First seizure
Notify DVLA
No drive 6 m no cause
No drive 12m if cause that makes seizure more likely.
Group 2: 5 years
Epilepsy or multiple
12m from last seizure
Group 2: 10 years
Functional seizures non epileptic seizures
3-6m from last seizure
Stopping epilepsy meds
6m from stopping if no seizure
Loss of conscious, reflex syncope
Very common -50% population at some point
-syncope, hypoglycaemia. Seizure.
- unexplained
Reflex syncope
- after prolong standing, medical procedure, emotional distress
- if not occur when driving and has enough pre- dromal symptoms can continue to drive and not notify DVLA
-if occurred while drive . X drive for 1 month xDVLA notify
-if multiple and while driving need to x drive 3 months xDVLA
Questions
- where they driving
- did they get pre- dromal symptoms
- provoking event
No prodromal symptoms:
-All must stop and notify DVLA
If no notice and provoking event- likely to drive when recovered
If no notice and no provoking event- 3m
If driving 3m
. Gr 2: notify DVLA
LOC ? Cause
-No drive, notify DVLA
-6m
Narcolepsy
X Drive
DVLa
3m after control of symtoms
Chronic neuro disorder
MS, MND, Parkinson’s
DVLA
Maybe able to drive if safe
Dizziness
Sudden, unprovoked
-unable to continue safely the activity being performed.
X Drive
DVLA
Control symptoms and may be able to re-start licence
CVA and TIA
1 month and recover
X Drive
May not need to notify DVLA
Meningitis and encephalitis
X drive
DVLA - maybe
If no seizures can drive once full clinical recovery
Transient global amnesia
Maybe able to drive
Subdural haematoma
SAH
X drive
Dvla
Maybe able to drive once fully recovered
AVM
X drive
DVLA
May be able to drive 1m after tx
Angina
Must not drive if symptoms occur at rest, with emotion or at the wheel
CABG
4 weeks
Acute coronary syndrome
X drive
X dvla
1 week after successful PCi and no further planned tx 4 weeks, ejection fraction >40%,
Otherwise 4 weeks
Gr 2; x drive and must notify dvla
