FREQUENTLY ASKED QUESTIONS

Reference guide for medical conditions and medications

Rx: Disqualifiers

Schedule I or II drugs

Insulin

Methadone

Benzodiazepines (highly recommended)

Chantix

Any Rx to prevent seizures

Narcotics or illegal drugs (there is NO ‘medical marijuana’ in federal law)

Any other OTC or Rx Medication that the ME thinks may compromise safety

Some additional Rx often considered unsafe while driving

Morphine

Pentazocine

Phenyton

Zopicionx

Fentanyl

Tramadol

Chlorpromazine

Trazadone

Meperidine

Phenobarbital

Thioridazine

Diphenhydramine

Buprenorphine

Priminone

Meprobarmate

Eszoppectone (Lunesta)

Zaleplon (Sonata)

Zolpidem (Ambien)

Zopiclone

Disqualifying Conditions

Any condition or medication can disqualify if the medical examiner thinks it is a safety concern.

Vision inadequate (acuity, color, peripheral)

Narcolepsy

Monocular Vision

Motor Neuron Disease (such as ALS)

Unstable proliferative retinopathy

Huntington’s Disease

Hearing inadequate (even w/ aids)

Wilson’s Disease

Uncontrolled Vertigo

Current diagnosis of alcoholism

Meniere’s Disease

Schizophrenia (confirmed Dx)

Non-functioning Labyrinth or Labyrinthine fistula

Suicidal behavior or ideation

Chronic Cough or cough syncope

Active Psychosis

Respiratory Failure

Dementias

Uncontrolled sleep apnea

CNS Malignant Tumors

Oxygen Therapy

Epilepsy

CVD likely to cause syncope, dyspnea, collapse, or heart failure

Mental conditions that affect judgement or perception

Implant Cardioverter-Defribliators

Migraines that cause neurological deficit

Diabetes controlled by Insulin

Disqualifying Conditions that may be appealed

*Appealed to neurologist, plus Road test

Multiple Sclerosis

Myopathy

Dyskinesia

Muscular Dystrophies

Neuromuscular Junction Disorders

Cerebral Ataxia

Peripheral Neuropathy

Parkinson’s Disease

Parkinson’s Disease

CNS Benign Tumor

Condition Chart

Condition

Waiting Period

Max. Certification

Condition

Progressive Vision Disorders

Waiting Period

0

Max Cert.

1 year

Condition

HTN

Range

140-159/90-99

Waiting Period

0

Max Cert.

1 year

Range

160-179/100-10

Waiting Period

0

Max Cert.

3 mo. - once

Range

>180/110

Waiting Period

6 months

Max Cert.

0

Range

<140/90 with HTN Rx

Waiting Period

0

Max Cert.

1 year

Condition

Diabetes Mellitus

Waiting Period

0

Max Cert.

1 year

Condition

Sleep Apnea (OSA)

Type

CPAP

Waiting Period

1 month

Max Cert.

1 year

Type

Post-surgical Intervention

Waiting Period

3 months

Max Cert.

1 year

Condition

Myocardial Infraction (MI)

Waiting Period

2 months

Max Cert.

1 year

Condition

Coronary Artery Bypass Surgery

Waiting Period

3 months

Max Cert.

Condition

Pacemaker

1 year

Type

AV block/Sinus node dysfunction

Waiting Period

1 month

Max Cert.

Type

Neurocardiogenic syncope

Waiting Period

3 months

Max Cert.

Condition

TIA

Waiting Period

1 year

Max Cert.

1 year

Condition

Stroke

Type

Cerebral or Brain Stems

Waiting Period

1 year

Max Cert.

1 year

Type

Cortical or Sub-Cortical (Seizure Risk)

Waiting Period

5 years

Max Cert.

1 year

Condition

Seizure

(provoked by systemic such as fever)

Waiting Period

Max Cert.

2 years

Condition

Seizure

(unprovoked or unknown)

Waiting Period

5 years

Max Cert.

1 year

Condition

Traumatic Brain Injury (TBI)

Type

Mild w/ no seizure

Waiting Period

Max Cert.

2 years

Type

Mild w/ early seizure, Mod w/o

Waiting Period

2 years

Max Cert.

1 year

Type

Moderate w/ early seizures

Waiting Period

5 years

Max Cert.

1 year

Condition

Epilepsy

(2 unprovoked seizures)

Waiting Period

10 years*

Max Cert.

Condition

Benign Positional Vertigo

Waiting Period

2 months

Max Cert.

2 years

Condition

Major Depression

Type

After a major depressive episode

Waiting Period

6 months

Max Cert.

1 year

Type

After suicide attempt, manic episode, severe depression

Waiting Period

1 year

Max Cert.

1 year

Condition

COPD

(chronic bronchitis, emphysema)

Waiting Period

Max Cert.

2 years

Cardiovascular

Condition

Waiting Period

Max. Certification

Condition

HTN

Range

140-159/90-99

Waiting Period

0

Max Cert.

1 year

Range

160-179/100-10

Waiting Period

0

Max Cert.

3 mo. - once

Range

>180/110

Waiting Period

6 months

Max Cert.

0

Range

<140/90 with HTN Rx

Waiting Period

0

Max Cert.

1 year

Condition

Angina Pectoris

Waiting Period

0

Max Cert.

1 year

Condition

Myocardial Infraction (MI)

Waiting Period

2 months

Max Cert.

1 year

Condition

Sleep Apnea (OSA)

Type

CPAP

Waiting Period

1 month

Max Cert.

1 year

Type

Post-surgical Intervention

Waiting Period

3 months

Max Cert.

1 year

Condition

Myocardial Infraction (MI)

Waiting Period

2 months

Max Cert.

1 year

Condition

Coronary Artery Bypass Surgery

Waiting Period

3 months

Max Cert.

Condition

Bundle Branch Block

Type

Asymptomatic

Waiting Period

2 years

Max Cert.

Type

Symptomatic Treated

Waiting Period

1 year

Max Cert.

Condition

Arterial Fibrillation

Type

Lone A-Fib (only CVD Dx)

Waiting Period

1 year

Max Cert.

Type

w/ stroke risk

Waiting Period

Max Cert.

Type

Following thoracic surgery

Waiting Period

1 year

Max Cert.

1 month

Condition

Ventricular Arrhythmia

Waiting Period

1 year

Max Cert.

1 mo. of treatment

Condition

Pacemaker

1 year

Type

AV block/Sinus node dysfunction

Waiting Period

1 month

Max Cert.

Type

Neurocardiogenic syncope

Waiting Period

3 months

Max Cert.

Condition

Heart Transplant

Waiting Period

6 months

Max Cert.

1 year

Condition

Atrial Septic Defect

Type

Ostlum Secundrum

Waiting Period

1 year

Max Cert.

Type

Ostlum Primum

Waiting Period

1 year

Max Cert.

Type

Post-surgery

Waiting Period

Max Cert.

3 mo. (surgery)

4 wk (device)

Condition

Ventricular Septic Defect

Type

Small

Waiting Period

1 year

Max Cert.

Type

Moderate to Large

Waiting Period

0 - Surgical

Max Cert.

Type

Post-surgery

Waiting Period

Max Cert.

3 mo. (surgery)

Condition

Intermittent Claudication

Type

Post-surgery

Waiting Period

1 year

Max Cert.

3 months

Condition

Deep Vein Thrombosis

Waiting Period

1 year

Max Cert.

Condition

Superficial PhIebitis

Waiting Period

2 years

Max Cert.

Condition

Varlcose Veins

Waiting Period

2 years

Max Cert.

Condition

Pulmonary Embolus

Waiting Period

1 year

Max Cert.

3 months

Condition

Ebstein Anomoly

1 year

Type

Post-surgery

Waiting Period

1 year

Max Cert.

3 months

Condition

Tetralogy of Fallot

1 year

Type

Post-surgery

Waiting Period

1 year

Max Cert.

Condition

Marfan Syndrome

Waiting Period

1 year

Max Cert.

Condition

AAA

Type

<4cm

Waiting Period

1 year

Max Cert.

Type

4-5cm

Waiting Period

1 year

Max Cert.

Type

> 5.0cm

Waiting Period

0 - Surgical

Max Cert.

Type

Post-surgery

Waiting Period

1 year

Max Cert.

3 months

Condition

Other Aneurysms

Type

Post-surgery

Waiting Period

1 year

Max Cert.

3 months

Condition

Aortic Regurgitation

Type

Mild AVA >1.5cm2

Waiting Period

1 year

Max Cert.

Type

Moderate AVA 1.0-1.5cm2

Waiting Period

1 year

Max Cert.

Type

Severe AVA < 1.0

Waiting Period

0 - Surgical

Max Cert.

Type

Post-surgery

Waiting Period

1 year

Max Cert.

3 months

Condition

Pulmonary Valve Stenosis

1 year

Type

Post-surgery

Waiting Period

1 year

Max Cert.

3 months

Condition

Mitral Regurgitation

Type

Mild

Waiting Period

1 year

Max Cert.

Type

Moderate

Waiting Period

1 year

Max Cert.

Type

Severe

Waiting Period

1 year

Max Cert.

Type

Post-surgery

Waiting Period

1 year

Max Cert.

3 months

Condition

Mitral Stenosis

Type

Mild MVA >1.6cm2

Waiting Period

1 year

Max Cert.

Type

Moderate MVA 1.0-1.6cm2

Waiting Period

1 year

Max Cert.

Type

Severe MVA < 1.0

Waiting Period

0 - Surgical

Max Cert.

Type

Post-surgery

Waiting Period

1 year

Max Cert.

3 months

Condition

Valve Replacement

(Mechanical or Biological)

Waiting Period

1 year

Max Cert.

3 months

Condition

Cardiomyopathy

(Hypertrophic or restrictive)

Waiting Period

0 - Disqualifies

Max Cert.