Automotive Fleet
MenuMENU
SearchSEARCH

Survey: 1 in 20 U.S. Adults Drives High on Prescription Drugs

Only 50% of respondents view driving impaired from opioid Rx med use as a serious crime

September 28, 2021
Survey: 1 in 20 U.S. Adults Drives High on Prescription Drugs

The nationwide survey of 2,000 people conducted by IPSOS, a market research organization, paints an alarming picture of risky driving behavior.

Photo via pexels.com/Michelle Leman.

2 min to read


Approximately one in five U.S. adults have, or know someone who has, driven while impaired by prescription medications, with 18% noting opioid use, or depressants (18%) or stimulants (17%) — or those mixed with other substances like alcohol or marijuana (22%), according to the findings from a recent survey commissioned by Mothers Against Drunk Drivers (MADD).  

The nationwide survey of 2,000 people conducted by IPSOS, a market research organization, paints an alarming picture of risky driving behavior. 

Ad Loading...

For example, one in 20 surveyed admitted to personally driving within two hours of consuming prescription medications that can cause impairment. Some 6% said they used opioids while behind the wheel, another 6% used depressants, 4% used stimulants. But perhaps most concerning is that slightly more than 7% of people admitted to poly-drugged driving.

Noteworthy, 85% of respondents say they would be very uncomfortable riding in a vehicle with someone who had recently consumed a combination of drugs, including alcohol.

Other key findings from the survey point to a need for public education and awareness, as well as a better understanding on the part of drivers about legal implications of driving while under the influence of prescription medications. 

Some three in four surveyed said they agree that they don’t hear much about driving under the influence of prescription medication in the news today (73%) and that additional research on the subject is needed (75%).

As for legal ramifications, only 50% view driving impaired from opioid Rx med use as a serious crime. Another 17% say it is only a minor traffic offense, 25% are unsure, and 7% think it is legal.

Ad Loading...

Drugged driving remains a serious hazard on the nation’s roadways. National Highway Traffic Safety Administration data shows that 64% of seriously and fatally injured drivers tested at five major trauma centers during the second quarter of 2020 had at least one impairing substance in their system, including opioids, marijuana, alcohol, stimulants, and antidepressants. The presence of opioids among those drivers jumped from 6.8% in the fourth quarter of 2019 to over 14% in the second and third quarters of 2020, and over 9% in the first and fourth quarters.

More Safety

Promotional graphic for a Utilimarc guide titled How Better Visibility Cut Speeding Violations by 48% featuring a call-to-action to download the guide.
SponsoredJuly 17, 2026

How Better Visibility Cut Speeding Violations by 48%

Fleet leaders don't need more data, they need clearer visibility into what the data is saying. This case study explores how one utility replaced speeding-event counts with a single metric — miles driven in violation — to strengthen safety and significantly reduce speeding violations.

Read More →
Smiling commercial truck driver gives a thumbs-up from inside a tractor cab during Operation Safe Driver Week 2026, highlighting fleet safety, responsible driving and enforcement awareness.
Safetyby Judie NuskeyJuly 16, 2026

Operation Safe Driver Week: Why the Industry's Oldest Safety Campaign Still Matters to Fleets

A look at how a 2007 enforcement initiative became one of the most consequential weeks on the fleet safety calendar, and what it means for your drivers in 2026.

Read More →
Nexar and nauto logos
Safetyby StaffJuly 13, 2026

Nexar-Nauto Merger Aims to Give Fleets Better Safety Intelligence Through Larger Driving Dataset

Stefan Heck tells Automotive Fleet that combining more than 10 billion miles of driving history with Nexar's AI models will give fleets deeper insights into driver risk and roadway conditions than either company could provide independently.

Read More →
Ad Loading...
A black square with white color font text
SponsoredJuly 2, 2026

From Silos to Solutions: Relationship Management for Safer Fleets

From telematics adoption and driver accountability to policy consistency and risk mitigation, this episode breaks down what it really takes to build a safer fleet culture without slowing business down.

Read More →
IIHS HLDI text overlaid on the trunks of pick up trucks.
Safetyby Chris BrownJuly 2, 2026

IIHS Launches First Commercial Vehicle Safety Evaluations

The Insurance Institute for Highway Safety has begun evaluating heavy-duty pickups and cargo vans for driver protection. Which models earned top marks?

Read More →
A blue and white Automotive Fleet podcast logo
SafetyJuly 1, 2026

Reducing Risk by Eliminating Phone Use Behind the Wheel

Hosted with the cofounder of Lifesaver Mobile, this episode addresses phone use behind the wheel and how to design a driving environment that actually helps prevents accidents.

Read More →
Ad Loading...
Two people sit across from each other at a desk during a business meeting. One person, wearing a white shirt, has their hands folded while the other gestures with a pen toward documents clipped to a clipboard. Additional paperwork and a calculator are visible on the table, suggesting a discussion involving contracts, finances, or administrative paperwork. Sunlight filters through window blinds in the background, creating a professional office setting.
SponsoredJuly 1, 2026

Cameras, Safety and Insurance: From Reactive Claims to Real-Time Prevention (Part 2 of 2)

Part Two: Commercial auto remains one of the most challenging and costly lines of coverage for fleet operators and insurers alike. Continue learning more about how to effectively address these issues from Onur Aksan, Enterprise Business Development Executive, Geotab

Read More →
An Automotive Fleet podcast thumbnail
SafetyJune 26, 2026

How 5-Second Telematics Data Is Changing Fleet Safety

This episode connects with Steve Santostasi of Ford Pro and covers how a few seconds of data can make a difference in fleet safety.

Read More →
Ambulance and damaged car at a crash scene on a rainy roadway, illustrating workplace transportation risks and the growing focus on road safety management for fleets.
SafetyJune 16, 2026

Managing Road Risk at Scale: Why Fleet Safety Needs a Data-Driven Framework

Insights from the FIA Road and Driver Safety Indexes reveal how to manage road risk on a larger scale.

Read More →
Ad Loading...
Close-up of a Jeep Wrangler front grille and headlight with text noting Stellantis’ recall of 1.3 million Jeep vehicles worldwide over a potential fire risk tied to power steering wiring.
Safetyby StaffJune 10, 2026

Stellantis Recalls 1.3 Million Jeep Vehicles Worldwide Over Fire Risk

Stellantis is recalling more than 1.3 million Jeep Wrangler and Gladiator models worldwide over a fire risk linked to power steering pump wiring.

Read More →