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Author: Admin | 2025-04-28
Medical examiner that gives the driver clearance to drive.It’s important to note that the medical examiner's professional opinion can still declare the driver unfit to drive based on their medication usage, even if the prescribing doctor's letter says the opposite.What Drugs are Prohibited by the DOT?According to the DOT, any driver that takes a controlled substance that is included in 21 CFR 1308.11 (391.42(b)(12)), or other habit-forming drug, is medically unqualified to drive.Some of the most commonly known medications on the list are:AmphetamineCodeineFentanylHydrocodoneMethadoneMorphineMarijuanaThe entire DOT medication restrictions list can be found here.What if I have a prescription for a DOT-prohibited medication?If any of your drivers take any medications included on the list of disqualifying medications for CDL drivers, they will need a letter from their doctor that clears them to drive before their next DOT physical exam.If their doctor cannot provide the letter, they may need to reconsider their pain management or medical condition treatment plan to include non-opioid medications, so they can legally and safely drive on behalf of your company and won't need to worry about their DOT drug test and prescription drugs.DOT Approved Medication List 2025In most situations, medications are approved by prescribing doctors and Medical Examiners on a case-by-case basis. The FMCSA has also made some recent changes to previously disqualifying medications. Anti-depressantsSmoking-cessations, such as varenicline (Chantix)Muscle relaxer cyclobenzaprine (Flexeril), depending on the driver's side effectsShort-acting anxiolytics (anxiety relievers), such as Lunesta and Ambien, dependent on the timing of the driver's use
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