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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?
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.