If a patient has Stage 1 Hypertension and is on medication, what is the recommendation?

The recommendation to provide a 3-month certification for a patient with Stage 1 Hypertension who is on medication is based on the need for close monitoring of the individual's condition. Stage 1 Hypertension is defined as having a systolic blood pressure between 130-139 mmHg or diastolic blood pressure between 80-89 mmHg. Since the patient is being treated with medication, there is an expectation that their blood pressure will be managed effectively.

Issuing a 3-month certification allows the medical examiner to reassess the patient's blood pressure and overall health more frequently. This duration helps ensure that the patient's response to treatment can be evaluated, confirming that their hypertension is under control and not posing a risk while operating a commercial motor vehicle. Should the blood pressure readings remain stable and within acceptable limits after the 3-month period, an extension of certification may then be considered.

In situations where hypertension is poorly controlled or where the patient is not compliant with treatment, different recommendations would be made. The approach focuses on safety and the individual's medical stability as related to their role as a driver.