Driving With Medical Conditions



This is a simplified summary of a few of the conditions mentioned in the DVLA At A Glance booklet.



Condition Group 1 Group 2
First epileptic seizure or solitary fit 12 months off driving with medical review before restarting
  • special consideration when clearly associated with non-recurrent provoking cause
Stop driving for minimum period without anticonvulsant medication of:
  • 5 years following single seizure associated with alcohol, prescribed drugs or drug misuse
  • 10 years in other cases
Simple faint
  • definite provoking factors and prodromal symptoms
  • unlikely to recur while sitting or lying
No restriction, need not inform DVLA No restriction, need not inform DVLA
Loss of consciousness likely to be unexplained syncope and low risk of recurrence 4 weeks 3 months
Loss of consciousness likely to be unexplained syncope and high risk of recurrence
  • abnormal ECG
  • structural heart disease
  • syncope causing injury or while driving
  • >1 episode in 6 months
  • 4 weeks if cause identified and treated
  • otherwise 6 months
  • 3 months if cause identified and treated
  • otherwise 12 months
Presumed loss of consciousness or altered awareness with seizure markers
  • amnesia >5 min
  • injury
  • incontinence
  • post-ictal confusion
  • headache
12 months 5 years
Loss of consciousness or altered awareness with no clinical pointers 6 months 12 months
Sudden unprovoked disabling giddiness e.g. Meniere's disease Cease driving until controlled Consider diagnosis: 12 months if likely to be recurrent
Cerebrovascular disease
  • stroke
  • transient ischaemic attack
  • amaurosis fugax
  • venous sinus thrombosis
Usually 1 month
  • no need to notify DVLA unless residual deficit
  • multiple TIAs may require 3 months
  • seizures due to CVA/TIA but not venous sinus thrombosis may be regarded as provoked
12 months
  • renewal subject to medical assessment including exercise ECG
Encephalitis and meningitis When well if no seizures
  • 6 months if seizures during acute illness
  • epilepsy regulations if seizures after acute illness
When well if no seizures
  • in meningitis with seizures during acute illness - 5 years without anticonvulsants
  • in encephalitis with seizures during acute illness - 10 years without anticonvulsants
  • epilepsy regulations if seizures after acute illness
Pituitary tumour
  • Trans-sphenoidal surgery: when no visual or other impairment
  • Craniotomy: 6 months
  • Trans-sphenoidal surgery: when no visual or other impairment
  • Craniotomy: 2 years
Angina Stop driving when symptoms occur at rest or provoked by emotion Refusal of licence
Acute coronary syndrome 1 week if no urgent revascularization required At least 6 weeks
  • requires review and exercise testing
Elective PCI 1 week if no urgent revascularization required At least 6 weeks
  • requires review and exercise testing
STEMI 4 weeks At least 6 weeks
  • requires review and exercise testing
Arrhythmia, if likely to cause incapacity 4 weeks 3 months
Hypertension No bar Disqualifies if resting BP consistently over:
  • systolic 180 mmHg
  • diastolic 100 mmHg
Brain tumours including metastases Complex, see guidance Complex, see guidance
Heart failure Continue if symptoms unlikely to distract Disqualifies, expert review required to reinstate
Sleep apnoea Cease until satisfactory control Cease until satisfactory control
Cough syncope Cease until satisfactory control Cease until satisfactory control