From the Research
Patients with a history of seizures should be seizure-free for at least 6 months before driving again, as this period is associated with a lower risk of seizure recurrence while driving, according to the most recent and highest quality study 1. The recommended seizure-free period before resuming driving varies by location but generally ranges from 3 to 12 months.
- In most U.S. states, patients with a history of seizures should be seizure-free for at least 3-6 months before driving again, while some jurisdictions require 12 months.
- This waiting period should be discussed with a neurologist who can provide personalized guidance based on seizure type, frequency, and treatment response.
- Patients should be compliant with their prescribed antiepileptic medications such as levetiracetam, lamotrigine, or carbamazepine at therapeutic doses. The seizure-free period is important because seizures can cause sudden loss of consciousness or control, creating significant driving hazards.
- Some patients may need longer periods if they have certain risk factors like nocturnal seizures that begin occurring during daytime, seizures without auras, or poor medication compliance.
- Patients should also be aware that drowsiness is a common side effect of many antiepileptic medications that could affect driving ability, even when seizures are controlled 2, 3, 4. However, the study by 1 provides the most recent and highest quality evidence, and its findings should be prioritized when making a recommendation. Therefore, a 6-month seizure-free period is recommended before resuming driving, as it is associated with a lower risk of seizure recurrence while driving 1.