2010 BC Guide in Determining Fitness to Drive

Policy rationaleThe general approach of the guidelines for drivers with narcolepsy isthat attacks must be controlled as a prerequisite to driving. Where anindividual is treated, the guidelines include a requirement for anattack-free period to establish the likelihood that: a therapeutic drug level has been achieved and maintainedthe drug being used will prevent further attacks, andthere are no side effects that may affect the individual’s ability todrive safely.The episodic risk of a sleep attack or cataplexy while driving isaddressed in the requirement for a 12 month period without anepisode prior to driving. The length of this no driving period is basedon consensus medical opinion in Canada.351