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Marijuana impairment can last at least 6-8 hours after use, putting you at risk of driving under the influence (DUI) of cannabis

Initiative 502 set DUI of cannabis at 5 nanograms of THC per milliliter of blood for those over 21 years of age, and any positive amount for those under 21.  This “per se” limit (meaning if you are above either of these cutoffs, you meet criteria for a DUI regardless of other factors) was selected because it is associated with decreases in reaction time and challenges in shifting focus.  One study shows it takes 3 hours to drop below 4.9 nanograms of THC per milliliter of blood, meaning driving within three hours of use would likely result in being above our state’s cutoffs. More recent studies suggest impairment can last 6-8 hours [14], especially with more potent weed, edibles, or medical marijuana.

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  • Alcohol in combination with marijuana significantly increases driving impairment. [11]

  • About 44% of delta-9 THC-positive drivers in fatal crashes also had a BAC of 0.08 or greater. [18]

  • In total, three out of four delta-9 THC positive drivers in fatal crashes were also positive alcohol and/or other drugs [18]

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“[Until early-mid 20s] the brain is thought to be particularly sensitive to damage from drug exposure. And the frontal cortex — the region critical to planning, judgment, decision-making and personality — is one of the last areas to fully develop.”- Staci Gruber, PhD, director of the Marijuana Investigations for Neuroscientific Discovery (MIND) Program at Harvard Medical School.

Marijuana can have negative effects on attention, memory, and learning that can last for days or weeks after the acute effects of the drug wear off. [9]

“Regular, heavy [adolescent] users — those who reported smoking five of the last seven days, and more than 2,500 times in their lives — had damage to their brains’ white matter, which helps enable communication among neurons.” [5,6]

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  • Marijuana use, especially among those who use heavily, has significant associations with increases in schizophrenia or other psychoses and moderate associations with other mental health issues including depression, suicide, and bipolar and social anxiety disorders. [9]

  • Using marijuana as a coping technique for problems is significantly associated with increased distress. [16]

  • Among 27 studies examining marijuana use in adolescents with anxiety, the majority (67%) found a positive association between marijuana use and anxiety. [17]

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  • Marijuana has “negative effects on attention, memory, and learning that can last for days or weeks after the acute effects of the drug wear off.”

  • Most “adolescents who used marijuana regularly were significantly less likely than their non-using peers to finish high school or obtain a degree.” [9]

  • Evidence suggests that students who smoke marijuana have poorer educational outcomes than their nonsmoking peers [20]

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  • THC can be passed to babies through breast milk and accumulate to high concentrations. [12]

  • Marijuana use during pregnancy has a high association with low birth weight babies. [12]

  • Using cannabis during pregnancy can harm fetal brain development and negatively affect kids later in life, including problems with their attention, memory, problem-solving skills, and behavior. [15]

  • Research on the health impacts of cannabis on pregnant women is still limited. However, when it comes to pregnancy and children, it makes sense to use a precautionary approach.

Sources

[1] https://www.nap.edu/read/24625/chapter/11#230

[2] https://www.aaafoundation.org/sites/default/files/CannabisUseAmongDriversInWashingtonFS.pdf

[3] https://www.drugabuse.gov/publications/research-reports/marijuana/does-marijuana-use-affect-driving

[4] http://wtsc.wa.gov/News/report-examines-marijuana-positive-drivers-involved-in-deadly-crashes/

[5] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3967072/

[6] http://www.apa.org/monitor/2015/11/marijuana-brain.aspx

[7] https://www.drugabuse.gov/publications/research-reports/marijuana/marijuana-gateway-drug

[8] https://www.drugabuse.gov/publications/research-reports/marijuana/marijuana-addictive

[9] https://www.nap.edu/read/24625/chapter/14#323

[10] https://www.drugabuse.gov/publications/marijuana/what-are-marijuanas-effects-lung-health

[11] https://www.ncbi.nlm.nih.gov/pubmed/19340636

[12] https://www.nap.edu/read/24625/chapter/12

[13] https://www.nap.edu/read/24625/chapter/9

[14] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4141931/

[15] https://publichealthinsider.com/2019/02/21/talk-with-a-doc-cannabis-use-while-pregnant-and-breastfeeding/

[16] https://www.ncbi.nlm.nih.gov/pubmed/10750321

[17] https://www.ncbi.nlm.nih.gov/pubmed/29604540

[18] https://wtsc.wa.gov/wp-content/uploads/2024/04/05_Cannabis-Involvement-in-Fatal-Crashes_March-2024.pdf

[19] https://nida.nih.gov/publications/drugfacts/cannabis-marijuana

[20] https://nida.nih.gov/publications/research-reports/marijuana/how-does-marijuana-use-affect-school-work-social-life

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“Most Steer Clear” was created to help keep young adults in Washington State safe and healthy. MOST (9 out of 10) young adults in WA state DON’T drive under the influence of marijuana or alcohol. In addition, MOST (72%) young adults in WA state DON’T use marijuana at all or not in the past month.

Most Steer Clear Partners:  Neighborhood House, Mercer Island Healthy Youth Initiative, SE Seattle PEACE Coalition, and the SW Seattle Youth Alliance, with funding support from King County Department of Community and Human Services, SAMHSA, the Washington State Health Care Authority, and Washington Traffic Safety Commission.

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