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Driving and epilepsy

What teenager does not want to drive? It provides a sense of freedom and independence.

People with epilepsy usually can get their license if seizures are controlled.

If you cannot drive… Catch a lift with a friend. Take the bus. Call a cab. Ride a bike. Walk. There are plenty of other ways to get around.

TIP: As you approach driving age, it may be worth having your epilepsy reviewed. If no seizures have happened for several years, talk to the doctor about lowering and eventually stopping medications at least 6 months or a year before getting your license. If your seizures are poorly controlled, however, this may be a good time for further reassessment and possible changes in the treatment plan.

Not being able to get or losing your driver's license can have a big impact on your life, particularly with jobs, social life and independence.

It is important to remember that when you are first diagnosed, the initial suspension of your licence may be for a relatively short period and, once you meet the criteria to be able to drive, you will be able to drive again - safely and legally.

See Australian Driving Licencing Guidelines

A sudden loss of consciousness that may happen to someone having a seizure, impairs their ability to drive and control a vehicle. The guidelines concerning seizures and driving may seem severe, but they are in place to keep everyone, including yourself, safe.

There are a number of seizure types that offer no real impact on driving ability - given suitable medical management and taking medications regularly.

What to consider

  1. Getting the right diagnosis is very important. It means the right treatment is started, and the assessment for driving can be considered.
  2. Any person with epilepsy or recurring seizures should see a specialist for assessment, so the risk of further seizures and the need for treatment can be worked out..
  3. All people with epilepsy are responsible and accountable for the management of their epilepsy in combination with the support of a doctor. The transport authorities will rely heavily on the doctors report.
  4. Where the doctor suspects someone is not taking their medication, he/she may notify the Driver Licensing Authority who may then choose to issue a driver licence conditional upon regular drug level monitoring.
  5. It is a legal requirement for the person with epilepsy to notify the Driver Licencing Authority in their state or territory of their condition.

The following aspects of epilepsy management should be taken into account in the assessment of driver fitness:

  • You must have been free of seizures for the specified period (see Medical Standards below)
  • You must continue to take anti-epileptic medication regularly when prescribed
  • You get enough sleep and not drive if sleep-deprived
  • You may need to stop drinking alcohol and other drugs (these are know seizure triggers)

Frequently asked questions

Who tells the road transport authorities?
When someone is diagnosed with epilepsy or has a seizure, it is the legal responsibility of that person to tell the road transport authority in their state or territory.
The doctor may notify the authorities if he/she suspects a person is driving or not taking their medication as prescribed.

Can I keep my license?
This depends on the circumstances of the seizures and the type of epilepsy. Not all seizures or seizure types will pose a risk to driving. You may be able to retain your licence card for identification purposes and to use when you are safe to drive again.

What if I don't tell the authorities?
Driving against medical advice is illegal and dangerous to yourself, passengers and the community. There are many safety factors to consider as seizures can often occur without warning.

A person who has an motor vehicle accident during the recommended non-driving period will not be covered by insurance and may have difficulty getting future insurance. They could also be charged with driving offences such as dangerous driving or be sued under common law.

Can I get any travel assistance?
There are taxi subsidies available and centrelink offers a mobility allowance. Both forms of assistance have strict criteria that have to be met before they are approved. Not all people are suitable for these forms of assistance.

It is best to contact your local centrelink office or taxi subsidy scheme in your state.
Some other tips:

  • Car pooling with work mates
  • Having a friend or partner give you a lift
  • Public transport
  • Riding a bike or walking

Medical Standards

Assessing Fitness to Drive 3rd Edition 2003. Austroads disclaimer - Austroads believes this publication to be correct at time of printing and accepts no responsibility for an consequences arising from the use of information herein. Readers should rely on their own skill and judgement to apply information to particular issues.

Driving Licensing Guidelines

Click here for 2003 Assessing Fitness to Drive Publication
http://www.austroads.com.au/pdf/AFTD_2003_FA_WEBREV1.pdf

Factors to be considered will include response to medications, previous frequency of seizures, EEG findings and the type of epilepsy.

Consideration can also be given to those who have been seizure-free for prolonged periods without medication.


To find out more about how fitness to drive is assessed visit the Austroads website. or email us at epilepsy@epilepsy.org.au.

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