Section 10: Renal Disease

1. Chronic renal failure

2. Renal transplant

Section 10: Renal Disease

Chronic renal failure No restrictions unless the patient experiences symptoms that are incompatible with safe driving (eg, cognitive impairment, impaired psychomotor function, seizures, or extreme fatigue from anemia). If the physician is concerned that the patient’s symptoms compromise his/her driving safety, referral to a driver rehabilitation specialist for a driver evaluation (including on-road assessment) is recommended.

Many patients who require hemodialysis can drive without restriction. However, management of renal failure requires that the patient be compliant with substantial nutrition and fluid restrictions, frequent medical evaluations, and regular hemodialysis treatments. Patients with a history of noncompliance should be advised against driving. Furthermore, certain medications used to treat the side effects of hemodialysis (eg, diphenhydramine for dialysis-associated pruritis), may be substantially impairing and dialysis itself may result in hypotension, confusion, or agitation in many patients. These effects may require that patients avoid driving in the immediate post-dialysis period.

Renal transplant Patients may resume driving four weeks following successful transplant on the recommendation of the physician.

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