If a driver is anticoagulated due to a prior stroke or TIA, what should be the result of their certification?

In the context of FMCSA DOT physical examinations, a driver who is anticoagulated due to a prior stroke or Transient Ischemic Attack (TIA) represents a significant risk due to the potential for recurrent strokes or other complications. Anticoagulants can significantly increase the risk of bleeding, which can incapacitate a driver and pose a danger both to themselves and to others on the road.

Given these factors, the recommendation is to not certify the driver. This decision is based on the understanding that the underlying conditions leading to anticoagulation—such as a stroke or TIA—are serious and may impair the driver's ability to operate a vehicle safely. The ongoing management of anticoagulation also requires careful monitoring and may involve fluctuations in a driver's health status that could impact their suitability for driving.

While there are circumstances under which a driver might be certified with restrictions or undergo follow-up evaluations, these are typically not applicable to situations involving a recent history of stroke or TIA. Thus, it is deemed safer and more responsible to not certify the individual in these circumstances.