DOT CDL Exams and anxiety and stress management medications. SSRI

DOT CDL Exams, SSRI Medications, and FMCSA Regulations: What Drivers Need to Know

Commercial drivers often have questions and concerns about how medications may affect their DOT medical certification; especially when it comes to antidepressants such as SSRIs. The good news is that being prescribed an SSRI does not automatically disqualify a driver from passing a DOT CDL exam. Understanding how the regulations work can help drivers feel prepared and confident going into their exam.

SSRIs and DOT Medical Certification

Selective Serotonin Reuptake Inhibitors (SSRIs) are commonly prescribed medications used to treat conditions such as depression and anxiety. The FMCSA (Federal Motor Carrier Safety Administration) does not maintain a list of prohibited medications. Instead, medical examiners evaluate each driver on a case-by-case basis.

Examples of SSRI medications are: Prozac, Zoloft, Lexapro, Celexa and Paxil.

Drivers may take SSRI medications and still be medically qualified as long as:

The medication is safe and effective for the driver

The condition being treated is stable and well-controlled

The driver does not experience side effects that could impair safe driving, such as excessive drowsiness, dizziness, slowed reaction time, or impaired judgment

The driver can safely perform the duties of a commercial motor vehicle operator

If these criteria are met, drivers are often certified for one year at a time, which is typical when ongoing medication monitoring is involved.

What to Expect During a DOT Exam

During a DOT physical, the certified medical examiner will review the driver’s medical history, medications, and overall health. If a driver is taking an SSRI, the examiner may ask:

How long the driver has been on the medication

Whether the dosage is stable

If there are any side effects

Whether the prescribing provider considers the driver safe to operate a commercial vehicle

The goal of the exam is not to disqualify drivers unnecessarily, but to ensure public safety and driver wellness.

Experienced, Certified Care You Can Trust

Dr. David Moreland is a FMCSA-certified medical examiner with over 35 years of clinical experience performing DOT CDL exams. His extensive background allows him to conduct thorough, fair, and professional evaluations while helping drivers understand the certification process.

At Moreland Chiropractic, CDL drivers can expect:

Affordable and reliable DOT physicals

Clear explanations of regulations and requirements

Respect for drivers’ time and livelihoods

A professional, efficient exam process

Convenient Hours for CDL Drivers

Moreland Chiropractic is open Monday through Friday, making it easy for CDL and DOT operators to schedule exams and get the assistance they need without unnecessary delays.

Final Thoughts

Taking an SSRI medication does not mean your driving career is at risk. As long as the medication is working well, free of impairing side effects, and your condition is stable, you can typically be cleared to operate a commercial vehicle for a one-year certification period.

Choosing an experienced, FMCSA-certified examiner like Dr. David Moreland ensures your DOT exam is handled correctly, professionally, and with your safety and career in mind.

If you’re a CDL driver with questions about medications or DOT exams, Moreland Chiropractic is here to help.

Call Today 573-364-8086