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Can You Drive Whilst Taking Medically Prescribed Cannabis?

Yes, you can legally drive in the UK with a prescription. However, Medical Cannabis Driving Law is complex, and many drivers – and even some police officers – misunderstand the rules.

If you are stopped and tested, you will almost certainly test “Over the Limit” for THC, as the legal limit is set near zero (2µg/L). However, patients are protected by the Statutory Medical Defence under Section 5A of the Road Traffic Act 1988.

This guide explains exactly how to use that defence and what to do if you are stopped by the police.

Medical Cannabis prescription container and car keys on a table, illustrating the statutory defence for drivers UK
Prescription holders have a legal defence, provided they are not impaired.

Medical Cannabis Driving Law: The Two Offences

To stay legal, you must understand the difference between the two main offences in Medical Cannabis Driving Law. Your prescription protects you from one, but not the other.

The Offence The Law Does a Prescription Protect Me?
1. Over the Specified Limit
(Zero Tolerance Limit: 2µg/L)
Section 5A, Road Traffic Act 1988 YES (Statutory Defence)
2. Driving While Impaired
(Unfit to Drive)
Section 4, Road Traffic Act 1988 NO (Strict Liability)

Warning: Do Not Drive If Impaired

If your medication makes you drowsy, affects your reaction times, or creates “brain fog,” you must not drive. If police prove your driving was “impaired” (e.g., poor lane discipline, slow reactions), your prescription is not a defence.


The Statutory Defence in Medical Cannabis Driving Law

Because the legal limit for THC is so low, almost every patient will technically be “Over the Limit.” However, under Section 5A(3) of the Road Traffic Act 1988, you are not guilty if you can prove three things:

The 3-Point Defence Checklist

  • Legally Prescribed: The cannabis was prescribed or supplied to you for medical or dental purposes by a registered clinician.
  • Correct Use: You took the medication in accordance with the instructions given by the prescriber (e.g., method of administration) and the manufacturer.
  • Lawful Possession: Your possession of the drug was lawful immediately before taking it.

Crucially: If you “top up” your prescription with street cannabis (the illicit market), you lose this defence entirely. Forensic toxicology can often distinguish between pharmaceutical-grade cannabis profiles and street strains.


What to Do If Stopped by Police

Roadside drug tests (DrugWipes) give a simple “Pass/Fail” result. They cannot tell if you have a prescription. Follow these steps:

  1. Be Polite & Clear: Inform the officer immediately that you are a medical cannabis patient.
  2. Show Evidence: Present your current prescription (paper copy or app), the original packaging with your name on the label, and your ID.
  3. The Blood Test: If you fail the roadside swab, you may still be arrested and taken for a blood test. Do not panic and do not refuse. Refusing to provide a sample is a separate offence with a guaranteed ban.
  4. Reference the Defence: State clearly during your interview that you are claiming the Statutory Medical Defence under Section 5A.

Common Questions & Answers – Prescribed Drugs & Driving

Can I smoke my prescription in the car?
No. Almost all medical cannabis flower in the UK is prescribed for use with a vaporiser. If you smoke it (combustion), you are not following the prescriber’s instructions. This creates a risk that the Court will rule you have voided your Section 5A defence.
Do I need to carry my paper prescription?
It is highly recommended. While digital copies (on your clinic’s app) are becoming more accepted, a physical copy of your latest prescription and the original packaging (labelled with your name) is the strongest evidence at the roadside to prevent an unnecessary arrest.

Summary: Your Right to Drive is Conditional

The law explicitly acknowledges your right to access medical treatment. Section 5A was drafted specifically to ensure that patients are not criminalised for taking their prescribed medication.

However, this protection is not absolute. Your defence relies entirely on your strict adherence to the rules: taking the medication exactly as prescribed and ensuring you are never impaired while driving. Treat your prescription with the same caution as you would alcohol; if you feel drowsy, slow, or “different,” do not get behind the wheel.

Worried About a Drug Driving Charge?

If you have been arrested despite your prescription, do not accept the charge. Our specialist solicitors can help establish your statutory defence.

Request a Free Case Review »

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I am a criminal lawyer with over 25 years of experience and specialising in the defence of Road Traffic (driving) prosecutions and the founder and Senior Partner of Caddick Davies Solicitors.
Neil Davies

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