“…The SFST has been a valid and reliable method to differentiate between blood alcohol concentrations above and below 0.08 percent . However, only a few studies have assessed the SFSTs sensitivity or specificity to determine individuals’ fitness to drive under the influence of illicit, prescription, and over‐the‐counter drugs . Future studies should be focused on examining and quantifying the effects of other over‐the‐counter medications on driving performance.…”
Dextromethorphan (DXM) is abused most commonly among adolescents as a recreational drug to generate a dissociative experience. The objective of the study was to assess driving with and without DXM ingestion. The effects of one-time maximum daily doses of DXM 120 mg versus a guaifenesin 400 mg dose were compared among 40 healthy subjects using a crossover design. Subjects' ability to drive was assessed by their performance in a driving simulator (STISIM® Drive driving simulator software) and by conducting a standardized field sobriety test (SFST) administered 1-h postdrug administration. The one-time dose of DXM 120 mg did not demonstrate driving impairment on the STISIM® Drive driving simulator or increase SFST failures compared to guaifenesin 400 mg. Doses greater than the currently recommended maximum daily dose of 120 mg are necessary to perturb driving behavior.
“…The SFST has been a valid and reliable method to differentiate between blood alcohol concentrations above and below 0.08 percent . However, only a few studies have assessed the SFSTs sensitivity or specificity to determine individuals’ fitness to drive under the influence of illicit, prescription, and over‐the‐counter drugs . Future studies should be focused on examining and quantifying the effects of other over‐the‐counter medications on driving performance.…”
Dextromethorphan (DXM) is abused most commonly among adolescents as a recreational drug to generate a dissociative experience. The objective of the study was to assess driving with and without DXM ingestion. The effects of one-time maximum daily doses of DXM 120 mg versus a guaifenesin 400 mg dose were compared among 40 healthy subjects using a crossover design. Subjects' ability to drive was assessed by their performance in a driving simulator (STISIM® Drive driving simulator software) and by conducting a standardized field sobriety test (SFST) administered 1-h postdrug administration. The one-time dose of DXM 120 mg did not demonstrate driving impairment on the STISIM® Drive driving simulator or increase SFST failures compared to guaifenesin 400 mg. Doses greater than the currently recommended maximum daily dose of 120 mg are necessary to perturb driving behavior.
“…Several well-designed, placebo controlled driving simulator studies have indicated a dose-dependent association between some amphetamine-type substances, such as methamphetamine and dexamphetamine (Silber et al, 2005) and accident risk, however other studies have noted no association for other amphetamine derivatives (Brookhuis et al, 2004). Other on-road studies have similarly noted deficits in measures of lane deviation and speed maintenance abilities after administration of 3,4-methylenedioxymethamphetamine (MDMA) (Ramaekers et al, 2006), and behavioural assessments of impairments have yielded similar deficits for this substance (Downey et al, 2012).…”
Section: Discussionmentioning
confidence: 99%
“…Stough, C., Downey, L.A., King, R., Papafotiou, K., Swann, P., Ogden, E., 2012. The acute effects of 3, 4-methylenedioxymethamphetamine and methamphetamine on driving: a simulator study.…”
“…In acute dosing studies, MDMA has been observed to impair various aspects of driving ability, including overall driving performance, and signalling adherence (Stough et al, 2012); these studies need to be repeated with chronic users. Furthermore it also changes other aspects of ocular activity, with increasing nystagmus (Downey et al, 2012), and driving problems such as tailgating are more apparent in abstinent ecstasy/MDMA consumers (Dastrup et al, 2010). Recent studies in our laboratory have failed to identify any deficits among abstinent ecstasy consumers on motion processing tasks in the context of simulated driving, such as estimation of time to collision with oncoming traffic (Bernard, 2011).…”
A number of theoretically driven research topics are suggested, in order to empirically investigate the potential causes for these diverse psychobiological deficits. Future neuroimaging studies should study the practical implications of any serotonergic and/or neurohormonal changes, using a wide range of functional measures.
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