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Home » Q & A about DOT Physical Requirements » Neurologic and Mental

Neurologic and Mental

neuro med

403dPlease read through the Q&A before posting a question. This will help everyone to not have duplicate questions. Thank you!

If you still can’t find a related answer, then you are welcome to ask your question in the comments section below.

Q&A

Is Meniere’s disease a disqualifier?

What if I’ve had surgery for Meniere’s disease?

Does vertigo disqualify me from getting a medical card?

What if I’ve had a seizure?

What if I take anti-seisure medication?

What about epilepsy?

Can I pass a DOT physical after having a stroke?

If a driver is diagnosed with schizoaffective disorder will they fail the DOT physical?

If I take antidepressants can I still get a DOT medical card?

I have an anxiety disorder on and off. This raises my BP readings. Can I still pass the DOT physical if I take beta-blockers?

Is Meniere’s disease a disqualifier?

Yes. Meniere’s disease is disqualifying because it may bring about a severe condition of vertigo and is unpredictable. The risk here is sudden incapacitation.

What if I’ve had surgery for Meniere’s disease?

Still is a disqualifier. The FMCSA is reviewing this in terms of certification.

Does vertigo disqualify me from getting a medical card?

It could. When the medical examiner does his examination, one of the things he is looking for is things that would be unsafe for you as a driver and how it effects your ability to maintain control of a commercial motor vehicle. Part of that examination is to test for virtigo. If he feels the condition is unsafe then he will not pass you. If he feels there is something that can help you maintain, he may make a suggestion for you to follow-up with a specialist.

What if I’ve had a seizure?

Drivers who have had one unprovoked seizure by definition do not have epilepsy (2 or more unprovoked seizures). Drivers who are seizure-free and off anticonvulsant medication(s) for at least 5 years after a single unprovoked seizure can be certified. Earlier return to work may be considered for drivers with a normal EEG who have no epileptic-form activity and normal examination by a neurologist specializing in epilepsy. (This answer from the FMCSA website)

What if I take anti-seizure medication?

Right off the bat you would be disqualified as a CMV driver.  There is a new federal exemption for seizure and related medications. You will need to check with the FMCSA regarding that particular paperwork.

What about epilepsy?

Medical history or clinical diagnosis of epilepsy is disqualifying. Where a driver can demonstrate that safety would not be diminished by the condition, it is possible to apply for an exemption.

Can I pass a DOT physical after having a stroke?

It depends on many things, including the likelihood of having another stroke. Your best bet is to first go back to your neurologist and have him/her write a medical opinion letter stating:

  • When you had the stroke.
  • What was the treatment, and how successful was the outcome.
  • What is the treatment you are receiving now.
  • The doctor’s medical opinion about your readiness to return to work as a driver. Make sure that he/she knows all of your physical daily activities as a commerial driver.

With that information in hand when you go to do your DOT medical examination, then the DOT examiner has all the appropriate information to determine your physical state of fitness to perform the duties of a commercial driver.

If a driver is diagnosed with schizoaffective disorder will they fail the DOT physical?

Well, it isn’t that you fail outright, but you will be asked questions regarding the condition:

  • What treatment routine has been established.
  • How long you’ve been on that routine.
  • How are you responding to treatment/medication, etc.

So just prepare for the question line in advance, bring documentation from your treating doctor with you, and you could do just fine.

If I take antidepressants can I still get a DOT medical card?

Well it’s not impossible, but what you will need to do is get a medical opinion letter from your treating physician that states:

  • When you were diagnosed with the condition?
  • What treatment program does he/she have you on?
  • Is the condition stable?
  • Does your physician feel you could do the duties of a commercial driver and be safe for yourself and the people/public around you?

Then take that information the DOT physical appointment. It will still be the DOT medical examiner’s decision whether or not to certify you.

I have an anxiety disorder on and off. This raises my BP readings. Can I still pass the DOT physical if I take beta-blockers?

You should talk with your primary healthcare provider to determine whether or not this would interfere with the responsibilities and stress of being a commercial motor vehicle operator.  If your doctor feels OK about your driving and understands the role of a commercial motor vehicle operator, then he should write a medical opinion letter for you to take to the DOT examination, explaining your condition, treatment and safe usage of the medications you are taking and whether your specific condition is stable.  That way there is no surprises for you or the DOT examiner.

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Comments

  1. Jason G says

    February 21, 2017 at 9:08 pm

    Can I drive a truck for a company as a job if I had a TBI caused by a bicycle accident 3 years ago and the hospital put me in a medically induced coma, and I’ve never had any seizure? Plus, I drive my own car and van and my own motorcycle with my kids?

    Reply
    • Trucker Docs™ says

      February 27, 2017 at 9:35 pm

      @Jason
      As long as you have a medical release from from your neurologist releasing you with no restrictions, then you would be good to go for the DOT medical examination.

      Reply
  2. William says

    February 15, 2017 at 5:57 am

    Is 2 level cervical spine fusion a diqualifying condition

    Reply
    • Trucker Docs™ says

      February 17, 2017 at 12:50 am

      @William
      Only if it causes uncontrolled pain, or other safety issues. Also, as part of the drivers job description, you should have a relatively good range of motion in the cervical spine. Fortunately most of the range of motion in the neck occurs in the upper cervical segments. So if the fusion is in the lower C spine, then you will probably be fine. Good Luck

      Reply
  3. Tom says

    February 14, 2017 at 7:00 pm

    Had brain surgery avm removal do you have to wait a year live in ny

    Reply
    • Trucker Docs™ says

      February 15, 2017 at 12:25 pm

      @Tom
      Have you fully recovered and has your doctor released you to return to work?
      If so, then have him complete a medical release form for you explaining your condition and probable prognosis. The CME will be most concerned with the possibilities of a stroke. That is where the waiting period comes into play. If your doctor feels that there is no likelihood of a stroke, then make sure he states that in the release form for you. This one fall into the guidelines gray areas and needs as much supporting information as possible for the CME to make his final decision. Good Luck

      Reply
      • Luis M says

        December 20, 2017 at 10:17 am

        My name is Luis. I had a pituitary adenoma removed on November13. I had to do a DOT test because I was out for more than 30 days. They told me I have to wait a year. Please I need some info about this issue. Thanks.

        Reply
    • Sue says

      February 29, 2020 at 10:45 am

      My question is two fold: 1) I had a kidney transplant on 1/30 and am wondering if I will likely be certified. Additionally, in 6/19, when I found out about my health issue, I requested antidepressants, but never really took them and feel that it isn’t an issue, should I disclose this, start taking meds, or what? Thanks

      Reply
      • Trucker Docs™ says

        March 4, 2020 at 9:49 am

        @ Sue
        Your kidney transplant is going to raise more then enough questions. Make sure you are ready to provide the documentation need by the CME.

        Reply
  4. Mike says

    February 14, 2017 at 1:02 pm

    During a recent MRI following ear surgery my doctor discovered a blood clot in my head and put me on Enoxaparin shot every 12 hours to thin my blood. Does this disqualify me from a DOT card?

    Reply
    • Trucker Docs™ says

      February 15, 2017 at 12:17 pm

      @Mike
      Are you still using the medication? If not, how long have you been off the meds? We need more information to best answer your question.

      Reply
  5. Jan says

    February 13, 2017 at 5:50 pm

    If a driver had an accident that put him in a coma for several days, but since then has not had any neurological problems and has a clearance from his neurologist, would he be disqualified from obtaining his state of FL medical card? This event happened 7 years ago. Also, the driver would work for a municipality and only engage in intrastate commerce.

    Thank you,

    Reply
    • Trucker Docs™ says

      February 14, 2017 at 12:23 am

      @Jan
      There should not be any real issues with this situation. Especially since he is an intra-state only driver, he falls under the states variances.

      Reply
  6. Dan says

    February 5, 2017 at 10:51 am

    I currently have my cdl from Pennsylvania . I have not been driving commercially since August 2015. I had one time unprovoked seizure in August 15 the neurologist I went to put me on seizure med for a few months and I’m currently NOT on them now since July 2016 . I was wondering if there is a waiting period to get my medical card to continue driving. And if there is what would I need to go back to driving commercially.

    Reply
    • Trucker Docs™ says

      February 7, 2017 at 6:02 pm

      @Dan
      Tough one here. You have a 5 year waiting period, once off the medications and seizure free before you could go back to interstate driving.
      That being said, you may want to check into driving intra-state only. You get to keep you cdl and are only limited by the states variances rather than FMCSA. It is the best opinion that we are aware of at this time for you. Good Luck

      Reply
  7. Don says

    January 27, 2017 at 11:27 am

    Hello,

    I hope you can help. About 2 years ago I got really dizzy at home, my wife panicked and called an ambulance which took me to the emergency room. The doctor doesn’t know what happened, but on my medical records it states possible veritgo. They did give me two prescriptions, which I’ve never used. That was the first and only time thats happened to me in my life. I’ve never experienced that prior or since. Will I still be able to get my CDL? Thank you in advance.

    Reply
    • Trucker Docs™ says

      January 29, 2017 at 8:05 pm

      @Don
      It should not be a problem. Just explain that it was a one time episode and has never happened again. You should also have your primary care doctor fill in a medical release form stating exactly the same thing.

      Reply
      • Don says

        February 15, 2017 at 1:22 pm

        Thank you!

        Reply
  8. Spenser m says

    January 26, 2017 at 12:06 am

    I have had a VP Shunt for six years and just had to have a surgery for the valve and catheter to be replaced with new. I am now being told I can not pass the DOT physical exam and drive commercial trucks for one year after the surgery date. I can’t find this information anywhere to confirm. Is this true?

    Reply
    • Trucker Docs™ says

      January 27, 2017 at 11:51 am

      @Spenser
      It falls in a very gray zone with the FMCSA. After the repair and once fully recovered, you could get a medical release form signed by the surgeon and neurologist indicating the prognosis and possible ill effects of the repair. With a release form from your doctors in hand, you may have a better chance because the CME now has more information to work with and the needed information is now coming from the neurologist and the surgeon. Good Luck

      Reply
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