Regardless of everything allowed or not-allowed, you would do well to get your prescribing physician to give you an MRO (Medical Release Opinion) along with this there should be paperwork stating the rigors and expectations of your job description.
You can sign off on release of your medical records as HIPPA will stop anyone from obtaining them unless you say so.
As far as those medications are concerned, none of them are on the disqualifying list from the FMCSA.
Here's the rub though: There may be contraindications to taking/having all of those meds in your system at one time. The MRO would be your only salvation in a "no fault" accident. Even if involved in an "at fault" the MRO will get shredded by a good attorney.
All an MRO really does is put the responsibility on someone else to allow you to do your job in what they will state as a "Safe manner"... be careful of the wording though, as there might be stipulations to the "mixing" of medications, or the amount ingested at one time.
IMHO, Gapapentin and Tramadol together could get you in a little hot water. Tramadol is not a narcotic, nor is it an Opiate or Opioid, but ... it is VERY similar to an opioid. It just doesn't follow the exact same pathway for a narcotic painkiller but has the same effects... also, it is very addicting. Just as much or moreso than Vicodin or Oxycodone.
Again, it depends on the person. I've seen Tramadol get people wired up real good and the Gaba take them down a few notches, which is never good when mixing meds that have two differing effects on the body. That would be like taking speed and a barbituate at the same time.
Another rub: If you are involved in an accident, even if "no fault" you will still be drug-tested. Any hot ass attorney will do his damndest to make YOU the criminal, no question there.
You have to ask yourself: "Can I start eliminating some of these medications?"
Tramadol is a
narcotic-like pain reliever.
Tramadol is used to treat moderate to
severe pain.
The
extended-release form of tramadol is for around-the-clock treatment of pain. This form of tramadol is
not for use on an as-needed basis for pain.
You should not take tramadol if you have severe breathing problems, a blockage in your stomach or intestines, or if you have recently used alcohol, sedatives, tranquilizers, narcotic medication, or an MAO inhibitor (isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others).
Tramadol most certainly can cause addiction.
Meloxicam is just basically an NSAID a bit stronger than Ibuprofen... well, quite a bit, but mixing it with Tramadol isn't an issue.
The Gabapentin High: Why Has Recreational Use Exploded?
Gabapentin is an anti-epileptic medication, also called an
anticonvulsant. It affects chemicals and nerves in the body that are involved in the cause of seizures and some types of pain.
Also, in higher doses, Gabapentin can make people high, groggy, off balance.. and have trouble seeing (as in seeing double)
Doxazosin may cause dizziness or fainting, especially when you first start taking it or when you start taking it again. Be careful if you drive or do anything that requires you to be alert. Avoid standing for long periods of time or becoming overheated during exercise and in hot weather. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy.
MIRAPEX tablets contain pramipexole, a nonergot
dopamine agonist.Low levels of dopamine in the brain are associated with Parkinson's disease. Pramipexole is used to treat symptoms of Parkinson's disease, such as stiffness, tremors, muscle spasms, and poor muscle control. Pramipexole is also used to treat
restless legs syndrome (
RLS).
What medications disqualify a CMV driver?
There are so many contraindications when it comes to mixing medications that nobody can really come up with a solid 'yes or no' answer. I've seen OTC supplements cause huge interactions with prescription meds, and since many supplements are NOT regulated by the FDA, it can be pretty difficult to tell what the outcome might be.
A lot of the meds you are taking have some serious side effects in certain folks. One of the most common in all of them is slowed heart rate and just being plain tired.
You gotta ask yourself: " Would you want your family driving alongside a trucker who was taking all of these meds?" Add in some supplements, lack of sleep... and maybe a few cups of coffee....
I dunno. Err on the side of safety. Only YOU know how you feel when you are taking these meds. Do you feel safe to drive even if a doctor gave you an MRO?
