DOT MEDICAL EXAMINER ACTUAL 2025-2026

DOT MEDICAL EXAMINER (ACTUAL 2025-2026)

QUESTIONS AND ANSWERS

Epilepsy - <>>>DISQUALIFY

Meniere's Disease - <>>>DISQUALIFY

Dementia (organic etiology) - <>>>DISQUALIFY

First generation antidepressants - <>>>Disqualify as they interfere with driving.

i.e.amitriptyline imipramine clomipramine phenelzine

49 CFR 391.41 - <>>>Physical qualification for drivers

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DOT MEDICAL EXAMINER (ACTUAL 2025-2026)

QUESTIONS AND ANSWERS

49 CFR 391.43 - <>>>Instructions for medical examination; certificate of physical qualification.

Second Generation Antidepressants - <>>>Case by case basis

ie.e fluoxetine sertraline norepinephrine venlafaxine bupropion

Lithium - <>>>Lithium is used for treatment of bipolar and depressive disorders. Studies suggest little evidence of lithium interfering with driver skill performance.

Benzo and barbs - <>>>interfere with safe driving

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DOT MEDICAL EXAMINER (ACTUAL 2025-2026)

QUESTIONS AND ANSWERS

Drug and EtOH screening - <>>>not required but can be obtained for eval

Self-help groups - <>>>not required but does not fulfill the requirements for a substance abuse professiona

Alcoholism - <>>>DISQUALIFY

Methadone use - <>>>DISQUALIFY

Marijuana use - <>>>DISQUALIFY

Recert requirements of alcohol or drug abuser - <>>>SAP eval complete SAP rehab program

The maximum certification interval for a driver with a history of drug abuse or alcoholism is - <>>>2 years

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