Information on driving whilst taking strong painkillers
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1 Information on driving whilst taking strong painkillers Patient Information Author ID: JB Leaflet Number: PC 007 Version: 1 Name of Leaflet: Information on driving whilst taking strong painkillers Date Produced: June 2015 Review Date: June 2017 Information on driving whilst taking strong painkillers Page 1 of 5
2 Introduction This leaflet gives information and advice for people who are taking strong painkillers and wish to drive. What are strong painkillers? There are a number of strong painkillers available. Strong painkillers commonly prescribed include: Morphine: Oramorph, Sevredol, MST, Zomorph Oxycodone: Oxynorm, Oxycontin Fentanyl: patches, tablets to dissolve in the mouth, nasal spray Buprenorphine: Butrans or Transtec patches Hydromorphone: Palladone Aims To enable the person who is taking strong painkillers to be able to continue to drive safely. To be aware of the side effects of strong painkillers and their effects on driving so you can identify when it is not safe to drive. To be aware of current UK law and DVLA Guidance on driving whilst taking strong painkillers. How will strong painkillers affect me? Strong painkillers can affect each person in a different way. They may make you drowsy (sleepy) which can cause you to react slower than usual. These effects can be made worse if you are also taking other medicines that can cause drowsiness. Drinking alcohol whilst taking strong painkillers can also make you more drowsy. Advice on driving whilst taking strong painkillers You should not drive for at least five days when you first start taking strong painkillers, or if you are changing the dose of strong painkillers. This gives time to ensure that you are not experiencing side effects which might affect your ability to drive safely. In addition you must not drive: If you feel drowsy, dizzy, unable to concentrate or make decisions, or if you have blurred or double vision If you have drunk alcohol If you have taken extra doses of strong painkillers If you start taking other drugs prescribed by your doctor or bought from a chemist that may cause drowsiness, for example some hay fever medicines After taking strong drugs which have not been prescribed by your doctor, for example cannabis Information on driving whilst taking strong painkillers Page 2 of 5
3 In any other circumstances which would make you less able to make an emergency stop with your vehicle When can I start driving again after starting strong opioids or a change in the dose? If you are not drowsy after you have been taking your strong painkillers for five days you can start driving again. Your first trip should be: Short On roads that you are used to At a time when the traffic is not too busy You may also find it helps to have an experienced driver with you to begin with in case you cannot finish your journey. Do I need to inform the Drivers Vehicle Licensing Agency (DVLA) if I am taking strong painkillers? No, you do not need to inform the DVLA that you are taking strong painkillers. However, there may be other information about your illness that the DVLA should know. Your doctor, nurse specialist or the DVLA can give you more advice about this. Contact details for the DVLA are: Online: You will need to know your driving licence number when you contact them. Telephone: Monday to Friday, 8:00am to 5:30pm Saturday, 8:00am to 1:00pm Fax: Or write to: Drivers Medical Enquiries, DVLA, Swansea, SA99 1TU What about my car insurance company? You should tell your motor insurance company about your current state of health, and what medication you are taking. Each insurance company is different, but your insurance may not be valid if you do not do this. What does the law say about driving whilst taking strong painkillers? A new law on driving after taking certain drugs (including some medicines) came into force in March This law states that it is an offence to drive with certain drugs above specified levels in the body, whether your driving is impaired or not. Information on driving whilst taking strong painkillers Page 3 of 5
4 It is not against the law to drive whilst being on a strong painkiller as long as: 1. The medicine has been prescribed to treat a medical problem (it is therefore worthwhile carrying a copy of your prescription and/or the original box/packaging with you, so that traffic police can verify your prescription). 2. You have taken it according to the instructions given by the prescriber or the information provided with the medicine. 3. It is not affecting your ability to drive safely. The list of drugs covered by the new law also includes certain medicines used to treat anxiety or inability to sleep (e.g. diazepam, clonazepam, lorazepam, temazepam). What will happen if I m stopped by the police? The police may use a roadside test to see if you have taken any of the drugs - currently devices can only detect cannabis and cocaine. If the test detects any relevant drugs, or they suspect you to be under the influence of drugs, the type and level of the drugs in your body can be confirmed by a blood test taken at the police station. There is a medical defence that can be raised for the new offence if drivers are taking medication as directed and found to be over the limit and not impaired. Drivers taking relevant medicines may choose to have evidence with them when driving to indicate that they have been legitimately supplied and minimise inconvenience. The medical defence states that you are not guilty if: The medicine was prescribed, supplied, or sold to you to treat a medical or dental problem. You took the medicine according to the instructions given by the prescriber, a pharmacist or a member of the pharmacy team or the information provided with the medicine. It will remain an offence to drive while your ability is impaired and, if in doubt, you should not drive. For further information on this new law, go to If you require further information please speak with your specialist nurse GP or hospital consultant. Information on driving whilst taking strong painkillers Page 4 of 5
5 Comments, Compliments or Complaints The Patient Relations/Patient Advice and Liaison Service (PALS) Department provides confidential on the spot advice, information and support to patients, relatives, friends and carers. Contact Us Tel: (Monday to Friday 9am to 4pm) The Patient Relations/PALS Manager Wrightington, Wigan and Leigh NHS Foundation Trust Royal Albert Edward Infirmary Wigan Lane Wigan WN1 2NN In addition to the Patient Relations/PALS Service, you can contact HELPline on This leaflet is also available in audio, large print, Braille and other languages upon request. For more information call Wrightington, Wigan and Leigh NHS Foundation Trust All rights reserved. Not to be reproduced in whole or in part without the permission of the copyright owner Information on driving whilst taking strong painkillers Page 5 of 5
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