Can inhaled cannabis users accurately evaluate impaired driving ability? A randomized controlled trial

AimsTo study the effect of inhaled cannabis on self-assessed predicted driving ability and its relation to reaction times and driving ability on a driving simulator.Participants and methods30 healthy male volunteers aged 18–34: 15 chronic (1–2 joints /day) and 15 occasional (1–2 joints/week) consume...

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Main Authors: Sarah Hartley, Nicolas Simon, Bibiana Cardozo, Islam Amine Larabi, Jean Claude Alvarez
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1234765/full
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author Sarah Hartley
Nicolas Simon
Bibiana Cardozo
Islam Amine Larabi
Jean Claude Alvarez
author_facet Sarah Hartley
Nicolas Simon
Bibiana Cardozo
Islam Amine Larabi
Jean Claude Alvarez
author_sort Sarah Hartley
collection DOAJ
description AimsTo study the effect of inhaled cannabis on self-assessed predicted driving ability and its relation to reaction times and driving ability on a driving simulator.Participants and methods30 healthy male volunteers aged 18–34: 15 chronic (1–2 joints /day) and 15 occasional (1–2 joints/week) consumers. Self-assessed driving confidence (visual analog scale), vigilance (Karolinska), reaction time (mean reciprocal reaction time mRRT, psychomotor vigilance test), driving ability (standard deviation of lane position SDLP on a York driving simulator) and blood concentrations of delta-9-tétrahydrocannabinol (THC) were measured before and repeatedly after controlled inhalation of placebo, 10 mg or 30 mg of THC mixed with tobacco in a cigarette.ResultsCannabis consumption (at 10 and 30 mg) led to a marked decrease in driving confidence over the first 2 h which remained below baseline at 8 h. Driving confidence was related to THC dose and to THC concentrations in the effective compartment with a low concentration of 0.11 ng/ml for the EC50 and a rapid onset of action (T1/2 37 min). Driving ability and reaction times were reduced by cannabis consumption. Driving confidence was shown to be related to driving ability and reaction times in both chronic and occasional consumers.ConclusionsCannabis consumption leads to a rapid reduction in driving confidence which is related to reduced ability on a driving simulator.Clinical trial registrationClinicalTrials.gov, identifier: NCT02061020.
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spelling doaj.art-4d8d4e647fbf4182938d3a44dcb76f882023-11-23T15:42:33ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-11-011110.3389/fpubh.2023.12347651234765Can inhaled cannabis users accurately evaluate impaired driving ability? A randomized controlled trialSarah Hartley0Nicolas Simon1Bibiana Cardozo2Islam Amine Larabi3Jean Claude Alvarez4Sleep Unit, Physiology Department, AP-HP GHU Paris-Saclay, Raymond Poincaré Hospital, Garches, FranceDepartment of Clinical Pharmacology, Aix Marseille Univ, APHM, INSERM, IRD, SESSTIM, Hop Sainte Marguerite, CAP-TV, Marseille, FranceDepartment of Clinical Pharmacology, Aix Marseille Univ, APHM, INSERM, IRD, SESSTIM, Hop Sainte Marguerite, CAP-TV, Marseille, FrancePlateform MasSpecLab, Department of Pharmacology and Toxicology, Raymond Poincaré Hospital, GHU AP-HP.Paris-Saclay, Paris-Saclay University, UVSQ, Inserm U-1018, CESP, Team MOODS, Garches, FrancePlateform MasSpecLab, Department of Pharmacology and Toxicology, Raymond Poincaré Hospital, GHU AP-HP.Paris-Saclay, Paris-Saclay University, UVSQ, Inserm U-1018, CESP, Team MOODS, Garches, FranceAimsTo study the effect of inhaled cannabis on self-assessed predicted driving ability and its relation to reaction times and driving ability on a driving simulator.Participants and methods30 healthy male volunteers aged 18–34: 15 chronic (1–2 joints /day) and 15 occasional (1–2 joints/week) consumers. Self-assessed driving confidence (visual analog scale), vigilance (Karolinska), reaction time (mean reciprocal reaction time mRRT, psychomotor vigilance test), driving ability (standard deviation of lane position SDLP on a York driving simulator) and blood concentrations of delta-9-tétrahydrocannabinol (THC) were measured before and repeatedly after controlled inhalation of placebo, 10 mg or 30 mg of THC mixed with tobacco in a cigarette.ResultsCannabis consumption (at 10 and 30 mg) led to a marked decrease in driving confidence over the first 2 h which remained below baseline at 8 h. Driving confidence was related to THC dose and to THC concentrations in the effective compartment with a low concentration of 0.11 ng/ml for the EC50 and a rapid onset of action (T1/2 37 min). Driving ability and reaction times were reduced by cannabis consumption. Driving confidence was shown to be related to driving ability and reaction times in both chronic and occasional consumers.ConclusionsCannabis consumption leads to a rapid reduction in driving confidence which is related to reduced ability on a driving simulator.Clinical trial registrationClinicalTrials.gov, identifier: NCT02061020.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1234765/fullcannabisdrivingdriving simulatorreaction timeaccident
spellingShingle Sarah Hartley
Nicolas Simon
Bibiana Cardozo
Islam Amine Larabi
Jean Claude Alvarez
Can inhaled cannabis users accurately evaluate impaired driving ability? A randomized controlled trial
Frontiers in Public Health
cannabis
driving
driving simulator
reaction time
accident
title Can inhaled cannabis users accurately evaluate impaired driving ability? A randomized controlled trial
title_full Can inhaled cannabis users accurately evaluate impaired driving ability? A randomized controlled trial
title_fullStr Can inhaled cannabis users accurately evaluate impaired driving ability? A randomized controlled trial
title_full_unstemmed Can inhaled cannabis users accurately evaluate impaired driving ability? A randomized controlled trial
title_short Can inhaled cannabis users accurately evaluate impaired driving ability? A randomized controlled trial
title_sort can inhaled cannabis users accurately evaluate impaired driving ability a randomized controlled trial
topic cannabis
driving
driving simulator
reaction time
accident
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1234765/full
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