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I take blood pressure medication — does that cap my certificate at 1 year?

SHORT CERT LIKELY — 1-YEAR

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Federal source: Appendix A to Part 391, §A (Hypertension); FMCSA Medical Examiner's Handbook 2024, §4.6 · Rules checked October 2026

What the federal text says

A driver whose hypertension is treated and controlled at or below 140/90 is certified at 1-year intervals, with an exam every year. The medication itself does not disqualify; uncontrolled pressure does. This is FMCSA's published advisory framework (Appendix A; Handbook §4.6), applied by the examiner.

What that means for you

Yes — in practice, blood-pressure medication means a 1-year card and an annual exam. That is the published design, not an examiner's whim, and it holds as long as your readings stay at target.

Certificate this points to: 1-YEAR certificates, while the standard's monitoring continues.

What moves the outcome

Bring your medication list and any home readings. A reading above target on exam day moves you into the stage framework — Stage 1 at worst if you are in the 140s/90s — not into disqualification.

Which mode is this?

This question is decided by the federal text itself. The verdict above is computed from the cited words — your examiner is bound by the same text.

Only a certified medical examiner on the National Registry can certify you. FreightVerdict reads the published federal standards — it does not certify, diagnose, or treat, and nothing here is medical advice.

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