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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. Jeremy says

    August 25, 2022 at 5:19 pm

    I checked myself into a hospital 4 years ago for depression spent about 5 days in the hospital got prescribed antidepressants got better and haven’t taken antidepressants in over 3 years would I still need to get a psychiatrist to sign off that I’m able to work

    Reply
    • Trucker Docs™ says

      August 28, 2022 at 7:25 am

      @ Jeremy
      Most CME’s are going to want a sign off from your psychiatrist.

      Reply
  2. NHORA C says

    August 11, 2022 at 5:42 pm

    Dear Dot team.
    Are stents in the heart a disqualifier for a DOT.
    Thky

    Reply
    • Trucker Docs™ says

      August 12, 2022 at 7:07 am

      @ Nhora C
      Stents are not an automatic disqualification.

      Reply
  3. Derrell R says

    July 6, 2022 at 4:10 pm

    I had a stroke 12-19-2019 will I be able to drive again

    Reply
    • Trucker Docs™ says

      July 7, 2022 at 7:06 am

      @ Darrell R
      Your one year waiting period has passed, so go for the medical, if you feel you are ready to return to driving. The CME should guide you through the process and required paperwork.

      Reply
  4. Ron P says

    June 13, 2022 at 5:23 pm

    Does cervical spine surgery less than a year old disqualify a person from getting a class b in a dot physical?

    Reply
    • Trucker Docs™ says

      June 14, 2022 at 6:52 am

      @ Ron P
      No. Since you are a class B cdl holder you fall under the states guidelines and variances, not federal DOT/FMCSA.

      Reply
  5. Mike says

    May 25, 2022 at 3:07 pm

    If a person got a tbi at age 14 and is now over 40. only known issue is they think it’s 1994, and seem to be stuck at age 14, would this disqualifie a person from getting a dot?

    Reply
    • Trucker Docs™ says

      May 26, 2022 at 6:38 am

      @ Mike
      This situation will raise questions with any CME. Depending on the class cdl or reasoning for a DOT examination, you will be required to provide some additional information and documentation.

      Reply
  6. Bob says

    May 11, 2022 at 7:03 pm

    I have major depressive disorder,and a sucide attempt a year ago ,can I ever be a driver again I have 30 years experience and a clean driving record ?

    Reply
    • Trucker Docs™ says

      May 12, 2022 at 6:44 am

      @ Bob
      Yes, it will take a little time and you will need supporting documentation from your doctors, but it is possible.

      Reply
      • Mark M says

        August 31, 2022 at 3:46 am

        I have a DOT coming up and I was prescribed leaxapro with other antidepressants but have not taking none in 6 months ,will this disqualify me?

        Reply
        • Trucker Docs™ says

          August 31, 2022 at 6:39 am

          @ Mark M
          The medication and the reasoning for the medications are going to raise questions with any CME. But with good documentation from your prescribing doctors, you should be fine.

  7. Anthony Q says

    May 5, 2022 at 12:37 pm

    I’ve had 2 unprovoked seizures, it’s been a year since the last one. I’m on anti-seizure medication and just got my Nevada non commercial driver’s license back. Would this disqualify me from getting my Class A or B cdl?

    Reply
    • Trucker Docs™ says

      May 6, 2022 at 6:59 am

      @ Anthony Q
      Class A, interstate driving, will be nearly impossible for some years to come. Even once off the meds. Class B, will fall under the state guidelines and variances. So depending on your states requirements and regulations, there may be a chance. Check with your local drivers license department.

      Reply
  8. Alan says

    May 2, 2022 at 4:51 pm

    What if I have parkinson’s Disease can I get a med card

    Reply
    • Trucker Docs™ says

      May 3, 2022 at 6:29 am

      @ Alan
      It will depend on the influences that the condition has made on your ability to operate a CMV.

      Reply
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