie
Most likely his company will send him through a substance abuse program. Take the program and afterwards he should be in OK shape. And don’t do that again!
Would suboxone be considered one of the habit forming drugs to prevent me from obtaining my medical card?
@Christine
Yes. Check with your doctor and see if he can put you on another medication.
Is having neuropathy a disqualifier for driving a commercial vehicle?
@Cyn
This will depend on the location and severity of the condition and its underlying causes.
So in short the answer could be a yes and it could be a no. More information would be needed to make this determination.
Firstly, thank you so much for taking the time to answer all these questions, it’s very helpful.
I am a newly diagnosed diabetic, my blood sugar is nowhere near being under control. Does the urine test reflect a long time glucose problem, such as the A1c, or does it reflect only what glucose levels are the day of testing? Also, for a renewal of medical card is the urine tested for drug use? I know the initial pre employment is a drug test but does a renewal only test for protien and glucose levels?
I’m on so many meds because of the trucking lifestyle that I actually would like to be medically disqualified only because I am having a VERY difficult time getting healthy being a truck driver, but I don’t want to loose my CDL, I need 6 months off just to get a stronger medical platform to integrate a drastic diet and excersice Routine to get my glucose and blood pressureunder control.
Thanks for your time.
@Michelle
The urine test is only to establish where your sugar is at the moment, and there shouldn’t be any in your urine. If there is, then your condition is not under control and you will not receive a medical certificate until it is controlled.
Secondly, the DOT urine test, used at the time of renewal, is only to determine the proper function of the kidneys and to look for blood, sugar and protein, not drugs.
If you need to take time off, and your medical card is expiring, check with your state – They may allow you to self-certify in a category that does not require a medical card, in order to maintain your CDL. This may be okay as long as you don’t start driving until you qualify for a new medical card. At that time you will need to do a DOT physical exam and then send a new self-certification form with a copy of your new medical card, to your state driver licensing agency.
‘Way to go’ on taking control of your situation, and best wishes for your improved health.
Just wondering: I want to get back into weight lifting but at my age I feel I need some help and taking a steroid supplement I think would help, but need to know if it will cause me to fail my urine test.
@Reginald
You shouldn’t have any problems with a urine test for the DOT physical.
And for the DOT drug test – All the DOT drug test is looking for are schedule one drugs, like heroine, cocaine, etc. Drug testing is looking at very specific perimeters; I don’t believe steroids will show up unless they are specifically looking for them.
I went to renew my medical card in april. I only received a renewal for 3 months. The doctor found protein in my urine and told me that i had to go to my regular doctor to check for diabetes. I went and checked and received a blood sugar level of 167 at a 7.7 and the dot dr stated to me that he would not renew unless it was a below 7. Despite the research i have done and looking on the tx dps site i found that it has to be below a 200. how can the dot dr refuse to renew it for longer time? However i have just recently received my medication for the issue and now only have 2 weeks to get another blood check done. My question is can the dot dr refuse to renew under these circumstances?
@Cynthia
Yes he can, because he is the one who signs the card and if something happens to you while you’re driving, it falls back on him. He has to determine your medical fitness to operate a CMV safely.
So take all your information with you, along with your medical release form completed by your primary healthcare provider, and you should be able to extend your card until your condition is stable.
Can you be disqualified from having a CDL for being prescribed suboxone ? Can a Physician (not the prescribing physician of the suboxones) turn you into DMV for taking suboxone?
@Glenna
The DOT examiner is only determining your medical fitness to operate a commercial motor vehicle.
If you are taking a properly prescribed medication that has side effects which alter your ability to safely operate a CMV, then he will disqualify you until such time as you can be medically fit again.
He does not report anything to anyone. He simply indicates on the NRCME data that you are presently unqualified. No reasons are requested, either by the NRCME or the state.
I’m on a prescription for tramadol and percocet FOR VERY extreme headaches from an injury when I was a teen. I’m not an OTR driver and I only take the percocet at night when I’m not wworking and if the headache is too severe for the tramadol to help (but never take it while working period). I recently had a UA and am currently waiting for the results and I’m very stressed out about this. My doctor is going to write a note for me stating that it stint affect my driving if I take then according to the prescription schedule (at night and at home off the clock). Will I be ok?
@macattak
Your test results are, most likely, going to be positive.
But, the medical review officer will try to touch base with you to determine the meds you are on. Just answer any questions he may have and you should be OK.
Ok. Thank you for putting my mind at ease some. Its really an awesome thing you are doing with this “forum”. Some people have medications and have serious questions concerning the way the UA for drivers is handled. Other forums will bash you for asking any questions period regarding the drug testing procedures, claiming that you obviously must be abusing if your worried about it. Some people have real medical issues which creates concerns and worries. Since the UA I have stopped taking my medications because I’m so worried about it and have had a very bad migraine for 4 days now. At this point I figured I would just wait until the MRO calls and make sure I am ok to continue following my doctors orders. Once again, thank you for your time and keep up the good work!
@macattak
Thank you for your appreciation. It goes a long way in a world that seems too overwhelmed to stop for just a second and appreciate that there is still goodness around. Best wishes for continued health improvement.
Your very welcome. I actually have just one more question. I’ve been taking tramadol at night but do you know if tramadol use is aloud while operating a truck?
@Macattak
Tramadol may impair your thinking or reactions. Avoid driving or operating machinery until you know how this medicine will affect you. Dizziness or severe drowsiness can cause falls or other accidents.
So starting from here, if you have been taking this medication for any period of time, then you know how to work with it.
I would get your prescribing doctor to fill out a medical release form regarding this med. It will answer any DOT examiners questions as to your ability to operate a CMV safely. Without your doctor’s release, you will, more than likely, have issues with the DOT.
The DOT examiner still has the final say in qualifying you for a medical card, or not.
hi I take warfarin for dvt and am on oxygen at night for sleep apnea and have just been diagnosed with heart problems I will soon have an operation for will any of these thing disqualify me from getting a medical card.
@Joel
I would wait until you have completed your heart surgery and recovery period before trying to answer this question.
Medical cards are given to drivers who are medically fit to operate a commercial motor vehicle.
You will need to have a new DOT medical examination done once you have been released from your primary healthcare provider.
Good Luck on everything.
thank you!
what prescription medications will cause me to be disqualified , i need the hole list so i may see which medication i can take. and which meds i have to change. thank you!
@Wali
There is no such thing as the list you are looking for.
Medicine restrictions are based on the medical condition of the patient and other effects of the drugs.
There is no disqualifying list of medications, only schedule one drugs. (cocaine, pot, speed, etc.)
I had an accident back in 2009 and had to have back surgery and have been on and off hydrocodone ever since. will the hydrocodone keep me from passing a DOT physical
@wanttodrive
The medication will cause questions due to its effects and potential side effects.
What I would do is have your primary prescribing doctor fill out your medical release form and take that with you when you go for the DOT examination.
The meds are going to test positive on your pre-employment drug screen, so you will also need the prescription from your doctor handy for the medical review officer when he calls.
Yes there is one medication,methadone(regardless of the reason for the prescription)
I’ve been diagnosed with ADHD and take 30 mg of adderall ER a day will that disqualify me
@Bob
I would get your medical release form filled out by your primary healthcare provider and take it with you when you go for your DOT examination. It will explain your condition and need for meds. Lets the DOT examiner make a better and more informed decision.
I’ve been prescribed 150mg of Welbutron twice a day and Xanax .25mg. for use every eight hours [as needed] and bed time [as needed]. I average one dose [or less] of the Xanax daily and would like to know if it would be a disqualifier on a DOT physical or drug screen. From reading some of the other questions and answers, it sounds like I should get a letter from my Doctor.
@Mike
The meds you are taking would raise eyebrows for sure, but a letter/or medical release form filled out by your primary healthcare provider will go a long way to clear the air about your med needs and usage.
I am using insulin to treat diabetes five years ago, and I have commercial driver license from 2000, I am under control so far so good, so I stop driving because I lost my job so In did another duties. I tried to get my medical card but the doctor did not certified because I need a waiver, he gave me a number to call so I did and let a message I have not get any notice from Federal Motor carrier. What can I do.
@Heber
The medical examiner should have provided you with a medical certificate, (if he felt you were medically fit for duty). That medical certificate should have stated on it that the medical card is only good with a valid diabetes waiver.
Then you can start the process of acquiring the Diabetes Waiver. I would check with your local DMV first, and then with FMCSA.
I hold a current CDL I have a new job starting Wed and they want me to get a dot waiver because I am insulin dependent diabetic. I was told to go to DMV what will I need to get this?
@Jeff
When you go to the DMV to get this process started, you should just need your driver’s license and your medical card stating you need to have an insulin waiver.
The DMV should give you the forms you need to start the process to get a diabetes waiver.
Before you go, you may want to call your DMV and confirm that that is all you need.
I am trying to get my cdl I am on Effexor and suboxone but am coming off of my suboxones will I be able to get my cdl
@Erica
Because of the conditions you are working with, there will be more questions other than the meds you take.
Your best bet is bring a note/medical release form completed by your primary healthcare provider explaining your present condition. This provides additional information for the DOT examiner to work with.
With the stricter rules and regs from the FMCSA, the medical release is going to be required before you have the examination.
I take Lyrica for peripheral neuropathy. I have taken it for many years with no side effects. Will this disqualify me?
@Ellen
Not if you bring a letter from your primary healthcare provider stating your condition, use of medications and whether you condition is stable and well maintained. You will probably receive a one year medical certificate, due to the condition. But, the note from your doctor helps the DOT examiner make a more informed decision in this case.
A minor point to the question regarding Suboxone above. As a physician licensed to prescribe Suboxone for narcotic withdrawal, it is my impression that Suboxone (buprenorphine/naloxone) is not allowed to be prescribed primarily for the control of pain. Of course, if a patient became addicted to narcotics due to severe pain, and Suboxone was used to treat the addiction, it might not be possible to wean the patient off of Suboxone. As far as I know w/r to the current DOT regulations, it is recommended to not certify a driver who takes Suboxone, but the recommendation is discretionary. And, as of May 21, 2014, all physicians who provide DOT exams need a new certification.
What is the blood pressure range for be a school bus driver in SC
@Olin
See BP and Hypertension for these details.
I was taking lamectal when I recently went in to redo my dot physical. Because of being diagnosed as Bi-Polar I have to go to a psychiatrist. Well since then she says she does not believe I am Bi-Polar and that I may just need anti depressants. Will I need a waiver for anti depressants
@Michele
Just get a note from your doctor stating the facts and you should not have any real problems, no waiver needed.
Is there a time frame “rule” regarding when a driver can take a narcotic and then drive. This driver is taking a class 2 which his primary suggests not driving.
@Susan
If a driver is taking a narcotic for some reason, then he is not going to qualify for the DOT medical certificate. That’s a rule not a suggestion.
When he gets off the medication and has the chance to clean his system out, then he can go and have his examination done and should not have any real problems.
I am taking Gabapentin and was disqualified from getting a CDL. I do not have diabetes and my dr says this would not cause me any problems in operating a motor vehicle. Can you please explain why this drug is disqualifying please. Thank you
@Steve
First big question, Why are you taking this medication?
Gabapentin’s most common side effects in adult patients include dizziness, fatigue, weight gain, drowsiness, and peripheral edema (swelling of extremities); these mainly occur at higher doses in the elderly. Used to treat seizures and pain.
So what I would do is get a medical release form completed by your primary healthcare provider. Then with that form in hand, I would start over again. If your doctor explains his reasoning for the use of this medication, then the DOT examiner has more information to work with.
Thank you so much for this amazing and informative website.
My fiancee is at the top of his field as a automobile computer diagnostician. He recently had a dream job opportunity open up with UPS. After a horrible accident 12 years ago a pain specialist put him on Suboxone ( a very low dose of 8mg to 10mg) per day.
He has absolutely no side effects from this medication.
Not understanding what was required of him, he went in for his physical. The (very young & inexperienced) doctor let him know how dangerous Suboxone is & that is it had 3 to 4 times the side effects of Methadone.
Are you kidding me? I happen to know from my extensive training that Suboxone has little to know side effects and knowing my fiancee the way I do, I can testify that this medication does Not inhibit his ability to drive a motor vehicle or use sensitive machinery.
He has been driving, test driving, working on & around sensitive machinery for over 20 years; 12 of them while on Suboxone without one incident.
It appears as though my Fiancee was disqualified by a biased & uneducated youngster of a doctor without the examiner even attempting to delve deeper into his condition & why he is on the medication nor did he offer to communicate with his treating physician who happens to also be a MRO & one of the top pain specialist in the NW part of the US.
My heart breaks for him.
What can he do? He was confused as to what events happen next. The documentation given him were vague at best and mention “under counsel”. What does this mean?
Is it possible for him to visit an MRO?
How should he proceed?
Thank you so much for your time and consideration.
Sincerely,
MarieElena
@MarieElena
Basically, you could download the medical release form from this website and have your doctor/mro complete the medical release form. Then take that form with you to another examiner and have the test redone.
Thank you for the info.
So the “Physical” was then an “examiner”?
This is so odd to me because the doc was very young and had 0 knowledge of Suboxone.
If he does have his doc fill out the form and then visits another “Examiner”, will that look bad to his perspective employer and does or will the Employer know about his decision to be seen by another examiner?
Should he call UPS and alert them to what he is doing?
I know these questions are speculative at best. I was thinking perhaps you could put yourself into his shoes; what would you do to try and guarantee the best outcome – that he is indeed qualified to obtain any license or clearance needed medically to obtain this job with UPS.
What if you take anti-seizure medication because you have a problem with sense of smell only.
Don’t have seizures where you black out or pass out..
@Leon
Make sure you bring a note from your prescribing doctor stating the need for the medication and what it is being used for. That will help the DOT examiner decide what actions need to be taken.
I used to smoke marijuana and stopped smoking marijuana a month and a half ago. I took a DOT physical exam and it came up positive on my drug test. I feel like I should have passed the drug screen. So my question is can I go somewhere else to have my DOT test and drug/alcohol screen re tested? Also is the original test reported to the DOT?
@Lynn
Not sure why you would have had a drug screen with your medical certifiacation examination, unless your boss requested it.
The DOT examination does not require a drug screen. But employment does.
If your examiner is part of the NRCME, then yes it may have been reported to the FMCSA as a disqualifier. If not, then there was no reporting to DOT. Going some where else may not change the end result.
If you have stopped using cannabis then it should be out of the system within 8 or 10 weeks.
im in the third week of a twenty two week school. I take oxycodone and tramatol. my doctor wont qualifie me because of the oxycodone .what can I do to get around this?
@Bruce
Not really anything except to get off the medication. Check with your prescribing doctor and see if he has another alternative for you and your condition.
I am a heavy drinker and I mix with hydrocodone (I know bad). I was just offered a job and need to take the DOT exam in 4 days (No drug test, just the exam), also no school bus or anything like that. Will the opiates still be checked for? Will possible damage to my liver and/or kidneys serve as a disqualifying factor?
@Ronny
I can only assume this is an April Fool’s question.
But if it isn’t, then here’s your answer — Yes the meds will show in the drug test, which you will have to take for your employer. And besides, why would anybody hire an employee that is a heavy drinker on opiates. This is a disaster waiting to happen, with you and the public. Sounds like a very bad mix. I would reconsider your choice as a commercial driver.
Thank you for the response, and I can only agree with your assessments. But just to be clear, if a drug test is not required, the physical will still test for Vicodin? I have stopped drinking however I fear an enlarged liver will be visible. Is that a dis-qualifier? Again your concerns are valid, and I am indeed reconsidering this job, I just want to know.
@Ronny
There is no drug test at the time of a DOT examination. But any DOT examiner is going to be on the lookout for anything out of the ordinary. In the physical examination, the medical examiner may discover an enlarged liver and then send you in for additional testing.
The most basic rule here is safety, for both you and the public at large around you.
Hi, I just finish my first week of three weeks CDL school and I take drug test at 03/24/2014 and recruiter told me at Friday that my test still pending but I forget to tell DOT doctor that I taking Fluoxetine 20mg so I am scared now that CDL school get rid of me because of this meds. so my question is what should I do now because this meds are show up on my drug test for sure?!
@Drazenko
You should not have any problems. If your medications trip the DOT drug exam, then the MRO doctor will touch base with you to get a copy of your prescription. This will help him make a final determination. You should not have any difficulty, unless the MRO cannot get in touch with you.
Will neurontin for restless legs and ambien for sleeping disqualify me from commercial driving?
I am a bus driver and need to know about wellbutrin (or generic thereof) and maintaining my clas be with p endorsement. I was taking it for about 3 years and it was fine, no side effect problems, but had to ween off of it last june/july do to no money. I was on it due to suicidal thoughts. I have noticed however that while those issues seem to be fine, I am a bit more nervous and irratable and was thinking about resuming. Can I lose my ability to drive if I do? I like my job, but do not like the direction my mood is going.
@ e.r.
In most cases you should not have any major issues. Make sure that you have a note from your doctor stating your general need and the effects, both positive and negative, of your medications. It does not appear that you are an interstate driver, so your state laws may allow you to take the meds with nothing more that your doctors recommendations.
I am prescribed Suboxone …. can I get a CDL ?
@ joeNY
Your medication would provoke more questions regarding its need. I am not sure you would be able to pass a drug screen while using this medication. I suspect that once you are clean and no longer have a need for Suboxone, that you would have no real problems. Just be aware that your present medication can be just as habit forming as what you are getting away from.
Can I take Gabapentin if it is prescribed for nerve pain, or are all anti-seizure medicines prohibited no matter what the reason it is being prescribed?
Is ropinarole accepted by DOT
@John
It isn’t so much the medication that would be the main question. It is what condition the drug is used to correct.
If it is being used for Parkinson’s, that will have to be judged by your DOT examiner. Parkinson’s is a progressive condition. If in the very early stages and no real limitations, then you may get away with it for a while. If the condition is showing signs of progression, then your driving days are going to be limited.
Safety is the key for both you and the public at large.
My husband had a heart attack three days ago and the doctor put in a stent. They have prescribed a blood thinner, his doctor said he could go back to work in about 7 days, but the medical dept. where he works said that he would have to be off work for 2 months (DOT regulations) and that he would have to be released by the company doctor. Can u comment of this. Thank U……
@Gloria
Please see the FAQ for cardiovascular for a more complete answer to the regulations regarding stent surgery.
Your husband will first need to be cleared by his cardiologist, and then it is still up to the certified medical examiner to make the qualifying determination for a medical card.
Companies have the right to enforce stricter regulations than those required by FMCSA.
prescription medication can be detected in a drug screen.
The MRO (medical review officer) do they use a percentage as pass or fail on a drug screen?
For exsample: trace levels or 1%. Fail? or
1% is a fail.
At what point do medications wear off and residue toxins not be detected in the screening?
Are there home remedies help clean your system faster? For example: apple cider vinegar or white vinagar?
@Michael
When you do the drug test, if there are are any positives in prescription drugs the MRO will contact you for a copy of the script. Then the MRO will determine positive or negative.
My husband is type 2 diabetic and has been on oral meds for years. He is also an interstate truck driver. Recently, the oral meds have been losing their effectiveness and his doctor has suggested Victoza. I understand that this is a once-a-day injection but it isn’t insulin. If he takes this medication (injection) can he keep his CDL and drive interstate? I know that he can’t use insulin without the exemption, which takes a month of non-driving to get. We can’t afford for him to be off the road that long, as he is the primary bread-winner and there is also a loan on the truck. The doctor thinks this new medication will work very well for Hubby, but we don’t want (CAN’T) risk him losing his CDL. We have a couple weeks to make this decision but need all the correct information to make the best decision for him.
Thank you for your prompt response.
P.S. His GP, who is prescribing this new med, is also his medical examiner.
@Jammie
If your primary diabetes doctor is doing your DOT medical examination, then he should know whether Victoza is an acceptable medication via the DOT, FMCSA. I would ask him first.
I take a small dose of Requip for ressless leg syndrome. Is that approved to be taking?
@Martha
The medical examiner would want to know how long you have been on this medication. Due to its potential side effects, you will want to bring a note from your primary healthcare provider explaining your medication’s use and length of time being used. This should answer most of the questions for the DOT examiner.
I have been on pain medication for about 7 yr now for back pain and I have no side effects it’s like taking Advil with no sleepiness or side effects because of the long time I have been on them but that won’t matter will it ?
@Bobby
Considering you have given no information as to what the medications are that you take, we have no way to truly answer this question. If you could be more specific, then we may be able to answer your question.
can i go to take another physical if i failed before due to medication (methadone) that i am no longer taking?
@Rio
Yes, you can take another physical. Just make sure you get a note from your primary healthcare provider explaining your past and present condition. And if you are on new medications, make sure the new medications are explained in the note. Take this note from your primary provider to your physical exam appointment, for the medical examiner.
has tramadol been classified as a controlled substance??thnx
@Jeff
If the medication is being properly prescribed and used as prescribed, then there is no real problem.
Under the influence of this drug and operating a CMV should be out of the question though. Too many potential side effects that place you and the public at large in danger.
As far as a controlled substance, it is classified a controlled substance, that’s why you have to have a prescription to get it.
I to am concerned about Tramadol I have been on it for 7 years and up until now have had no problem getting a cdl and driving while taking it what has changed
@Howard
Tramadol’s known adverse side effects commonly include dizziness, nausea, vertigo, vomiting, and somnolence which would be disqualifiers for a driver. The potential side effects of the medication put both you and the public at risk.
Get a medical release form completed by your primary care physician explaining your usage and if your condition is stable. This will be a huge help to the DOT examiner to make a qualifying decision.
Does Dot restrict the use of Pseudoephedrine for sinuses for any line of Commercial drivers.
@Rodger
As you know this medication is usually given for sinus congestion. The biggest concern will be the side effects of the medication. Any medication has side effects, but one that may interfere with the safe operation of a commercial motor vehicle is of major concern.
I would get a note from your prescribing doctor indicating the need, use and side effects of the medication you are taking, as well as the length of time and whether your condition is ongoing or is going to resolve anytime in the near future. This will go a long way in helping the DOT examiner make a safe decision regarding your medication usage and the operation of a CMV.
If my employer wont allow me to drive my CDL job because Im on paxil and Xanax then can I file workmans comp claim here in California.How am I to support my family.I am the only one working.I have no other skills.I am 47 years old.I have a mortgage. please help God Help me please. The doctor wont give me anything that does not cause drowsiness and the Xanax REALLY works.I have PTSD
@Tony
The best thing you could do with this situation is to get a note from your primary healthcare doctor stating that your conditions are stable and that the use of these medications have you stable and safe, and that you have been this way for a good long period of time [try to get a date in the years].
Both of these medications are either for depression or thoughts of suicide. DOT and FMCSA have very strict rules regarding these types of conditions with long-haul drivers. The rules are mostly for keeping you and the public around you safe.
As for filing a workers-comp case, we cannot comment as this is not our field of expertise.
But the doctor’s note will go a long ways in helping the DOT medical examiner discern you situation.
Thanks for the question. Trucker Docs
Can I drive Legally using my C.D.L.’s while on suboxone prescribed by my DR. ?
@Ron
I do not believe you would be able to legally drive a CMV while using even a small dose of suboxone, even if it is prescribed by your doctor. This is still classed as a habit forming drug and is usually used with patients that are cleaning up from an opiate dependence situation.
Thanks for the question. Trucker Docs
is there a list of OTC medications that would give a positive drug screen? We are getting questions regarding this.
@Rhonda
According to one of our drug testing labs, MedTox, there is no OTC medication that causes a positive drug test – so there is no list.
That being said, this is how a ‘positive’ works.
Driver has a drug test, these results go to lab and then reported to the medical review officer (MRO). If there is any finding that is positive, then the MRO calls the driver and ask questions about any medications being taken by the driver. Once information is supplied to the MRO, then the split sample is tested for dosage and usage of that particular medication. That is when a ‘positive’ test can be reduced to a ‘negative’ test result.
Now, there are OTC medications that a driver should not use while driving, but these are usually medications that cause drowsiness or dizziness, which makes perfect sense within the driving community.
Thanks for the question. Trucker Docs
Taking lorazapam 0.5 twice a day for driving anxiety. I drive a school bus is this OK.
@Mary Ann
If you have been doing this for any period of time and the state DLD is OK with it, then it will not be a problem.
Most of these new changes effect the Class A drivers, not the other classes.