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DUI and Prescription Drugs: Defenses Against Impaired Driving Charges

Brazil Clark, PLLC June 26, 2025

Driving under the influence (DUI) charges aren't limited to alcohol or illegal drugs. In Tennessee and across the country, drivers can also face DUI charges if they're impaired by prescription drugs. The law, however, doesn’t draw a line between substances that are legal or illegal. If the substance impairs your ability to drive safely, you could be arrested and charged.

These cases present unique challenges and defenses. Unlike alcohol, where blood alcohol content (BAC) can be measured, prescription drug impairment is harder to prove and defend against. The legal professionals at Brazil Clark, PLLC provide dedicated criminal defense representation in Nashville, Tennessee, to people facing DUI and other serious charges.

DUI Charges Involving Prescription Drugs

Tennessee law defines DUI as operating a vehicle under the influence of any intoxicant, marijuana, narcotic drug, or drug producing stimulating effects on the central nervous system. That definition includes prescription medications if they impair your ability to drive. 

Even drugs that are legally prescribed and taken according to directions can lead to a DUI charge if they affect your coordination, judgment, or reaction time.

Some of the most common prescription drugs involved in DUI cases include:

  • Benzodiazepines: Medications like Xanax, Ativan, and Valium are used to treat anxiety and sleep disorders.

  • Opioids: Painkillers such as oxycodone, hydrocodone, and morphine.

  • Sleep aids: Drugs like Ambien and Lunesta can cause drowsiness and confusion.

  • ADHD medications: Stimulants like Adderall and Ritalin can affect heart rate and focus.

Just because a doctor prescribed these medications doesn’t mean you can’t be charged with DUI. The key issue is whether the drug impaired your ability to operate a vehicle safely.

Transitioning From Arrest to Defense

Once you're arrested for a DUI involving prescription drugs, the legal process can move quickly. Police officers may use field sobriety tests, toxicology reports, and observations of your behavior to build their case. However, there are many ways to challenge this evidence.

A knowledgeable criminal defense attorney will examine every aspect of the arrest and identify weaknesses in the prosecution's case.

Mounting a strong defense begins with understanding what strategies may work in your favor. Let's explore some of the most effective legal defenses against DUI charges tied to prescription medication.

Common Legal Defenses to Prescription Drug DUI Charges

Every DUI case is different, and the most effective defense depends on the facts of your situation. Here are some of the most commonly used legal defenses in prescription drug DUI cases:

  • Lack of impairment: If there's no clear evidence that your ability to drive was impaired, this can be a strong defense. The presence of medication in your system doesn't automatically mean you were impaired.

  • Unreliable testing: Blood or urine tests may be flawed, contaminated, or improperly handled. If the testing process wasn’t accurate or didn't follow legal procedures, the results could be thrown out.

  • No probable cause for stop: Police must have a legitimate reason to pull you over. If the stop was unlawful, any evidence gathered after that point might be inadmissible.

  • Improper administration of field sobriety tests: Field sobriety tests must be administered according to specific guidelines. If they weren’t, their results might be invalid.

  • Valid prescription and compliance: Showing that you had a valid prescription and took the medication as directed may help demonstrate you weren’t acting recklessly.

Next, it’s important to know the factors that can help strengthen your defense.

Factors That Can Strengthen Your Defense

Several circumstances may help support your case and reduce or eliminate the charges against you. Consider the following helpful factors:

  • Doctor’s testimony: Your physician may be able to testify that the medication shouldn’t have impaired your ability to drive when taken as prescribed.

  • Expert witnesses: Toxicology professionals can explain how certain medications affect the body and challenge the prosecution’s claims.

  • Dashcam or bodycam footage: Video evidence can help prove your behavior wasn't impaired at the time of the stop.

  • Medical history documentation: Records that show a long-standing prescription and responsible use may help establish your credibility.

Transitioning from the defense itself to the tools available to support your case is important. Building a strong defense doesn't happen in isolation. It requires gathering evidence, professional opinions, and professional legal support.

Criminal Defense Attorneys in Prescription Drug DUI Cases

Having an experienced criminal defense attorney is one of the most critical factors in defending against a prescription drug DUI charge. Your attorney will do more than just argue your case in court. They'll investigate the circumstances of your arrest, challenge the prosecution's evidence, and fight to protect your rights every step of the way.

Here's how a defense attorney can help:

  • Analyzing police conduct: Identifying whether law enforcement followed proper procedures during the stop, arrest, and testing.

  • Gathering supportive evidence: Collecting medical records, test results, and witness statements that back up your version of events.

  • Identifying legal issues: Spotting flaws in the prosecution’s case that could lead to reduced charges or a dismissal.

  • Negotiating with prosecutors: Working toward a favorable plea deal or alternative sentencing if that's in your greatest interest.

  • Representing you in court: Presenting a persuasive defense and challenging the state’s evidence during trial if needed.

Having a skilled criminal defense attorney gives you a better chance of a positive outcome. They understand the legal process and know how to use the available tools to fight for you.

Transitioning to Legal Alternatives and Sentencing Options

Sometimes the goal isn’t just to beat the charges entirely. While a full dismissal or acquittal is ideal, there are situations where focusing on reduced consequences is the most realistic and effective path forward.

For individuals facing prescription drug DUI charges, particularly those without prior offenses or those who weren’t severely impaired, Tennessee courts may offer alternatives to traditional sentencing. These legal alternatives can be beneficial in multiple ways. 

They not only reduce the immediate impact of a conviction, but they also aim to support long-term rehabilitation and help individuals avoid future legal issues. Rather than punishing someone who may have made a mistake while following medical advice, the court can use these options to encourage accountability and responsible behavior moving forward.

Alternative sentencing options are often negotiated by your criminal defense attorney during discussions with prosecutors or as part of a plea agreement. They reflect the court’s willingness to consider individual circumstances and take a more constructive approach, especially when public safety wasn't significantly threatened.

Let’s take a look at some potential alternatives that your attorney may explore.

Legal Alternatives to Traditional Sentencing

If a conviction can’t be avoided, your criminal defense attorney might be able to secure a less severe outcome by pursuing these alternatives:

  • Diversion programs: First-time offenders may qualify for judicial diversion, which can result in dismissal of charges after successful program completion.

  • Probation: Instead of jail time, you might be placed on supervised probation with specific conditions.

  • Rehabilitation programs: Voluntary enrollment in drug treatment or counseling may show the court you're taking steps to avoid future issues.

  • Community service: Courts may offer the option of community service as part of a sentencing agreement.

  • Restricted driver’s license: You might be allowed to keep driving for work or medical appointments with a restricted license.

These alternatives can lessen the long-term impact of a DUI conviction and help you move forward without a criminal record affecting every part of your life.

Reach Out Today

Being charged with a DUI because of prescription medication can feel overwhelming, especially when you thought you were following your doctor’s advice. But just because you’ve been charged doesn’t mean you’re guilty. With the right experienced criminal defense attorney, you can challenge the evidence, present a strong case, and work toward a favorable outcome. For individuals in Nashville, Tennessee, and throughout Rutherford County, don’t wait to get help. Reach out to Brazil Clark, PLLC today.