Related: Truckers, Drugs and Safety
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

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.
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.
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.
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
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 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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
Nominations Open for 2026 Fleet Safety Award
Nominations have officially opened for the 2026 Fleet Safety Award Winner.
Read More →
