Medications

Question 1

Anxiolytic and Sedative Hypnotic Therapy max cert

Answer 1

Maximum certification — 2 years

Recommend to certify if:
The driver uses:
• Hypnotic, if the medication is:
o Short-acting (half-life of less than 5 hours).
o The lowest effective dose.
o Used for a short period of time (less than 2 weeks).
• Non-sedating anxiolytic.

Recommend not to certify if:
The driver:
• Uses a sedating anxiolytic.
• Has symptoms or side effects that interfere with safe driving.

Question 2

Anxiolytic and Sedative Hypnotic Therapy

Recommend to certify if:

Answer 2

Recommend to certify if:
The driver uses:
• Hypnotic, if the medication is:
o Short-acting (half-life of less than 5 hours).
o The lowest effective dose.
o Used for a short period of time (less than 2 weeks).
• Non-sedating anxiolytic.

Question 3

Can you certify with benzo use?

Answer 3

NO

Question 4

warfarin (Coumadin) for cardiovascular diseases Waiting period

Answer 4

Minimum — 1 month stabilized

Maximum certification period — 1 year

Question 5

warfarin (Coumadin) for cardiovascular diseases Maximum certification period

Answer 5

1 year

Question 6

warfarin (Coumadin) for cardiovascular diseases

Recommend to certify if:

Answer 6

• Is stabilized on medication for at least 1 month.
• Provides a copy of the international normalized ratio (INR) results at the examination.
• Has at least monthly INR monitoring.

waiting: Minimum — 1 month stabilized
Maximum certification period 1 year

Question 7

warfarin (Coumadin) for cardiovascular diseases Recommend not to certify if:

Answer 7

• INR is not being monitored.
• INR is not therapeutic.
• Underlying disease is disqualifying (stroke/ tia)
• conccurrent cerebrovascular disorder.

Question 8

Antihistamine rules

Answer 8

— The driver should abstain from medication for 12 hours prior to operating a vehicle

can certify

Question 9

amitriptyline and certification

Answer 9

Federal Motor Carrier Safety Administration recommendations favor not certifying the driver who
uses a first generation tricyclic antidepressant stating that “only under exceptional circumstances would
continuous use of amitriptyline be acceptable for a commercial driver.”