1. New DOT Rule

2. The New Rule Biggest change in DOT testing in over 15 years
Effective January 1, 2018
Added 4 semi synthetic opiods (hydrocodone, oxycodone, hdormorphone, oxymorphone)
Removes methylenedioxyethylamphetaime (MDEA)
Modifies time for Medical Review Officers (MROs) to communicate risk or decision

3. Effect of Opiates Sleepiness Fatigue Dizziness
Inability to concentrate
Slowed reflexes and coordination
Delayed response to stimulus

4. Name Brands of Synthetic Opioids
Oxycontin®
Percodan®
Percocet®
Vicodin®
Dilauded®
Lortab®

5. How to Respond Educate drivers and supervisors
Update DOT/drug testing policy to reflect changes
Urge DOT drivers to review their prescriptions for banned substances
DOT Drivers may want to ask their Doctor to prescribe alternate treatments