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

Neurologic and Mental

neuro med

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

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

Q&A

Is Meniere’s disease a disqualifier?

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

Does vertigo disqualify me from getting a medical card?

What if I’ve had a seizure?

What if I take anti-seisure medication?

What about epilepsy?

Can I pass a DOT physical after having a stroke?

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

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

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

Is Meniere’s disease a disqualifier?

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

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

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

Does vertigo disqualify me from getting a medical card?

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

What if I’ve had a seizure?

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

What if I take anti-seizure medication?

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

What about epilepsy?

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

Can I pass a DOT physical after having a stroke?

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

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

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

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

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

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

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

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

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

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

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

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

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

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Comments

  1. Erik W says

    April 21, 2025 at 3:56 pm

    I was diagnosed with depression last year but am not on any medication. And the depression has resolved will I still be denied.

    Reply
    • Trucker Docs™ says

      April 24, 2025 at 6:45 am

      @ Erik W
      You should not be denied and the medical examiner will, most likely want a medical release form from your treating physician.

      Reply
  2. Joe F says

    March 30, 2025 at 1:46 pm

    I was just disqualified on my new job DOT physical for having had a cracked skull and minor brain bleed at the same time last August. The doctor said it is an automatic 5yr wait until I can be certified again. Is that true? I am a maintenance supervisor and would only drive a vehicle maybe 1 or 2 times a month for a road test of a few miles. I never have had a seizure at all. Any options for relief out there?

    Reply
    • Trucker Docs™ says

      March 31, 2025 at 11:01 am

      @ Joe F
      In your case, you can go for an ‘intra-state only’ cdl. This puts you outside of the federal DOT/FMCSA guidelines and under your states guidelines and variances. Your states regulations and intra-state only should allow you to bypass the waiting period.

      Reply
  3. Kevin L says

    February 7, 2025 at 4:41 pm

    Will Suboxone disqualify me from getting my CDL ?

    Reply
    • Trucker Docs™ says

      February 8, 2025 at 7:58 am

      @ Kevin L
      It will cause difficulty with your medical certification examination. Bring a letter from your prescribing physician and a medical release form.

      Reply
  4. Mark A B says

    November 7, 2024 at 5:32 pm

    I have been diagnosed with Central Vertigo following an injury accident. I am seeing a neurologist who has suggested my concussion as well as vertigo will require therapy to overcome. Is this a disqualifying diagnosis or is there a waiting period to recertify my medical card?

    Reply
    • Trucker Docs™ says

      November 8, 2024 at 7:40 am

      @ Mark A B
      You will need supporting medical documentation and a medical release indicating that your condition has been brought under complete control.

      Reply
  5. James says

    November 7, 2024 at 4:03 pm

    Can a therapist give me the clearance to drive a commercial vehicle or do i have to see a psychiatrist because i can not find anything in the fmcsa book or online.

    Reply
    • Trucker Docs™ says

      November 8, 2024 at 7:37 am

      @ James
      All depends on what the condition is?

      Reply
  6. glenn says

    October 11, 2024 at 4:14 pm

    my doctor want to prescribe risperidone .25mg for aniexty and mild depression will this effect my CDL medical card

    Reply
    • Trucker Docs™ says

      October 12, 2024 at 8:30 am

      @ glenn
      This medication is going to raise questions with any CME. You will need medical documentation from your prescribing doctor and a medical release form. The potential side effects will require a 30 day trial to make sure you do not experience them. Then a new medical certification examination will be required for a class A cdl holder.

      Reply
  7. Doug says

    June 15, 2024 at 5:43 am

    I have had a benign essential tremors my whole life. Treated and such. Been driving since 1993 but never reported it. If reported since its neurological will it change me from a 2 year to 1 year ? Take benztropine occasionally but infrequently.

    Reply
    • Trucker Docs™ says

      June 15, 2024 at 9:00 am

      @ Doug
      This condition and the medications are going to raise questions with any CME. It will probably require supporting medical documentation from your treating physicians, and a medical release form from them also. Most likely will make your medical card good for one year at the time.

      Reply
  8. Josh says

    June 3, 2024 at 3:59 am

    just wondering if you can get a cdl if you have had a TBI. my father was in a bad motorcycle accident nd has been on disability for 25 years but want to get an RV. I just want to know if he could get the license to drive it or not.

    Reply
    • Trucker Docs™ says

      June 3, 2024 at 6:46 am

      @ Josh
      Does he need a cdl to drive a RV? If so, unless he is shooting for a class A, he will fall under your states rules and regulations and not federal regs. Check and confirm with his local drivers license department for guidance.

      Reply
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