Fibromyalgia, Lyrica, and passing DOT exam

Discussion in 'Questions From New Drivers' started by Firedogx, Apr 28, 2024.

  1. Firedogx

    Firedogx Bobtail Member

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    I’ve had my CDL A for 4 years. I’m healthy and 29 but recently been diagnosed with fibromyalgia two weeks ago. I also have a bulging L5-S1 disc that was found in an MRI this month.

    Currently have FMLA for the occasional really bad day, but I’ve been taking ibuprofen to stifle the pain away. I’ve tried Meloxicam but it didn’t really do much, and neither do muscle relaxers.

    In fact, I don’t have any back pain, but rather a sciatica type of pain in my left hamstring that feels like my muscle is being ripped in half when I bend over or squat down. I can mask the pain well if needed and you’d never know.

    I’m getting physical therapy next week, and a steroid injection into my lower back to hopefully prevent the disc from touching my left nerve. This might get the pain to go away. In the meantime my spine doc has me on lyrica, at 150mg a day. I haven’t started it yet because I’m afraid of complications for DOT exams. My next cert is coming up in June.

    I stopped my trial with Adderall because of the hoops I may have to go through and that a ME has the capability to deny me for any reason even with a prescription. Wasn’t worth the hassle 2 years ago for my last cert. I got approved on Adderall but dropped it soon after because I didn’t think it was worth risking my livelihood.

    So I am asking here if lyrica, which is a scheduled V substance, is worth the hassle. Anyone driving a truck and on lyrica? What about my DOT exam? I’m in the boat of not saying anything, even about my bulging disc nor fibromyalgia diagnosis. If I fail to mask the pain, will they fail me?

    I don’t really work for a trucking company. I work for a delivery company a la FEDEX or UPS, we just have a few straight truck routes and 2 line hauls. So we are all required to have CDL A’s in case we get stuck with those routes, which we bid by seniority every six months. We have 100 drivers and 90% of them are driving sprinter vans delivering small parcels.

    I’m one of the few who volunteer to drive the semi for six months every winter, figured it would help with my resume. I can choose otherwise though. Any thoughts on what I should do?
     
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  3. JSanborn103

    JSanborn103 Medium Load Member

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    They dont test for lyrica but remember once youre addicted to it, coming off will be the most horrific torture you can imagine.
     
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  4. Firedogx

    Firedogx Bobtail Member

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    this is also my concern and why I find it pretty much pointless for an L5-S1 disc. For when my symptoms get relief from PT or injection… then I’ll have to ween off anyway.

    And while they don’t test for lyrica, I’m wondering if it’s advised to keep it a secret. I know Adderall cannot be snuck because it triggers the amphetamine panel. But lyrica can be kept hush? It’s a Gabapentinoid.
     
  5. JSanborn103

    JSanborn103 Medium Load Member

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    Dont tell them about it and they wont find out.
     
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  6. North Pole Nightmare

    North Pole Nightmare Heavy Load Member

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    You could try acupuncture for the leg pain,that's what I'm doing now.No drugs involved and it works quickly.
     
  7. Lazer

    Lazer Road Train Member

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    A ‘bulging disc’ is a disc that is inflamed. Ibuprofen may help reduce that inflammation. Find the cause of that inflammation, may need to change your diet, walking does wonders for a ‘bad back’. Make sure the seat is adjusted properly, sit upright, get the seat off the floor. Sit in the drivers seat just as if your sitting at the dinner table, feet flat on the floor, back straight.
     
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  8. Ridgeline

    Ridgeline Road Train Member

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    Yeah until you get into an accident, then when the victim of the accident gets ahold of the medical records, they will see pregabalin on the list of prescribe meds and they just won their case.

    The side effects have made the recommendation clear, it isn't for people who operate vehicles. More than 10% of the people taking it have issues with diziness and drowsiness, among other serious things.
     
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  9. JSanborn103

    JSanborn103 Medium Load Member

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    Yea thats true, I was more referring to the initial drug test. But if pregabalin isn’t prohibited, then why would it be different from him taking Advil which can cause dizziness also?
     
  10. TX2Day

    TX2Day Medium Load Member

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    I wouldn't take the drugs nor would I tell anyone about the fibromyalgia or the back issues. If you can complete a real physical without issues, that is what I would do -without drugs-. Employers are getting real cranky about hiring drivers with these issues. It's not fair or legal, but they are doing it.
     
  11. Ridgeline

    Ridgeline Road Train Member

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    Well because in the NDA to the FDA, it is a known problem. While advil has a <0.5% of a chance, where pregabalin has a >30% of a chance, there is a risk factor. While it doesn't effect everyone the same way, the issue is there and it is well documented through the FDA process. So it is a liablity, and if left off, it may be something that empowers the scum sucking lawyers to go for more than just an insurance settlement.

    That all said, the OP needs to discuss this with their treating physician, if they are worth a ******, they will look into it for the OP and help with determining what could be done as an alternative if need be.
     
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