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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. Eric H says

    October 18, 2019 at 1:25 pm

    I was diagnosed with Meniere’s disease several years ago. I am currently taking a diuretic that prevents any issues with dizziness and/or vertigo. I have not had an episode of vertigo in over 2 years. This being said, will I be able to obtain a DOT card?

    Reply
    • Trucker Docs™ says

      October 19, 2019 at 7:44 am

      @ Eric H
      It will require medical documentation and a medical release form from your doctors. The information will be used by the CME to determine the possible risk factors to both you and the public at large.

      Reply
      • Eric H says

        October 30, 2019 at 5:17 pm

        I have a follow up question. My ENT doctor told me last week that Meniere’s is not present. Do I need to disclose to CME that I had Meniere’s? I am also taking bupropion, lamotrigine, and cymbalta for depression. Is it worth my time to try to obtain a DOT card so I can latch on at UPS? Thank you.

        Reply
        • Trucker Docs™ says

          November 2, 2019 at 9:09 am

          @ Eric H
          Your conditions and medications are going to raise serious questions with any CME. With proper documentation from your doctors and a signed medical release form you may pass under the states cdl variances. Check with the states drivers license department before going for the medical card examination.

    • Kaden says

      February 3, 2021 at 1:34 pm

      I had a severe TBI when I was 14. I am now 23 does this disqualify me from driving commercially?

      Reply
      • Trucker Docs™ says

        February 3, 2021 at 4:26 pm

        @ Kaden
        There will be questions by the CME. He will need supporting documentation from your doctor and a medical release. If you are capable of performing the duties of a CMV operator, you should do fine, if all is within normal limits.

        Reply
  2. Kim M says

    September 16, 2019 at 3:50 pm

    Hi! My husband has been driving a truck since 1987. He was recently diagnosed with bipolar disorder. His psychiatrist has already written a letter and his CDL was renewed for this year. He is doing everything his psychiatrist is asking him to do. During one of their sessions, my husband made a comment to her that she did not care for. She then threatned to take his license away. He is finding that he is not compatible with her anymore and he wants to change doctors. My question is can a psychiatrist (after writing a letter) have the CDL taken away??? He still plans on taking his meds he just wants a different doctor. He is afraid to change because of the threat she made.

    Reply
    • Trucker Docs™ says

      September 18, 2019 at 8:33 pm

      @ Kim M
      The cdl is a state issued license, so best check with your local DLD for the best answer.

      Reply
    • Kristen says

      September 27, 2019 at 11:56 am

      My son is a truck driver in oregon. He was feeling suicidal and very stressed. He has an appointment with a doctor on Saturday. My question is if he tells this doctor that he was suicidal, does the doctor then have to report it to the dot

      Reply
      • Trucker Docs™ says

        September 29, 2019 at 7:24 pm

        @ Kristen
        Rules and laws vary with every state. Check with your local/state drivers license department.

        Reply
  3. Robert says

    September 5, 2019 at 5:52 pm

    Been diagnosed with ADD and my doc would like me to try adderall … is this allowed and will it effect me being able to keep my cdl

    Reply
    • Trucker Docs™ says

      September 5, 2019 at 6:43 pm

      @ Robert
      It should not effect your cdl since your cdl is state issued. Your medical card could be effected. You need to be on these medication for at least 30 days without any side effects before being issued a new medical card.

      Reply
      • Robert says

        September 5, 2019 at 8:27 pm

        Thank you for taking the time to awnser … is there anything I can have on me as a precaution to avoid question

        Reply
        • Trucker Docs™ says

          September 6, 2019 at 6:30 pm

          @ Robert
          A medical release form from your prescribing doctor shouold be all you need with you at the time of the examination.

  4. Kim R says

    September 4, 2019 at 10:33 am

    I had a left frontal lobe menenginoma tumor removed this past April (benign). My Neurosurgeon cleared me to go back to work. However my company DOT doctor has not cleared me. They say the wait time is 2 years to be able to drive again. I have never had a seizure in my life. How can I dispute this 2 year rule.

    Reply
    • Trucker Docs™ says

      September 5, 2019 at 7:11 pm

      @ Kim R
      The examiner is following FMCSA guidelines, so you could take up the dispute with the FMCSA.

      Reply
  5. Damon R says

    September 3, 2019 at 11:42 am

    I had Transient Global Amnesia two years ago. Does that disqualify me forever?

    Reply
    • Trucker Docs™ says

      September 3, 2019 at 6:52 pm

      @ Daman R
      Pretty much so. You may qualify for intra-state only. Get information from your state cdl drivers license department.

      Reply
  6. John says

    August 29, 2019 at 9:38 pm

    Is autism a disqualifying condition? It does not my affect my ability to drive.

    Reply
    • Trucker Docs™ says

      September 1, 2019 at 6:58 am

      @ John
      If the condition does not effect your abilities to perform the duties of a driver, then it should not effect your medical card.

      Reply
  7. Nat says

    August 19, 2019 at 12:34 pm

    I have recently been diagnosed with Dystonia and are taking Trihexyphen and Buspirone. I also take Atenolol. I don’t want to tell my employer. Will this affect my medical card or CDL?

    Reply
  8. Mike K says

    August 19, 2019 at 11:15 am

    When I was 4 years old, I underwent treatment for an Astrocytoma Brain tumor. I have been cancer free since that time and have not had any seizures since undergoing treatment 16 years ago. Would I be disqualified from passing a USDOT Physcial with this health History?

    Reply
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