The effect of alcohol, THC and their combination on perceived effects, willingness to drive and performance of driving and non-driving tasks.
Adi Ronen, Hadas Schwartz Chassidim, Pnina Gershon, Yisrael Parmet, Alex Rabinovich, Rachel Bar-Hamburger, Yair Cassuto, David Shinar
Accident; Analysis and Prevention November 2010 DOI: 10.1016/j.aap.2010.05.006 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Within-subjects experimental study Peer reviewed |
|---|---|
| Sample size | 12 |
| Population | Healthy recreational users of alcohol and marijuana, ages 24-29 |
| Interventions | Alcohol THC |
| Dose | BAC=0.05%, THC 13 mg |
| Topics | Cannabis |
| Key findings | Alcohol combined with THC produced the most intense effects, impairing driving and non-driving task performance, increasing subjective sensations, and altering heart rate. Despite significant differences in effect size across treatments, participants reported willingness to drive similar distances under all conditions, indicating their driving intentions did not reflect their actual level of impairment. |
Abstract
Driving under the influence of drugs (DUID) is one of the main causes of car accidents. Alcohol and marijuana are the most popular drugs among recreational users. Many classify these drugs as "Light" drugs and therefore allow themselves to drive after consuming them. The study had two main objectives: 1) to investigate the effect of alcohol (BAC=0.05%), THC (13 mg) and their combination on driving and non-driving tasks. 2) to investigate the extent to which people are willing to drive based on their subjective sensations and their perceived effects of the drugs. 7 healthy men and 5 healthy women, ages 24-29, all recreational users of alcohol and marijuana, completed 5 experimental sessions. Sessions included: drinking and smoking placebo, drinking alcohol and smoking placebo, drinking placebo and smoking THC, drinking alcohol and smoking THC, drinking placebo and smoking placebo 24 hours after drinking alcohol and smoking THC. Three types of measures were used: subjective perceptions (with questionnaires), performance parameters of the driving and non-driving tasks (arithmetic task and a secondary target detection task) and physiological changes (heart rate). Overall, the combination of alcohol and THC had the most intense effect after intake. This effect was reflected in performance impairments observed in the driving and non-driving tasks, in the subjective sensations after intake, and in the physiological measures. Despite significant differences in the size of the effects after the various treatments, there were no differences in the distances subjects were willing to drive while under the influence on each of the treatments.
Comparable studies
Other experimental studies on cannabis, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Smoked Cannabis' Psychomotor and Neurocognitive Effects in Occasional and Frequent Smokers Occasional (<2x/week) and frequent (≥4x/week) cannabis smokers | 2015 | Controlled within-subjects study | n = 25 |
| Dissociable effects of cannabis with and without cannabidiol on the human brain’s resting-state functional connectivity Healthy volunteers experienced with cannabis but not regular users | 2019 | Within-subjects experimental design | n = 17 |
| Which biological and self-report measures of cannabis use predict cannabis dependency and acute psychotic-like effects? Young cannabis users | 2018 | Observational study (naturalistic, within-subject counterbalanced design) | n = 410 |
| Cannabis Essential Oil: A Preliminary Study for the Evaluation of the Brain Effects Healthy volunteers | 2018 | Experimental study | n = 5 |
| Coming off cannabis: a cognitive and magnetic resonance imaging study in patients with multiple sclerosis Patients with multiple sclerosis who began using cannabis after disease onset, used it... | 2019 | Quasi-experimental study with odd-even allocation | n = 40 |
Citations in the library
Cited by 8
- High-Concentration Delta-9-Tetrahydrocannabinol Cannabis Products and Mental Health Outcomes : A Systematic Review. Annals of Internal Medicine October 1, 2025
- Alcohol and Relatively Pure Cannabis Use, but Not Schizotypy, are Associated with Cognitive Attenuations Frontiers in Psychiatry September 29, 2014
- Potency-related effects of smoked cannabis on simulated driving performance: a randomized, controlled crossover trial. Scientific Reports March 10, 2026
- Separate and combined effects of alcohol and cannabis on mood, subjective experience, cognition and psychomotor performance: A randomized trial. Progress in Neuro-Psychopharmacology and Biological Psychiatry May 1, 2022
- Adolescent exposure to delta-9-tetrahydrocannabinol and ethanol heightens sensitivity to fear stimuli. Behavioural Brain Research October 11, 2021
and 3 more in the library
Cites 3
- Effects of THC on driving performance, physiological state and subjective feelings relative to alcohol. Accident; Analysis and Prevention May 2008
- Comparative effects of alcohol and marijuana on mood, memory, and performance. Pharmacology, Biochemistry, and Behavior September 1, 1997
- Alcohol and marijuana: comparative dose effect profiles in humans. Pharmacology, Biochemistry, and Behavior November 1988