2010 BC Guide in Determining Fitness to Drive

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Class Generic Name Brand Nameamitriptyline Elavil®imipramine Tofranil®Tricyclic antidepressants (TCAs)nortriptyline Aventyl®desipramine Norpramin®clomipramine Anafranil®doxepin Sinequan®Serotonin antagonist-reuptake inhibitor (SARIs) trazadone Desyrel®fluoxetine Prozac®fluvoxamine Luvox®Selective serotonin-reuptake inhibitors (SSRIs) sertraline Zoloft®citalopram Celexa®paroxetine Paxil®Dual action agents (DAAs) venlafaxine Effexor®Atypical Antidepressants bupropion Zyban®,Wellbutrin SR®phenelzine Nardil®Monoamine oxidase inhibitorstranylcypromine Parnate®moclobemide various genericAntiepilepticsThe following are 8 major categories of drugs used in the treatment of epilepsy and otherconditions such as mood disorders or pain, in approximate order of the date they wereintroduced: barbiturates and derivatives (phenobarbital) succinimide derivatives (methsuximid [Celontin]) hydantoin derivatives (phenytoin [Dilantin]) iminostilbene derivatives (carbamazepine [Tegretol]) benzodiazepines (clonazepam [Clonapam®]) carboxylic acid derivatives (divalproex sodium [Epival], valproic acid [Depakene]) various anticonvulsants (lamotrigine [Lamictal], topirimate [Topamax]), and GABA derivatives (gabapentin [Neurontin]).AntihistaminesAntihistamines inhibit the activity of histamine, a protein involved in many allergic reactions.They are commonly prescribed to alleviate the symptoms of allergic reactions.Examples of older antihistamines include: tripolidine & pseudoephedrine [Actifed] diphenhydramine [Benadryl], and chlorpheniramine [ChlorTripolon]354
Examples of newer antihistamines include: loratadine [Claritin] ceterizine [Reactine] deslor-atadine [Clarinex], and desloratadine [Aerius] fexofenadine [Allegra].AntipsychoticsAntipsychotics are used primarily in the management of serious mental disorders such asschizophrenia, bipolar disorder, and organic psychoses (psychiatric symptoms arising fromdamage to or disease in the brain). The two major groups of antipsychotics are the “typical” orconventional antipsychotics, introduced in the early 1950’s, and the “atypical” antipsychotics,introduced in the early 1990’s and later.Examples of typical antipsychotics include: haloperidol [Haldol®] chlorpromazine [Largactil] loxapine [Lozapac] trifluoperazine [Stelazine]Examples of atypical antipsychotics include: clozapine [Clozaril®] risperidone [Risperdal® olanzapine [Zyprexa®] quetiapine [Seroquel®] ziprasidone [Zeldox] Aripiprazole [Abilify] Paliperidone [Invega]Non-steroidal anti-inflammatoriesNon-steroidal anti-inflammatory drugs (NSAIDs) are used for pain relief, the reduction of fever,and to reduce inflammation. Examples of NSAIDs include: aspirin acetylsalicylic acid [Aspirin, Entrophen] diclofenac [Voltaren®] ibuprofen [Motrin®, Advil] celecoxib [Celebrex®], and indomethacin [Indocid®] naproxen [Anaprox, Aleve, Naprosyn].355
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Ministry of Public Safety and Solic
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AcknowledgmentsResearcherBonnie M.
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Table of Contents (click on any ite
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11.7 Private and commercial drivers
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BACKGROUND ........................
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PART 1:BACKGROUND1
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Appendix 2: Excerpts from the MVA t
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Chapter 2: The Driver Fitness Progr
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for the exercise of discretion by O
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1. SCREENINGA driver disclosesa med
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2.3 Roles and responsibilitiesOSMV
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Medical practitionersMedical practi
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Chapter 3:Driver Fitness Program Pr
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Because of these limitations, OSMV
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Example: the temporary storage of i
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Motor functions (including sensorim
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an individual with poor contrast se
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3.5 Best informationDriver fitness
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Chapter 4: Introduction to the Poli
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3. DETERMINATIONFrom2. AssessmentAn
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Once identified, a DMER is mailed t
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5.3 Screening aging driversDefiniti
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5.5 Transient impairmentsDefinition
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Chapter 6: Assessment Policies and
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6.2 Assessments will only be reques
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6.4 Requesting specialist assessmen
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Policy6.5.1 If a case manager or ad
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Persistent and episodic impairments
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further assessment. Drivers who sco
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6.9.4 A case manager or adjudicator
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ASSESSMENT PROCEDURESCase manager o
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A driver fitness determination is a
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Policy rationaleBecause individuals
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7.5.3 Generally, an individual whos
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7.6.2 In particular, the case manag
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7.8.3 Whether an individual can com
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in order to be fit to drive, the ca
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has the judgment and willingness to
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Policy7.11.1 If a case manager or a
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(e) the medical condition results i
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7.12 Communicating a decisionPolicy
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7.13 Determination proceduresThe fo
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During the reconsideration, the adj
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8.3 Reconsideration proceduresThe f
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Chapter 9:Introduction to the Medic
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9.4 Medical condition chapter templ
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Private and commercial drivers who
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Chapter 11: Diabetes - Hypoglycemia
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PercentFigure 1 - Prevalence of Dia
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neuropathy, nephropathy, cardiovasc
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11.8 Private drivers with diabetes
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11.9 Commercial drivers with diabet
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RestrictionsRe-assessmentguidelines
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Policy rationaleSevere hypoglycemia
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11.12 Private drivers who have pers
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11.13 Commercial drivers who have a
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11.14 Commercial drivers who have a
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11.15 Commercial drivers who have p
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PART B - HYPOGLYCEMIA11a. Has the p
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Produce my glycemic log for my doct
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Deep-vein thrombosisDeep-vein throm
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Aneurysms less than 5 cm in diamete
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GUIDELINES12.6 Private and commerci
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12.7 Private drivers who have an an
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12.9 Commercial drivers who have an
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Chapter 13: Musculoskeletal Conditi
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ConditionType of drivingimpairment
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ConditionsRestrictionsRe-assessment
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14.3 Chronic renal disease and adve
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14.8 Private drivers with end-stage
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14.10 Private and commercial driver
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Level ofImpairmentMildlyImpairedMod
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15.8 Commercial drivers with modera
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15.10 Commercial drivers with sever
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Policy rationaleDrivers who require
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Chapter 16: Vestibular DisordersBAC
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One study identified that 32.5% of
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ConditionType ofdrivingimpairmentan
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Re-assessmentguidelinesPolicy ratio
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Individuals who have undergone valv
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Episodic impairmentThe potential ep
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GUIDELINES17.6 Policy rationaleThes
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17.9 Commercial drivers with corona
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17.11 Private drivers who have had
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17.15 Private drivers who have vent
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17.19 Private drivers who have sust
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17.21 Commercial drivers who have s
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17.27 Private drivers with atrioven
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17.28 Commercial drivers with atrio
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17.29 Private drivers with permanen
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17.31 Private drivers who have decl
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17.33 Private drivers where ICD the
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17.35 Commercial drivers who have d
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17.37 Commercial drivers with inher
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17.39 Commercial drivers with medic
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17.41 Private drivers with surgical
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17.43 Private drivers with mitral v
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17.45 Private drivers with congesti
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17.46 Commercial drivers with conge
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17.47 Private drivers with left ven
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17.49 Private drivers with a heart
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17.51 Private drivers with hypertro
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17.53 SyncopeSee the guidelines in
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Stable coronary syndromes - waiting
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Chapter 18: Hearing LossBACKGROUND1
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GUIDELINES18.6 Private drivers with
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equirement for commercial drivers i
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PLEASE COMPLETE THE FOLLOWING: YES
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this manual. Axis IV addresses exte
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Negative symptoms are characterized
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Schizophrenia (Axis I)Schizophrenia
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19.4 Effect of psychiatric disorder
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Suicidal ideationSuicidal ideation
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Chapter 20: Cerebrovascular Disease
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Cerebrovascular accidentCVAs are th
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ConditionType of drivingimpairment
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Re-assessmentguidelinesPolicy ratio
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20.9 Private drivers who have had s
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20.10 Commercial drivers who have h
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Visual field impairment refers to a
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Right homonymous hemianopiaBinasal
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An example of the effects of diabet
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Retinitis pigmentosaRetinitis pigme
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GlaucomaApproximately 67 million pe
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indicates that wait times of 6 mont
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Although telescopic spectacles, hem
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Policy rationaleretinopathy dependi
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Policy rationaleIndividuals with be
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Re-assessmentguidelines cont’dPol
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Re-assessmentguidelines cont’dPol
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21.13 Commercial drivers with a los
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21.17 Visual field impairmentsTypes
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21.18 Examination of visual functio
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VISUAL FIELD TEST (VFT)For drivers
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To the Driver:Under section 29 of t
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Please note:Goldman, Esterman and H
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Cardiac syncopeCardiac syncope refe
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22.7 Private drivers who have had a
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22.9 Private drivers with recurrent
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22.11 Commercial drivers who have h
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22.13 Commercial drivers with recur
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Chapter 23: Seizures and EpilepsyBA
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abnormal numbnesstingling and a cra
Page 317 and 318: ConditionType of drivingimpairment
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Page 331 and 332: Level of disabilityor worsening of
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Page 337 and 338: ConditionsRestrictionsRe-assessment
Page 339 and 340: 25.2 Prevalence and incidence of tr
Page 341 and 342: GUIDELINES25.6 Private and commerci
Page 343 and 344: Chapter 26: Intracranial TumoursBAC
Page 345 and 346: Some examples of compensatory mecha
Page 347 and 348: Re-assessmentguidelinesPolicy ratio
Page 349 and 350: i. aphasia (language disturbance)ii
Page 351 and 352: 27.2 Prevalence and incidence of co
Page 353 and 354: 27.4 Effect of cognitive impairment
Page 355 and 356: Chapter 28: Sleep DisordersBACKGROU
Page 357 and 358: An immediate reduction in daytime s
Page 359 and 360: 28.5 CompensationIndividuals with s
Page 361 and 362: OSMV determinationguidelines cont
Page 363 and 364: ConditionsRestrictionsRe-assessment
Page 365 and 366: Policy rationaleThe general approac
Page 367: Chapter 29: Prescription and Over-T
Page 371 and 372: Stimulants (for ADHD)Examples of st
Page 373 and 374: AntiepilepticsIn general, individua
Page 375 and 376: Sedating EffectLowModerateHighTCAsd
Page 377 and 378: dizziness, andblurred or double vis
Page 379 and 380: Re-assessmentguidelinesPolicy ratio
Page 381 and 382: 30.2 Effect of general debility and
Page 383 and 384: 30.5 Private and commercial drivers
Page 385 and 386: Appendix 1: Glossary of TermsCommer
Page 387 and 388: Medical assessmentis any kind of as
Page 389 and 390: Transient impairmentmeans a tempora
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Page 393 and 394: (ii) cancel the person's driver's l
Page 395 and 396: Appendix 3: Aging DriversAbout agin
Page 397 and 398: Percentadults. The survey also foun
Page 399 and 400: Appendix 4: Licence ClassesThe tabl
Page 401 and 402: Appendix 5: Drafting and Approval P
Page 403: drivers, this means that BC commerc
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2010 BC Guide in Determining Fitness to Drive

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