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You can also read this article to learn more about the differences between generic and brand-name drugs. You should only use DXM exactly as directed on the package or by a healthcare provider, measuring doses accurately and avoiding mixing it with alcohol, other drugs, or medicines. Over time, this can lead to dependence, where a person feels the need to keep using it, even though it is causing problems in their life. Misuse also increases the risk of dangerous side effects, overdose, and long-term health problems. But the concern in the past had been about the alcohol and codeine in cough and cold products.
The Second Plateau
The Food and Drug Administration (FDA) approves over-the-counter (OTC) drugs such as dextromethorphan to treat certain conditions. You might not think twice if you find these meds in your teen’s book bag, but you should be aware of their potential for abuse. People who regularly use DXM can become dependent on the drug. They may feel they need DXM to go about their normal activities like working, studying and socialising, or just to get through the day.
What To Do In Case You Take Too Much Dextromethorphan
Other parents simply find the topic embarrassing or awkward. As counselors, we need to help parents develop communication skills with their children and teens, but especially starting in middle childhood. Counselors can provide parents with resources for where to find information about drugs of abuse, and we can intervene if a teen has already started using.

This thread allows people a place to describe their DXM highs and the side effects. It also provides advice on how to minimize certain side effects such as nausea. A quick search of popular sites such as YouTube can lead teens to videos that either warn of the dangers of DXM or encourage users to experience the high from it. Unfortunately, many websites include dosing recommendations and “tripping” suggestions for having a better experience of getting high. It is worthy of public attention and government funding to address.

What Should I Do If I Accidentally Use Too Much Dextromethorphan?
The modern discovery of DXM originates with the synthesis of the racemic parent compound, racemorphan. The Swiss pharmaceutical company Hoffmann-La Roche patented racemorphan in 1950 and resolved its l- and d-isomers two years later. Research in the early 1950s discovered that the d-isomer (dextromethorphan) in particular showed potent antitussive activity, and demonstrated less analgesia than the l-isomer, levomethorphan.
While DXM is not technically a stimulant or a sedative, it can sometimes cause stimulant-like or sedative-like effects, depending on the dose you take and your own unique reaction to it. Some features of the experience, mainly timing and potency, seem to vary between different forms of DXM. For example, Zicam Cough Mist is commonly reported to act faster and more potently than Robitussin Maximum Strength Cough syrup. The effects of DXM usually include dissociation of mind and body, euphoria, and closed-eye visuals, but also itching, nausea and other adverse reactions. Look up how long it takes for these to leave your system and take the aforementioned amount of time as a break from your medicine. If you find that you cant take a break because you need your medicine to function, don’t do DXM.
What Are The Short-Term Risks Of Using DXM?
The next level (2.5–7.5 mg/kg) results in impairment of motor, cognitive, and perceptual functioning that is comparable to the combined use of alcohol and cannabis. A higher level (7.5–15 mg/kg) induces intense hallucinations, dissociative symptoms, and agitation similar to low-dose ketamine use. The greatest (and most preventable) danger is consuming a formulation that contains DXM alongside other active ingredients that can be toxic or fatal when overdosed.
What Is Dextromethorphan Used For?
The effects are dose-dependent and vary from mild motor and cognitive impairment to PCP-like para-psychotic symptoms such as delusions, dissociative states, paranoia, and visual hallucinations. Dextromethorphan (DXM) has overtaken codeine as the most widely used cough suppressant due to its availability, efficacy, and safety profile at directed doses. While some states have begun to limit the quantity of DXM sold or restrict sales to individuals over 18-years of age, there is currently no federal ban or restriction on DXM.
- Approximately a third of individuals enjoy the DXM trip enough to repeat the experience.
- There are many different treatment options for DXM misuse, ranging from individual therapy to inpatient or outpatient treatment programs.
- Have them bend their top knee inward if they can for added support.
- When you have irritation in your throat or airway, your body naturally gets the urge to cough.
- A dry cough is a common symptom of respiratory infections, such as the common cold.
How Do People Use DXM To ‘trip’?
Those who do this will typically take very high doses of the drug, and they may take it alongside alcohol or other substances. They may experience effects like euphoria and disorientation. This is a dangerous practice that can lead to both short and long-term health consequences, overdose, addiction, and death. Users describe the higher plateaus as akin to being in other realms or alternate universes.
- Therefore, before using this product, inform your doctor or pharmacist about all the drugs you use.
- During the 1960s and 1970s, dextromethorphan became available in an over-the-counter tablet form by the brand name Romilar.
- Ketamine Treatment for Eating DisordersKetamine is becoming a promising treatment for various mental health conditions.
- These combinations can lead to a potentially fatal condition known as serotonin syndrome, which is characterized by sweating, tremor, hyperthermia, confusion, anxiety, agitation, and coma.
- The effects that this can lead to are often considered similar to the effects of the drug ketamine.
The psychedelic effects of DXM work through a similar mechanism to other dissociative drugs like ketamine and PCP. It’s a dissociative, which means it disconnects conscious thought from reality. It can force the mind into a state of altered reality and dissolve the concept of self vs. others. DXM isn’t the active ingredient; it’s a prodrug for dextrorphan — which is what produces the majority of the effects of the drug. Once absorbed through the digestive tract, DXM is quickly converted to dextrorphan by the liver.
Interactions With Medications, Foods, And Supplements

In general, the DXM experience varies greatly from individual to individual. Approximately a third of individuals enjoy the DXM trip enough to repeat the experience. Other cough medications are available that can relieve your cough. If you’re interested in finding an alternative to dextromethorphan, talk with your pharmacist. They can tell you about other medications that may work well for you.
The psychoactive drug in OTC cough and cold medicine is DXM, which falls into a class of drugs known as dissociative hallucinogens. Other drugs in this category include PCP, ketamine and nitrous oxide. The Food and Drug Administration (FDA) approved DXM as a cough suppressant in 1958.
If using lighter fluid, be sure it evaporates without residue. This guide is provided for informational and educational purposes only. We do not encourage you to break the law and cannot claim any responsibility for your actions.