The DVLA enforces strict cardiovascular standards for heavy goods and passenger-carrying vehicles. During your D4 medical, our doctors will take a baseline blood pressure reading. If it is elevated above the 179/99 threshold—which can sometimes happen due to “white coat syndrome” or travel stress—we allow a resting period before taking up to three additional readings.
If you are already taking anti-hypertensive medication, you can still easily pass the medical, provided your blood pressure is well-managed and your treatment does not induce dangerous side effects like severe drowsiness or dizziness.
Take a look at our guidance for What to bring to your appointment.
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