The effects of mixing alcohol and prescription drugs on driving and cognitive performance: A randomised simulator study.
A double-blind randomised placebo-controlled crossover study investigating the influence of therapeutic doses of codeine and oxazepam, alone and in combination with alcohol, delivered by intravenous infusion, on the extent of impairment on simulated driving and cognitive performance in healthy individuals.
Associate Professor Nicholas Lintzeris
42 participants
Jun 11, 2010
Interventional
Conditions
Summary
The purpose of this study is to explore the individual and combined effects of common prescription medicines, at therapeutic doses, on driving performance. It is hypothesised that, while the interventions alone may not cause impairment, the combined effect of the medications will have an additive effect on driving performance.
Eligibility
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Interventions
Interventions consist of administration of the following substances in a randomised, counterbalanced order at each testing session: Arm 1: single oral dose of codeine 60mg (2 x 30mg tabs) Arm 2: single oral dose of oxazepam 30mg Arm 3: ethanol (target BAC=0.05g/100ml, dose=0.34g/kg) administered as a bolus oral dose to reach the target BAC (vodka mixed with orange juice in ratio of 1:3), followed by an intravenous infusion of 5% ethanol in 5% dextrose for the remainder of the study period to maintain the participant at a BAC of 0.05g/100ml. Participants are required to attend a total of 8 testing sessions, in a random order, comprising of the following conditions: Session 1 - Placebo IV infusion + placebo codeine tablet + placebo oxazepam tablet Session 2 - Placebo IV infusion + 60mg codeine tablet + placebo oxazepam tablet Session 3 - Placebo IV infusion + placebo codeine tablet + 30mg oxazepam tablet Session 4 - Ethanol IV infusion (0.34g/kg) + placebo codeine tablet + placebo oxazepam tablet Session 5 - Ethanol IV infusion (0.34g/kg) + 60mg codeine tablet + placebo oxazepam tablet Session 6 - Ethanol IV infusion (0.34g/kg) + placebo codeine tablet + 30mg oxazepam tablet Session 7 - Placebo IV infusion + 60mg codeine tablet + 30mg oxazepam tablet Session 8 - Ethanol IV infusion (0.34g/kg) + 60mg codeine tablet + 30mg oxazepam tablet A washout period of 72 hours between sessions is adopted in this study.
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ACTRN12611000546954