NEURO Group 1 Group 2 CARDIOVASCULAR Group 1 Group 2

Stroke 4 weeks 3 months Angina Not driving w/ sx @rest/emotion/@ Not permitted to drive w/ continuing
TIA* 1 week 3 months wheel sx (tx or untx)
4 weeks sx free
*(multiple TIAs in short time period) *3 months
ACS 1 week after successful angioplasty 4 weeks
Seizure unprovoked 1st w/ no epileptiform EEG activity 6 months 5 years (unstable angina – sx @ rest w/ ECG 4 weeks after unsuccessful
Seizure (epileptic/recurrent) 1 year 10 years changes, NSTEMI w/ 2 of sx @rest, angioplasty (effectively tx otherwise)
Simple faint NO restriction NO restriction raised trop, ECG changes), STEMI
PCI (elective) 2 days 4 weeks
Syncope
- (i) Reflex vasovagal (i) can drive (i) can drive Cardiac Surgery incl CABG, valve 4 weeks 3 months
replacement/repair
- (ii) Single episode unexplained / likely to be CV (ii) 6 months (ii) 12 months
Long QT ∆ w/ syncope, Torsades des Permitted to drive once treated & Not permitted to drive
- (iii) Single LOC w/ no clinical pointers (iii) 6 months (iii) 12 months Pointes & QTc>500 controlled for 4 weeks
- (iii) Two or more episodes (iv) 12 months (iv) 12 months Brugada ∆ with syncope or aborted Not permitted to drive
Chronic Neuro (MS, MND, Parkinson’s) G1 notify DVLA, complete PK1 sudden cardiac death
Successful Catheter Ablation 2 days 6 weeks if arrhythmia caused/likely to
Brain tumour/bleeds Not permitted to drive w/ brain mets! Look up – all different! cause incapacity
• Group 2 Standards require a driver to remain seizure-free for 10 years since the last without 1 week if arrhythmia hasn’t
attack antiepileptic medication before being permitted to drive. caused/not likely to cause incapacity
• Group 1 should not drive whilst anti-epileptics being withdrawn & for 6 months after last dose Pacemaker implant (incl. Box change) 1 week 4 weeks
• If within 24 hour period more than one epileptic attack considered a single event
ICD Look up – different for different Not permitted to drive
• Epileptic attacks are the most frequent medical cause of collapse at the wheel
arrhythmia!
PSYCH (nuanced – look up!) Group 1 Group 2 ↑/↓ Thoracic & AAA Not permitted to drive ≥ 6.5cm Not permitted to drive ≥ 5.5cm
Acute Psychotic D/Os Not permitted to drive during acute
HTN Permitted to drive unless tx S/E Not permitted if resting BP
Hypomania/Mania Not permitted to Not permitted to drive sonsistently 180mmHg + &/or
drive during acute pending psych 100mmHg diastolic or more
consultant rv Heart Failure Not permitted to drive if NYHA IV Not permitted to drive if symptomatic
Dementia or any organic May be permitted not permitted to drive or NYHA III or IV
brain ∆ • Arrhythmias – G1&G2 – not permitted to drive if the arrhythmia has caused or is likely to cause incapacity
Consider effects of TCAs, Depots, Benzos!

Alcohol/Substance Abuse Group 1 Group 2

DIABETES Group 1 Group 2
Persistent Alcohol misuse 3 months 1 year controlled Insulin Treated Permitted to drive once Permitted to drive
controlled drinking drinking or abstinence meets conditions. Must Must have NO hypos
or abstinence not have had >1 hypo requiring assistance in last
Alcohol dependence 6 months abstin. Not permitted (licence VISUAL D/Os Group 1 Group 2 requiring assistance in last 12 months
won’t be granted if hx 12 months
alcohol dependence Monocular Not permitted
If hypo in last 12months
within last 3 years) Diplopia Not permitted to drive on dx must notify NDLS
Alcohol/drug related seizure 6 months 5 year
Tablets w/ risk hypo As per insulin-treated
>1 seizure epilepsy
guidelines Renal Group 1 Group 2 e.g. Sulphonylureas/
Alcohol related D/Os Not permitted Not permitted to drive CRF + CAPD Look up – individual basis
Glinides
e.g. cirrhosis w/ neuropsych until recovery Impaired hypo awareness Not permitted to drive
impairment/psychosis
Cannabis persistent use/dep 3 months 1 year RESP + SLEEP Group 1 Group 2
Cocaine, (Meth)Amphet 6 months 1 year Sleep D/Os Not permitted until satisfactory control w/ compliance, periodic r/v Not permitted until satisfactory control w/ compliance w/
persistent use/dependence w/ 1-3yr licence medical r/v, annual licencing, monitoring CPAP tx efficacy
Heroin, Methadone*& other 6 months 3 years Narcolepsy Cease on diagnosis, can restart once satisfactory sx control between Cease on diagnosis, may be able to restart subject to consultant
opiates persistent use/dep 3-6months with appropriate tx. If not requiring tx relicensing may be assessment & satisfactory objective assessment of maintained
Benzos persistent use/dep 6 months 3 years considered after obj assessment e.g. Osler test. wakefulness e.g. Osler test
• Stable on supervised methadone substitution programme may continue to
drive subject to favourable assessment and annual medical review