Nuvigil, Provigil Instead Of Adderall For OTR?

Topic 4467 | Page 1

Page 1 of 2 Next Page Go To Page:
Andrew's Comment
member avatar

I am looking into alternatives for my ADHD I have been off amphetamines for 6 months now and I struggle paying attention, I sleep to much etc.. I am looking into alternatives for these issues.. I want to live the safest and healthiest way when I get out on the road and I am curious if anyone who is in the trucking industry knows about or has experience with Nuvigil or Provigil...

mountain girl's Comment
member avatar

Adderall is not exactly an amphetamine. It's a dextro-amphetamine and although only one molecule difference - it is in fact different. A driver who is on dextro-amphetamine can still pass the DOT physical as long as the drug is prescribed as it is a Class II controlled substance.

I'm just curious: why did you go off of ADHD medication? ...If you don't mind my asking ...

-mountain girl

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

mountain girl's Comment
member avatar

*dextro-amphetamine salt combination ...

-mountain girl

Andrew's Comment
member avatar

Adderall is not exactly an amphetamine. It's a dextro-amphetamine and although only one molecule difference - it is in fact different. A driver who is on dextro-amphetamine can still pass the DOT physical as long as the drug is prescribed as it is a Class II controlled substance.

I'm just curious: why did you go off of ADHD medication? ...If you don't mind my asking ...

-mountain girl

I have been on adderall, vyvanse or ritalin since elementary school.. I stopped taking them for the first time in my life this year for two reasons.. 1) B/c for awhile now I have wanted to see how clear I could be off the meds, in a way I wanted to understand how I functioned normally without a stimulant.. Hence now looking at alternatives.. 2) I have been under the impression that most trucking companies have MAJOR issues with people whom have adderall prescriptions.. I have been told both ways, that I can pass a DOT and it wouldn't be an issue and I have been told it would be a major issue.. So now I am trying to get out of the grey area in that regard and still address the issue at hand.. does that make sence?

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

mountain girl's Comment
member avatar

Yep-yep. Makes sense. I know for a fact that drivers on prescription adderall can pass the DOT physical exam.

I don't know whether or not doctors are permitted through HIPPA to even disclose whether or not someone is on a particular medication. I know there are issues with diabetes patients on insulin but in that case, they wouldn't pass the physical. Once one passes the physical and the drug test (which comes up negative for when a driver uses a drug and can prove that it is prescribed to him), I don't think it's any of the company's business what medications the driver is on. If I'm wrong, someone will certainly correct me, (and rightfully so) so keep your eyes peeled. But I know for a fact that it is possible to pass both the physical and the drug test when one is taking prescribed adderall. Trust me on that one.

And those who truly do have ADHD, must be on it to drive safely.

-mountain girl

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

HOS:

Hours Of Service

HOS refers to the logbook hours of service regulations.
Starcar's Comment
member avatar

Because of the federal oversight in trucking, all of a drivers medical history is open for the trucking companies consideration. Even if you pass a common DOT physical, you may not pass one given by a trucking company doctor...they have their own rules. So Andrew is correct in his thinking that it is indeed a grey area. I'm not medically informed enough to know the ins and outs and the trade offs of medications. but a competent personal physician or psychologist can work with you to get you on a med that will enable you to drive. You surely will need to get this settled before you go forward with cdl school, tho..... Good Luck...and keep us in the loop !! We are all rooting for you.

CDL:

Commercial Driver's License (CDL)

A CDL is required to drive any of the following vehicles:

  • Any combination of vehicles with a gross combined weight rating (GCWR) of 26,001 or more pounds, providing the gross vehicle weight rating (GVWR) of the vehicle being towed is in excess of 10,000 pounds.
  • Any single vehicle with a GVWR of 26,001 or more pounds, or any such vehicle towing another not in excess of 10,000 pounds.
  • Any vehicle, regardless of size, designed to transport 16 or more persons, including the driver.
  • Any vehicle required by federal regulations to be placarded while transporting hazardous materials.

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

mountain girl's Comment
member avatar

I don't know much about nuvigil or provigil but I do know there are non-stimulant alternatives to dextro-amphetamine salt-combos. The one I'm thinking of I think is called Concerta. You may have already heard of it or been prescribed it. I know it takes a few weeks for it to really kick in and work but it's not of the stimulant category as the other more common drugs. Vyvanse extended release is a really great medication for some and works so well without side-effects.

I do understand that ADHD is no longer considered a childhood disorder but rather a life-long, daily struggle for those who truly have it. And those who truly do, can't really "think" their way through a more productive day any better than a diabetic can "think" their way into better insulin management without the medication, because it's a neurotransmitter and chemical issue and less of a conscious, concentration problem. Undiagnosed, I'm sure there are a lot of people who simply self-medicate and drink coffee, take over the counter stimulants, smoke cigarettes, but in a lot of ways, the medications that are already out there, for some, are the only things that work.

One other thought might be to consult with a very highly qualified acupuncturist and see if he or she can help you. I know the Chinese Medical community has a different perspective on the disorder.

Keep us posted, here and let us know how your research goes.

-mountain girl

OTR:

Over The Road

OTR driving normally means you'll be hauling freight to various customers throughout your company's hauling region. It often entails being gone from home for two to three weeks at a time.

HOS:

Hours Of Service

HOS refers to the logbook hours of service regulations.
mountain girl's Comment
member avatar

Because of the federal oversight in trucking, all of a drivers medical history is open for the trucking companies consideration. Even if you pass a common DOT physical, you may not pass one given by a trucking company doctor...they have their own rules. So Andrew is correct in his thinking that it is indeed a grey area.

-Starcar

Granted. But ok, I do know for a fact that it's possible to be on adderall and pass a company-endorsed DOT physical. As Old School says, "That's my story. I'm stickin' to it." It has happened ..In recent past...

smile.gif

-mountain girl

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

John T.'s Comment
member avatar

Adderall is not exactly an amphetamine. It's a dextro-amphetamine and although only one molecule difference - it is in fact different. A driver who is on dextro-amphetamine can still pass the DOT physical as long as the drug is prescribed as it is a Class II controlled substance.

I'm just curious: why did you go off of ADHD medication? ...If you don't mind my asking ...

-mountain girl

It's not so much passing the physical so much as it's for him (or anyone) to pass the drug screen. Most of the commonly used UAs - especially the cheap instant-read tests - do not differentiate between various drugs in a given category. Both heroin and Vicodin will show up as an opiate, just as Adderall, Vyvanse, Sudafed, all will show up as an amphetamine.

Want a real kick in the pants? Just about any commonly prescribed drug can cause a false positive, even if it's not in a targeted class. Amoxacilin, for instance, is an antibiotic. It'll also give a false positive for cocaine. Wellbutrin, Prozac, Effexor, Trazadone, all can give false positives for amphetamines. And there's a lot more that can as well. Ibuprofen, believe it or not, can give false positive for barbituates, methadone, AND cannibinoids (marijuana). It doesn't even have the same molecular structure, but it's a very common result.

A helpful tip for anyone taking medications, when you do a drug screen it's best to disclose ANY medications you have taken in the prior 24 hours, even if it's just some Advil or an allergy med. If you take antidepressants, ADHD meds, tell them so they can make a note on the form for the lab. As long as it's an OTC or you have a script you should be good to go.

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

mountain girl's Comment
member avatar

A helpful tip for anyone taking medications, when you do a drug screen it's best to disclose ANY medications you have taken in the prior 24 hours, even if it's just some Advil or an allergy med. If you take antidepressants, ADHD meds, tell them so they can make a note on the form for the lab. As long as it's an OTC or you have a script you should be good to go.

John T.

This part is true. Full disclosure before you take any tests is always the best route.

The over-the-counter drug screens that you buy at the pharmacy probably aren't sensitive enough to distinguish between drug classes. However, having spoken just yesterday, to the medical examiner who reviews all the drug screens from the trucking company that sponsored both my physical exam, drug screen, and physical agility test I took this week, I learned that the ability of these urinalyses to distinguish between drugs, amphetamines, dextro-amphetamine salt combinations, meth, MDMA, cocaine, and heroin is all very real and possible, now. He explained that the body metabolizes these drugs and produces measurable amounts of the resulting chemical break-down that the tests can detect. He explained how they now use a scale based on the balance of compounds in the urine, between all of the above drugs I mentioned. He told me that he could not only tell what medications I was taking but he was able to distinguish between concentrations of the compounds and when he asked what my doses were, he said my answer affirmed his results on his end. So the notion that false positives and an inability to distinguish between drugs is prevalent, simply is no longer true - not with the more sensitive tests.

-mountain girl

Dm:

Dispatcher, Fleet Manager, Driver Manager

The primary person a driver communicates with at his/her company. A dispatcher can play many roles, depending on the company's structure. Dispatchers may assign freight, file requests for home time, relay messages between the driver and management, inform customer service of any delays, change appointment times, and report information to the load planners.
Page 1 of 2 Next Page Go To Page:

New Reply:

New! Check out our help videos for a better understanding of our forum features

Bold
Italic
Underline
Quote
Photo
Link
Smiley
Links On TruckingTruth


example: TruckingTruth Homepage



example: https://www.truckingtruth.com
Submit
Cancel
Upload New Photo
Please enter a caption of one sentence or less:

Click on any of the buttons below to insert a link to that section of TruckingTruth:

Getting Started In Trucking High Road Training Program Company-Sponsored Training Programs Apply For Company-Sponsored Training Truck Driver's Career Guide Choosing A School Choosing A Company Truck Driving Schools Truck Driving Jobs Apply For Truck Driving Jobs DOT Physical Drug Testing Items To Pack Pre-Hire Letters CDL Practice Tests Trucking Company Reviews Brett's Book Leasing A Truck Pre-Trip Inspection Learn The Logbook Rules Sleep Apnea
Done
Done

0 characters so far - 5,500 maximum allowed.
Submit Preview

Preview:

Submit
Cancel

Join Us!

We have an awesome set of tools that will help you understand the trucking industry and prepare for a great start to your trucking career. Not only that, but everything we offer here at TruckingTruth is 100% free - no strings attached! Sign up now and get instant access to our member's section:
High Road Training Program Logo
  • The High Road Training Program
  • The High Road Article Series
  • The Friendliest Trucker's Forum Ever!
  • Email Updates When New Articles Are Posted

Apply For Paid CDL Training Through TruckingTruth

Did you know you can fill out one quick form here on TruckingTruth and apply to several companies at once for paid CDL training? Seriously! The application only takes one minute. You will speak with recruiters today. There is no obligation whatsoever. Learn more and apply here:

Apply For Paid CDL Training

About Us

TruckingTruth was founded by Brett Aquila (that's me!), a 15 year truck driving veteran, in January 2007. After 15 years on the road I wanted to help people understand the trucking industry and everything that came with the career and lifestyle of an over the road trucker. We'll help you make the right choices and prepare for a great start to your trucking career.

Read More

Becoming A Truck Driver

Becoming A Truck Driver is a dream we've all pondered at some point in our lives. We've all wondered if the adventure and challenges of life on the open road would suit us better than the ordinary day to day lives we've always known. At TruckingTruth we'll help you decide if trucking is right for you and help you get your career off to a great start.

Learn More