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While other's have brought up how ethanol in the style of (or sometimes literally) a very-high-proof vodka is used to treat methanol and ethylene glycol (antifreeze) poisoning, it is unlikely that these uses be seen outside of a hospital or other emergency medical facility.

A better question is someone who is under the influence of something that is commonly prescribed, such as opioid painkillers[1], antihistamines[2], or various psychiatric medication[3]. People are prescribed those medications for many different reasons all the time. The ability to drive or operate dangerous devices can be impacted as bad as ethanol, and many will impact attention or social interaction in various ways. It is difficult to compared these to marijuana, but it is obvious that some have much stronger reactions to these drugs.

Just like with drunk driving, the problem here is the focus on any particular drug instead of focusing on behaviors. It is similar to default-allow in computer security; trying to enumerate bad things[4] that might allow for bad behavior, the real solution is to change how the problem is framed.

Citizens concerned about safety on public roads are not actually interested in how much ethanol someone has had to drink. What matters is if someone has the necessary reflexes, fine motor skills, and situational awareness to drive safely. Ethanol consumption correlates with these problems, with a lot of variability. Instead of the breathalyzer, we should be testing the features that actually matter. This might suggest that some people cannot drive even when they are sober... which is kind of the point.

If someone shows up to work under the influence, you should evaluate if they are causing any sort of actual problem, and fire them for that. On the other hand, if they are on something but they do their job properly, then why complain?

[1] can cause to cause extreme sleepiness, dizziness, and/or nausea in some people

[2] many antihistamines - such as diphenhydramine ("Benadryl") which is over-the-counter - are well-known to be powerful deliriants. In many people normal doses can impact driving as bad as ethanol and make coherent conversation difficult.

[3] the problem here are to numerous to list. The popular antipsychotics can have almost any type of side effect you can think of, antidepressants can have unpredictable effect, and anxiolytics can cause drowsiness as bad as the opioids.

[4] http://www.ranum.com/security/computer_security/editorials/d...



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