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Epilepsy – Group 2 DVLA Requirements — SCE Neurology MCQ

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HardEpilepsy & Seizure DisordersEpilepsy – Group 2 DVLA RequirementsSCE Neurology

A 45-year-old bus driver with epilepsy has been seizure-free for 12 years on lamotrigine. He stopped his medication 6 years ago under specialist supervision. He has had no seizures since. He holds a Group 1 licence. He now wishes to apply for a Group 2 (HGV/PCV) licence. What are the DVLA requirements?

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Correct answer: D — He must have been seizure-free for 10 years AND off all antiseizure medication for at least 5 years of that period, with no ongoing risk factors for seizure recurrence

For Group 2 (HGV/bus) licensing, the DVLA requires a minimum of 10 years seizure-free AND the driver must have been off ALL antiseizure medication for at least 5 years within that 10-year period. There must be no residual risk factor likely to cause seizures. This patient meets these criteria (12 years seizure-free, 6 years off medication). Annual review is required. A: 5 years is the Group 2 requirement after a single provoked seizure or isolated seizure. C: Group 1 and Group 2 have different standards. D: Group 2 is possible but the threshold is high. E: 3 years is not the requirement.

Reference: DVLA – Assessing Fitness to Drive (2025)