A DOT driver regularly takes Dextromethorphan. What should the Medical Examiner do next?

The appropriate step for the Medical Examiner when a DOT driver regularly takes Dextromethorphan is to counsel the driver about not consuming the medication within 12 hours of driving. Dextromethorphan is a common ingredient found in cough suppressants and, while it is typically safe when taken as directed, it can cause side effects such as dizziness, drowsiness, or impairment. These effects can hinder a driver's ability to operate a commercial vehicle safely.

By advising the driver on the timing of medication consumption, the Medical Examiner is prioritizing safety and ensuring that the driver understands the potential risks associated with taking Dextromethorphan prior to driving. This approach allows the driver to make informed decisions about their health and medication use without outright disqualifying them, fostering a better understanding of how medications can affect their performance on the road.

Other options such as disqualifying the driver or issuing a specific recertification period may not recognize the responsible use of the medication or the fact that the driver can manage their medication's timing to ensure they are not impaired while driving. Counsel instead promotes safe practices while allowing the driver to continue their work if they comply with the guidance.