You may not expect prescription medication to expose you to DUI charges. Yet in North Carolina, impairment rather than the legality of the substance or intent to break the law triggers criminal charges. If a prescribed medication impairs your ability to drive, you can be prosecuted under state law. That surprises some folks, who mistakenly believe following “doctor’s orders” and driving is OK.
How North Carolina Defines Prescription Medication DUI
Under N.C. Gen. Stat. § 20-138.1, someone commits the offense of impaired driving if they operate a vehicle while with a blood alcohol concentration of 0.08 or more or under the influence of an impairing substance, even if the substance is prescribed. The statute essentially bars the defense that a drug was legally prescribed if taking the medication adversely affects your mental or physical faculties to such extent there is a noticeable or appreciable impairment.
Carolina Criminal Defense & DUI Lawyer Updates













driving.”
second-degree murder charges.
concealed handgun. On July 29, 2025, the North Carolina Senate voted to override Governor Stein’s veto of Senate Bill 50, known as the “Freedom to Carry NC” act. In order for the law to go into effect, the NC House must also vote to override the veto by a three-fifths majority.
health to religious observance and athletic discipline. While it may offer certain physiological benefits, fasting also triggers changes in the body’s metabolic pathways that may complicate the interpretation of forensic alcohol testing in DWI cases.
the charges?”
you will need a continuance. It might be continued again, and again after that. Whether you’re charged with DWI in Mecklenburg County or facing a felony in Union County, continuances are part of the system.
constitution, and the US Constitution, not necessarily fair results or what some facing criminal charges might believe is just or true “justice.”