Daily Cannabis Users Showed Little Driving Impairment After Using High-Potency Products

In a driving simulator study with 118 participants using their own cannabis products, occasional users showed increased lane departures but daily users (including those using high-potency concentrates) showed minimal driving changes.

Brooks-Russell, Ashley et al.·Traffic injury prevention·2025·Moderate EvidenceObservational
RTHC-06120ObservationalModerate Evidence2025RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Observational
Evidence
Moderate Evidence
Sample
N=118

What This Study Found

Occasional flower users had a significant increase in lane departures after cannabis use (0.16/min at baseline to 0.47/min 30 minutes post-use). Daily flower and daily concentrate users showed little to no change in lane departures or speed. All cannabis-using groups maintained or slightly decreased speed post-use, while controls slightly increased speed. Overall driving changes were relatively small across all groups.

Key Numbers

118 participants; occasional flower users: lane departures increased from 0.16 to 0.47/min; daily flower and concentrate groups: minimal changes; controls slightly increased speed (53.9 to 54.6 mph); cannabis groups maintained speed; changes were relatively small across all groups

How They Did This

118 participants completed three 20-minute simulated drives: baseline, 30 minutes post-use, and 90 minutes post-use. 89 inhaled their own cannabis products (flower or concentrates) for up to 15 minutes, while 29 controls completed the protocol without using cannabis. Groups were divided by use frequency and product type.

Why This Research Matters

Most cannabis-driving research uses low-potency products that do not reflect what is actually sold in legal markets. This study used participants' own products (including high-potency concentrates) and found that tolerance plays a major role: daily users showed little impairment even with stronger products.

The Bigger Picture

The finding that daily users show minimal driving impairment even with high-potency products complicates impaired-driving policy. It suggests tolerance significantly affects driving risk, meaning a THC blood level that impairs an occasional user may have little effect on a daily user.

What This Study Doesn't Tell Us

Simulated driving may not capture all real-world driving demands, self-selected participants using their own products creates dosing variability, no THC blood levels reported in abstract, within-subjects design but unequal group sizes, controlled environment differs from real driving conditions

Questions This Raises

  • ?Should impaired-driving thresholds account for tolerance?
  • ?Are the small changes in occasional users enough to increase real-world crash risk?
  • ?Would different driving scenarios (emergency braking, complex intersections) reveal larger differences?

Trust & Context

Key Stat:
Daily cannabis users showed minimal driving impairment even with high-potency concentrates
Evidence Grade:
Well-designed within-subjects simulator study with naturalistic product use; moderate size but simulated rather than real driving
Study Age:
Published 2025
Original Title:
Impact of naturalistic cannabis use on lateral control and speed: A driving simulator study.
Published In:
Traffic injury prevention, 26(sup1), S86-S95 (2025)
Database ID:
RTHC-06120

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

Watches what happens naturally without intervening.

What do these levels mean? →

Frequently Asked Questions

Does cannabis impair driving?

It depends on the user. Occasional cannabis users showed increased lane departures in a driving simulator, but daily users (including those using high-potency concentrates) showed minimal changes, consistent with tolerance.

Does using stronger cannabis products mean worse driving?

Not in this study. Daily concentrate users (the highest potency group) showed no significant driving impairment, while occasional flower users (lower potency) had the most lane departures.

Read More on RethinkTHC

Cite This Study

RTHC-06120·https://rethinkthc.com/research/RTHC-06120

APA

Brooks-Russell, Ashley; Bird, Sarah; Brown, Timothy; Limbacher, Sarah; Kosnett, Michael; Dooley, Greg; Wrobel, Julia. (2025). Impact of naturalistic cannabis use on lateral control and speed: A driving simulator study.. Traffic injury prevention, 26(sup1), S86-S95. https://doi.org/10.1080/15389588.2025.2508381

MLA

Brooks-Russell, Ashley, et al. "Impact of naturalistic cannabis use on lateral control and speed: A driving simulator study.." Traffic injury prevention, 2025. https://doi.org/10.1080/15389588.2025.2508381

RethinkTHC

RethinkTHC Research Database. "Impact of naturalistic cannabis use on lateral control and s..." RTHC-06120. Retrieved from https://rethinkthc.com/research/brooks-russell-2025-impact-of-naturalistic-cannabis

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.