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DXM (Dextromethorphan) Abuse: Cough Medicine Misuse & Treatment

DXM abuse through cough medicine misuse is especially common among teens.

Medical Disclaimer: The information on this page is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about addiction treatment.

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Overview

Dextromethorphan (DXM) is an over-the-counter cough suppressant found in many cold and cough medications. At recommended doses, it is safe. However, at high doses ("robotripping" or "skittling"), DXM produces dissociative and hallucinogenic effects.

DXM abuse is particularly common among adolescents due to easy access.

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Risks

  • Dissociation and hallucinations
  • Elevated heart rate and blood pressure
  • Impaired motor function
  • Seizures
  • Serotonin syndrome (especially when combined with other serotonergic drugs)
  • Liver damage (from acetaminophen in combination products)

Treatment

Treatment involves medical evaluation, behavioral therapy, family therapy (especially for adolescents), and treatment of co-occurring conditions.

Related Resources

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National Resources: SAMHSA National Helpline | 988 Suicide & Crisis Lifeline: Call or text 988 | SAMHSA Treatment Locator: findtreatment.gov

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