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

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 →
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 →
Road signs pointing to “Safe” and “Risky” beside a glowing AI network graphic, illustrating the role of artificial intelligence in driver safety, coaching, training, and risk management.
SafetyJune 10, 2026

Coaching Is Not Training, Even When AI Is Doing It

AI-powered safety platforms can detect risky behaviors and deliver immediate feedback. But effective driver development still requires a foundation of training followed by coaching that reinforces those skills.

Read More →
Ad Loading...
Driver resting in a vehicle seat, illustrating the dangers of fatigue and the importance of driver wellness, rest, and alertness for safe fleet and roadway operations.
Safetyby Judie NuskeyJune 9, 2026

How Emotions Behind the Wheel Can Affect Fleet Safety

During National Safety Month, fleets are encouraged to look beyond distracted driving and recognize how stress, fatigue, and emotional well-being influence driver performance and crash risk.

Read More →
A blue and red Automotive Fleet graphic calling for nominations for the fleet safety award.
Safetyby Faith HowellJune 4, 2026

Nominations Open for 2026 Fleet Safety Award

Nominations have officially opened for the 2026 Fleet Safety Award Winner.

Read More →
wheel geotab image
SponsoredJune 1, 2026

Turning Connected Vehicle Data Into Decisions That Matter

Fleet leaders have more data than ever, but turning that data into clear, actionable decisions remains a challenge. This white paper shows how leading organizations are using connected vehicle data to improve safety, reduce costs, and optimize fleet performance. Learn how to turn insight into action across your fleet.

Read More →
Ad Loading...
A person holding a clipboard and writing on an inspection checklist beside the wheel of a large white vehicle, likely conducting a fleet or safety inspection.
SponsoredJune 1, 2026

Cameras, Safety and Insurance: From Reactive Claims to Real-time Prevention

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

Read More →
A Fleet Forward Conference graphic representing the safety symposium.
Safetyby Chris BrownMay 29, 2026

NAFA Fleet Safety Symposium to Collocate With 2026 Fleet Forward Conference

The daylong certificate program will precede the Fleet Forward Conference at the Gaylord National Harbor in Maryland.

Read More →
A person with hands on the steering wheel driving
Safetyby Judie NuskeyMay 15, 2026

The Distractions You Can’t Turn Off: What Drivers Face Outside the Vehicle

Fleet drivers face constant visual, cognitive, and environmental interruptions the moment they hit the road. From roadside chaos to mental fatigue and digital overload, today’s biggest driving risks often come from outside the vehicle itself.

Read More →
Ad Loading...
Hail covers the windshield and hood of a black vehicle with text overlay about FLASH Weather AI’s new hail prediction model.
Safetyby News/Media ReleaseMay 13, 2026

FLASH Weather AI Launches First Deep-Learning Hail Prediction Model With High-Resolution Forecasting

FLASH Weather AI has launched a first-of-its-kind hail prediction model capable of forecasting hail size and arrival time at 1-kilometer resolution up to 55 minutes ahead, giving fleets and insurers critical time to prepare for severe storms.

Read More →