Achoo’s wisely: Know the side effects of allergy meds
Imagine you’re a commercial driver who suffers with seasonal allergies. You take a medication to help alleviate symptoms, but you suddenly become drowsy. You just became a safety risk!
As we enter spring allergy season, employees should take all side effects and drug interactions seriously. To do otherwise may put the employee, coworkers, and others in danger.
The risks are not limited to just drivers. Those operating forklifts, loading/unloading trailers, spotting trucks, performing vehicle repairs, and so forth all impact motor carrier safety.
Know the risks
Safety requires an attention to detail, including the fine print on medication bottles for both over-the-counter (OTC) medicines and prescription drugs. Side effects may differ based on the individual, so employees need to listen to their bodies and avoid using some medications completely.
Imagine experiencing even one of the following side effects of allergy medications when trying to engage in everyday activities at a motor carrier:
- Drowsiness,
- Dizziness,
- Upset stomach,
- Blurred vision,
- Headache,
- Nervousness,
- Fast heartbeat,
- Increased blood pressure,
- Loss of appetite, and
- Sleep problems.
And, of course, employees should always check for interactions with any other medications they are using.
CMV driver limitations
All commercial motor vehicle (CMV) operators, not just those operating vehicles requiring a commercial driver’s license (CDL), must avoid using medications that negatively impact their ability to safely drive a CMV.
There is no “official” list of prohibited drugs for commercial drivers. Instead, the Federal Motor Carrier Safety Regulations (FMCSRs) reference another agency’s regulations, the Drug Enforcement Administration (DEA). DEA’s Schedules of Controlled Substances in 21 CFR 1308 classifies a drug into one of five categories (schedules) depending on the drug’s acceptable medical use and its abuse or dependency potential. Only Schedule I drugs, such as heroin, LSD, and marijuana, are prohibited with no exception for commercial drivers. All other schedules of drugs, both prescribed and OTC, are taken on a case-by-case basis, dependent upon their impact on driving.
A driver who is prescribed an allergy medication should be explicitly told by the family doctor that it will not interfere with their ability to safely operate a CMV. This stipulation is found in 391.41 (medical qualifications), 392.4 (general operating rules), and 382.213 (specific to just CDL positions).
Over-the-counter medications are also included in 392.4(a)(4) if they affect driving.
Ill and fatigued driving
Yet another rule applies to all CMV drivers and addresses their general physical condition. It restricts drivers who are too ill or fatigued to safely operate the vehicle.
Many use this regulation when a driver is exhausted from exceeding hours-of-service limits. But this rule is much more encompassing. It prevents the operation of a CMV “…while the driver’s ability or alertness is so impaired, or so likely to become impaired, through fatigue, illness, or any other cause, as to make it unsafe for him/her to begin or continue to operate the commercial motor vehicle…”
The carrier can’t dispatch or allow a driver to continue a trip when ill or fatigued. The driver also has an obligation to know when they are a risk. They should not get behind the controls of the CMV. If already driving, they must park their vehicle and communicate their health status with their carrier.
Key to remember: Everyday medications often pose a serious risk for those impacting motor carrier safety. Employees should know the side effects and never put themselves and others at risk when not feeling well enough to safely do their jobs.