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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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I did not pass my DOT physical today due to me taking 50 mg. of Seroquel. I was prescribed it to help me get to sleep. I’ve been on it for 90 days, and it’s been a miracle drug. Now, I have to get off it in order to pass my DOT physical. What other drugs are approved that I can take to help me get to sleep?
Hello, I am looking to get a class A CDL for the first time. Have taken adderall 20mg for many years for restlesness and ADHD. It works well no side effects. I know from reading here and elsewhere that some doctors will approve me with my prescription and some won’t. My question is there a way to make an appointment with a doctor who is more likely to accept my prescription? And, if not, will a doctor tell me ahead of time if he won’t accept my prescription so I could find a different doctor or would he just fail me? What happens if I fail? Your response is greatly appreciated thank you
My husband takes Adderall and he just had to have a letter from the prescribing doctor stating that it was safe for him to take that medication and still drive a tractor trailer.
I am a former CDL holder, and want to get it back. I have depression, diabetes, and minor anxiety. I am also taking medication for high blood pressure and cholesterol. I am taking the following medications broken down by diagnosis…
Diabetes: Xigduo XR and Lantus Solorstar
Depression: Prozac
Anxiety: Buspirone
Blood Pressure: Lisinopril
Cholesterol: Atrovastatin
I was wondering if any of these would pose a problem for my DOT physical and if I would need to acquire a waiver for something?
@ Cassie
As a class A cdl holder, you will have difficulty passing the federal DOT/FMCSA medical certification examination. Lesser class cdl and/or intra-state only license fall under your states guidelines and variances. Check your local DLD for guidance.
I went for a pre employment physical and drug test to drive a regular 4 wheel truck for a company(non dot) and I’ve been on and still on a high dose of xanax for 20 years and I’m perfectly capable of driving on it. But the company did a 10 panel drug test on me. Will taking this prescription disqualify me to drive for this company? I have been diagnosed with high anxiety I have a current prescription for it and have been on the same dose for 20 years. I’m in Alabama.
@ Jason
This should not be an issue, especially since you have been on this medication for so long. Make sure you have a medical release from your prescribing doctor and you should be good to go.
I’m taking eliquis 5 MG twice a day will that disqualify me from my class A dot medical card
@ Karen s
The CME will ask questions regarding this medication. Make sure you have a medical release form from your prescribing doctors and you should be OK.
My husband does not have a cdl, but needs a dot physical for his job. He has adhd and was prescribed adderall. Will he be able to pass his physical and get his meds card for work?
@ Samantha
Make sure your husband explains that he is not a cdl holder and falls under the states guidelines and variances. He should be fine after that.
I have Hypersomnia and was prescribed Adderall. I tried other medications, but this one works the best. I also have bad back and beck pain that I take hydrocodone for as needed. I would never take the hydrocodone while driving. I would want and take after my trip, but I’m sure it would still show up in a drug test. Any advice?
@ Leslie
It will depend on the level of license you are going to work toward. Class A, you will have a very difficult time passing the physical and with your over-all situation, most likely will not pass the medical certification examination. Lesser license fall under the states guidelines and variances and may not be as strict.
If you’re prescribe methadone for opioid addiction .You’re on maintenance dosage for the past 2 years can you get a CDL?
@ fred
CDL’s are state issued and do not fall under the Federal Registry. If you are going to work on a class A cdl, then you will have a very difficult time passing the medical certification examination with your particular situation.
Have a question about 2 medications. trying to find out if they could cause me to fail my DOT drug test
Any comments would be much appreciated
meloxicam tabs 15mg
rosuvastatin tabs 20mg
One for Cholesterol the other for Arthritis
@ Will
Neither should be an issue with your drug screen.
I’ve been taking Adderall and Desoxyn for approximately a year. My Dr prescribed them to me and they have worked tremendously. I have recently learned that Desoxyn is evaluated or compared to the street drug crystal meth. So my question is, if I test positive for methamphetamine, am I not allowed to take what was prescribed to me after being analyzed and treated or does my Dr. Prescription covers me for that?
@ Richard G
If your drug test reports positive for methamphetamine, then the medical review officer will contact you and request a copy of your prescription. If it checks out then your positive test is reported as negative.
I have not been able to find any information on any DOT list for Effexor. If taking this can I receive a DOT Medical card? Medication is for depression and also treats menopausal symptoms.
@ Martin
This medication will raise questions with any CME. Best to have a medical release form from your prescribing doctor explaining your need for this medication and the time frame that you have been using it.
I’ve been unemployed for over a week now and just took a pre employment urine test today. I don’t smoke or consume cannabis in anyway but I’m worried I might fail it due to being around people that do often. In the event if I did fail would I be able to request a confirmation test? Also would it be reported to DOT although I’m not employed??
Thanks in advance for your reply
@ J. D.
You can request a confirmation test, but it would be done at your expense. The results are reported to your employer not the DOT.
What about the new FMCSA clearinghouse program? Been driving since 2014 and have never failed a test.
Thank you for replying
@ J.D.
It is highly unlikely that you will fail the drug screen if you are not a consumer of illegal drugs. The clearinghouse is more for abusers of drugs and alcohol.
I’m a class a CDL holder in Virginia I’m on Gabapentin 300 MG 3×a day can I drive on this medicine
@ john M m
Not according to the DOT/FMCSA regulations for a class A driver. You may be able to drive intrastate only. Check with your local drivers license department for guidance.
I just started taking a low dose of Zoloft to see if it can help me with some OCD symptoms that I have. It has been helpful so far but I’m concerned that it might affect my employment eligibility in this field. I don’t want a potential employer to see OCD or Zoloft on my health record.
I’m considering stopping medication, waiting a month, and proceeding with my DOT medical then. Do employers see what is disclosed during a DOT Medical?
@ Kyle
Some companies require you to turn in a copy of your long form from your medical examination. Most just need a copy of your medical card. You will need to check with your companies human resources department.
I have a prescription for phentermine. Will that result in a positive test?
@ Lana C
You will not test positive for any drug screenings, but the CME is going to have questions about your usage.
So if I have a prescription will I still be able to drive while taking phentermine?
I think it’s great that your answering questions and just wanted to give some information to answer questions people haven’t asked and might not ask for whatever reason.
Question: If I’m taking a medication that my dot physician knows about should I tell my employer in case it shows up in a drug test?
Answer: As long as your dot physician knows about your medication and certified you to drive… you can drive.
Even if your on a medication such as buprenorphine it is not tested for. Even if it was, the Medical Review Officer must first contact you to see if you have a valid reason for testing positive for something. He/she will ask If you have a prescription and for you to provide proof of it. If you do have a valid prescription the MRO sends a negative test result to your employer. They don’t send employer your test results saying you tested positive for something but because you have a prescription your test is negative. There’s a reason why your employer cannot personally give you a drug test or anything else medically related. They are not drs nurses or pharmacist. Their understanding of health problems, addiction, mental health issues can be very misinformed. Addiction and mental health issues has a stigma attached to it.
I i recently took a dot card examine and the “DR” at Concentra (which is the worst medical
place to go) gave me the physical and then disqualified me because i take a FDA approved medication precribed by a licensed DR. and then this so called dr just walks out . Im literally so sick of this DOT card bullcrap No poloce officer ever asked me for one, teres no fine fo not having one. The compny I work for now is a food dlivery company and if you saw how your food was picked put nd packaged, youd most likley gag. Its so one sided at this place that Im getting a lawyer. our head manager use to give us drugs, some drivers would crasg trucks ons purpose and get away with it. our union sucks. def. STOP going to SHOP here.
@ James
Stop going to these ‘doc in a box’ locations, most of them seem to have a conflict of interest in their activities. DOT/FMCSA is only trying to keep the roads and drivers safe, so the CME’s must evaluate for possible risk factors.
@ Mark
Good answer for those that have ask.
I’ve been told I have BPPV I’ve been taking 25mg. Meclizine but makes me sleepy this happened in May 2021 what’s my chances of keeping my CDL
@ David
For a class A interstate, going to be very difficult to get a new DOT/FMCSA medical certificate with this condition and medications. The risk factors are too high for any CME to grant an interstate med card. Local cdl, intra-state only, may be an avenue to explore with your situation. You will need to confirm the facts with your local drivers license department.
Can I take Ropinirole for restless leg syndrome and still pass a DOT physical in Washington State
@ Ken
Your medication is going to raise questions, but with some documentation from your doctor and a medical release, you could be OK.
My wife is on Cymbalta and she went for her DOT physical and the only qualified her for 1 year. So my question is will this medication actually disqualify her from driving a Commercial Vehicle when we turn it into the company and the DMV. She has been on this medication for 2 years and driving a CMV so is there something we need to do
@ Rick F
The medication should only raise a few questions. Since she has been on these meds for a couple years, there should not be any issues. It should not effect the DMV or the employer. The reason for the one year card is for the CME to monitor her.
I am trying to get my cdl and I’m wondering about my medications. I take hyrdocodone and gabapentin for back pain. Will i need to switch one or both medications do get my dot Med cert?
@ Kyle
Your meds are going to raise questions. Depending on the class cdl you are applying for will determine which regs will be used. ex: class A, lots of questions and a need for plenty of medical documentation. Class b, falls under the states guidelines and variances.
I am a 70 year old truck driver who has been off work because a severe back pain while driving (that’s what 48 years of truck driving will do you). The pain was only bad when sitting. The pain management doctor put me on Gabapentin for the nerve pain. It seems to be effective. Can I get a DOT medical card while taking it, or is it time to retire?
@ Michael B
The side effects of this medication are going to raise serious questions with the CME. You would need to be on these medications for at least thirty days before going for a new DOT/FMCSA medical certification examination. Be prepared to answer questions, bring a medical release form from your prescribing doctor and a return to work slip without any restrictions or limitations.
Hi Doctor,
I am 58 with bad Osteoarthritis and my doctor just put me on a medication called Diclofenac Sodium EC 75 mg hoping this isn’t going to be an issue for my CDL class A in Missouri.
Thanks!
@ Pattiey
You will need to be on these medications for at least thirty days before returning to driving. These medications can cause issues which are deemed unsafe until proven otherwise. Headaches, dizziness, etc. Once your thirty days are up, you will need to have a new DOT/FMCSA physical completed. Bring a medical release form from your prescribing doctor. You should be fine after that, if all else is within normal limits.
I failed my DOT physical !I could only fill one tube of urine!I offered a blood and hair sample
@ Ronald
One tube of urine should have been sufficient for a DOT/FMCSA medical certification examination. No need for a blood or hair sample. Not sure where the issue is.
Is Voltaren permitted for truck drivers to take
@ Lena m K
It may raise some questions with the CME. But with supporting documentation you should be fine.
Hi Doctor,
I was diagnosed with aware Focal Onset Seizures yesterday & put on 500mg of Levetiracetam (Keppra) 2 times a day. I also have been taking 20mg of Paroxetine (Paxil) once a day for anxiety & depression. Would either of these stop me from getting my DOT medical card renewed now that it is due?
I do not have a CDL, but I do need a DOT card to drive a 6-ton truck for work.
Thank you in advance
@ Lysa
Since you do not have a cdl, then you will fall under your states guidelines and variances. Medical cards and the CME program were established for class A cdl holders. Before you go for your next medical card examination, check with your local drivers license department for clarity on your questions. Then make sure the examiner knows that you are not a class A driver and you want to know that he/she understand the differences of DOT/FMCSA and your states guidelines.
I am a class B cdl driver and have worked for the same company for 3 years. I have bulging discs and my back pain is getting worse. I’ve had a back spasm for over a month now.
I asked my doctor if there is anything I can take to help with the spasms. He prescribed me Tizanidine. (My doc does DOT physicals and he said Tizanidine would be fine as long as I only take it on weekends or evenings) he said it only lasts for 8 hours.
However my company has a policy we have to disclose any medications that could make us drowsy, dizzy etc.
So I told my safety dept my doc wanted to prescribe me Tizanidine. They said they would have to get approval from their corporate doctor who they send employees to for DOT physicals.
Their doctor said I can’t take Tizanidine.
I’m confused why my dot doctor says it’s ok and theirs says it’s not.
I would appreciate any professional perspective on this.
@ LilmissColorado
You are a class B cdl holder and not class A. DOT/FMCSA certified doctors and medical examinations were established for Class A drivers. You should fall under your states guidelines and variances. If the examiner is holding you to a class A standard, then there is a mistake. First check with your states drivers license department for their guidelines and regulations. Then inform the medical examiner that you are class B and not a class A cdl holder and that you fall under the states guidelines and regulations.
Ok, thank you!
I’ve been driving class B for a company for 3 years. I assumed I couldn’t take anything more powerful for my back pain as a CDL driver, besides Tylenol, alieve, acupuncture, heat pad etc. So
I have bulging discs and recently the pain has intensified and I’ve had a spasm last for over a month now. I’m at the point where I have to try something different, so I asked my doctor if there is anything I can do as far as medications or PT. My doctor used to be a DOT physical doctor for years.
He prescribed tizanidine and told me to take it during evenings and weekends to help and he said it was ok for DOT. He said it is short acting and only lasts about 8 hours.
My work has a strict policy requiring drivers to tell the company about any new medications they are prescribed that includes the statement “may cause dizziness or drowsiness, do not drive or operate heavy machinery”
I talked to my safety dept and told them my doctor wanted to prescribe me Tizanidine. The safety dept sent it to their corporate doctor for approval and their doctor rejected it.
So it is sounding like the corporate doctor will reject any muscle relaxers.
My doctor said it was ok for DOT but is there actually a DOT list of approved drugs?
Does a company have the right to tell employees they can’t use medication if it’s not against DOT medication rules?
I don’t know where to go from here. Any help or advice about this situation is much appreciated.
Thank you
@ CO driver
See above.
Dr, I have a DOT coming up and have been off hydrocodone for over 37 days. Do I have to list that? I have taken 1-2 a day for years and never thought anything about it because I didn’t take it before driving. I’ve been driving for 33 years and don’t want to jeopardize my A cdl. I don’t want to omit it and have them look at epic (think thats it) and not get my card.
Thanks
I am a home daily driver in NC
@ Ken
You will need to supply the CME with supporting documentation regarding your meds and present prescriptions, if any. You do need to disclose this information to the CME. Also explain to the examiner that you are a day trip driver only. That way you may/can fall under the states rules and regs as well as DOT/FMCSA. Intra-state vs interstate.
I have been on Buprenorphine for over 5 years. And currently take it for pain. I was prescribed this because after I had gastric bypass surgery other pain medications would not agree with me. I do need a DOT physical for my job, but I dont need a CDL to drive a package truck. I went for my DOT physical and now they will not renew it because they are now saying its do to the medication. This was never a problem before. I always put all my medication down and its always the same place but different Dr.I also got a letter from my Dr saying its used for pain and not because of opioid addiction and the reason why. But they still won’t clear me so my manager sent me to get another opinion and I was told the same thing even with a note. Is this something new? And what can I do? And is anybody i can talk to as to why I never had an issue before?
@ Chris
You are not a class A, over the road driver, which is what the DOT/FMCSA guidelines and regulations were established for. You do fall under your states regulations and variances. Whomever is doing your physical does not understand the differences between Federal DOT/FMCSA guidelines and your states variances. You need to explain that you drive a package truck and do not require a cdl to do so. If they do not get it, go somewhere else and explain yourself before taking the examination. Also take your doctors letter with you.
i am a cld schoolbus driver i take hydrocodone at night time only i have no side affects can i still drive a school bus while taking this medication
@ patricia a s
Your cdl is state issued and unless you are trying to maintain a class A cdl you fall under the states guidelines and variances. Check with your state drivers license department for your best answer.
I am 19 and live in NC. I need to get my CDL permit for Lineman course. I take vyvanse and have for years. Will this prevent me from getting my CDL?
@ Caroline D
Your cdl is state issued and falls under the states requirements. not DOT/FMCSA. Either way, you should be able to pass the medical certification examination. You may need a medical release form from your prescribing doctor, for the medical examination. Most states are not very strict regarding your particular medication, especially if you have been on then for a suitable/prolonged period of time.
Hello, First let me say that I finally made it through all the questions and commentary. This has been somewhat helpful to my situation BUT I am still unclear about a couple of things. I have a valid class A license in MA. I currently have a valid MA DOT med card. I recently graduated driving school and have basically no driving experience. It has been difficult to find a local job without at least 6-12 mos. of driving experience. So I have been filling out apps with the larger OTR companies that offer training programs for new drivers. So far I have been given multiple “conditional” offers of employment only to have the offer rescinded once I am open about being in recovery from opiate addiction and being prescribed suboxone. I currently take the lowest dose of 2-4 mg a day as needed. When I share this openly I am refused employment before I even get to take the pre enrollment DOT physical/screening etc. I’m open about it because I don’t want to chance taking a test only to fail and have the results reported to the Clearing House. I can pass a urine test without any problem but it seems almost every company is doing hair testing now which presents an issue aside from me shaving my entire body before going. My questions are:
1) you mention numerous times in your replies that it is important to use a CME that understands the FMCSA regs…how do you go about determine if the CME does indeed understand them and what if I’m at the mercy of the CME that the company uses?
2) you also mention that it’s important to provide proper medical documentation from my prescribing doctor describing the condition and reason for Suboxone. What verbiage exactly should be used by my doctor that would be acceptable by a CME to explain my suboxone prescription?
3) I saw in an earlier comment that Naloxone is an acceptable drug and will not cause a test failure. Would you recommend that I speak with my doctor and request that the prescription be changed to Naloxone? Would this be a remedy to my situation?
I’ve worked VERY hard to get where I am at and have overcome too many obstacles in my recovery to only be shot down by every company because I am managing my recovery properly and under a doctors care. I got my CDL because I LOVE to drive big rigs and heavy equipment and it is the only way to make enough $ to support my wife and 3 year old son. Any advice you can provide would be greatly appreciated.
@ Fred
Your situation is different than the answers you quote. Suboxone for opiate addiction is very different. It is the medication and the reasons for which you take these meds that all CME’s are going to question and most likely disqualify you. There is no verbiage that over-rides the addiction factors. You may look into intra-state only for a time while you get clean. ( and we applaud your efforts in a tough situation) Intra-state only places you in the states guidelines and variances, (not FMCSA) which you may get through. The change in medications will make little difference due to the nature of the prescription.
Thank you for the reply and the advice. It has been difficult finding an intrastate company willing to hire a driver with no experience. May I ask another question. I am at the point in my recovery where I can taper off/discontinue taking the suboxone. If I discontinue taking it and wait long enough for it to clear my system before seeing a CME do I still need to inform the CME that I was prescribed suboxone in the past year? Are CME’s able to view prescription history even if I choose (take the chance) not to list it? As long as it doesn’t show up in a hair or urine screening will I be in the clear? Or am I screwed for the time being because the CME can access a data base showing all my prescriptions and history of having them filled?
@ Fred
Once you discontinue your meds, you still need a medical release form from your prescribing doctor and your substance abuse counselor. Denying appropriate information on the medical intake form could cost you in the long run. ? is it worth it?
I have a class B cdl.I drive a bus. My doctor prescribed zolpidem for insomnia. Can I take this medication and still drive the bus?
@ Pam
You are a class B driver and should fall under your states guidelines and variances, not DOT/FMCSA. Your medication would be in serious question if you had a class A interstate drivers license. Make sure your medical examiner knows the difference between your states guidelines and the class A DOT guidelines.
Stop sharing that personal info. They have to test specifically for that. Keep those things your business in regard to that.
If you filled out your medical card before receiving your prescription, when and who is supposed to fill the new info out on the long medical card? The doctor or the driver? I went to my D.O.T Medical exam and the doctor ran blood work on me, before giving my certificate. She prescribed medication after I filled out the part to list ALL MEDS. Who is supposed to fill in the new info, the doc or me?
@ Edwina
DOT medical examiners are not supposed to perform any diagnostic testing or prescription handouts at the time of the DOT/FMCSA medical certification examination. We believe it should fall on the medical examiner to complete the proper paperwork in this case.
My dot medical examiner disqualified me because I use to be prescribed suboxone I even went as far as to get a letter stating that I am no longer under the prescribers care and was told by the medical examiner that I could never have a medical card again unless I went to rehab
@ Rodney W
Go get a second opinion, your last examiner may be over reading the FMCSA guidelines. Yes you need supporting documentation and a medical release form from your prescribing doctors, but with information in hand you could be OK.
Will Kratom make me fail a dot drug test?
@ Drew
You may fail since Kratom does have opioid characteristics.
If a driver is prescribed a pain medication by their doctor, are they required to report that information to their supervisor or medical examiner?
@ Tim
If you have pain or illness which has taken you out of driving or places a risk factor, both to yourself or the public at large, then it would be best to inform your supervisor. And you would need to have a new DOT/FMCSA medical examination, so yes you would need to inform the medical examiner.
I have already taken a DOT drug screen but after I got home I realized I didn’t take in my medication bottles with me. Now I’m afraid I will fail my drug test. I am taking Metoprol just 25mg twice a day for a mitral valve problem. Is that medicine going to make me get a false positive?
@ Brian
If you did a DOT drug screen and it comes back positive, then the medical review officer for the drug testing company will contact you and ask for a copy of your medication prescription. Just be prepared to supply the information to him.
I have my Class B and I drive a school bus. I also have severe RLS and my neurologist wants to prescribe Gabapentin. Will this medication preclude me from driving?
@ Lisa
Class B license holder fall under the states variances and guidelines. Check with your local drivers license department for the best answer.
I am not truck driving right now but do have a CDL and my health card needs to be renewed. My doctor has me on Trazadone and Fluoxetine for sleep and anxiety. I am okay when I take them and once my body got used to them I had no side effects Will this keep me from getting my health card?.
@ Manuel M
Your medications and health conditions will raise questions, but with proper documentation you may be cleared.
I have been prescribed a steroid (budesonide/prednisone} for a long term time. can I operate a commercial vehicle while on oral steroids according to FMCSA guidelines ?
@ Lisa
It will not be the medications that will raise questions, but the conditions that they are prescribed for.
I have a coworker that is wanting to get his Class B license, he has been prescribed by his doctor to be on Oxycodone 30mg, Klonopin 0.5mg and Lisinpril 12.5mg. Will he just need a form proving he has to be on these medications? or will they keep him from being able to get his license? We are in Mississippi. TIA!
@ Kaitlyn D
Class B drivers license falls under the states variances and guidelines. Coworker needs to check with the local drivers license department for best answer.
What about bunephrine? Suboxone. If prescribed and have been on it for over a year?
@ Brooke
Both will raise questions and the suboxone will be the main question. It will require medical documentation, medical release forms and still not pass the examination due to your meds.
Why would you even tell anyone? 20 years of trucking 14 of which I’ve been on suboxone or subutex… I’ve just never told anyone.
I have been diagnosed with infrequent migraines and I’m taking Butalbital/Acetaminophen/Caffeine. Am I still able to drive Class A CDL multi-state.
@ Scott A
It depends on when you started have the symptoms and how long you have been on your present medication regime. The CME is going to ask questions and will need some medical documentation from your doctors, and medical releases from them too.
I have diabetes. I take insulin and other medication. I have looked and can not find a clear answer weather i can still drive OTR, have class A. Have been on medication for the last 3 months and trying to get back to work.
@ Nathan
Your diabetes and your treatment protocol are going to be questioned by the medical examiner. He / she will need supporting documentation from your doctors, but it may be possible to get back to driving.
Hello I REALLY REALLY NEED AN ANSWER.
I was given a random drug test ( I have class a ) and it came up positive for oxydodone. The issue is I literally took one the day before for extreme toothache. I realized I got a prescription a few months back for 8 of them . I forgot about that when I was asked if I had a prescription. I lost my job the following day. Is there any way I can appeal this or inform whoever it is to possibly remove this “ failed dot drug test “ from my record and possibly get my job back ? I’m not a drug user at all and my system is always clean, unfortunately random test came at worst possible time. PLEASE PLEASE REPLY AND THANK YOU FROM THE BOTTOM OF MY HEART.
@ Juan N
The best you may do is to contact the MRO (medical review officer) that performed the drug screen originally. Let him know that you do have a proper prescription for the meds and see if he can help you out in this situation. The MRO’s contact information should be on the final report on file.
I am a penndot certified flagger (traffic control). In addition, i work for natural gas installation. Can I perform my job while taking gabapetin?
@ Brenda H
You are not a class A driver, which is what the DOT/FMCSA guidelines were established for. Best answer to your question will come from your local drivers license department.
I have prior drug use in past hospital records. Years ago would that disqualify me from getting my d.o.t physical
@ Prudencio O
With proper documentatio, you could take the examination.
I am receiving negative pressure wound therapy for an abdominal wound surgery. I currently have a tube and bag hanging from my waistline. I also have a PICC line in my right arm for antibiotic administration. I am wondering if this will inhibit my ability to pass a FMCSA DOT exam. Please advise.
@ Bobbie
You will need to be completely released, without restrictions or limitations, before going to the next DOT/FMCSA medical examination. And be prepared to provide supporting medical documentation.
My doctor prescribed me phentermine can I still drive a CMV while taking this medication.
@ Dave
DOT/FMCSA guidelines suggest not passing a drivers who is on this medication.
Can you drive a truck if you’re taking antipsychotics like Risperdal
@ Brandan
The meds and your medical situation are going to raise questions and will need supporting medical documentation. But it is possible under the right circumstances.
If you was taking medicine for depression/bipolar. But no longer take meds for 3years. Would this disqualify me?
@ Crystal
If you have been off medication for 3 years and have had no other symptoms, then the CME may request some additional information from your previous doctor. You should be fine otherwise, if all else is within normal limits.
You cannot be on antipsychotics
@ Peppi
DOT/FMCSA guidelines and regulations say otherwise.
Are beta blockers a disqualifying medication for cmv operation?
@ Greg S
The meds are not a disqualification, the conditions may be. Be prepared to answer questions and provide needed medical documentation for the CME.
My cardiologist took me off of warfarin and will prescribe me Xarelto to take it’s place. I failed my DOT physical because I wasn’t therapeutic. My cardiologist said by me being on the new medication I would be therapeutic. So does that mean that I can go take my physical this week and get my new card?
@ Victor K
Any blood thinner medication is going to raise questions with the CME. Be prepared to answer his questions and provide supporting medical documentation, if he ask for more information.
i did the self certification in order to keep my cdl because im not driving trucks anymore,so i can not drive trucks till i get a new dot card but now i have the medical cannabis card for anxiety treatment,do i need to do something else?
@ luis
Depending on your class drivers license would determine what your next step is. Class A medical cannabis is still a disqualifier. Any other class drivers license is under the states guidelines and variances. Check with your state DLD for further information on what to do next.
I take Cymbalta, Gralise and Flexeril for nerve pain, as I have a form of Fibromaylgia. I also take Wellbutrin XL to help me stop smoking. Then I take Norco 10/325 for chronic pain, from a broken spine, but not when I am driving. I drive a school bus in Texas and was told at my physical the Norco disqualifies me. I have doctor documentation/release for all my meds stating I am safe to drive a school bus. The FMCSA website states it is up to the medical examiner to approve me or not. Should I seek a different examiner or am I in an auto fail situation? It has never been a problem until I got this new doctor this year.
@ Susan J
FMCSA established its guidelines and requirements for class A long haul and heavy haul drivers. You do not fall under the FMCSA’s guidelines, but your states guidelines. Your CME must know the difference and work within those (state related) guidelines, not the FMCSA guidelines.
Can i be a long haul driver if im taking lithium and seriquel?
@ Paul G
The examiner is going to request additional documentation regarding the diagnosis and medications prescribed. Long haul drivers have a very different lifestyle and must abide by a more intense physical, mental and social evaluation.
Will 100mg of losartan once daily affect my DOT medical card?
@ Les
It will raise questions as to why you are taking this medication. With proper documentation from your primary doctor, you do OK, if all else is within normal limits.
Is OTC Valerian Root restricted in any way?
@ CHRISTOPHER B
No. Why you take it may come into question by the CME though.
I have been prescribed klonopin to stop migraines from anxiety and have been on it for several years and don’t experience them migraines or anxiety and I do not feel the klonopin at all, I never have,it just takes care of my anxiety apparently,will this disqualify me from getting my CDL?
@ Jason S
Your medications are going to raise questions and will need supporting medical documentation. Getting your cdl is a state related issue and getting a medical card for a class A drivers license will be a federal issue.
I have heard about a new procedure that the medical examiner must check the data base of the Pharmacy Monitoring Board. Even for a DOT physical. Is this true? Will non-addictive drugs such as Pradaxa be reported on this Pharmacy Monitoring Board data base?
I have a prescription for Pradaxa but since there are no INR’s like warfarin, it’s not monitored by my PC physician.
@ Vic B
CME’s do not use the Pharmacy Monitoring Board unless there is reasoning to do so. If a driver presents with signs of abuse, over utilization, or medications that present with serious side effects, then the CME will use the board.
I have been taking armodafinil for 10 years. I did not report it but the company doctor looked and saw where I had it filled a month prior. My doctor prescribed it for swing shift disorder. I was forced to stop taking it. What signs could the medical examiner have looked for to warrant looking at the pharmacy board?
@ Scott
You did not report the medication on your DOT/FMCSA intake form and the examiner must have questioned something in your answers to his questions which triggered a pharmacy board review.
Best advice: if you are not taking a medication that is tested for, DON’T MENTION IT!! If you’re on Methadone, good job!! It doesn’t show up so keep you’re mouth shut! Same with anxiety and psych meds! Be quiet!!
But, be aware of the side effects, be a responsible professional driver, and dont kill anyone!!
Safety first!!
@ Brian
We do not agree with this approach, even though we know it happens. Just be aware that false information on the DOT/FMCSA federal forms could cost you your job and career.
If ur going to lose it anyway for mentioning it then who cares if u falsify documents. People need to feed there families and alot of doctors dont understand the effects since they have never taken them theirselves.
@ Jon
It is unfortunate that a lot of CME’s do not work with drivers on a full time basis. It requires that the CME understands federal guidelines and regulations, state variances and the effects of medications, as it works with the drivers and their hours of operation. But in the end you get to take personal responsibility for your actions, no matter the outcome.
I am on buprenorphine, and have been for 4 years now. I just went to get my dot physical and was denied due to this, is it even possi le to move forward. My dr has written a letter and is willing to advocate for me but I am so frustrated and just lost? Any advice?
@ Aliya
For a class A over the road driver, there are going to be many questions and yes with proper documentation you will be able to drive with a valid medical card. Your medication raises questions and requires further investigation via the CME. Also if you are not a class A driver, then you fall under the states variances and not DOT/FMCSA. Make sure your examiner know the difference in the guidelines and regulations.
I take Stribild for my h.iv also under control will that denied me from getting my medical card
@ Kerby
The medication will cause questions, but with a medical release and supporting documentation from your prescribing physician you should do fine.
I take geodon and. Wellbutrin and Effexor and buspar. Can I still get a medical card if I have my psychiatrist write a letter saying I have been on them for years? I would also get a letter saying I am safe to drive a truck.
@ John D
Your condition is going to raise questions. You will need medical documentation and medical release forms from your prescribing physicians. The more information you bring with you at the time of your medical examination the easier you make it for the CME.
I take Zolpidem 10mg for Insomnia.I recently started taking it and use it when I really need it. I already new that I can’t be on Benzos, but this med is not considered a Benzo. I started taking Zolpidem after my last physical so at the time there was no meds to declare. Is this med accepted by the D.O.T.?
@ Troy
Under FMCSA guidelines you should be on any new medication for at least thirty days before having a new DOT medical examination. If you are not having any ill effects/side effects, then the DOT medical examiner will want to have some supporting medical documentation and a medical release from your prescribing physician.
Good afternoon,
I was put on a medication for Parkinson Disease. It is the short name is CARB/LEVO. Would this disqualify me from driving a CMV? Thanks Tom
@ Thomas A A
You will need to be on these medications for 30 to 90 days before retaking your DOT/FMCSA medical certification examination. Once cleared from all possible side effects, you’ll need a medical release form from your prescribing doctor and supporting documentation so the CME can make a well informed decision regarding your case. There will be questions and if all else, signs and symptoms, are within the normal limits, you could do fine.
My husband was recently placed on Zoloft, low dose 25mgs, for anxiety. Its helping. But when he went for DOT physical, with a letteokr from Doctor indicating the very low dosage won’t affect him operating LARGE CRANES, etc, he was told by examiner he’s required to get a PSYCHIATRIST and cognitive therapy because it’s an antidepressant or he’d be in jeopardy of losing LICENSE. IS THIS TRUE?
@ April H
If your husband was recently placed on this meds, then the CME is looking to cover any possible risk factors. Your husband may need to be on the meds for 90 + days before being cleared. It is up to the CME and his interpretation of the FMCSA guidelines.
Is Naltrexone a Disqualify medication? It is not a narcotic.
@ Tim D
The medication is not one that will disqualify and the condition for which it is prescribed will raise questions with a CME. Make sure you can support your situation with documentation and a medical release from your prescribing physician.
What if I was on Zoloft (generic) and I was token off of it, do I have to let the examiner know. Honestly I just kind of stopped taking it and realize I didn’t really need it, I just manage my anxiety now
@ Matthew V M
There are questions on your intake form for DOT/FMCSA that will ask. You were not taken off these meds, you just quit them.
I have a CDL and a school bus endorsement in the state of Illinois. I have had surgery for cancer and now I am receiving chemo treatments. I am not working right now due to the risk of being exposed to flu, germs and side effects of chemo. My question is will I be able to get my yearly physical to keep my license current when it comes due? I would not drive while I am receiving chemo but I would like to keep my license current.
Thank you,
Julie
@ Julie L
Once you are released to return to work, then go for your new medical card. You need to be released before going for the examination.
can i take lyrica and pass dot drug test
@ Jim
Just be prepared to provide a copy of the prescription.
I take testosterone shots and the Dr that gave me my DOT physical said that I can only get a 1 year certificate. I’ve been on it for the last 3 physicals and always got a 2 year. Is she wrong or did they change the rules?
@ Michael M
Nothing changed but your examiner and his interpretation of the FMCSA guidelines.
Is having Scleromyxedema a disqualifier for a CDL?
I would like to know if I will be able to get a CDL while taking methotrexate.
@ Mike W
Your situation and the medications that you take to treat the condition may raise questions with a medical examiner from the FMCSA. Your cdl is state issued, so you need to check with your state first about the cdl. Then, based on the class license you carry, you will need a medical card. FMCSA guidelines were established for class A long and heavy haul drivers, that may not be you.
Are Tramadol and Wellbutrin disqualifier for CDL?
@ Jenna
Both of these medications are going to raise questions from a CME for a class A cdl driver. CDL’s are state issued, check with your state drivers license department for cdl questions.
I’m 6’1 265 lbs, when I started driving 8 years ago I was 210. I’m struggling to lose weight, I went to a clinic and they offered me phentermine. If I get a release from the prescribing doctor will this medication disqualify me from operating a cmv?
@ Justin
Most likely. FMCSA guidelines recommend that CME’s not approve a driver using phentermine.
How long must a patient be off Chantix in order to pass the dot Medical Exm?
@ Tricia J
The CME will want you off this medication for at least 30 days, but it is his/her decision and use of the FMCSA guidelines that will determine the final decision.
I was hurt on the job and taken to the hospital need to know if I can take my pain meds not driving due to my injury but plan on going back after but I am using workers comp to pay for my Bills
@ Chin h
Your medical card was invalidated at the time of the injury. You will need to retake the DOT/FMCSA medical examination once you have been released to return to work. Make sure there are no restrictions or limitations placed on you at the time of the new DOT examination.
Dear Sir/Madam:
Is Sertraline a banned substance under DOT regulations?
@ Barry
The medication is not the question, but the existing diagnosis is going to require a medical release form from your prescribing doctor and additional documentation.
I’ve been taking oxycodone for 6 years now, due to breaking my back and several failed fusion attempts. I’m still able to drive and lead a pretty normal life. I’ve had a CDL for roughly 10 years now, but my medical card renewal is coming up. I have proper documentation from doctor that my oxycodone does not affect me mentally and doesn’t effect my driving abilities. With my documentation from my doctor, will be okay to continue to drive and carry my class A CDL?
Please call me when you find putt the answer to this question. I just went for a DOT physical in Waterville, Maine at WORKPLACE HEALTH & they would not pass me because I am on oxycodone (w a Dr note and approval to drive w my CAL A ) & by thier assessment I AM HIGH RISK FOR SLEEP APNEA… My personal physician says I do NOT have sleep apnea!!! Good luck at your physical!
@ Denise M
Get a second opinion from a CME that has a better understanding of the FMCSA guidelines.
@ Nater
You will need medical documentation and a medical release form from your prescribing doctors. And you will need to find a CME who understands the guidelines as fully as possible. Oxycodone is going to raise questions and the examiner is going to need as much supporting documentation as possible to help in his decision making process.
How do you go about passing your physical if you’re doctor prescribed you Adderall? I took a break from driving and in that time was given a prescription for Adderall for my ADHD and am now looking to get back into driving. The Adderall doesn’t make me drowsy or keep me awake all night, I take it at the start of my day and am able to function and sleep just fine. Is it possible to legally drive with a prescription for Adderall or is it just a straight no?
@ Thomas C
Just bring a medical release form from your prescribing doctor and you should be fine, if all else is within normal limits.
Are weekly injectable diabetic medications non-insulin a disqualification drug or require a medical waiver of any type more than oral medications when taken by a type 2 diabetic for a CDL? Examples are trulicity or ozempic.
@ Donna P H
They are not disqualifiers, but will require supporting medical documentation and a medical release form from your prescribing physician.
My doctor perscibe me sumatriptan and propranolol for a migrain headaches, will this disqualify me from obtain my cdl card. Both medications are not considered as a control substance and I have no side effects. I have three more months before I take the dot physical. Any recommendations or words of advice is truly appreciate.
@ Kelvin R G
The medications and the condition will raise questions with the medical examiner. You will need to provide medical documentation and a medical release form from your prescribing doctor. CDL is state issued, but the class of the license will determine the guidelines used for the medical card. ex. class A over the road, long haul fall under the federal DOT / FMCSA guidelines. Class B or intra-state cld’s fall under the state variances.
My husband is being hired by UPS. He has been on a medication regimen for about 20 years. He takes Adderall and Xanax. He has has this regimen again for about 20 years and there has been no adverse reaction in that entire time. His prescribing doctor is completing the medical exemption form at the request of the CME but my question is whether or not they can still deny him the position.
Is Lyrica for back pain a disqualifying drug For a class A license?
@ Stacey O.
The medication and the condition are going to raise questions during the DOT examination. Your examiner is going to need documentation from your prescribing doctor before he makes any decision.
Will I fail non cdl dot for taking klonopin prescribed by a dr for anxiety?
@ Michael James D
As long as the states guidelines accept this medication, then you should be good.
Is atomoxetine(Strattera) an approved drug under DOT guidelines
@ Eric P
Yes, it will require a medical release from your prescribing doctor and medical documentation too.
I have a class A CDL but I need my medical card to have this lic. I have chronic pain so my doctor has prescribed the lowest possible of hydrocodone with Tylenol it helps with my sever headaches and that’s about it. What do I need to do to get my medical card. I also had a question the medical exam person also called around to check on my medication I receive are they required to do that.
@ John
You will need a medical release form from your prescribing doctor. You need to have been on this medication for thirty days or longer before any CME will consider testing for a DOT medical card. The CME may request additional documentation to aid him in his decision making process.
I take Gabapentin and Lyrica, but not for seizure prevention. Rather, it is for Neuropathy. Will those medications still prevent me from driving a school bus?
@ Jim
As a school bus driver and not a class A driver, you fall under the states variances. Check with your local DLD for guidance. Also, you will need to explain to the examiner that you are a school bus driver and bring supporting medical documentation you have.
Thank you for your response. What does DLD stand for?
@ Jim
My apologizes, Drivers License Department.
Can I still drive while taking cabozantinib or vandetanib for cancer
@ Eric
Depending on your drivers license class. Class A, you will need to provide medical documentation when you take your DOT medical examination.
the supporting documentation would have to include reports from my treating Dr.
@ Eric
That is correct.
in 2018 I was DOT certified while on the methadone program, had the proper documents from the prescribing provider and I was issued my card. being so I have to get re-cert every year vs. every two this year I have been having issues with getting recertified even though I have lowered my dose and am being tapered off,. how was I able to be issued my card and now a year later having a problem being reissued?
@ kc
Some examiners use the guidelines, and with proper medical supporting documentation, will grant a short term or one year card. Some examiners read the same information and interpret it differently. Go back to the CME that did your exam last time.
I keep getting denied for being on methadone for pain management even with a doctors note saying im safe to drive a cmv I do have a cdl a license and a 1 year medical card
@ Wes C
FMCSA has very strict guidelines and regulations regarding the meds you are on. You are lucky to have a one year medical card. That will probably stay with you for some time until you are off the medication or supporting medical documentation leads into another direction. Methadone for pain management is always going to raise questions with a CME.
I went to a doctor recently to see about getting on aderol but he said its highly addicting and wouldnt prescribe it to me . I was told it helps people concentrate better while reading and in everyday life. Anyways then i recently got my class a license and realized that medication would have kept me from advancing in my career. Just saying..
I was recently diagnosed as ADHD, and my doctor proscribed Topiramate and Adzenys (amphetamine). She said there is a lot of success with this combination. But will I lose my CDL?
Hello I was prescribed risperidone about three years ago and it makes me feel fine and I have no symptoms is it automatic disqualification.
@ Aaron
Just make sure you bring a medical release form from your prescribing physician. And any other medical documentation that supports your situation.
Is amitriptyline 10mg a disqualifying drug for CDL A. Prescribed for nerve pain. I have to renew my dot physical and wonder if it will be a problem.
@ Mike
The medical diagnosis and the medication are going to raise questions, but with good documentation you should do fine.
@ Kalyn
Your CDL is state issued. Most likely you won’t lose your cdl, but they may enforce some restrictions. Check with your local DLD.
I drive a City Transit Bus, CDL class B. For my back strain and pain, my doctor prescribed Cyclobenzaprine (muscle relaxer) and Tramadol (pain medication).
Can I take Tramadol and / or Cyclobenzaprine at my job – random drug testing is done, as well as, all post accidents.
Are these two drugs “allowed” to have in a commercial driver’s system if drug-tested?
@ Margaret R
You are a class B, not FMCSA class A. Drug testing medical review officer may request prescriptions from the doctor before filing final findings.
I’m a bus driver. Is wellbutrin banned by USDOT?
@ Marty
Lots depends on your drivers license class. Class A, will raise questions. If your are some other class, then check with your local DLD for the best answer as a bus driver.
can I drive trucks if I’m getting prescribed metadone or subuxone or Subutex..
@ pierre
Probably not. You won’t pass a DOT/FMCSA medical certification examination.
I was taking Suboxone after becoming physically dependent on prescription pain medication that my Doctor prescribed me for pain after 4 years I tapered down and have now been off of all medications for 4 months and feel great I got my life back. Is my past going to prevent me from getting my CDL? I’ve never used illegal drugs and never abused any.
@ Ando
Getting your cdl is a state issued license. Getting a class A DOT medical card is a Federal issue. If you presently no longer take any medications, then you should be fine.
a year ago I had a accident outside & hit my head, with a lil brain damage. they were told I had a seizure. and put on zepra, the test showed I never had a seizure, and they took me off zepra a few months ago. I drive a cdl b, can I get my license back right away, or do I have to wait? If I had a letter from the dr. saying that I never had on, and would be okay to drive?
@ CO
Your question is best answered by your states drivers licensing division.
My husband was was prescribed a medication to help him to quit drinking. This drug is not a controlled substance and only aids in stopping to drink. Can the DOT physician make a personal opinion and weather or not he has a drinking problem. Note my husband has never had any infraction or write ups at his job in 31 years of employment nor has he ever had a driving infraction outside of work. He started to drink again in the past year dealing with his mothers diagnosis of dementia and myself (his wife) having breast cancer. He went for a his yearly exam with his primary care in May and his doctor recommended that he take this medication. Subsequently, the company my husband works for has to start a substance abuse program immediately due to the DOT certificate denial. He has now gone through 5 weeks of quite the run around with many specialist telling him they have never heard of a situation like this. It appears that this particular PA based her decision not to pass my husband due to her own personal opinion. I just learned through some research that he could have a second opinion, is it too late for him to do this? Can the DOT PA fail him base on a personal oppinion?
@ Amy
Go get a second opinion.
I take Gabapentin for neuropathy. Is that a disqualifying medication?
I had a test show positive mro contacted me I sent them a copy of the script. I returned to work then they wanted a safety sensitive letter the Dr did not return this all though the results of the test is now negative what happens without the letter
I went to get my medical card renewed for school bus and had a new DR this time….He was asking me about my medication that I take and I said that I take one for Restless Leg syndrome and he said dont say that cause it is a automatic fail. I have been on this med for years and never had a issue with other Drs durning my physical.Is this true that it is a automatic fail?
@ Barbara C
No, it is not true. And you do not fall under FMCSA guidelines, your in the states variances. Make sure your examine doctor understands the difference. Your a school bus driver not a big rig long haul driver.
I’ve taken requip for years and have a class B. I’ve only had one question and that was if I knew how to take it correctly even thought I had written the answer when I listed my meds. I had to get a letter from my Dr stating that I knew how to take it, go figure but have never been asked by any other Examiner
@ Debbie
Your examiner is holding you to a class A drivers standards and you are class B. You fall under the states variances, not federal DOT guidelines. Your examiner should know the differences.
I read for 30 minutes And didn’t see this one I am on ambien for sleep I have drove and had dot physical and no problem this time around I got denied I was wondering why
@ Dustin
The medication has some pretty serious side effects and the FMCSA does not want big rig, long haul drivers using it and driving. If you have been on this medication for years, then get your prescribing doctor to help you with medical releases and supporting documentation.
This is an amazing website filled with valuable, reliable information not found elsewhere, or at least not that I have found yet.
I’m a veteran/retiree. I just recently applied to a reputable trucking company for acceptance into their paid CDL-A training program. I have a current DoT medical card from my primary care provider who is also a certified FMSCA Examiner.
My concern is that the company I applied at, like most others, will be doing their own DoT physical and may be more stringent.
Here are my primary concerns:
I have been on Duloxetine 20MG, better known as Cymbalta, for over a year. It is for depression, anxiety, neck pain; it works great! I have absolutely no side effects.
I have read on other websites that prescription medications for these conditions is a red flag, obviously, but many drivers go on to say not to waste your time, you won’t be hired and some even say you shouldn’t be hired.
Is this medication and the dosage “likely to result in a failed DoT physical” by the trucking company’s examiner?
Note: This is the lowest possible dosage, actually, it’s an initial dosage; I never needed to go higher.
If it’s likely to result in failed DoT exam, I intend to ask my Doc to remove me from this medicine to ensure no “red flags” are raised. I am still functional and fully capable without the prescription, but frankly, it does help me feel better in all three areas. Does this alternative plan give me a better chance with the company DoT examiner?
Lastly, when you sign the medical release form mentioned in this thread and others, does that literally give the DoT examiner “full access” to read all your medical records, including mental health?
Would it not be sufficient enough to show the company’s DoT examiner both my current DoT card (within 30 days) by approved FMSCA Examiner and a note/letter from my primary provider (both are the same doctor) stating that my conditions (noted above) and the prescribed medication, Duloxetine, DO NOT IN ANY WAY HINDER MY ABILITY TO PERFORM THE DUTIES AND RESPONSIBILITIES OF A COMMERCIAL TRUCK DRIVER IN A SAFE MANNER?
Seems like that’s what the point of the DoT medical card is for, but some have recommended this letter. What are your thoughts on such a letter?
Thank you very much in advance.
J
@ Army Vet/retired
Your medication is going to raise questions and will need supporting medical documentation and a medical release form from your prescribing physician. Be aware that companies that offer a paid-cdl training have thousands of people to choose from, so they are looking for any reason to release you before they spend a penny on you. A medical release form from your doctor does not allow a CME to read your medical records. You may want to reconsider.
is taking pravastatin for high cholesterol disqualify me from passing medical for class A with tx in california.
@ Brad R
No.
I do the dot doctors count your your pills?
I have a diagnosis of bipolar and have been on geodon and effexor xr for 2 years and been stable. Are these medications disqualifying.
@ Robert
The medications are going to raise questions, so be prepared. You’ll need a medical release form from your prescribing physicians and your most recent test results/medical documentation available for the CME.
I’ve had 9 back surgeries, I’ve got a pain pump. Will this stop me from getting DOT Certificate. Driving is about all I’ve got left
I was taking zoloft up until about 4 months ago for mild depression but I am no longer taking it. I am currently taking Wellbutrin time release 150mg once per day. Will I have any problems at paid CDL training with Roehl transport?
@ Philip F
It will depend on the companies hiring policy. Check with their HR department before going much further. These companies have thousands of applicants and will look for any reason to dismiss before spending a penny on a incoming potential driver.
@ Don
Lots will depend on the class license you are going for. As a class A, over the road, long haul driver, you will not pass the FMCSA guidelines or the medical certification examination. As a local intra-state cdl driver with a lesser class license, you may be OK. Check with your local DLD for more information.
I work in a chemical manufacturing facility where our operators load our chemicals into DOT regulated trucks and we ship our chemicals via pipeline. Based on the information above we are required to take annual DOT physicals because of the way we ship our products offsite and not because we are re-certifying for our commercial drivers license. Does or will taking blood thinners dis-qualify me in this situation?
@ Danny M
It will raise some questions and the medical examiner may ask for some additional information from your prescribing doctor, but you should be OK.
My doctor wants to put me on an anxiety med the off brand of Zoloft I’m classified as a short haul driver meaning I start and stop within 12 hour day not allowed to go over those hours will this be a problem with my medical card
@ Bob
The medications are going to raise questions and you’ll need to be on the new medications for at least 30 days before you can retest for the DOT medical card. Class A commercial drivers are limited to 11 hours of driving inside a 14 hour window and must take at least a 30 minute break within an 8 hour span. If you are not a class A driver, then check with your local DLD.
I’m a class b driver and the medication is Viibryd there are no side affects of drowsiness or sleepiness is that something that will put my med card at risk
@ Bob
You are a class B driver and you will fall under your states variances. Your medication and the conditions it is used for will raise questions during any medical examination. Be prepared to provide medical documentation and a signed medical release form from your prescribing doctor.
I work for a pain management office and one of our patients takes tramadol and tramadol extended release. Dr Oppong is wondering if the tramadol extended release is one of the approved drugs. Thank you for your time
@ Megan
Both of the medications are going to raise questions with the CME. Your patient is going to need to provide medical documentation for the CME to help with his or her decision making process. Also depends on the type of driver license your patient holds. FMCSA guidelines were established for the long haul, over the road drivers.
Is Effexor or a blood pressure medication a disqualifyer for a CDL in Oklahoma?
@ James M
Both medications are going to need further medical documentation. The bp meds will limit the length of the medical card to one year, but the Effexor will need additional supporting documentation and a medical release from the prescribing doctor.
I was diagnosed with bipolar, depression, and I think anxiety as a teen. I no longer am on medications and its been a few years. Would I be disqualified from getting my medical card? Could I get a letter from my doctor stating that I’m no longer on medications and that I’m no longer receiving treatment, and get a waiver.
And I get a waiver whats the chances of the doctor passing me.
@ Nick
No waiver is necessary, get the letter from your doctor and you should be OK.
What about low dose Tramadol? Are there specific sleep medicines that are not allowed?
@ Digger
Any medication is going to raise questions. Be prepared to provide medical documentation and answer additional questions regarding your prescription and its usage.
I have just been prescribed Abilify for bipolar also take Zoloft for depression. Can I still keep my Cdl class A?
@ Michael r
Keeping your cdl is one thing , but your medications have invalidated your medical certificate. Check with your local DOT examiner to determine your wait period and what is needed in the way of medical documentation before returning to the CME for a DOT medical card.
My husband wants to get xanax prn for an international flight for our vacation, but he says he will lose his job due to DOT guidelines…its just for vacation. Is this true?
@ Sonia
Only if he tested positive on a random drug screen.
A driver who had been off on medical leave has submitted medical releases to our company to return to work. He’s worried that his taking LIPITOR and CLAVIX will medically disqualify him when he goes for his medical recert exam. Will it?
@ Douglas M
It does not disqualify him, but he will need to provide additional medical documentation for the CME to consider doing the examination.
Can you take CBD oil if you have your cdl class a license, or will you test positive on a drug test.
@ Mary
You may test positive for a drug screen. Then you have to explain yourself to the MRO and the company.
My diabetic medication (metformin/glipizide) was adjusted while I was attending CDL Training. I am now being told that I must be on my diabetic medications for 6 months prior to returning to CDL training
@ David
Sounds like a company policy, FMCSA would like to have you on a new medication regime for at least 90 days and provide the examiner with supporting documentation.
I was denied renewal of DOT medical card for the prescribed meds Tramadol and Trazadone. Are these drugs that are prohibited for DOT. I have been on them since 2008 when came back from Iraq. Answer would be great. Thanks
@ Phillip K
You need to provide medical documentation to the examiner so he understands your condition and present prescription. If you can, get signed medical release forms from your prescribing doctors.
I’m taking a 25mg pill of metoprolol does keep me from getting a two year card
@ Harry
It is a high blood pressure medication and will limit your card to yearly
I have been in opioid recovery for 5 years I currently take methadone, would this be considered a medicine not approved.
@ Jj
Yes. FMCSA guidelines are pretty strict on this one.
Do I have to disclose to my “employer” the fact that I take lorazepam as needed for occasional anxiety and ambien CR for insomnia? I know I have to report it to the CME, he has cleared me for use for the past 4 years. I would like to know if the “employer” has the right to know.
@ Brad
If you perform your duties without restrictions and you have a valid medical card, then why would they ask?
I guess I should’ve been more clear. Does the employer have the right to ask you about medications on an application for employment?
@ Brad
They can ask, doesn’t mean you have to answer. Sounds more like a legal question.
Is Adderall a disqualifying medication? I have never been diagnosed with ADD/ADHD but my doctor had put me on it for “motivation” during a depressive episode. I am currently off of the Adderall, is there a length of time I need to be off of it? Also, I take Zoloft and Abilify are either of these disqualifying?
@ Gus
Your medications will raise questions with the CME, but can be overcome with proper medical documentation.
I was diagnosed with general anxiety after I had an anxiety attack after my toilet leaked and severely damaged my home resulting in 15k worth of damage. I went to the doctor and cycled through some meds briefly and eventually started to feel normal again and stopped the medication along with working with my doctor approval of my choice to stop, she left it up to me to decide if I wanted to try another medication but I felt like I am ok enough now.
Since my anxiety and mood has been manageable and comfortable and I have no future appointments and am not on medication can I expect to have any issues at my next DOT physical examination?
@ Mike
Make sure you have a medical release from your doctor stating that you have been off these meds for however long its been and you should be fine.
I take mirapex medication for Restless legs..NOt parkinsons..I have always been able to drive Class A…but new MD says I can’t drive because of the Restless leg syndrom..and taking the mirapex..is this true
@ James S
Have a medical release form from your prescribing doctor explaining that you take the meds for restless legs and not Parkinsons. And get a second opinion from somewhere else.
I’ am going to start my training to get my CDL here in Florida. But I’m on Suboxone. Will I still be able to get my license in Fl.?
@ Carla P
The medication is going to require medical documentation. Be prepared to obtain the documentation that the CME will request.
Opana 5 mg 1 every 4 hrs. as needed for pain .. can I still drive a class B dump truck
@ Harold S
You are class B driver and are under the states variances. Check with your local DLD for the best answer.
Hi I was just failed by dot examiner for a prescription of suboxone in MA. What do I do? Or is there another route
@ Christopher P V
It will depend on the reasoning for the suboxone prescription. Medical documentation and a medical release form from your prescribing physician will help, but may require further explanation for the medical examiner.
I was just denied a med card I also being prescribed suboxone. Prior to this blog just in May 2019 I was at DMV in Vermont I asked about driving a commercial vehicle prescribed suboxzone . I was told yes depending on the examiner and if they felt I was stable and safe I could obtain a med card . I had also brought a letter from my prescribing doctor with my stability over the past three years. I’ve never had any relapse episodes what so ever and no negative ua’s I went to concentra yesterday and was flat out refused because I’m prescribed suboxzone I feel this is unfair I do not see any difference from my prescription s than ANYONE anyone on nitro for heart condition or someone on adderil. For hypertension or someone with diabetis on insulin or someone with seizures on meds. I feel discriminated to the max. This is not methadone where I’m falling asleep I feel safe on suboxzone I feel confident to drive any vehicle. This needs to be addressed so people can live earn an income to provide for their families in their recovery and be proud of their sobriety and not want to give up and feel useless. It’s all reflected on opioid abuse. THE STATE WANTS IT TO END WELL THEN where do people go if this continues.
@ Peggy
Your state DMV is correct, it depends on the FMCSA examiner. Some examiners fully understand the FMCSA guidelines and others took a class somewhere that said no to suboxone. Go get a second opinion from another examiner, especially one who under stands the guidelines.
Can I be punished for taking a prescribed medication even if the prescription is expired? Will the MRO deem that as a positive or negative test? Also where would I find that regulation regarding expired prescriptions in the DOT rules?
@ Adam D
MRO will list it as positive. No punishment other than employability due to a positive drug screen, but that is a company policy issue, not DOT
Will the prescription drugs Suboxone and Clonazepam disqualify me on my drug test
@ Larry S
You would need to provide prescriptions to the MRO doing the testing.
Yes, even with proper documentation the benzodiazepine will likely lead to your disqualification. The other med, which is also a sedative, is up to the dot doctor. This is from the 2009 expert panel of medical opinions in psychiatric disorders. It even gives a table on how long you need to be off your bento to drive. https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/Medical-Expert-Panel-Psychiatric-Psychiatric-MEP-Panel-Opin.pdf
My doc is considering putting me on 30mg of cymbalta for pain. Is this ia disqualifying drug as far as my DOT physical goes ?? We agreed to not take anything until we are sure.
@ S
Both the medication and the reasoning for the use if these medications are going to called into question. You will need medical documentation from your prescribing doctor. If you start a new medication you will invalidate your present medical card and will need a new DOT medical certification after you have gone through the waiting period.
I take Latuda, Zolpidem, and Doxepin can I pass if I have medical clearance from my doctor? What are the steps I need to take?
@ Andrew
You will not pass a FMCSA/DOT medical certification examination while taking these medications.
Do DOT doctors have access to see if you are taking any prescriptions through a data base
@ Mark
It falls to you to be honest about any medications you are taking. The CME is looking at a multitude of things, all of which are geared at safety and possible risk factors.
Also yes. They can check, they may not be prompted to and it is nonstandard, but 100 percent allowed on their state controlled substance reporting system.
I’m required to get a DOT Physical, non-cdl, just for my job to make sure I’m well fit, I take prescription narcotics for back pain, I know under normal drug test the lab will call, get Rx and such and it comes up negative, would same apply here or do I tell examiner and give him/her supporting documents up front?
@ SpudZooka
Tell examiner and give him/her supporting documents up front. Also explain that you are not a class A driver, which means you fall under the states variances and not federal DOT.
I take Clonazepam and Hydrocodone. I have a dot physical for a job I applied for. It is not a class A license. Would these disqualify me for the position?
@ Shane
You need to check with your state DLD regarding their guidelines. If the state wants a DOT medical examiner to do the examination, then make sure you explain, to the examiner, that you are not a class A driver.
They told me it’s all the same test… though I’m not getting CDL I failed, not sure about my career now. I passed the physical but as far as the the status it’s fail.
My husband has been taking Lunesta for over a year because he has trouble with waking up during the night. He tried to renew his Medical Card, and the doctor at Concentra told him he’d have to have something from his doctor showing he’s been off the pill before he could get a medical card. He doesn’t have any side effects, is there no way he can continue taking it and get a medical card?
@ Allison
The medication is going to raise questions so be prepared. Medical release from the prescribing doctor and get a second opinion from somewhere other that the last place you tried.
i may have failed a drug test durning my physical. im currently in CDL school, but don’t even have my permit yet. will this prevent me from possibly getting my license?
@ Danile A
No, but it does not help. Also all driving companies drug screen routinely before hiring and afterwards.
I went to a neurologist because I thought I was having seizures.After an MRI she told me that I dont have seizures, but she prescribe me a seizure medication anyway. Do I have to fill out a seizure exemption form?
@ Rafael
The medication will need supporting medical documentation to be given to the DOT medical examiner. No sign of seizures is one thing, but the medication is going to raise questions. Following that the medical examiner will make the final decision.
Related to seizure medication …can I take Lyrica? For fibromyalgia pain if have letter stating won’t affect driving? Ohio
@ Justin j
Yes, but the DOT medical examiner is going to request additional documentation from your prescribing physician. Be prepared.
Can you get your cdl in Tennessee if you are prescribed zubsolv?
Do they test for this on the drug test?
@ Alisha McM
Check with the state of Tenn. for the cdl question. Your DOT medical examination is going to be a different issue. The medications you are taking will raise lots of questions.
Am I able to take prednisone while driving? prescribed for the flu but it is a taper dose that would fall into work time. I am a CDL class b with passenger, school bus. I’ve had it before with no side effects but I do know if I get off it immediately without taper there is bad effects.
@ Nicole
You are class b, intra-state driving. You fall under the states variances. Check with your local DLD for the best answer. Most likely, no issues.
I need a list of medicines i can not take with a CDL License & to get my medical card for a CDL License.
@ Dennis R
Try finding the list on the FMCSA website pages.
Can you qualify for a CDL if you are on Tasigna for Leukemia treatment?
@ Stephanie
Condition and medications are going to raise questions. Bring as much supporting medical documentation as possible. It helps the examiner in his evaluation and his decision making process.
I have type2 diabetes and on metformin my dr now wants me to take trulicity is this allowed by dot guide lines for medical card
@ Kevin
FMCSA has changed the rules on diabetes. With good medical documentation from your prescribing doctor, you should be ok, if all else is within normal limits.
I am thinking about using Chantix to quit smoking again. I have used it before without any side effects. Will this effect my DOT physical.
@ Tracy
Yes, FMCSA guidelines indicate with-holding a medical certificate from drivers using this particular medication.
I know the “official time (180 days)” given by the government. Could someone tell me their time in receiving an answer to a FMCSA waiver on epilepsy. (Note that I meet all the requirements set by the waiver.)
Can a trucker be allowed to take amphetamine for adhd without having cdl’so took.
@ Teresa
Your cdl is state issued, check with them.
I am wondering almost the same thing. My taking it has never been a problem in Wisconsin, but all of the sudden the nurse practitioner doing my exam today cut me down to a year rather than two. I’ve been doing this since 2014, & this is a first. FYI, all MDs until now.
ARMODAFINIL IS IT DOT APPROVE?
@ Rick T
You’ll need medical documentation and medical releases from your doctors. They will need to provide any recent test results and a working prognosis of your condition.
can I still keep a CDL if I take Horizant ?
@ Gary
The prescription and the conditions that it treats are going to raise questions. Be prepared to supply supporting documentation and a medical release form from your doctors.
I am looking into CDL training but wasn’t sure if I would pass a dot physical. I’m on paxil for anxiety. The anxiety is controlled. And the paxil causes no side affects. What are my options.
@ Erik
You’ll need medical releases from your doctors and the CME may request further medical documentation in your case. If you can prove the information, then you should be good.
I would like to find the complete list of medications on the DOT “Watch List” if I could.
@ Victor I
Try the DOT/FMCSA web sites, they may have it.
I need a DOT physical card to continue driving a 14 passenger school bus. I am currently taking Metoprolol Tartrate and also Atorvastatin. will I be able to get a card?
@ Tom B
With medical releases from your prescribing doctors, you should be in good shape.
I am changing my medication from xanax to Prozac for anxiety so I can drive school and my doctor said it is ok to take the Prozac. I don’t want to get disqualified when taking my exam. Will Prozac disqualify me?
@ Anna
We will assume you ment school bus. That would put you under the states variances. Check with your local DLD for your best answer.
I take one oxycontin 80 mg ER tablet twice a day. I also take oxycodone 10 – 325 as needed for backup. I also take metoprolol tartrate 25 mg once a day simvastatin 10 mg once a day baclofen 20 mg 4 times a day Clopidogrel 75 mg once a day. Fenofibrate 145 mg once a day will any of these medications stop me from getting my med card in preclude me from driving commercial vehicle in the US. Thank you
@ Michael P
You will not pass a DOT/FMCSA medical certification examination.
Wow!
Would a once per day 10 mg dose of Escitalopram disqualify me from getting a class A CDL?
@ James
It will depend on the reasoning for the prescription. Proper medical documentation will need to be presented at the time of the examination.
I’ve been currently diagnosed with small bowel syndrome from having an aneurysm in 2014. I’m currently on an IV 4 days a week for 12 hours via a picc line in my upper right arm. I normally go on IV while I’m sleeping. I can choose any 4 days weekly. My IV is for a nutrition disorder & basically feeds me all the nutrition that normally would be needed in the body. I’m actually in the best shape of my life. Would this disqualify me from passing my physical?
@ Andre H
At present you would not pass a DOT medical certification examination.
Will warfarin prevent you from receiving your DOT medical clearance?
@ Harry C B jr
Depends on your diagnosis and the length of time that you will be on this medication. You will need a medical release form from your prescribing doctor and any other treating physicians.
i had a blood clot sept 2018.am on coumadin do i need a stess test to renew my physical.i had a stress test may 2017
@ ron
New stress test are needed every two years, but considering you recent medical episode, a new one may be requested by the CME.
Can I drive a commercial vehicle when on lyrica according to dot/fmcsa…
@ David
It will depend on why you are taking these medications. Medical release from the prescribing doctor will be a real help.
I’m a wondering after the QAnd A I have read how someone with, OSA, diabetes, very high BP, supposed to be taking blood thinners and nitro on Lyrica, and a tituiam rod in his leg which prevents him from bending his leg, has no feeling in his legs or hands, stage 3 kindey failure and has had his CPAP repoed by Medicare bc he didn’t use it for a yr and can’t take bp meds bc of his kidneys would be allowed to drive a semi 6 nights a week? Just mind boggling. Also, has been referred to by his doctor as a ticking time bomb?!.
@ Angie
Not sure where you read that a driver of this type would be allowed to drive a class A commercial vehicle. He would not pass a DOT/FMCSA medical certification examination.
Can you take Barbiturates for headache and drive school bus
@ Deedee
You would want to check with the bus company and see what they have to say.
I am taking Norco for a back injury I received in 2013 and also on ambien for sleeping problems at night. I went in to renew my medical card for my class A and they told me that both of those prescriptsions disqualify me from getting new card. I asked them when did that changed cause they were the same people that approved my last card. I showed them my old card and they took a copy of it and said will do some checking. Found out today that little shit heads cancelled my old card and now I’m without a job cause they approved it then and not now. Why’s that what can I do to get this resolved and a new physical done and get back to work any help PLEASE???????
@ Rick
Your medications and restrictions will cause you to fail a interstate class A DOT/FMCSA medical certification examination. You might check into what the requirements are to drive class A intra-state. Your local DLD should be able to answer the question. You would fall under the states variances and your medical examiner should know the differences between the two.
I am taking quetiapine (seroquel) for bipolar disorder. Would this disqualify me from driving trucks?
@ Aaron
It will raise questions that will need supporting documentation from your doctors. Your DOT medical examiner should be able to inform you of the needed documentation.
I take haloperidol 1mg 3 times per day for Tourettes. i have an extremely mild case of Tourettes.. Ive been taking it for 30 yrs. Will either disqualify me from operating a CMV?
@ Jackie
The condition and the medication will raise questions that will need supporting documentation from your doctors. Your DOT medical examiner should be able to inform you of the needed documentation.
We have a driver that has been prescribed Ambien to help him sleep. Will this prevent him from receiving a Medical Examiner’s Certificate? Thanks
@ Mike
Yes, it is one of the meds which will require a lot of documentation.
My Doctor prescribed Chantix to help me stop smoking. She told me it was safe to take, but when I picked up the Chantix it has a label that says it may impair my ability to operate a motor vehicle. I have a DOT yearly recertification coming up next month(limited due to sleep apnea that I control with a cpap machine). Is this going to show up on a tox screen? Do I need to wait until after I take the physical before starting this?
@ Benjamin G
Chantix is going to be a DOT disqualifier. Too many known side effects, especially just getting started on the medication.
A co-worker has a class A license and is taking diabetes pills, his sugar has dropped twice while driving a truck, and he has blacked out while driving, a co-driver riding along took the wheel, not allowing a crash. this same driver is still operating commercial equipment, is a doctor’s medical release sufficient when this keeps happening?
@ Daniel V
Your driver should be disqualified to drive until this issue is corrected and stable. A doctor’s medical release is insufficient in this situation.
I am a school bus driver in Arizona and have severe shoulder issues can I take Diclofenac Sodium 75 mg 1 at dinner and be able to drive then morning
@ Valerie B
It will raise questions with the federal DOT, but you are a school bus driver and fall under the states variances. Check with your local DLD for the most appropriate answer.
I have had migraine headaches with auuras that last no more than 40 min. I don’ t take medications for them because there isn’t anything that has ever worked. I have loved my entire life with them and have adapted. Will this bar me from obtaining a CDL?
@ Anon
It may interfere with your passing the DOT medical certification examination, not your cdl. If you have supporting documentation from your doctors and they are willing to sign a release form for you, stating you have no restrictions or limitations, then maybe. It seems that the auras will be the big issue, besides the headaches that follow. You will need to supply good documentation for your DOT medical examiner.
I am undergoing chemo treatments. I went through the complete dot physical. I doctor said I am in good health and completely able to do my job,but he refused to certify me. Also I had a note from my doctor giving ok for full work status. Was this a bad call
@ Kurt G
You are still undergoing treatment. Until fully released from his care, without restrictions, you can not qualify for a medical card. FMCSA guidelines are being followed. The good news is once fully released, you’ll be able to pass the DOT examination. Not a bad call just FMCSA guidelines.
I have been taking gabapentin 300mg for 10 years for neuropathy.. I am a local truck driver and have passed my physical every year and my drug tests. Went for my physical this year and passed everything, but was told she would not renew my license since I take gabapentin.. Cannot my primary doctor supply a letter documenting my history. I need my job.
@ John A
Yes, all the CME needs is supporting documentation from your primary doctor.
I have been taking Norco with a prescription for a few years now due to a problem with my neck that I will someday have to have surgery to correct. I want to get my CDL A and start driving trucks but I’m not sure how this would affect me.
@ Peggy F
You will have a tough go of it. You must be able to perform the duties of a CMV operator, without restrictions or limitation, to pass the medical certification examination.
My friend is prescribed vyvansse and has his class A. He had a note from his doctor and it’s always been openly disclosed on his DOT medical exam/card. His doctor recently changed him to a vyvannse/Adderall mix. Does this new medication require him to get a new DOT physical immediately? He has a note from his doctor that neither medication will hinder is ability to operate a vehicle. Is that sufficient until his next DOT exam?
@ Hunter
FMCSA wants any driver that starts a new medication to be on it of 30 days before taking a new DOT medical examination.
Doc,
What does FMSCA say about coming “off” medications, if anything at all?
@ J
Depending on the medications one is coming off, FMCSA has specific time frame guidelines for different meds.
I am a CDL holder in the state of maryland, I supervise school buses and my part time job I drive motor coaches. I am prescribed to take Metformin 500mg once a day, Modafinil once a day,(for Sleep apnea) Gabapentine 300mg for diabetic neuropathy, to take at night, Amolidpine, and a Ketoprofen 20% Gapentin 5% Ketamine 5% in lipoderm for pinched nerves in my lower back. with the everchanging laws in Maryland am I OK taking any of these? if not I’ll speak to my doctor and have my meds adjusted
@ David C H
Much depends on what class cdl you hold. Class A, it will raise many questions during the medical certification exam. Also check with your states DLD for their variances and requirements.
My license is Class B, with P, S endorsements
i spoke to my doctor, he says at the levels that I’m taking there isn’t any concern, except for the Gabapentin at 300mg tab. he said to be mindful when using that along with the Ketoprofen topical as to not use too much.
I am a Class A CDL Driver, and I have been prescribed 800mg Ibuprofen for pain from a small fall at home. Does this disqualify me from going back to work? Do I need a letter from my dr stating that I am ok to drive on this medication?
@ Don
Yes, a doctors release for you to return to work, without limitations or restriction, would be very helpful.
I’ve been taken Lyrica for 5 yrs and have had no problems getting recertified till now. All meds in order for diabetes and up to date. Dr thinks it causes drowsiness and dizziness, but that’s not the case. I drive local for a big carrier. Need help!
@ Grady W
Get your doctor to provide a medical release form explaining your medications and the time frame in which you have been on these medications.
Is Ritalin a DOT disqualifier
@ Kelly O
You would need medical documentation for your DOT medical certificate examination. In and of itself, it is not a disqualifier.
I don’t mean to Impose on your question but I am being prescribed Ritalin for Ideopathic Hypersomnia, I currently hold a Class A CDL in Missouri but only need a Class E for my Job. I’m trying to find out if this medication will disqualify me from holding a Class E license.
@ Travis
You will need to question your states drivers license department for the best answer.
Can I renew my CDL if I have a medical marijuana card?
@ Larry W
You need to check with your local drivers license division for the answer. You may be able to with a intra-state restriction.
I’m seeing a weight loss Dr that has prescribed appetite suppressant for me does that disqualifying me from driving?
PS awesome information on this site thank you for your help!
@ Gary
All depends on the type of suppressant you were prescribed. Some will be a disqualifier and some are not.
Which ones are a disqualification?
I take quetiapine/seroquel er for anxiety…does this drug disqualify me for a dot??? It’s not a controlled substance.
@ RAE
The meds cause side effects that will raise questions. Make sure you have a medical release form from your prescribing doctor and the length of time that you have been on these meds.
Doc l think lm in this category as well for PTSD
Sertraline
Trazodone
Prazosin
Tiggers are nightmares only.
I am currently taking sertraline (100mg twice a day), Mirtazapine (30 mg at night) and clonazpam ( 1mg twice a day) for issues associated with PTSD (i.e. panic, depression, and nightmares). I have been on the medications for over three years with no side affects. I`m taking the medication as perscribed and can get a note from my doctor stating all this. I’m getting ready to start a state certified (Washington) CDL course and want to know if it’s even worth the effort? Whats my first step?
@ Richard McC
Start with a medical release form from each of your prescribing doctor and the latest results of an test that has been completed. You are going to need documentation, so be as prepared as possible.
I know for a fact my supervisor is abusing anabolic steroids long term and his behavior is getting dramatically noticeable he has got a class a cdl I feel he is a danger to others as well as himself is there a way dot can test for this and is there an anonymous hotline I can call
@ Shawn
Report the situation to the HR department and let them handle it.
You’re gonna report someone for using steroids? Pshhh, what a beta b*tch. If anything they make your reaction times sharper
Hello my name is Casey I am planning on goin to school for my class a calls for otr or local but I’m on adderal 30 mg 2 times daily for narcolepsy without cataplexy so it basically just gets me woke up good bc of how deep I sleep I have been on it for several years and have no problems with it and he also prescribed me ativan 2 mg 1 tablet 2 times a day and a half at bed time for my anxiety I have been on that for 2 years now, I don’t have any problems day to day I can wake up and function no problem will this be an issue for me to be able to get approved to to keep my medication as I try to move toward in getting my cdl ? Thanks
@ Casey
Your condition and medications are going to be issues for OTR class A. Check with your local DLD in respects to driving intra-state only with a class A license.
I suffered a mild TBI 6 months ago, and have been diagnosed with PCS, severe depressive disorder, PTSD, and severe anxiety from the incident that happened. I have been a commercial driver for 10 years but now suffer from insomnia and have been in ambien(until it no longer worked for me, belsomira, melatonin etc),currently take 2 mg lorazepam, 200mg sertraline, 100mg topimax all daily and then 250 mg tramadol as need for pain throughout the day for a prior shoulder injury that was reaggitated from above incident(I had the injections in my shoulder and they don’t work any more). I have not returned to work, but will I be able to renew my dot card when it expires in 5 months?
@ Dave
No, you are no longer qualified to operate a cmv safely
Hello,
I take blood pressure medication and anti rejection medications for a kidney transplant I had 5 years ago.
My blood pressure is controlled and I don’t have diabetes.
Would I be disqualified from getting a DOT card?
@ Kris
No. But, you will need medical documentation and your primary doctors medical releases to get started.
My friend is a cdl A driver his dot card is expired he is trying to renew it and is prescribe nortriptyline hcl 25mg because of his headache and migraines but he only takes it while going to sleep will he still be certified for his DOT physical or well he be denied.
@ Leserey
He will need to provide supporting documentation from his prescribing doctor, along with a medical release form from his prescribing physician.
My friend was prescribe nortriptyline hcl 25mg cap. because of his headaches and migraines but he’s only supposed to take it when he going sleeps. Will that affect him from getting certified for his DOT physical
Will taking phentermine for weight loss disqualify me?
@ Lisa R
Yes
Why?
My husband has been prescribed Suboxone by a physician for several years and really wants to get his Class A CDL license. Will this medication cause him to not be able to acquire one or will documentation from his physician give him the opportunity to pass the medical exam?
Im in same boat with same question! I hope for an answer as well..reading for hours online & still no definite answer 🙁 i do know that suboxone wont show up in testing,but DOT dox have access to an Rx website that will show Rx patient has filled. So it depends on DOT doctor i suppose;but thats not a good enough answer for me.
I passd my DOT physical and im on suboxone
How did you handle the medical questions? I am taking something for a similar thing …. glad to about your results.
Nervous
Hi Trucker Doc’s, I too have been researching info on CDL Licensing & DOT-exams, surrounding the use of Buprenorphine. I’m a 54 yr old male from Vermont, and I’ve been prescribed Suboxone now for approx’y 10-years. (W/absolutely NO incidents) I’m going to get my Class-A CDL, (My mind is made-up, and I’m very excited to get my CDL) so I can begin a new Career driving all over the country & making a decent income. I desperately need my CDL license ! I have yet to talk to my Suboxone prescribing Dr, to ask for his full support, along w/his supporting documentation to bring w/me to my DOT Medical exam, to give to the DOT-Medical examiner, in hopes he/she will agree & honor passing my exam. I know some states don’t allow DOT Medical examiners to access the States patients prescription history, and some individuals lie about their Suboxone prescription, therefore dishonestly squeezing through the medical exam & CDL licensing procedures. That’s lying. And will soon catch up to the individual & his newly acquired CDL license. I’m not going to lie. I’m going to hesitantly TRUST my prescribing Dr. who is supposed to be a Professional in the “Medical Profession”, to advocate for me ! And I’m ALSO going to fully TRUST the DOT-Medical examiner, who is also supposed to be a Professional in the “Medical profession”, to agree w/the tests & studies that have have been done, proving Buprenorphine to NOT Impair driving abilities, specifically reaction time ! So, my trust is on these two Medical Doctors ability to follow their Medical-oaths and NOT use their personal/bias feelings surrounding Suboxone! ESPECIALLY if they feel Suboxone is a drug that impairs ones driving abilities ! Because I’ve been taking Suboxone twice a day for over 10-years now, coupled w/a 12-Step program, and it has changed my entire life, for the better 10-fold ! TO the point, where I would protect the life I have today w/everything I have ! I have been riding my Harleys, my cars, my trucks, for all this time w/absolutely NO impairment issues whatsoever ! So, as lomg as the Dr’s don’t use their Bias’, I’ll have my CDL permit on March 13th of this year, 2019, when I have my written portion of my CDL license scheduled at the DMV ! So, if Truckers Doc’s have ANY supporting info, advise for me, PLEASE LET ME KNOW ! Thank you !
@ Richard McG
Answered above.
Same boat here. I’ve been taking Subutex for about 7 years along with Seroquel and I’m seriously considering just trying to quit them both. My biggest concern is relapse. I haven’t touched a pain pill since the day I started taking the Subutex. I’m 53 and I’m finally in a situation where I can go to school for the 7-10 weeks required to complete the class and now I’m finding out about the prescription drug requirements. I’m in Georgia so if anyone can help I’m all ears.
@ Richard P
If you have been on these medication for 7 years, then you would need a medical release from your prescribing doctor and a release from your substance abuse doctors. It is possible, but there are plenty of hoops to jump through.
What state are you in?
@ Angel W
Plenty of documentation from the prescribing physician will be needed. There may be opportunity for his cdl medical exam.
I’m on cloNIDine and Ritalin for adhd but it says on my paper I was certified for DOT physical for a year do I still need a note from my primary care physician before I can obtain my clp I start trucking school the 27th of this month. If anyone could answer this it would be much appreciated thanks.
@ Jon
Your current medical card is all you need until it’s time to takE a new physical. Time of a new physical, get medical release form before you go for the DOT medical examination
I take 3mg of lorazepam at night. Does this disqualify me from a DOT medical card?
@ Jay
It will raise questions as to why you take this med. Make sure you have a medical release form from your prescribing doctor with a functioning/working prognosis.
I am currently taking Seroquel(antidepressant) and Doxepin(sleeping pill) daily before I go to sleep at night….does that automatically disqualifies me from getting a CDL?
I am interested of getting CDL training but want to make sure if these 2 medications I am taking would automatically disqualifies me or not. I am based in Los Angeles, California.
Thank you very much for your help and greatly appreciated.
@ Joe
The medications are going to set off red flags and will need plenty of documentation from the treating and prescribing doctors. And as an interstate driver, driving class A, your medications will be working against you.
I have been on a small dose of Clonazepam (1.5mg/day) for 18 months to treat mild anxiety. It doesn’t impair my daily activities, including driving, and never makes me drowsy. Is it a disqualier for a medical certificate for intrastate school bus CDL?
@ Christopher
It is highly unlikely, but confirm with your local drivers license department.
I recently got diagnosed with bipolar disorder and started taking depakote for it. I read that if you’re taking an antiepileptic for seizures it can disqualify you to be DOT certified again. I was wondering if it was the same for bipolar disorder? I really hope not because all other medications have not worked or have had negative effects on me.
@ James
The medications that you are taking right now, will disqualify you from driving class A otr, interstate.
With proper documentation from your prescribing doctors, you may be able to qualify for intra-state cdl. It will take a bit of back and forth, but you may be able to maintain your cdl.
How will topamax affect me returning to driving? I read the comments about gabapentin and know they are similar. But can’t seem to find a definitive answer anywhere else.
Suffered a head injury that lead to this.
@ Squatchytrucker
This medication is for controlling seizures and is going to raise many questions that will require supporting documentation. Be as prepared as possible. Both the head injury and the medications are disqualifiers without good documentation.
My husband was just prescribed 20mg of furosemide/day and the side effects are potential dizziness. Can he drive (class A) on this?
@ Heather
NO. He needs to be on the medication for thirty days before returning to driving. At that time he will need a new medical certification examination, so make sure he has the proper documentation before returning for the DOT exam.
hello, I was diagnosed with bipolar a few years ago and now take latuda. I am perfectly stable and have had zero issues with anything. I’m extremely concerned I will not pass my DOT medical exam, is this an automatic disqualification? If my perscribing doctor signed a medical release and the DOT doctor passes me, what are the chances of being hired with bipolar? Also, will Companies tell you ahead of time which meds they allow, so I can adjust if I need to?
@ Mary
If the meds are working and your primary prescribing doctor will fill in a medical release form for you and you supply any additional information that the examiner needs, then it’s possible to pass the examination. Proper documentation is going to be the key. As far as what companies will accept, that’s an unknown to us.
I have a Class A Cdl license in Indiana. I just had elective heart surgery to correct Afib and then developed a complication w a 2nd surgery that has a longer recovery time than what FMLA can allow for recovery. I am still taking Percocet sporadically for pain with doc approval. I have no side effects for this RX. With a doc note can I continue to take Percocet and pass CDL physical and drive on my job? (Employer is refusing to hold my job when FMLA time expires).
@ Shari S
If you are still recovering and taking the Rx. you can’t pass the DOT medical certification examination. You will need to be fully recovered and have documentation from your cardiologist before you are eligible to do the examination.
I was just prescribed Xanax temporarily for anxiety. I have to get my DOT physical within the next month. Will I need a letter from my PCP and still be able to drive?
@ Michael
It would be highly recommended.
Hi, I was just hired as a customer accounts manager with a company that for some reason require you to have a DOT physical. I have passed everything for my medical card but they will not give it to me because I am on Klonopin and Zoloft. I have to get a Letter of Safety from my doctor. This is the thing: my doctor is out due to a triple bypass and no one knows when he will return. The doctor filling in for him will not give me this letter cause I am actually not his patient. What do I need to do? Someone please help me.
If my liver enzymes are high will I pass a DOT physical?
@ Chris
Lots depend on the reasoning for the enzyme count to be elevated.
My doctor just put me on Prednisone, for a very short time. Will I fail a drug screening with that in my system ?
@ Tom P
No, but there may be questions regarding the need for the medication.
My husband is a diesel mechanic and holds Class B CDL. He does not drive a truck on the highway at all. He is diabetic and medications are not controlling his levels so he going to need to go on insulin. Will he need to get an insulin exemption in order to get a new medical card? We live in Georgia, and he works in Tennessee.
@ Stefanie W
He is a class B and will fall under the states variances. So check with his local drivers license department for the best answer.
How long does it typically take for the medical examiner to contact you if you test positive for any non-prescription drugs?
@ Nick
It is not the doctors responsibility to contact you for this. He would report to the authority that request the drug screen. That usually would happen within a few days.
I’m getting ready to start a Weight loss program with a DOT approved doctor is there any known medication that I might be able to take to assist weight loss and not be disqualified from driving
@ John
Your DOT approved doctor will know what is acceptable and what isn’t.
Hello, I’m currently a Limo driver in NYC. My company has asked me to get my B CDL so I can drive the limo bus. I had a brain injury over 15 years ago and since have been on citalopram 20mg once a day for anxiety/ depression from the injury that’s now and has been controlled for many years and a very small dose (as needed) of alprazolam .5mg. I also take metoprolol 100 mg once a day to slow down my heart( I have SVT, not heart disease). I have been on all of these for 10 years plus. Do you see anything that would immediately disqualify me? Is it worth even trying or am I wasting my time?
Regards
@ Christopher G
Have medical release forms from your doctors in hand and you should do fine.
I am a certified family nurse practitioner and am working in addiction medicine. I have read many comments about Suboxone, Subutex and Methadone but did not see Vivitrol. I know that Suboxone and Subutex show as Buprenorphine in a urine screen. Since Vivitrol injection only contains the Naltroxone and does not have an opiate component would it disqualify patients from receiving a CDL license? Would it show in a CDL urine screen? Would the CME immediately disqualify the person for being on this injection? Would a medical release and 30 day usage period be enough to allow the person to receive a CDL? If the patient is in a medication assisted treatment program and receives medication at that facility do they need to list Subutex, Suboxone or Vivetrol as prescriptions? Since this is a MAT program the medications do not show on an OAARS report when it is run so does the person need to report them as prescribed? Thank you for your assistance.
@ Tracy J
First are we asking questions about a cld license or a DOT medical card. All medications are to be listed on the drivers intake for a DOT medical card. They would need releases from any prescribing doctor. And a patient or client that is in an active rehab program would not qualify to take a DOT medical certification examination.
I have been on oxycodone for the last ten years, I had my DOT physical and received my 2yr med card. I both tested for and received my class A permit. I was cleared by the company’s MRO and was subsequently medically disqualified by the company safety dept. I was attending the company driving school and had 2 days left before I could test. To make a long story and potential lawsuit short….the company decided for whatever reason that they would not work with me on prescriptions at all. I have since received spinal steroid injections and am weaning off oxycodone for the first time in 11yrs.
My question is would the rest of my pain management regime disqualify me. Once I’m off of the oxycodone in a couple more weeks I will still be on Lyrics, Robaxin, and Diclofenac. I had several med releases that clearly stated these drugs in conjunction with the oxy would not effect my driving abilities at all. So should I maintain any hope of being qualified medically to drive it while taking these meds?
@ Sean J. B
All the meds are going to raise questions, but if you have proper documentation and medical releases from your prescribing doctors, then you still may have a chance. FMCSA is looking for safety issues in its guidelines and the CMS’s are to take all the available information into consideration. Good Luck
I ran into that once with the pain med. Went tto the companies driving class. Etc then they popped a random on everyone mine came up positive for hydrocodone i had all proper release from doctors. It even showed up on initial preemployment. Nothing was said. On application it asked no where about current meds i was escorted out by security. Called attorney and was able to sue them under the Americans with disability act. After i did this many others sued them as they went threw same thing at that time had had my cdl for 15 years never even so much as a over weight ticket. Alot of these companies are getting sneaky as how they do things.
A driver at our location that has a DOT Medical Card is asking if she can take a prescribed medication of Saxenda.
@ Carol B
She would need to be on the medication for thirty days to determine if there are any adverse side effects. Once clear that there are no side effects that would influence her ability to operate a cmv safely, then she could return to driving. A new DOT physical would be required and proper documentation with a doctors release form from her prescribing doctor also.
Driving a medical card 14,000 lb truck in NH. Vt. Can I take cyclobenzaprine 5mg up to three times a day, with no side effects, neck injury, feb 18 accident.
I m looking for an answer on this and can not find out anywhere.
@ Donald B
Your DOT medical examiner will have to answer this question because you fall under your states variances and not the federal guidelines.
I do. Same dose. 3x/day. Never been brought up in drug screening.
Can I take anti-Clement inflammatory or anti-histamines ?
@ Ulrike K
A lot will depend on your dosage and their side effects. You’ll need a medical release form from your prescribing doctor explaining your situation and need for the medications.
I take one 50 mf tramafol every morning for fibromyalgia pain. When is it safe to drive
@ Elizabeth b
Tramadol?
I have the same question, I’m sure she meant tramadol. I have lots of knee pain and tramadol helps and doesnt affect my driving ability
What are the next steps if failed the medical examiner report for CDL renewal? The drug Tramadol is not a narcotic. The Medical Examiner failed for taking this drug. She wrote on the medical form that the standards are not met because of being prescribed a narcotic. What do I do now?
@ Patty R
According to your prescription you are taking an opium based medication. Try getting a medical release form from your prescribing doctor. That may be very helpful for the CME to make a different decision, based on more information.
Hi I had a question about seizure medication I am taking 750 mg of keppra twice a day and I have a note from my doctor saying I am fine to drive. I just need a medical card not a CDL I have not had a seizure since 2003 yet I’m still be denied by a dot examiner from getting a dot medical card. Is there anything else I can do I am not able to get a driving job without a dot medical card.
@ Tommy L
As a class A driver you will not pass the DOT certification process. But if you don’t drive class A and only need a medical card, then you fall under your states variances and should be given a medical card with the states restrictions, if any, stated on the license.
I see many questions regarding passing a DOT physical but I can’t find what a driver is supposed to do if they have a current certificate but are prescribed a new medication. My doctor prescribed me Phentermine but I don’t want to take it because it isn’t on my long-form. What do I do?
My husband is a CDL B driver. He has taken 2 hydrocodones a day for several years, due to severe arthritis of the spine. He has a prescription for this, and his doctor is aware that he is a truck driver. She knows that the pills do not affect his driving ability. Will he still be allowed to take this medicine and drive a truck?
@ Julie B
As a class A driver the answer would be no. As a class b driver, with proper documentation from the prescribing doctor, maybe. Have a medical release form from the prescribing doctor and explain the situation, length of time he has been taking the medication, and the type of driving he plans on doing.
can a truck drive take this medication and drive a truck Escitalopram tablets 10mg 1x a day
@ Shelia
The medication is prescribed for other conditions that may effect the outcome of the examination. The medication itself is not the issue the examiner will explore, it will be the condition being treated.
My husband and I are both CDL drivers. He takes Simvastin and Citalopram, cholesterol and anxiety meds.
I am a breast cancer survivor, 5 years cancer free. I tak 5mg Lisinoprol, metropolol, and letrozole. Are these meds ok?
@ Maureen B
Yes, just make sure you each have medical releases from your prescribing physicians.
I take gabapentin (neurontin) for arthritis. Is this acceptable? This medication can also be used for seizures but I do not have any seizure disorder.
I am looking for an answer to this question as well!
@ David
You are going to need plenty of medical documentation before you go for your medical certification examination. Check with your local DOT/CME to get the proper forms and paper work before setting an appointment for the medical card exam.
I live in Washington state and I take 800mg Gabepentin twice a day. thei DOT doctor just told me that they wouldn’t pass me because of the doseage today they said that I have to be all the way off of it to get my pass.Does anyone know of a medication that will do the same job I take it for pain not sesures.
Yes. Cymbalta. Doesn’t cause drowsiness in most people
@ Lyndia
You need to check with your primary doctor and explain to him why you are being denied a medical card. A medical release form from your prescribing doctor may be sufficient.
is suboxone a disqualifying medication for class a cdl drivers if prescribed for pain management NOT opiate addiction? thank you.
@ Mike
in most cases it is an instant disqualifier.
I have I know someone who has a CDL with the same company for four years was hired taking Subutex and has passed every year the DOT physical, and now this year. A doctors field him said he don’t pass people on this medication he went to his second DOT doctor they passed them now they have to get a third-party specialist involved why is that
@ A
The medication should require a medical release form from the prescribing doctor. With proper documentation there should be limited issues.
This reply is for the Truck Doc please ! You say Suboxone is an instant disqualifier for a (CDL Class-A) driver attempting to get their DOT medical exam, when I’ve read a couple of your other answers to other Suboxone questions who asked you the same question, and you said that they should get a supporting letter from the prescribing Dr. stating that the applicant has no impairment effects from the suboxone, therefore giving the cdl applicant a chance at being accepted by the Medical Examiner for the DOT Physical !
Please explain why are you so inconsistent w/your experience & advise surrounding attempting to obtain a DOT medical exam to get a CDL Class A license !?? Your answers surrounding Suboxone & the DOT examiner were giving hope, and then this answer here in perticular, SHUTS ANY OF THAT HOPE RIGHT DOWN ! WHY !??
Like I said yesterday to you Dr, in response to one of your answers to another Suboxone patient inquiring your advise about Suboxone, that I myself have been on Suboxone now for over 10-years, and I have absolutely NO driving impairment whatsoever, and I’m seeking my Class-A CDL this week. And I will be asking the Prescribing Dr for a supporting letter from him to the DOT medical-examiner that I’ll be going to for my Physical exam. Because I will go to any & all lengths to get my CDL Class-A. license (Minus dishonesty & illegal behavior of course) This is how crucial & important getting my CDL is to me & my life. And I will NOT STOP fighting for my CDL Classs-A license either, if I run into any resistance. Also, I read that there have been legitimate Medical-studies & tests w/Buprenorphine (Supporting Suboxone as a SAFE medication to drive with) and the fact that it DOES NOT EFFECT one’s driving & reaction time, therefore not effecting their ability to operate a motor-vehicle safely, resulting in NO impairment ! Also, over the past 10+ years that I’ve been taking Suboxone, on a daily basis, I’ve been stopped by local & state police for a few traffic violations, like speeding, defective equipment, illegal-helmet (which I beat in a Court hearing !) and NOT ONCE did one of those “Trained” Police-officers ever have ANY REASON and/or “Probable-cause”, and/or ANY “Red-flags” that I might be impaired, even in the slightest amount ! Even after calling their dispatch for my past driving record that includes MANY-DWI’s !!! So, w/that said, I have literally driven into & through several Law-Enforcement impairment tests….EVERY TIME I GOT PULLED OVER for a routinely less-severe traffic violation ! So those Traffic-stops ALONE should be PROOF ENOIGH that my Suboxone Rx (That I take daily) DOES NOT EFFECT MY DRIVING ABILITY AT ALL !!! So, I’ve been stopped by Cops in my car, my truck & my Harley over the last 10+ years, while under the influence of Suboxone, and passed w/flying colors. And EVERY SINGLE TIME, the second the Cop approaches me, he is TRAINED to immediately look for ANY SIGNS of DUI of alcohol AND drugs….and/or ANY “Impairment” ! And EVERY TIME I have passed w/flying colors ! And these are cops who KNEW they were stopping a Multiple DWI Offender ! So, their senses were heightened, and were on High-alert ! And they still couldn’t find ANY impairment whatsoever. Even after following me, while I was driving, before turning on their Blue-lights & pulling me over for the traffic violation of speeding or defective-equipment. Also let me add. That I’ve been pulled over for the most redicilous reasons ! Once was for no mudflats. It was a Friday night, after midnight ! The time Cops are making DWI stops. And in reality the Cop was pulling me over just to see if I was still Sober & not under the influence of alcohol or drugs ! Because, once Cops KNOW who you are, and your past, they will make up reasons to pull you over just to make sure you’re STILL SOBER & NOT IMPAIRED ! Also, You see, my drivers-license has a Reatriction on it, because of my past DWI’s. That restriction is that I have ZERO ALCOHOL in my system while driving ! It’s not like most states laws @ .04%. My restriction states ZERO ALCOHOL in my blood when I drive ! ZERO TOLERANCE ! So, that makes me even more of a safe driver than MOST, because I won’t even have 1 or 2 drinks before I drive ! I’m in Recovery. And have been Sober now for just over 14-years. And I truly desperately need to get my CDL, so I can start a new, and “Last” chapter in my life, in order to support myself for the next 15 or so years, til my life ends. So, I’m PRAYING that my prescribing Dr will fully support me, and advocate for me to the Medical-examiner. And I’m PRAYING the Medical-examiner will “see” & “understand” the mountain sized life-changing obstacles that I’ve had to overcome over the last 20-years. And the rigorous honesty I put forth, in order to move forward & BETTER my life, ALL IN HOPES the Medical examiner will pass me w/my DOT physical, so I can get my Class-A CDL learners-permit.
Please respond w/your thoughts to my situation, and why your answers surrounding Suboxone have been so inconsistant.
Thank you so very much !
@ Richard
Suboxone is always a tricky question. As examiners, we need way more information then space on this site offers. Suboxone, in some cases, would pass a medical examination, supported by proper documentation. Some cases, not so.
Why are you on Suboxone???
I’m on Suboxone as part of treatment program can I get my dot medical card to drive 3/4 ton pick up n dual axle trailer in ky
@ MJ
You need to check with your states drivers license department for the best answer. Suboxone is going to raise questions at the time of the physical so be prepared with medical documentation and also explain to the examiner that you are not a class A OTR driver.
I was told by my medical examiner that I need a evaluation and clearance from a psychiatrist for the meds I am taking ( trileptal ) but psychiatrists are not qualified enough to say whether or not someone is stable to operate a DOT motor vehicle, I am from Connecticut can anyone help with a psychiatrist that has DOT knowledge in my area or surrounding states. Thank you
P.S. the doctor who prescribed the meds is not qualified to give me clearance as well.
@ Chris
The medical release form from the psychiatrist has to do with the meds that you take, not to evaluate your driving ability. Have the psychiatrist explain your medications and the dosage, along with any ongoing side effect, if any. Then take the release form to the CME so that he can make a well informed decision for you. It’s the CME’s job to make the final decision, but he needs the release form from your other doctor.
I am temporarily taking Dramamine to help with dizziness from the flu. Is it ok to drive? Is Dramamine on the restricted medication list?
@ Larry
If you suffered fro dizziness and were placed on a medication for it, then your medical card was invalidated and you need to do a new medical certificate. Once you stop taking the Dramamine, then go for the retest.
what is the dose limit on Gabapentin
@ Anna
Due to its side effects, it would not allow a class A, OTR driver to pass the DOT medical certification process. A medical release form from the prescribing doctor will be needed to present to the CME at the time of examination. The doctor needs to explain the dosages and the length of time that the driver has been on the medication. At least that way the CME has a more complete picture to make his final decision making process.
My husband has a bad back and has been on pain meds for many years, I would guess about 6 years. The dosage has remained the same in that time. He has never failed a drug test and his driving record is perfect. He has driven for over 10 years. His doctor has been the prescribing physician the entire time. He used to work at a company overseeing CDL drivers so he understands the effects on a driver. Because of that my husband has been allowed no more than two a day and he is NEVER take it 6 hours before his shift and never during his shift. With the new laws, the CDL examiner he saw this time told him he could NOT take that amount even though my husband’s doctor filled out the necessary paperwork stating he had been on it for a while and the dosage was ok. The examiner told him the only way he would issue my husband his medical card was if he reduced his dosage to one a day. This examiner doesn’t know my husband, he doesn’t know anything about him. But without dropping the dosage, the examiner was willing to prevent my husband from being able to work. His regular doctor was shocked by the situation. However my husband is forced to comply or lose his job. What options do we have? I cannot believe that a doctor who has never seen my husband before is able to completely decide what he can and cannot put in his body if permitted by a physician.
@ Shell
If you can, goes else where for a second opinion. The CME has no right to determine a drivers medications or their dosages, his only job is to determine medical fitness for duty according to the FMCSA guidelines. Go get a second opinion and make sure you have all the supporting paperwork in hand when you go.
I was wondering if my husband takes Ativan and has for over a year, Does he have to discontinue it for his truck physical. He is seeing a Doctor while taking this and takes it as needed . Thank You
@Jill
He should not discontinue any properly prescribed medication. Just make sure he takes a medical release form from his prescribing doctor when he goes for the DOT medical examination. Have the doctor explain that your husband has been on this medication for some time and has had no side effects.
I don’t think Ativan comes up on a regular drug test and I am also pretty sure it has a short 1/2 life.
Hello, I am trying to get my CDL. I am now trying to get my permit. November 28, 2017 I went to get my DOT PHYSICAL done. After completing my PHYSICAL I was told by MEDICAL examiner that I was disqualified because I had just started the medication chantix. I stopped taking the chantix that day. MEDICAL examiner was not able to answer my questions. Is there a time limit to when I can go back to get my PHYSICAL done again? Do I have to go back to that same examiner? What do I need to do to be able to get this physical out of the way so I can get my permit so I can start driving?? Please help.
@ Kortney
Chantix is a disqualified due to its known side effects. Once you have discontinued the medication you can then go to any examiner and have a new medical examination done.
Can you take Wellbutrin aka Buproprion for smoking cessation if you have a letter from your doctor??
@ Ace
With proper documentation and a medical release form from your prescribing doctor, more than likely you will be fine.
I’ve had a CDL Class A for 6 years now, and I have chronic pain. My pain management dr wants to insert a Intrathecal drug delivery, or “pain pump,” which is a method of giving medication directly to your spinal cord instead of taking oral narcotics. He believes I’ll be able to return to OTR driving since the cognitive abilities won’t be affected like taking oral medications. Will DOT allow the “pain pump”???
I’ve got the same question! Need an answer… fast!
I have same question, but it would be a non narcotic pain pump ( plaita) . Seems no one can answer so far.
@ Larry
Give us the correct name of the medications and we will do our best to answer your question.
Will I pass a DOT physical with a pain pump with dilaudid, with no side effects
@ Jeremey
There will be plenty of questions and much needed supporting documentation, as well as, a medical release form from your prescribing physician.
so my school wouldn’t take me while on Aderral, understandable. I switched to Vyvanse with proper documentation and a Dr note. Multiple potential employers have politely invited me to reapply after stopping medication on the “approved with Dr note” list. I’ve done so but now my ADHD is untreated. They argue that while I’m okay with the DOT on the medication their company doesn’t recognize this exception. I have my CDL A but am unemployable when on treatment. Recommendations appreciated.
I am prescribed Hydrocodone 7.5/325 and Tizanidine HCL 4mg for bad lower back. I only usually take it in the evening after a long day to help with pain about 3 times a week. With a prescription, would I be disqualified from driving?
I went in on Tuesday to have my DOT medical renewed. I carried in my “medications list” which included Tramadol 50mg 1 – 2 pills every 4 to 6 hours as needed for pain. (This was a physicians prescription).
I was told by the physician that “Tramadol” was an “absolute” MAY NOT ISSUE on the DOT physical if I was prescribed this medication. I was asked to get my physician to “suspend” the prescription and to permanently stop taking this drug.
I have complied. Please clarify/verify this information.
I went a few days ago and did my dot physical and the Dr told to get my Dr to sign a medical release form so I asked my Dr and she said no she will not sign it but she has me on no kind of restrictions what do I do at this point
I did my dot physical and I did both urine test and hair follicle test but they want me to get my doctor to fill out a medical release but my doctor said that she wasn’t gonna do it but she doesn’t have me on no kind of restrictions what do I do ? or what can I do?. I’m suppose to be starting school on the 30th of this month.
Is sleep apnea a disqualifier
It needs to be under control. If you use a CPAP you need to bring your printout with you for your physical.
How far back of a print out do i need. Ive used it for years.
@ James
For C-pap 30 days.
Not 30 days but 6 months is the standard.
At my annual CDL physical , the doctor gave me a medical release form. I am on wellbutrin and effexor for 3 years. Other antidepressants 14 years prior. I drive school bus. My use of antidepressants has only become an issue this and last year.
The examining doctor wrote on my physical form that I had medical form to get clearance for use of mental health meds. My employer got the original copy with that message. I never wanted my employer to know of my personal issues.
Is this acceptable on the doctors part???
this is what is killing me about applying for new jobs. Having to tell these things to people I don’t know. It isn’t their business. Plus I will fail the drug test due to LEGALLY prescribed meds. I guess everyone is 100% healthy but me.
Can you get a cdl while taking suboxone?
It is on a case by case basis. But you’ll be one lucky person to find a dot examiner to pass you. And if you do hold on to that release. Because if you’re ever stopped by dot. And it is found on you. You’ll be shut down then towed. And tell your employer also. Good luck because one or the other will refuse you for taking the medication. Even though they’re thousands and thousands of drivers taking either suboxone or subutex. Dot does not do a drug screen for these meds. But they can and probably will pull a Kasper report. And when and if they do then you’re disqualified for lying. It is a no win situation. Most driving with a prescription for suboxone/subutex has just not mentioned it.
I have not found any regulations on Suboxone in the fmcsa guidelines could you show where it is so I can review
@ Allen
It’s not a regulation, it’s a guideline for the examiners to use to evaluate a drivers risk factor. FMCSA guidelines are gray in this area.
I am hoping you can help clarify something with Ritalin. My husband was prescribed Ritalin following an accident that resulted in a traumatic brain injury and has been on it for the last 2+ months. He works in a safety sensitive position because he supervises employees with a Class B license. He does not possess the Class B himself. All employees have been informed by the employer that drugs are being added to the DOT Drug Testing Panel and that employees that are subject to testing should seek alternative medications or stop taking them all together.
We have been trying to determine if Ritalin is a banned substance but have been getting conflicting information. He needs to take this medication as the accident has left him with severe explosive disorder that leads him to lose his temper with the least provocation. Without this medication, he would probably lose his job. He already had several run in’s with upper management before he started on this medication. Is this medication something that he can get a letter from his doctor for? In the meantime, his doctor has prescribed modafinil. Is that a banned drug? It doesn’t work nearly as well, but if that is all he can take, it is better than nothing.
Thanks for any definitive information that you can provide
I am a CME and have a question on past marijuana use. If a patient documents on the physical examination form that he used marijuana two months ago is this a disqualifer? Or does this warrant a drug screen to verify they are not currently using? Thanks in advance.
is flexoril 10mg disqualifying for cmv driver
I have sickle cell anemia and have been driving for almost 3 years now. I take Percocet and Delaudid as needed. On the days I take these meds I don’t drive. My questions is how many hours am I required to sit after taking these meds? My dispatcher makes me sit for 24 hours but since I am a long time user of narcotics for chronic pain I believe if I only take Percocet that I am able to drive again after 6 hours. Honestly thats being overly precaution because most time taking a Percocet is like taking a Motrin or Alieve. It’s doesn’t do anything to me. Taking Delaudid however does have greater side effects so sitting out for 24 hours is usually needed.
Is suboxone a disqualifier in PA for a NON CDL medical card? There is nothing written that I have found that explicitly says one way or another.
will Trazodone make me fail a DOT physical?
I am an OTR truck driver. I have had adhd for 50 years. I dont take meds for it for fear of DOT physical CDL failure. As a result I suffer from major insomnia. I have been taking otr Walmart Equate DyphenHydramine HCI sleeping pills which I have in my truck. But after reading several websites i am scared they might be illegal with DOT. Ive been taking the DyphenHydramine HCI sleeping pills for 6 years now and they have recently lost their effectiveness. Is there anything I can legally take as a sleeping aid and have in the truck that will solve insomnia ?
@Michael
You’ll need to check with you primary doctor to find out what’s going to be most effective for you. And there’s a time period that you need to be on this medication, and not driving, to test the medications side effects, and most of the medications for ADHD are acceptable, with proper documentation from your prescribing doctor.
I take astorvaston Lisinopril metroplol will these drugs stop me frpm getting dot card.
Xanax works great as a sleeping aid for this ADHD person. None of the other stuff works at all on me, so maybe won’t work for you, but worth a try as no hangover and only long term issues.
you could try kratom, but I don’t that Kratom is water soluable (stays in body longer) it IS legal in 46 states. but it is getting demonized while alcohol gets the free pass. a lot of people and places consider it a fail IN the 46 states where it is 101% LEGAL.
I have a driver who is taking Norco and Fentanyl for current dental problems. He took a waiver to his DOT from his PCP who said in his opinion he was safe to drive, however, the ME said he will not certify him. I know he is on some pretty potent stuff here. My question is, is it worth seeking a second opinion here or will he get pretty much the same answer and is it actually legal for him to be taking these substances while driving? He takes his meds at night only. Thank you!
@Employer
As a class A driver, he would be disqualified until off these medications.
As a local driver on these medications, it still raises serious safety issues.
Honestly, prescribed or not, it sounds pretty fishy for a person to be prescribed fentanyl for “dental problems”—and then to add norcos on top! SMH I would keep an eye on that person. Seriously,
We have a driver that has been on Tramadal for 2 years and in August of 2015 and August of 2016 he was given a one year DOT Medical Examiners Certificate. This year when he went he was told that this medication automatically disqualifies him. What changed and are there any alternatives?
@Ed
Tramadal is not an automatic disqualifier. He needs to take a medical release form from his prescribing doctor and make sure the octor explains the driver’s condition and the need for the medication, and the length of time the driver has been on this medication without ill effect. He should be able to get a one year medical card.
Hi. I’ve been taking Xanax for about two years now. I’m 34 years old and two years ago my mother suffered a ruptured aneurism and two strokes during the surgery and I left my 8 years as an engineer on park avenue to be my mothers caretaker. She’s 57 and can’t see, walk, go to the bathroom, etc. I was diagnosed with anxiety disorder and I go to the doctor every month to make sure I’m ok because just seeing my mother on a 24 hour basis hurts. I even have a baby monitor for her to call my name that gets me up four times a night. My father is in the midst of hiring a 24 hour nurse now that we see the therapy and all of her doctors and 20 pills a day aren’t going to change her. I’m engaged myself to a woman with a 9 year old son that’s partly autistic. I want to be a ups driver and retire as a ups driver. I want a career and not just a job. Just last month my father had emergency open heart surgery and I had to take care of both of them. He’s starting to get better but it’s imperative I get this job at UPS. It’s close to home and checks off all the boxes I need to start my life again. Im 6’6″ 240 lbs and my doctor prescribes me 4 one mg Xanax a day. Just please tell me whatever I have to do to be successful when I go on that job interview. Thank you so much for your help and I look forward to hearing from you. Thank you again. Take care.
@Rob
If you are going for a class A license, it will raise a lot of questions.
If you’re going for a local delivery UPS job, then you fall under state variances. So check with your local drivers license department for their answer to your question.
Hi I take gabapentin for hot flashes will I need to get a note from my doctor
@Giana
It would be helpful.
I take oxycodone for chronic pain and i drive perfectly while on the medication, doesn’t affect my driving at all In fact I currently do a driving job and i have a doctor’s note from my physician saying i’m allowed to drive while taking this medication. Would I be able to get a CDL if I brought a note from my doctor saying it’s OK for me to drive?
As it stands right now the DOT 5 panel doesn’t test for synthetic opioids.
That is all going to change in October of 2017
Do DOT Drug Tests look for painkillers?
No.
Why not?
Because the wheels of government move slowly.
But I thought DOT tested for opiates?
Yes. DOT tests for drugs that are natural opiates such as morphine, codeine, and heroin. However, painkillers like LorTab, Vicodin, and OxyContin are synthetic or partly synthetic opiates, also known as opioids. They are not tested for in the standard DOT Panel.
thx for the info, i only ask because i was gonna go to truck driver school and they told me taking oxycodone was a disqualifier, maybe i should try a different school?
wow, pretty cool. Do you have to declare what you are taking under penalty of law? Nothing I take will show up at this time but the DOT will disqualify me for two of my 4 meds on the spot. I am thinking of going to heavy equipment school and (I think) will need at least a CDL-B.
I take addersll for ADHD. Is this a disqualified?
@James
Depending how long you’ve been on the medication and stable, get a medical release from your prescribing doctor, and it should not be a problem.
Jesse
It will raise a ton of questions and it is highly unlikely that you will get a class A interstate medical card on that medication.
I am taking Adipex for weight loss and looking for a CDL school. Will taking the Adipex prevent me from getting a pass on the DOT physical? Thanks!
@Liz
More than likely, yes, due to it’s other effects. It will definitely raise questions.
I am a CME, had a driver come in with dx of fibromyalgia and Insomnia and is taking meds that concern me; Flexeril and Gabapentin 300mg tid, daily and has been for approx. 3yrs. Her former PCP was her last DOT examiner and is now retired.
@Mark
Is there a question here?
What’s the laws on Chantix? 1 doctor told me it was fine to take with CDL and another said no..
As far as I know, Chantix is an automatic DQ due to side effects like seizures, dizziness, heart irregularity…I warn all of my drivers who currently smoke that if they have any intentions of quitting they should avoid Chantix, if possible.
@Lee
Class A driver – No!
Hi there, I am wondering if the prescribed medication Ropinirole @ 3mg at bedtime for Restless Leg Syndrome is a disqualifier to obtain my DOT medical card?
@Lance
The medication is going to raise many questions so make sure your have a medical release form from your prescribing doctor in hand when you go for your DOT physical.