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Post by ronin » Mon Jul 29, 2019 12:40 pm

The previous FMCSA handbook specifically notes that use of oral anticoagulant therapy after a stroke is disqualifying "because of the risks associated with excessive bleeding". This is not a recommendation in the proposed new handbook. Are fellow examiners disqualifying drivers with history of stroke because they are on an oral anticoagulant?

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Re: Stroke

Post by toby » Wed Aug 14, 2019 9:46 am

Anticoagulants us should not disqualify truck drivers. If the driver has no deficits that interfere with operation of a commercial vehicle, then he should be cleared IF his INR is therapeutic, or he is using a new oral anticoagulant medication. His medical records should be requested and reviewed to make sure he is medically stable. The most frequent reason a patient is on an anticoagulant after a stroke ( instead of aspirin ) is a history of atrial fibrillation. Effective use of anticoagulants in atrial fibrillation reduce the risk of stroke, and he/she should be safe to drive.

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