DOT Physical Blood Pressure Requirements — Every Threshold Explained
Quick Answer
DOT physical blood pressure cutoffs (FMCSA 391.41): <140/90 = pass with 2-year medical card; 140-159/90-99 = 1-year card (must recertify); 160-179/100-109 = 3-month temporary card while you treat it; 180+/110+ = immediate disqualification. You can retest after treatment once BP is back under the threshold. Approved antihypertensives (ACE inhibitors, ARBs, diuretics) are allowed without penalty; the medical examiner documents the medication on the MER.
Last reviewed · By Chad Griffith
This comprehensive guide covers everything you need to know about dot physical blood pressure requirements: every threshold explained. Whether you're a safety manager, compliance officer, or operations director, understanding dot compliance requirements is critical to avoiding costly fines and failed audits.
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Frequently Asked Questions
What is the maximum blood pressure for a DOT physical?
Below 140/90 earns a 2-year medical card. 140-159/90-99 earns a 1-year card. 160-179/100-109 earns a 3-month temporary card. 180/110 or higher is automatic disqualification until treated.
Can I take blood pressure medication and still pass a DOT physical?
Yes. ACE inhibitors, ARBs, and diuretics are allowed without penalty. Beta blockers at certain dosages may trigger additional review but are not automatic disqualifiers.
What happens if I fail the BP portion of a DOT physical?
You can retest after treatment once BP is below the threshold. A 3-month temporary card is typically issued in the 160-179/100-109 range to give you time to treat.
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