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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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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.
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’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.
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 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
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
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
@ 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.
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.
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.
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.
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.
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 hav