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Driver
Information by State Every state regulates driver's license
eligibility of persons with certain medical conditions. The most common requirement for
people with epilepsy is that they be seizure free for a specific period of time and submit
a physician's evaluation of their ability to drive safely. Another common requirement is
the periodic submission of medical reports, in some states for a specified period of time
and in others for as long as the person remains licensed.
You cannot predict when seizures will
occur.
Do
not put yourself and others on the road at risk by driving without the legal right to do
so!
Driving and epilepsy
If you
have seizures that alter your awareness, consciousness, or muscle control, you may not
have the legal right to drive.
·
Laws vary from state to state, but in most cases you have to be
seizure-free for at least 6 months to 1 year before getting a driver's license.
·
The laws of the state you live in, not your doctor,
decide whether or not you have the right to drive. Your doctor should be able to tell you
what the current laws are and whether you meet the criteria for driving.
·
Before getting a license, you may have to provide proof from
your doctor that you are receiving treatment and that the treatment has brought your
seizures under control. (Remember, too, that some drugs used to control epilepsy may make
you drowsy. If you have just started a new drug, avoid driving until you know how the drug
will affect you.)
In
general, the risk of having a seizure-related traffic accident is greatly reduced in
people who have been seizure-free for 12 months. Driving may be safe for some people with
epilepsy after a shorter seizure-free period, depending on individual circumstances.
People who always have an aura before a seizure begins are also at reduced risk; the aura
acts as a warning, which may give a driver time to pull over before the seizure begins.
Not taking antiepileptic medication as prescribed (missing a dose, for instance) increases
the risk of having an accident, so it is especially important for people with epilepsy who
choose to drive to take their medication correctly and on the proper schedule.1
The laws
about who can drive may seem unfair. Not having the legal right to drive may rob you of
your sense of independence. It can limit your school and career choices, affect your
social and leisure activities, and make basic needs of daily living harder to meet.
The laws
are there to protect you and others, however. If you have a seizure while driving a car
without a license and cause an accident, your insurance company may not cover damages or
injuries. Worse, you may hurt or kill yourself or others. Click HERE
for a link to the Epilepsy Foundation's site that will allow you to search their
database of state laws. If this link doesn't work- cut and paste this link into your
navigation bar: http://www.epilepsyfoundation.org/answerplace/Social/driving/statedrivinglaws.cfm
Articles on
this issue:
- Driving: relation to seizure type. Neurology, 37:1613-6, 1987 Oct.
- Hansotia P Broste SK: The effect of epilepsy or diabetes mellitus on the risk of
automobile accidents
- N Engl J Med, 324:22-6, 1991 Jan 3. Hansotia P: Epilepsy and driving regulations in
Wisconsin. Epilepsia, 35:685-7, 1994.
- Hansotia P: Automobile driving and epilepsy: a medical perspective. Wis Med J, 90:112-5,
1991.
- Hasegawa S Kumagai K Kaji S: Epilepsy and driving: a survey of automobile accidents
attributed to seizure. Jpn J Psychiatry Neurol, 45:327-31, 1991 Jun.
- Hebenstreit GF: Neurologic and psychiatric diseases and driving fitness with special
reference to seizure disorders and alcoholism Blutalkohol, 23:179-94, 1986 May.
- Kingham LA: Driving and epilepsy: changing the law in Maryland. Epilepsia, 35:693-5,
1994.
- Korczyn AD: Epilepsy and driving letter Neurology, 38:997, 1988 Jun.
- Krumholz A Fisher RS Lesser RP Hauser WA: Driving and epilepsy. A review and reappraisal
JAMA, 265:622-6, 1991 Feb 6.
- Krumholz A: Driving and epilepsy: a historical perspective and review of current
regulations. Epilepsia, 35:668-74, 1994 May-Jun.
- Lietz S: Assessment of automobile driving fitness in epilepsy Z Arztl Fortbild (Jena),
82:613-5, 1988.
- Novak AJAndermann F Remillard GM Zifkin BG Trottier AG Drouin P: Epilepsy and driving
Can J Neurol Sci, 15:371-7, 1988.
- Deligny J Tollemer R: Epilepsy and automobile driving Acta Med Leg Soc (Liege),
38:177-82, 1988. Dickey W Morrow JI:
- Epilepsy and driving: attitudes and practices among patients attending a seizure clinic.
J R Soc Med, 86:566-8, 1993 Oct.
- Fisher RS Krumholz A: Driving and epilepsy. Md Med J, 37:795-8, 1988 Oct.
- Fisher RS Parsonage M Beaussart M Bladin P Masland R Sonnen AE Remillard G: Epilepsy and
driving: an international perspective. Joint Commission on Drivers' Licensing of the
International Bureau for Epilepsy and the International League Against Epilepsy.
Epilepsia, 35:675-84, 1994.
- Fritz VU: Recommendations regarding driving after a single seizure editorial S Afr Med
J, 77:493-4, 1990 May 19.
- Fukushima Y: Discussion on the 'problem of driving license for people with epilepsy'.
Jpn J Psychiatry Neurol, 45:333-5, 1991 Jun.
- Gastaut JL: Epilepsy and daily life. Scholarship, profession, leisure activities and
sports, automobile driving Soins, :29-30, 1990 Sep.
- Gastaut H Zifkin BG: The risk of automobile accidents with seizures occurring while :
Driving and epilepsy: the effects of medication [letter ;comment] JAMA, 265:2961-2, 1991
Jun 12.
- O'Brien SJ: The controversy surrounding epilepsy and driving: a review. Public Health,
100:21-7, 1986 Jan.
- Popkin CL Waller PF: Epilepsy and driving in North Carolina: an exploratory study. Accid
Anal Prev, 21:389-93, 1989 Aug.
- Salinsky MC Wegener K Sinnema F: Epilepsy, driving laws, and patient disclosure to
physicians. Epilepsia, 33:469-72, 1992 May-Jun.
- Salvati CA: Driving and epilepsy: a physician's dilemma editorial Am Fam Physician,
50:773-4, 1994 Sep 15.
- Seigel AM: Driving and epilepsy. The case for reform in Connecticut. Conn Med, 52:70-1,
1988.
- Sharp GB: Driving and epilepsy: the state of the matter. J Ark Med Soc, 91:222-4, 1994
Oct. S
- pudis EV Penry JK Gibson P: Driving impairment caused by episodic brain dysfunction.
Restrictions for epilepsy and syncope. Arch Neurol, 43:558-64, 1986 Jun.
- Takeda A Kawai I Fukushima Y Yagi K: Driving and epilepsy: a prospective questionnaire
survey in Japan. Committee on Driver's Licenses, the Japan Epilepsy Society, Shizuoka. Jpn
J Psychiatry Neurol, 45:319-22, 1991 Jun.
- Thorbecke R: Epilepsy and driving licence in the Federal Republic of Germany and other
European countries. Jpn J Psychiatry Neurol, 45:313-7, 1991 Jun.
- Walsh DJ: Epilepsy and driving privileges. Kans Med, 88:81-3, 97, 1987 Mar. Wendt U
Scholz KH: Fitness for automobile driving of patients at an epilepsy outpatient care unit
Psychiatr Neurol Med Psychol (Leipz), 38:728-32, 1986 Dec.
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