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Medication side effects and driving — DOccMed MCQ

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HardMental Health and WorkMedication side effects and drivingDOccMed

A community support worker drives clients to appointments. She has panic disorder and started pregabalin; she reports dizziness and blurred vision during dose titration but says driving helps her confidence. What is the most appropriate advice regarding fitness for work?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Advise temporary restriction from client driving until side effects resolve

Driving clients is safety-critical, and dizziness or blurred vision during medication titration can impair driving. Improvement in panic symptoms does not offset current medication side effects. A temporary, reviewable restriction is proportionate. Client consent or manager judgement does not remove the clinician's duty to advise on safety.

Reference: DVLA Assessing Fitness to Drive; FOM Fitness for Work guidance