Medical Fitness for Driving
The Effects of Illness and Temporary Impairment on Driving Ability

The Effects of Illness and Temporary Impairments on Your Driving Ability

Updated Dec. 11, 2020

Driving ability can be equally as impeded by a temporary physical or mental impairment as it is by ongoing medical conditions and permanent physical disabilities. Every person experiences an illness or injury at some time or another; the fact that you are usually fit to drive does not mean that you are always fit to drive.

People who suffer from permanent disabilities or debilitating health conditions are required by law to declare their impairments on their license applications and adhere to strict conditions every time they drive. Whereas, those who are experiencing a temporary impairment are personally responsible for deciding whether they are fit to operate a vehicle.

This is not a responsibility to be taken lightly. Getting behind the wheel when you are not fit to drive would put your life and the lives of other road users in jeopardy.

The effects of illness on driving

Any illness has the potential to make driving dangerous. An ailment does not have to confine you to bed for a week to hinder your reaction time and vehicle control skills. Your driving ability can be dramatically limited, simply by contracting a common cold. Even if you have a very mild cold or are experiencing a slight flair-up in allergies, it may be wise not to drive. Think, what could happen if you sneeze or cough at the wrong time? It only takes a momentary loss of physical control to cause a devastating accident.

Your cognitive function is likely to be impaired if you are not feeling well. Many common illnesses are known to create “mental fog”, where your brain’s ability to process visual and auditory information is hindered and your overall reaction time is extended as a result. Sick people frequently also experience slowed reflexes, general drowsiness and difficulty concentrating – a recipe for disaster when driving.

If you are feeling unwell or taking any medication that could affect your driving, the safest thing to do is stay off the road. Remember that driving can be a strenuous activity, particularly when you are not feeling 100 percent. Pushing yourself to drive when you should be resting is dangerous and may make your illness worse.

Driving with temporary injuries

Broken bones, sprains, sore muscles and connective tissue injuries will impair your ability to drive. Such injuries can cause significant problems when in the feet, ankles, wrists, knees, hips, back, shoulders or neck – all of which must be flexible and capable of exerting some strength, to operate a standard motor vehicle safely.

If you can sit comfortably with your injury, you may believe you can drive comfortably. Remember, driving involves considerably more physical actions than sitting does! You must be able to:

  • Press down on the pedals (injuries to the right leg or foot can make this extremely difficult)
  • Turn your torso and neck to see the rear and side of the vehicle
  • Steer, change gears, operate the parking brake and other controls

Do not drive if you cannot perform any of these actions without pain or significant discomfort. Always “test” your mobility in a safely parked vehicle before taking it out onto the road.

Medication side effects

All prescription medications have undesirable side-effects. These are “possible” effects, in that they may not occur in every person taking the drug, or on every occasion the drug is taken. Some side-effects are rare while others are fairly common and of course, they differ from one medication to the next. You must discuss any new medication (even a change in brand) with your doctor, to find out whether it could impede your ability to drive.

The common side-effects of many drugs include:

  • Tiredness or drowsiness
  • Nausea
  • Stomach cramps
  • Dizziness
  • Blurred vision

As you can imagine, any one of these symptoms striking while you are driving could spell disaster. You may be distracted by pain or discomfort, or your ability to assess the driving situation could be directly affected by drowsiness or blurred vision.

As side-effects do not occur in all patients, your doctor may advise you that you can drive UNLESS you experience certain undesirable side-effects. Take all medication as instructed by your doctor and do not drive if you are experiencing any side-effect which may impede your ability to operate a vehicle safely.

Driving and over-the-counter drugs

Medication does not have to be prescribed in order to be dangerous. Many over-the-counter cold, flu and allergy medications are known to cause drowsiness, dizziness and other side-effects that can hinder a person’s driving ability. These over-the-counter drugs include:

  • Decongestants
  • Antihistamines
  • Cough syrups
  • Pain relievers
  • Sleep aids
  • Acid relievers

Always read the label when taking an over-the-counter medication. Some products (many brands of mouthwash, for example) contain enough alcohol to raise a minor’s BAC above the legal limit! Even if an over-the-counter drug does not explicitly state that you cannot drive while taking it, motorists should avoid driving if the medication lists drowsiness or dizziness among its common effects.

Would you pass a driving test today?

Find out with our free quiz!

TAKE A FREE TEST

Like the article? Give us 5 points!

Click a star to add your vote

5.0 out of 5 stars based on 3 votes.

Read next

Safe Driving Rules for Aging Drivers
Medical Fitness for Driving 8 of 9

Safe Driving and Aging

Getting older does not necessarily mean that you are no longer fit to drive. According to Federal Highway Administration statistics, there are more than 41 million licensed drivers in the United States aged 65 or older. Unfortunately, the physical and mental changes associated with natural aging can adversely affect driving skills and increase the risk of being injured or killed in a car crash.

Risk of Carbon Monoxide Poisnong
Medical Fitness for Driving 9 of 9

Carbon Monoxide Poisoning

Unintentional carbon monoxide (CO) poisoning is responsible for roughly 500 fatalities and 15,000 emergency room visits around the United States every year. A large portion of these poisoning cases are caused by motor vehicle exhaust emissions. All drivers must be aware of the dangers of carbon monoxide poisoning and be able to spot the symptoms when it occurs.

Drowsy Driving Statistics
Drowsy Driving 1 of 7

The Dangers of Drowsy Driving

Most people accept being tired as a normal part of their hectic, day-to-day lives. Tiredness rarely prevents us from fulfilling our regular daily tasks, such as working, going to school or seeing our friends, so we do not assume that it should stop us from driving to and from these activities. Sadly, driving while fatigued can be a fatal mistake.

Review
Medical Fitness for Driving 1 of 9

The Driver

Estimates provided by the vehicle insurance industry suggest that every motorist will be involved in at least four traffic accidents or collisions in his or her lifetime. According to the National Highway Traffic Safety Administration, a car accident occurs somewhere in the United States every minute of every day. On average, one in every 16 of these traffic accidents will claim at least one person’s life.

Medical Fitness for Driving 2 of 9

Being Fit to Drive

The importance of being fit to drive is often overlooked by new and experienced drivers alike. Your ability to drive safely does not only depend on having good vehicle control skills and a well-rounded knowledge of road rules. These attributes are essential, but they mean nothing if your body and mind are not up to the task of driving.

Medical Fitness for Driving 3 of 9

Multitasking While Driving

It should be obvious by now that driving usually involves performing several different tasks at any one time. The need to manage a variety of physical and mental tasks while concentrating on the road is what makes driving such a challenge when you first start out. Eventually, the act of driving and all it involves will become second nature.

Medical Fitness for Driving 4 of 9

Approaches to Multitasking

Multitasking while driving is not necessarily a bad thing. In fact, the best drivers are those who can multitask effectively. Of course, we are not talking about doing your make-up, texting on your cell phone or chatting to your passengers while driving; engaging in any activity that unnecessarily takes your attention away from the road is definitely a bad idea!

Medical Fitness for Driving 5 of 9

The Physical Challenges of Driving

Most modern vehicles can be operated with relative physical ease, thanks to power brakes and power steering. The challenges associated with driving are predominantly mental challenges, such as perceiving hazards on the roadway or managing multiple tasks at the same time. Though, in some vehicles and situations, driving can still be a physically demanding activity.

Medical Fitness for Driving 6 of 9

Physical and Mental Impairments

Your physical and mental condition has a direct affect on your ability to manage and execute multiple tasks while driving. Persons with physical or mental disabilities may lack the necessary skills to operate a vehicle safely.