University of Iowa studies impact of marijuana on driving

A new study conducted at the University of Iowa's National Advanced Driving Simulator has found drivers who use alcohol and marijuana together weave more on a virtual roadway than drivers who use either substance independently. However, the cocktail of alcohol and marijuana does not double the effect of the impairment.

"What we saw was an additive effect, not a synergistic effect, when we put them together," said Tim Brown, associate research scientist at NADS and corresponding author of the study. "You get what you expect if you take alcohol and cannabis and merge them together."

The study, which appears June 23 in Drug and Alcohol Dependence, also found participants who consumed only alcohol weaved more during a 35- to 45-minute simulated driving test than those who consumed only vaporized cannabis.

The results are part of a larger study -- the first of its kind to analyze the effects of inhaled cannabis on driving performance -- sponsored by the National Highway Traffic Safety Administration, National Institute of Drug Abuse and the Office of National Drug Control Policy. The UI was selected for the research because of the NADS' authenticity to real driving and the university's expertise in medicine, pharmacy, and engineering. The NADS is the only simulator of its kind that is publicly owned.

The outcomes could help shape future legislation in the United States where some experts say policies on drugged driving are woefully behind.

To date, medical marijuana is legal in 23 states and the District of Columbia while marijuana has been approved for recreational use in four states and D.C. Since legalizing medical marijuana, Colorado has reported an increase in driving under the influence of cannabis cases and fatal motor vehicle crashes with cannabis-only positive drivers while states without legalized marijuana have experienced no significant change in cannabis-related crashes.

Last year, the National Highway Traffic Safety Administration's Roadside Survey of Alcohol and Drug Use by Drivers found the number of drivers with alcohol in their system has declined by nearly one-third since 2007. However, that same survey found the number of weekend nighttime drivers with evidence of drugs in their system climbed from 16.3 percent in 2007 to 20 percent in 2014. The number of drivers with marijuana in their system grew by nearly 50 percent.

Brown said plenty of research has been done on the effects of drinking alcohol and driving, but little has been done to measure the effects of using marijuana and driving.

"Alcohol is the most common drug present in the system in roadside stops by police; cannabis is the next most common, and cannabis is often paired with alcohol below the legal limits," Brown said. "So the questions are: 'is alcohol an issue? Is cannabis an issue?' We know alcohol is an issue, but is cannabis an issue or is cannabis an issue when paired with alcohol? We tried to find out."