CME Certified Federal Medical Examiner

Category - Driver Identification and History

A 40-year-old female presents for examination. She admits to being diagnosed with irritable bowel syndrome (IBS) a year ago. She is prescribed dicyclomine 10mg capsules four times daily. She is maintaining the treatment, is tolerant to medication and her symptoms are well-controlled. Can this person be qualified as CMV driver, and why?
  1. Yes, she is tolerant to medication and the symptoms are adequately controlled.
  2. No, dicyclomine is a habit-forming medication and thus disqualifying.
  3. No, IBS is a disqualifying health condition on its own.
  4. Yes, IBS has no driving impairing symptoms and dicyclomine side effects are insignificant.
Explanation
Answer: A - Yes, she is tolerant to medication and the symptoms are adequately controlled.

This is the correct answer because the person is tolerant to the medication and the IBS symptoms are well-controlled. In addition, dicyclomine is not a habit-forming medication. Therefore, there is no reason to disqualify her. IBS symptoms may impair her ability to drive should they have not been well-controlled, but in this case she is qualified.
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