People using medicinal cannabis could soon be allowed to get behind the wheel in Queensland as the government considers a major shake-up to drug driving laws.

A state review will consider changes amid an uptake of the drug for pain relief and other ailments.

It comes as police see a spike in the amount of drivers who take the marijuana for medicinal purposes testing positive at roadside tests.

But Today reporter Mia Glover told Laurel, Gary & Mark the psychoactive portion of cannabis is not always removed for medicinal purposes.

“I think that’s the concern, that psychoactive ingredient is still sometimes in that cannabis,” she said.

“I think that’s the big concern: they’ll have to figure out what the effects of are of that on someone who is behind the wheel.

Mia said there’s been a mixed reaction to potential reforms from drivers.

Press PLAY below to hear how the changes could be enforced

Image: Nine News