It's possible to overdose on too much DXM, especially if it's in pure powder form. Someone who overdoses may have brain damage or seizures, and might even die. People using cold medicines to get high may not realize they are taking high doses of many drugs, not just DXM.
Mixing DXM with other drugs or alcohol increases the likelihood of life-threatening conditions. For instance, combining it with drugs like MDMA increases the risk of hyperthermia and can lead to brain damage, seizures, a coma, and death. Some teens believe that OTC medicines are safer to abuse because they are legal. Watch the OTC medicines in your home. Keep track of how much medicine is in each bottle.
Don't allow your children to keep OTC medicines in their bedroom, backpack, or school locker. Watch your children's internet use, keeping an eye out for websites visited that discuss OTC or other drug abuse. Search Encyclopedia. Abuse on the rise Cough syrup abuse has been a problem for decades. Other effects of DXM include: Hot flashes Nausea, vomiting, and dizziness Lack of coordination Panic attack or seizures Impaired judgment Sweating Lethargy or drowsiness—or hyperactivity Slurred speech High blood pressure Rapid eye movement Rash Racing or pounding heartbeat Paranoia and hallucinations Feeling of floating Regular abuse of DXM at high doses can lead to a chemical psychosis.
What you can do As a parent, you should warn your children about the dangers of abusing OTC medicines. Here are other suggestions: Watch the OTC medicines in your home.
Don't buy extra OTC medicines to stock up. Use OTC and prescription medicines responsibly yourself. Cognitive-behavioral therapy helps modify the patient's drug-use expectations and behaviors, and effectively manage triggers and stress.
Contingency management provides vouchers or small cash rewards for positive behaviors such as staying drug-free. This publication is available for your use and may be reproduced in its entirety without permission from NIDA.
Department of Health and Human Services. National Institutes of Health. Drug Topics. More Drug Topics. Quick Links. About NIDA. Over-the-Counter Medicines DrugFacts. Opioid Withdrawal Symptoms These symptoms include: muscle and bone pain sleep problems diarrhea and vomiting cold flashes with goose bumps uncontrollable leg movements severe cravings. Points to Remember Over-the-counter OTC medicines are those that can be sold directly to people without a prescription.
Those that have the potential for misuse include: Dextromethorphan DXM , a cough suppressant found in many OTC cold medicines Loperamide, an anti-diarrheal When misusing DXM, people swallow large quantities of the medicine, sometimes mixing it with soda for flavor, called "robo-tripping" or "skittling. Short-term effects of DXM misuse can range from mild stimulation to alcohol-or marijuana-like intoxication.
Loperamide misuse can cause euphoria, similar to other opioids, or lessen cravings and withdrawal symptoms, but other effects have not been well studied and reports are mixed.
Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names Brand names of combination products Other names. If you are using the dissolving strips, place them on your tongue and swallow after they melt.
If you are taking the lozenges, allow them to slowly melt in your mouth. Other uses for this medicine. What special precautions should I follow? Before taking dextromethorphan, tell your doctor and pharmacist if you are allergic to dextromethorphan, any other medications, or any of the ingredients in the product you plan to take. Check the package label for a list of the ingredients. If you become pregnant while taking dextromethorphan, call your doctor.
Unless your doctor tells you otherwise, continue your normal diet. Dextromethorphan may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness lightheadedness drowsiness nervousness restlessness nausea vomiting stomach pain If you experience any of the following symptoms, call your doctor immediately: rash Dextromethorphan may cause other side effects.
Symptoms of overdose may include: nausea vomiting drowsiness dizziness unsteadiness changes in vision difficulty breathing fast heartbeat hallucinating seeing things or hearing voices that do not exist seizures coma loss of consciousness for a period of time. What other information should I know?
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