High Blood Pressure: Commercial Driver Risk?

In this Article:

High Blood Pressure: How Does This Affect Your DOT Medical Card?

One of the most frequent concerns we hear from commercial drivers regarding the DOT physical exam, is about high blood pressure.

Here is the excerpt from FCMSA Rules and Regulations Part 391.41(b)(6) regarding blood pressure:

“A person is physically qualified to drive a commercial motor vehicle if that person has no current clinical diagnosis of high blood pressure likely to interfere with the ability to operate a commercial motor vehicle safely.”

Here are the medical guidelines according to the Federal Motor Carrier Safety Regulations (FMCSRs). Note that employers are allowed to impose more stringent CDL requirements.

Normal: Medically certified to drive for a two-year period

Normal Corresponds to a BP of 90 – 119 systolic and /or a BP of 60 – 79 diastolic.

PreHypertensionCorresponds to a BP of 120 – 139 systolic and /or a BP of 80 – 89 diastolic.

A driver with a blood pressure of less than 140 systolic and 90 diastolic, is qualified and may get their DOT medical card to drive for a two-year period.

Stage 1 Hypertension: Medically certified to drive for a one-year period

Corresponds to a BP of 140 – 159 systolic and /or a BP of 90-99 diastolic.

A driver with a blood pressure in this range is at low risk for hypertension-related acute incapacitation and may get their DOT medical card to drive for a one-year period. A DOT physical exam should be done annually thereafter and should be at or less than 140/90. If less than 160/100, certification may be extended one time for three months.

Stage 2 Hypertension: One-time medical certification of three months

Corresponds to a BP of 160-179 systolic and/or a BP of 100-109 diastolic.

The driver is given a one-time DOT medical card of three months to reduce his or her blood pressure to less than or equal to 140/90.

A driver with a blood pressure in this range is a candidate for antihypertensive drug therapy. Provided treatment is well tolerated and the driver demonstrates a BP value of 140/90 or less, they may get their medical card for one year from the date of the initial exam. The driver should do a DOT physical exam annually thereafter.

Stage 3 Hypertension: Disqualified

Corresponds to a BP at or greater than 180 systolic and / or 110 diastolic.

A driver with a blood pressure in this range is considered a high risk for an acute BP-related event, and is disqualified.

The driver may not be qualified for a DOT medical card, even temporarily, until blood pressure is reduced to equal to or less than 140/90 and treatment is well tolerated. The driver may be certified for 6 months and biannually (redo their DOT physical exam every 6 months) thereafter if at recheck BP is equal to or less than 140/90.

Bottom Line For Commercial Drivers:
Your Blood Pressure Needs To Be BELOW 140/90.

How Is Blood Pressure Measured?

Blood pressure is represented by two numbers. The first and higher of the two is a measure of systolic pressure, or the pressure in the arteries when the heart beats and fills them with blood. The second number measures diastolic pressure, or the pressure in the arteries when the heart rests between beats. This pressure is measured in millimeters of mercury pressure (mmHg). Kind of like pounds per square inch on a tire gauge.

When you get your DOT physical exam, know what your blood pressure numbers mean.

  • Normal blood pressure should be around 110/70.
  • The average American has a blood pressure of 120/80.
  • If your blood pressure is between 120/80 and 140/90 you’re at risk for Hypertension.
  • Drivers with  Type 1 or Type 2 diabetes, or kidney disease require treatment if their blood pressure rises above 130/80, since they already have a high risk of heart disease.
  • Stage 1 Hypertension is considered present when blood pressure is at 140/90.
  • Stage 2 Hypertension is considered present when blood pressure is at 160/100.


Hypertension Is A ‘Silent’ Disease That Can Be Deadly

Beginning at a systolic pressure of 115 mmHg and diastolic pressure of 75 mmHg, cardiovascular disease risk doubles for each increment of 20/10 mmHg.

One of the most dangerous aspects of hypertension is that you may not know that you have it. There are generally no high blood pressure symptoms, so you usually don’t feel it. In fact, nearly one-third of people who have hypertension don’t know it.

The only way to find out if you have high blood pressure is to get your blood pressure checked on a regular basis. This is especially important if you have other medical conditions, are overweight, or have a family history of high blood pressure. Stop by Chiro Stop, at Sapp Bros. in Salt Lake City, and we’ll check your blood pressure for free.

High blood pressure symptoms that may occur include:

  • Severe headache
  • Pounding in your chest, neck, or ears
  • Shortness of breath
  • Irregular heartbeat
  • Nosebleed
  • Tiredness
  • Confusion
  • Vision changes
  • Swelling or edema (fluid buildup in the tissues)
  • Blood in your urine
Without treatment, hypertension can lead to blood vessel damage, heart attack or heart failure, stroke, kidney failure, and eye problems. Even the early stages of hypertension are known to increase the likelihood of damage in these areas, so if you have prehypertension, now is the time to address some lifestyle changes to reduce blood pressure to a normal range.

The #1 Secret To Reduce Blood Pressure

MOVEMENT!
Everything about the human body is designed to move. The heart is just one of the muscles that moves blood around the body, and the heart depends on movement of the rest of the body to help it move blood around.  In other words, when you move your body you help your heart do its job.
As a commercial driver, your job is getting stuff from point A to point B as quickly as possible.  So you sit for hours on end with no movement.  This forces your heart to do all the work, to pump all the blood, for all of your body.  Something it was never designed to do.
So what’s the big secret to reduce blood pressure and stay out of hypertension?

Move!

Movement improves blood flow and helps to reduce blood pressure.

Move any way you can, any time you can!

  • Be conscious of sitting still for hours while you’re driving. Find ways to make even small movements in your feet, legs, hands, arms, shoulders and neck. The secret is in moving frequently.
  • Find ways to be active outside the truck. Ten minute activity periods, four or five times a day will go a long way to reduce blood pressure and maintain your DOT medical card at two year intervals.
    • Some drivers have a dog, which is a great reason to get out of the truck and walk for a few minutes.
    • When loading or unloading seems to be taking too long, take that time to move, stretch, and walk.
    • Park at the far end of the rest stop, and walk the long way around, to get into the building.
    • Don’t always eat at the truck stop. Walk to a nearby restaurant to eat. Walk to a nearby grocery store and buy some healthy food to eat on the road.
    • Step in and out of your truck 10 times after stopping for a meal. Or walk around your truck 10 times. Every extra step helps!
    • Walk around the parking lot, up and down the rows, and find the nicest looking customized truck.
  • Regular physical activity is one of the best things you can do for your heart. A healthy heart helps keep blood pressure low. Regular physical activity also helps control your weight and reduce stress. Any regular exercise like walking or biking, even 15 minutes a day will do wonders for your health.

10 Lifestyle Modifications To Reduce Blood Pressure Naturally

  1. Eat a Wide Variety of Natural Foods. Variety means fruits, vegetables, mushrooms, nuts, grains, seeds, meat, fish, eggs, milk, honey. Eat food made from ingredients that you can recognize in their natural state.  Tip: Highly processed foods, even though they come in thousands of different varieties of forms and packaging, do not contain a wide variety of food. In fact, most processed food consist of a concoction of a few ingredients derived from corn, soy, and wheat, and a bunch of chemical additives.
  2. Take Vitamins - Many vitamins have been shown to reduce hypertension but vitamins C, E, B5, B6 and folic acid, which is also a B vitamin have been the most effective. Apple cider vinegar includes vitamins C, A, E, B1, B2 and B6, in addition to potassium, magnesium, copper and many other helpful nutrients. We suggest mixing two tablespoons of apple cider vinegar with 8 ounces of water and a bit of honey to make up for the taste!
  3. Increase Calcium – This can be done by consuming low-fat dairy products or taking calcium supplements.
  4. Increase Potassium - This can be done easily by consuming foods such as cauliflower, cabbage, oranges, grapefruit, melons, bananas, and other fruits and vegetables.
  5. Increase Magnesium - Soy, beans, wheat germ, rice, nuts and bananas are a good source of magnesium.
  6. Reduce Sodium - Keep in mind that reducing sodium intake involves more than not using a salt shaker, but also checking for the sodium content  in processed and prepared foods.  Rather than common table salt  which is sodium chloride, use a natural mineral salt.
  7. Take Garlic - Garlic supplements work just as well as fresh garlic.
  8. Drink Water - Drink 50% of your body weight in ounces of water daily, e.g. if you weigh 200 lbs, drink 100 oz of water daily.
  9. Discontinuing Tobacco Use – Smoking can cause plaque and hardening of the artery walls.
  10. Manage Stress - Every time you stress out, your blood pressure jumps up. If stress is a permanent part of your life it can constantly keep your blood pressure high. Relaxation techniques, deep breathing, and physical movement are all good ways to de-stress. Restful sleep also reduces stress and lowers blood pressure.

Bonus: Lose some of those extra pounds – If you do much of the above, and you reduce processed carbohydrates in your diet, these extra pounds should come off naturally.

These lifestyle modifications are highly effective to reduce blood pressure naturally, although medication is still necessary for many patients with moderate or severe hypertension to bring their blood pressure down to a safe level.

Blood Pressure Medications

It is very important, if you have hypertension, that you take the medications prescribed to you. See our tips to prepare for your DOT physical. If you have side effects, your health care provider can substitute a different medication.

There are many classes of medications for treating hypertension, together called antihypertensives, which — by varying means — act by lowering blood pressure.

Often, a single blood pressure drug may not be enough to control your blood pressure, and you may need to take two or more drugs. Each added drug may reduce the systolic blood pressure by 5–10 mmHg, so often multiple drugs are often necessary to achieve blood pressure control.

The aim of treatment should be to reduce blood pressure to lower than 140/90 mmHg for most patients, and lower than that in certain cases such as diabetes or kidney disease, where levels below 120/80 mmHg are recommended.

The goal of treatment is to reduce blood pressure so that you have a lower risk of complications. After the blood pressure goal is reached, you should continue to see your doctor every three to six months, depending on whether other diseases are present.

Check your blood pressure regularly! If you’re driving through Utah, stop by and visit us at Chiro Stop, in the Sapp Bros. truck stop in Salt Lake City. We’ll check your blood pressure for free.

Your Livelihood, Your Lifestyle, Your Life!

You may be concerned about your blood pressure because you’re concerned about your livelihood – that your CDL is at risk.

If that’s the case, then you should be concerned about your health too – that your life is at risk. Hypertension is an indication of more serious health issues ahead.

Commercial driving is a challenging lifestyle. Will it control the way you live, or will you manage the way you live, within its constraints? By knowing what the problems are, you can take action to make the outcome different. Begin with small changes. Treat the Lifestyle Modification List like a buffet. Choose one or two ideas from the list and try them out. If they fit for you, keep doing them, and then add another. In just a few weeks you’ll feel better, and in just a few months you’ll have won that bonus – dropping some of those extra pounds.

Make your next DOT physical exam easy. Keep your eye on the goal: a healthy blood pressure range. Your improved lifestyle will serve your livelihood and your life.


39 ResponsesLeave one →

  1. Pat

     /  May 31, 2014

    My MD. put me on Bystolic. My bp is down to 118/66 in 3 days. I can’t believe how much better I feel, and I did not think I felt bad before. My goal is to be off meds by the end of the year after getting my weight down close to where it should be. Kind of a wake up call. The Cpap can’t hurt the bp either.

  2. Trucker Doc

     /  May 29, 2014

    @Pat
    A bp of 152 / 92 is considered stage one hypertension, and you could qualify for a one year card.
    That being said, the DOT examiner is basically making sure, with a three month card, that you are taking action on this condition and that the treatment is working, your meds are safe and your condition is starting to stabilize. Then the examiner will extend your card.
    As far as having to go to another clinic, that may be a company policy.
    Being on blood pressure medication is unlikely to bring your blood pressure down to normal in such a short time, but you should not have any real problems once you explain what is going on.

  3. Pat

     /  May 28, 2014

    I was given a 3 month card about 2 weeks ago because my bp was 152/92. I did not ask my employer where to go for DOT but they are telling me I have to go to the clinic they use for my DOT. I was put on bp meds today, and I think with a dietary change, I can get it down where it was a year ago to 130-78. My problem is, what if my bp is too high at the physical my company requires me to take at the other clinic? I don’t know if 1 1/2 to 2 weeks on meds is going to get me down enough.

  4. Trucker Doc

     /  May 14, 2014

    @Willie
    If that is the company policy, then you may have to go to their clinic. Most of the time a company has some additional testing that they would like to have performed, so they set it up with a clinic in advance. Just check with your employer as to why he is making such a request.

  5. Willie Bolin Jr

     /  May 13, 2014

    Can my boss tell me which clinic to go for my dot physical, even if there’s no written policy?

  6. Doc T

     /  April 22, 2014

    DOT rules on B/P may seem confusing but they are listed on the form.
    If you consider that everyone that is taking the physical has taken one before then you only consider the second column for recertification. If on the INITIAL exam the B/P was 140-159/90-99 and they received a one year card then the next time they are checked the B/P must be 140/90 or better and they will still only get a one year card. If it is elevated and 141-159/91-99 then they get a 3 month card. You CANNOT get back to back 3 month cards! If after that second year they returned and B/P was good second year and third year then a two year card is available (if not on B/P meds).

  7. Trucker Doc

     /  January 7, 2014

    @Chad
    The DOT examiner has the final say in how long a medical certificate is good for.
    I suspect the examiner is looking for you to take action on getting your blood pressure under control. Once the blood pressure readings are within the normal ranges, then the examiner will extend your medical certificate to one year from the date of the original examination.

  8. Chad

     /  January 6, 2014

    I have never had a problem with blood pressure at a dot physical until 2 days ago. I was 155/95. From what im reading in this site, i should have been given a 1 year card. They only gave me a 3 month card. Also i have never been on bp medication.

  9. Trucker Doc

     /  January 4, 2014

    @Anonymous
    You are on blood pressure medication, so your blood pressure must be below 140/90. That’s the law. not a recommendation.
    I would steadily work at getting the pressure down and keep it down so you don’t have this problem again. There really isn’t a magic formula that drops your blood pressure to normal.
    But if your blood pressure is still this high on meds, then I would be following up with my doctor to get your meds tweaked back to a normal range.

  10. Anonymous

     /  January 3, 2014

    im really bum out i landed a good paying job but my bp was 146/94 than a retest @ 142/80 the last reading with the doctor was 150/80. i ended up with a 3 mouth card and the company disqualified me due to my pressure was to high. I have another job that i have to take another physical in 3days and i need a job can anyone please help me. im on hydroclorothiazide 25mg and i drunk some apple cider vinager 2.5 hrs before the exam i prayed was calmed, but still failed the dot physical

  11. Trucker Doc

     /  December 31, 2013

    @Williams
    140 / 90 is THE cut-off for blood pressure. You potentially could pass with that blood pressure, but it is on the high side and the DOT gives that decision-making to the examiner.
    I would work at getting the bp down before I took the examination. Otherwise you may get a one year card and that just gives you time to work on getting the bp under control.

  12. williams

     /  December 30, 2013

    I got a reading of 140/90 on my bp. I take no meds. Will i be able to get a two year certification ?

  13. Trucker Doc

     /  December 17, 2013

    @Vernontw
    If you are taking a high blood pressure medication, and have been doing so for a while, you must have a BP below 140 / 90. So if I were you I would wait until your blood pressure is below those numbers before I went back to retake the DOT examination.

  14. vernontw

     /  December 11, 2013

    I just took my dot Monday. And missed it. 160/100 and I was on meds but I had run out two weeks ago. But went back to see a different doc and they put me back on my meds benicor. I stayed home yesterday. Do you I should be able to get a three month card

  15. Trucker Doc

     /  November 20, 2013

    @Artin
    Well first off, if you are taking high blood pressure medication, you will automatically be limited to a one year medical certificate. Secondly, I would give the medications a few weeks to kick into gear and also be aware that you will need to let your primary healthcare provider tweak your meds until he has you in a place that you can keep your blood pressure below 140/90.
    That being said you should be able to take you DOT examination at any time, just explain to the DOT examiner that you just started your HBP med. They may limit you to a three month certificate initially, but it gives you the chance to continue driving while your primary doctor gets your meds dialed in.
    Thanks for the question. Trucker Doc

  16. artin

     /  November 20, 2013

    Hi, thank you for responding to my previous question.
    To stop my blood pressure from fluctuating i have just started 2 days ago taking high blood pressure medicine (HYDROCHLOROTHIAZIDE 12.5MG). How soon can i take the test and what are the acceptable levels to get a medical card for 2 years while taking medication.

    Advance Thanks

  17. Trucker Doc

     /  November 18, 2013

    @JC
    You should be able to return to the doctor that performed your first DOT examination and have him re-check your blood pressure, if all is well, then he will provide you with up to a 2-year medical certificate.
    Thanks for the question. Trucker Doc

  18. Dose anyone know anything about this, i went to swift driving academy to get my CDL and become a truck driver but i had food poisoning right before my DOT examination an i only slept 4 hrs in 2 days, and my blood pressure came up high and the doctor gave me 3 month card. Now that my blood pressure is back to normal can i go and take the test again before the 3 month’s over, and dose the doctor report the result anywhere?????

  19. Trucker Doc

     /  November 1, 2013

    @dcord
    I’m not sure what else may have been going on, but with a bp of 130/80 and presently on bhp meds, you should have received a one year medical certificate.
    Blood pressure with or without medications need to be below 140/90 for the driving community and for FMCSA. I would wonder what else your examiner sees in your health record that would have him hold you to months card?
    A two year card comes with a bp below 140/90 without the use of medications.
    You would get a one year card with a bp below 140/90 and on medications.
    Thanks for the question. Trucker Doc

  20. DCORD

     /  October 31, 2013

    I just came from a doctor for my dot physical. My BP was 130/80. My doctor only gave me a 3 month medical card. I asked him why is it only a 3 month card. That’s what my reading has always been around. That was about my reading last year too, and I was able to get a 1 year medical card. Doctor told me yes that even though my BP reading was 130/80 he said because its with medication, that I could only receive a 3 month card. IS this some new DOT rule now? That with medication your BP readings are suppose to be normal(120/80) or below in order for you to get a year or 2 year medical card?

  21. Trucker Doc

     /  September 7, 2013

    @ Driver
    HBP can cause stress on the internal components of the eyes, and yes I do believe the visual fields can repair, once the blood pressure goes down and is under control… If there is no other cause, such as age related loss of visual acuity, age related weakness of the eye muscles, etc.
    Get your blood pressure under control and keep an eye [no pun intended] on the situation.
    Thanks for the question. Trucker Doc

  22. Driver

     /  September 7, 2013

    HI,
    I have HBP and am working on lowering it, my question is… over time I’ve noticed my vision is slowly getting worse, I read something about, this could be caused from HBP, will my vision get better when my BP gets under control,(that is, IF the bp is the true cause of it?) Thank You,
    Bob

  23. Trucker Doc

     /  April 20, 2013

    @Mike
    Absolutely! It’s much easier to stay healthy and keep things under control than it is to get healthy after you let yours slip away.
    Stay healthy! Find out how to get your health as well as you can and that way you don’t have to fuss about the regulations and the DOT physical exam.
    A healthy driver is a much happier situation for an examiner to work with than than an unhealthy driver.
    Thanks for your comments. Trucker Doc.

  24. Mike

     /  April 18, 2013

    Thanks for the info. I am bookmarking this page for future referance.

    I have secondary hypertension caused by a kidney condition. I got hurt on the job and currently on comp. I lost my insurance and ran out of my meds. My doc was willing to see me because of a non-medicated bp of 190/120 during a comp related exam. Three weeks after starting my meds again and eating heathier my bp was 110/90.

    I guess Im just trying to remind all the drivers out there to take your meds and stay healthy.

  25. Trucker Doc

     /  August 30, 2012

    @Wannabe Trucker
    With your blood pressure under control with medications you will be limited to a one year DOT medical certificate. DOT and FMCSA want all drivers that are taking medications for high blood pressure and/or diabetes medications to be evaluated each year. So often we are the only doctors that the drivers see during the year, so to keep them and the public safe we re-evaluate the drivers each year.
    Thanks for the question. Trucker Doc

  26. WannabeTrucker

     /  August 30, 2012

    I’m not a trucker but am looking onto it. I am currently on blood pressure medicine that keeps my BP at around 116/74. How is pre-existing/controlled moderately high blood pressure taken into account when taking the DOT physical?

  27. Trucker Doc

     /  April 30, 2012

    @Gabriel
    Blood pressure should be below 140 / 90 to clear for a two year medical certificate, with no other issues.
    Your blood pressure will limit you at the time of your medical examination to one year and you will have to have your blood pressure below 140 / 90 by the next examination. If you get it down using blood pressure medication, then your medical certificate will only be good for one year. If you manage to get it below 140 / 90 without medication then your card will be good for two years.
    All this being said, each company has its own policy regarding blood pressure, but most follow the DOT recommendations.
    Thanks for the question. Trucker Doc

  28. Gabriel

     /  April 27, 2012

    hi ! i going to be going to trucking school, and i’m a little worry about my bp, it been holding at 150/90 and i’m 230 lb i dont want the trucking company to kick me out . because of my bp is high, is this to high? will they look at it and say your bp is too high?

  29. Trucker Doc

     /  April 19, 2012

    @Sandyd
    Yes, that is correct.
    Drivers are notorious for not following up with their doctors, due to an unknown schedule. Also, most doctors who work with high blood pressure have no real idea what you do for a living and what the stresses are, that you must endure on a daily basis. If you follow your doctors instructions and manage to get yourself off the high blood pressure meds, make sure you get a note from your doc saying he took you off, and you may go back to a two year medical card.
    Thanks for the question. Trucker Doc

  30. Sandyd

     /  April 18, 2012

    I am taking blood pressure meds.my pressure is very good

    with treatment, is it true I can only get a 1 yr.medical card because I’m on meds to treat high BP????-

  31. Trucker Doc

     /  March 26, 2012

    @Road Dog
    That’s fantastic. It shows what you can do, once you put your mind to it. Keep up the good work.
    Thanks for the comments. Trucker Doc

  32. ROAD DOG

     /  March 25, 2012

    3/23/2012
    HI DOC,
    I AM 55 YEAR OLD WITH A CA. CLASS B CDL AND I JUST WENT BACK IN FOR MY DOT AND I GOT A READING OF 130/76. IN THE RESENT PAST, I HAD GAINED QUITE A BIT OF WEIGHT WITH READINGS OVER THE MINIMUM REQUIREMENTS TO PASS. TWO YEARS AGO I WAS UP TO 260LBS (AT 5-7″) SO I MADE SOME LIFE-STYLE CHANGES CHANGING MY DIET, EATING HEALTHIER FOODS (MORE FRUITS & VEGGIES) LESS RED MEAT & MILK, MORE FISH & POULTRY, AND KEEPING MY CALORIE COUNT TO 1200 OR LESS A DAY, EXCERSISE BY WALKING AT LEAST 2 MILES A DAY! ALL THESE CHANGES MADE A HUGE DIFFERENCE IN MY WEIGHT LOSS, NOW I’M DOWN TO 185LBS AND PASSING/UPDATING MY MEDICAL CARD!

    TO ALL CDL DRIVERS:
    DIETING DON’T WORK, BUT IF YOU DO WHAT I DID, THIS WILL – GOOD LUCK!

  33. Trucker Doc

     /  February 20, 2012

    @Josh
    Your Blood Pressure needs to be below 140 / 90.
    Anything above that number will raise questions and will limit your medical card from 2 years to a possible 3 month card, or completely disqualify you.
    Try to get it down before you start your schooling.
    Thanks for the question. Trucker Doc.

  34. Josh

     /  February 18, 2012

    Hi Im considering going to truck driving school but am concerned about my bp i dont wanna start school take physical and be disqualified 1.5k miles from home and be kicked out of school my latest bp test was 186/90 will this disqualify me? thanks for your help

  35. Trucker Doc

     /  January 27, 2012

    @TonyD
    No! Blood pressure medication, as long as it has your blood pressure below 140/90, will only limit the length of time the medical certificate is good for.
    One year medicals for drivers taking high blood medication is normal, but has no other limits to you getting started in the industry.
    Thank you for your appreciation, and thanks for the question.
    Trucker Doc.

  36. TonyD

     /  January 27, 2012

    Firstly, thank you for taking the time to put such helpful, useful information onto your web site.

    Secondly, my question is this as someone looking to get into this industry as a career change who is border line with blood pressure will taking blood pressure medication be a disqualification for passing a DOT physical?

    Thanks again.

  37. HATE BP TEST!

     /  July 28, 2011

    Every time I have to have my DOT physical, I stress out about the blood pressure part. Even with regular exercise and a high blood pressure diet I can’t get it below 140/90. My family history of high blood pressure also doesn’t help any! As I get older, I am coming to realize that I may have to end up on blood pressure medication like the rest of my family.

  38. Trucker Doc

     /  July 19, 2011

    @Anonymous
    Hard to say whether the DOT examining Doctor would accept your BP history. Most of us doing driver DOT examinations realize you guys have borderline high blood pressure and need the chance to get calmed down and then take the examination. The blood pressures should be taken multiple times during the examination. But if you have ‘white coat syndrome’ with your DOT examiner and you also have a documented blood pressure history from your family doctor, he may accept the history, but don’t bank on it. Just relax, take a deep breath and let the guy do his job. He isn’t trying to get you out of the truck, he just wants you to safe behind the wheel.
    Thanks for the questions, Trucker Doc.

  39. Anonymous

     /  July 16, 2011

    When I have my dot physical done, I my blood pressure goes up, normal my bp is fine when I see my regular m.d., any suggestions. Can I bring a note from my doctor stating I am o.k.

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