A driver can be doubly impaired if they are under the influence and?

A driver can be doubly impaired if they are under the influence of alcohol or drugs and also distracted by activities such as texting, using a phone, or engaging with passengers. This combination significantly increases the risk of accidents, as both substances and distractions impair judgment, reaction time, and overall driving ability. Additionally, factors like fatigue or medical conditions can further exacerbate impairment.