Is Driving High Dangerous? The Science and Legal Risks

Driving a vehicle while under the influence of any substance is a dangerous activity that carries severe consequences, both physical and legal. The focus on alcohol impairment often overshadows the risks posed by cannabis, opioids, prescription medications, and other psychoactive substances, which can equally compromise a driver’s ability to operate a vehicle safely. Impaired driving laws, often referred to as Driving Under the Influence (DUI) or Driving While Intoxicated (DWI), apply to any substance that affects the brain’s function and capacity to drive. Understanding the science behind how various drugs affect the body is essential for recognizing the public safety risk of drug-impaired driving.

How Substances Impair Driving Ability

Different psychoactive substances impact the central nervous system in distinct ways, but nearly all compromise the complex psychomotor skills required for safe driving. The active component in cannabis, tetrahydrocannabinol (THC), has been shown to slow reaction time and impair a driver’s judgment of distance and speed. Users under the influence of cannabis often show decreased attention and control, sometimes resulting in lane weaving and reduced steering corrections on the road.

The duration of this impairment is often longer than users perceive, with studies showing measurable driving deficits lasting up to 5.5 hours after inhaling a high dose of THC. This disconnect between subjective feeling and objective performance is hazardous, as many individuals feel ready to drive long before their driving skills have fully returned to normal.

Substances categorized as central nervous system depressants, such as opioids, benzodiazepines, and some prescription sleep aids, induce sedation that slows both body and brain functions. These effects lead to drowsiness, dizziness, impaired motor coordination, and a reduction in the speed at which a driver can process information. Conversely, stimulants like cocaine and methamphetamine can cause aggressive and reckless driving behaviors, creating a false sense of confidence. This state can lead to excessive risk-taking, unnecessary speeding, and compromised coordination at high doses.

Methods for Detecting Impairment

Detecting impairment from drugs presents unique challenges compared to alcohol, which can be measured precisely with a breathalyzer. Law enforcement relies on specialized training and observation to identify a driver impaired by substances other than alcohol. The Drug Recognition Expert (DRE) program trains officers to use a systematic 12-step protocol to determine if a person is impaired, whether that impairment is drug-related, and which category of drug is the likely cause.

The DRE evaluation begins by ruling out alcohol and medical conditions, often utilizing the three Standardized Field Sobriety Tests (SFSTs): Horizontal Gaze Nystagmus, Walk-and-Turn, and One-Leg Stand. These roadside tests assess a driver’s ability to divide their attention and maintain balance, skills that are susceptible to drug impairment. The DRE then performs additional physical examinations, including checking vital signs, examining muscle tone, and measuring pupil size under various lighting conditions to correlate physiological symptoms with specific drug categories.

The final step involves a toxicological analysis of a blood, urine, or oral fluid sample to confirm the presence of drugs. However, establishing a legal limit for drugs like THC, similar to the blood alcohol concentration (BAC) for alcohol, is complex. The primary psychoactive component of cannabis is fat-soluble and does not correlate reliably with the level of impairment, as the compound can linger in the body for days or weeks after the intoxicating effects have worn off. For this reason, many states rely heavily on the DRE’s observational evidence of impairment rather than a specific drug concentration level alone.

Legal Consequences of Driving While Impaired

A conviction for drug-impaired driving (DUI or DWI) results in mandatory and severe penalties. Laws vary by state, but a first-time offense typically involves mandatory license suspension, which can last from several months up to a year. Fines are substantial, often ranging from hundreds to thousands of dollars, a figure that does not include court costs, attorney fees, or mandatory educational program expenses.

Drivers face potential jail time, even for a first offense, and are usually required to attend substance abuse education or treatment programs. Beyond the criminal penalties, a conviction carries long-term financial repercussions, including being classified as a high-risk driver, which can cause auto insurance premiums to increase significantly for years. Furthermore, a criminal record can negatively affect employment opportunities, especially for jobs requiring driving or professional licensing.

If a drug-impaired driver causes an accident, they face civil liability in addition to criminal charges, meaning they can be sued by injured parties for medical bills, lost wages, and pain and suffering. In cases where the impaired driving demonstrates a disregard for safety, a driver may also be subject to punitive damages intended to punish the reckless behavior. The legal standard of proof in a civil case is lower than in a criminal case, meaning a driver can still be held financially responsible even if they avoid a criminal conviction.