This means that we need to know more about DXM (and other OTC medications), the reasons teens are using it, the ways teens are getting it and the most effective methods to prevent its misuse. In today’s era of prolific internet and social media use, teens have more access to the world than ever before. In past decades, peer pressure to use drugs was a huge concern.
These risks could include liver damage, worsened mental health, psychosis, and trouble concentrating. If you’re taking a very high dose for recreational purposes, such as 100mg to 600mg or even more than that, you could still experience side effects for up to 12 hours after your last dose. For example, if you were to take a low or moderate dose of DXM, it is possible that you could experience some stimulant-like effects.
First Time Approach
Slang terms for the drug itself include triple-C’s, robo, skittles, red hots and dex. As with many other over-the-counter drugs, DXM has been pressed in some settings beyond its directed usage into the function of a recreational drug. For those who find themselves using the drug regularly at this level, it can become an addiction with noticeable health effects. Dextromethorphan (DXM) is a widely used over-the-counter cough suppressant that has recently overtaken codeine cough syrups (now carefully regulated as Schedule III substances) in popularity. It’s easy to produce, effective and at directed doses, and very safe to use. When using recreationally, avoid products that contain DXM with other active ingredients, including expectorants, antihistamines, analgesics, and decongestants.
What Should I Tell My Healthcare Provider Before Using Dextromethorphan?

In high doses (plateaus 3 and 4) are very similar to the effects of ketamine. Both drugs work through the same receptors (NMDA) and the visions are very comparable. In higher doses, the effects of DXM become more psychedelic in nature. The effects of high-dose DXM feel a lot like ketamine or other dissociatives. They disconnect the mind from the body which can be both freeing and terrifying at the same time.
Healthcare professionals may recommend dextromethorphan for adults and some children. If a person experiences serious side effects after misusing DXM, they should seek emergency medical help. It is possible to treat DXM overdoses successfully with supportive care. Emergency room staff can generally treat most DXM overdoses successfully. The DEA notes that the majority of DXM-related deaths are due to mixing the drug with other substances, such as alcohol.
DXM (Dextromethorphan): Effects, Dosage, & Safety

If you have questions about how much alcohol is safe to drink while taking dextromethorphan, talk with your doctor or pharmacist. Taking dextromethorphan at recommended doses to help relieve cough shouldn’t make you feel high. Most of these side effects may go away within a few days to a couple of weeks. However, if they become more severe or don’t go away, talk with your doctor or pharmacist. But if you do find evidence of abuse, it may be time for a talk with your child.
Dextromethorphan
When appropriate, consultation must occur with pharmacists, toxicologists, radiologists, and hospitalists. Because of this, dextromethorphan polistirex takes considerably longer to absorb, resulting in more gradual and longer lasting effects reminiscent of time-release pills. As a cough suppressant, the polistirex version lasts up to 12 hours. Dextromethorphan is used to temporarily relieve cough caused by the common cold, the flu, or other conditions.
- If you’re concerned your child may be misusing DXM or other substances, the following resources can prepare you to address the behavior more effectively.
- Codeine phosphate syrup is still available in small doses without a prescription in some states, but requires a signature and ID to purchase, similar to pseudoephedrine.
- If your cough lasts more than 7 days, stop taking dextromethorphan and call your healthcare provider.
- The FHE Health team is committed to providing accurate information that adheres to the highest standards of writing.
- A household spoon is not an accurate measuring device and may cause you to take the wrong dose.
Are Extended-release DXM Products Safer?
Dextromethorphan can be used for this purpose in adults and certain children (see just below). Misusing dextromethorphan for these effects can cause harmful side effects, such as breathing problems. To learn more about this, see “Overdose” in the “Dextromethorphan dosage” section above. To learn more about Auvelity, see this article or talk with your doctor. For more information about dextromethorphan and depression, see this article.
Psychological And Physical Dependence

Guide to Machine Elves and Other DMT EntitiesThis guide discusses machine elves, clockwork elves, and other common DMT entities that people experience during a DMT trip. Guide to Magic Mushroom StrainsAre there different types of psilocybin? Read our guide to learn about the different magic mushroom strains and their individual effects. At normal medicinal doses, DXM suppresses the cough reflex.
Identify And Address Misuse
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. It is almost a certainty that teens talk to other teens about getting high on OTC cough and cold medication. As counselors, we need to encourage parents to talk to their children about choosing not to get high on it. Today’s teens still confront in-person peer pressure, but they now also face this pressure virtually. Peer influence can come not just from the local teens at school but from millions of teens across the world online.

Do not combine it with GHB, alcohol, opioids, tramadol, or benzodiazepines. These combinations can increase the chances of dangerous respiratory depression and unconsciousness. As with all medications, the cost of dextromethorphan oral forms can vary. The actual price you’ll pay depends on your insurance plan, your location, and the pharmacy you use. The following lists contain some of the key side effects that may occur while taking dextromethorphan. Still, about one in 30 teens say they use DXM to get high, and one in four knows someone who does.

What Types Of Treatment Options Are Available For DXM Misuse?
This is a big advantage to other cough suppressants that work by reducing muscle movement in the lungs. DXM reduces the threshold for coughing without affecting other important functions like ciliary movement (the tiny hairs in the lungs that clear out phlegm and bacteria). If you stop taking it, you’ll begin to experience the effects of withdrawal, which can only be alleviated by using more DXM. There are a lot of medications DXM may interact negatively with as well that can increase the chances of experiencing side effects or overdose on the drug. There’s a general range of doses we can give for each plateau, but it’s much better to find your individual plateau based on your body weight.
A dry cough is a common symptom of respiratory infections, such as the common cold. It typically occurs along with other symptoms, like throat pain or irritation. When you have irritation in your throat or airway, your body naturally gets the urge to cough. Talk with your doctor or pharmacist if you have questions about other medications that contain dextromethorphan. Without prompt medical care, severe cases of serotonin syndrome can lead to death. In extreme cases or if untreated, overdose can lead to coma or death.