KONICA MINOLTA DIGITAL CAMERA
When a person takes DXM at the dosage that a doctor or pharmacist has recommended, it rarely has side effects. However, a person who wants to use DXM to get high may take 250–1,500 mg in a single dose. Traditionally, DXM misuse involved drinking large amounts of cough syrup. It is an antitussive — meaning a cough suppressor — that helps a person stop coughing by blocking the cough reflex in their brain. Read on to learn more about DXM, its effects, and how to recognize when someone is misusing it. The second plateau is likened to a state of being on moderate amounts of alcohol and cannabis at the same time, featuring euphoria, sedation and minor hallucinations.
At this dose, the effects feel much more similar to alcohol but with a pronounced reduction in cognitive function. The effects of DXM change dramatically depending on the dose, so it’s important to be very accurate and aim for a specific plateau. 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. The effects of DXM vary depending on the dose you take. However, in higher doses, DXM can become habit-forming and addictive.

Psychological Symptoms Of DXM Addiction
The progression from initial symptoms to severe complications can occur rapidly, making immediate identification crucial. In comparison, a normal dose of DXM is 10 mg to 20 mg orally every four hours. For mental health support, dial or text 988 to reach the Suicide and Crisis Lifeline. With multiple treatment options to choose from, you can find the level of care that best suits your needs.

Used With DXM HBr Product Only
Permanent physical damage from DXM use alone is relatively rare, however; most of its physical effects can be remediated with the right treatment. As these larger doses take effect, their distortion of the user’s personality and perceptions gets more pronounced. A simple chemical extraction process is presently in circulation on the internet that removes these other ingredients from cough syrup, but even with this in play, there are still well-known long-term dangers from DXM abuse.
DXM can cause serious interactions when combined with other substances and OTC or prescription medications. High doses of DXM have been linked to dangerous behavior that stems from effects like hallucinations, psychosis, and agitation. In high doses, it can have serious and lasting effects. It’s most popular among young people due to the relatively high availability of this drug from local pharmacies in the form of over-the-counter cough medicine. The psychedelic effects of DXM work through a similar mechanism to other dissociative drugs like ketamine and PCP.

You should always read the instructions carefully before taking any product intended for medical use, even cough drops. While DXM cannot cause serotonin syndrome on its own, it can cause this condition if you use it alongside other medications such as SSRIs. The length of time it takes to get DXM out of your system depends on the dose you took. Meeting and discussing treatment plans with your treatment provider ahead of time can help you to have a better idea of what to expect. Those who have liver damage, are under the age of 4 years old, have certain heart conditions, or have a history of substance abuse should not take DXM. People who are taking certain medications such as MAO inhibitors or SSRIs such as sertraline or fluoxetine should not take DXM unless it has been cleared by a doctor.
Addiction Resource team has compiled an extensive list of the top drug rehabilitation facilities around the country. Checking into a suitable rehab center may help keep the individual away from external influences that may trigger relapse back to addiction. For anyone suffering from DXM addiction, there is much that can be done for the recovery of the patient. When used with a potentiator, kratom side effects last longer. The interaction between Dextromethorphan and opioids could cause severe and harmful effects by increasing the amount of serotonin in the body. As in the case of antidepressants, the interactions between Dextromethorphan and amphetamine-containing medicines can also suddenly heighten the serotonin level in the body and this is dangerous to the health.
Need Help Now? Contact Our Free 24/7 Addiction Treatment Helpline
Dextromethorphan is a generic drug, which means it’s an exact copy of the active ingredient in a brand-name medication. The Food and Drug Administration (FDA) approves dextromethorphan to help relieve coughing from a short-term cause. WebMD does not provide medical advice, diagnosis or treatment. If it is almost time for your next dose, skip the missed dose and only take the next dose.
Take Our Quiz To See If You Or A Loved One Needs Substance Use Or Mental Health Support
In most cases, the DXM withdrawal symptoms require medical attention. Because of this, it is important to seek emergency care or treatment whenever the signs and symptoms above are observed, as these are more likely to result in coma or death. Furthermore, DXM can become a gateway to hard drugs for teenagers. DXM addiction is real and may lead to severe effects such as liver damage and respiratory complications. It is important for parents to care for their teens by never assuming that they are too innocent to abuse this drug. In spite of government efforts to stop the abuse of Dextromethorphan cough syrup by teenagers, it is easily accessible through stores and online sources.
What Are The Challenges Of DXM Addiction In Different Populations?
- The risk of dizziness, drowsiness, or confusion may be increased if you drink alcohol while taking dextromethorphan.
- Early recognition and comprehensive treatment are essential for recovery.
- Dextromethorphan is available as an over-the-counter medication.
- For example, Zicam Cough Mist is commonly reported to act faster and more potently than Robitussin Maximum Strength Cough syrup.
- However, the mechanisms with which DXM is thought to cause cough suppression are related to a specific region in the brain, known as the Nucleus tractus solitarius.
Like most drugs, dextromethorphan may cause mild to serious side effects. Some common signs of a cough drop overdose could include nausea and vomiting, drowsiness, dizziness, and headache. While it’s not common to overdose on cough drops, it is possible, especially if you take more than the recommended amount over a short time period. Those who do this will typically take very high doses of the drug, and they may take it alongside alcohol or other substances. DXM overdoses are more likely when the drug is mixed with other substances such as alcohol.
Product Description
Here’s a list of some of the mild side effects dextromethorphan can cause. Your doctor or pharmacist can tell you more about the potential side effects of dextromethorphan. It doesn’t include all possible side effects. You can also read this article to learn more about the differences between generic and brand-name drugs. In general, generics usually cost less than brand-name drugs. Generic drugs are thought to be as safe and effective as the brand-name drug on which they’re based.
How Does DXM Addiction Develop?

Calls to any general helpline listed on this site may be answered or returned by a paid advertiser that is a licensed treatment provider. If you have any concerns that our content is inaccurate or it should be updated, please let our team know at The Verified badge on our articles is a trusted sign of the most comprehensive scientifically-based medical content. AddictionResource fact-checks all the information before publishing and uses only credible and trusted sources when citing any medical data. Our team does their best for our readers to help them stay informed about vital healthcare decisions. AddictionResource aims to present the most accurate, trustworthy, and up-to-date medical content to our readers.

When you take DXM with other drugs or alcohol, it raises the odds of trouble. This is especially a problem for teens who go to dance clubs, where they can be sold DXM which looks like illegal club drugs such as PCP. Teens are more likely to abuse cough medicines because they can get them easily and without a prescription. Over-the-counter (OTC) cough and cold medicines are safe and effective when they’re used as directed. Polydrug use is a term for the use of more than one drug or type of drug at the same time or one after another. Use of more than one drug or type of drug consumed at the same time is called polydrug use.10
The drug interactions listed above are not all of the possible interactions or adverse effects. You may also report side effects or health problems to the FDA at FDA-1088. Call your doctor for medical advice about serious side effects or adverse reactions. This is not a complete list of all side effects or adverse reactions that may occur from the use of this drug.
Is DXM Safe?
Other reports also indicate that Dextromethorphan drug addiction sends approximately 6,000 teenagers to the ER each year. This survey also indicated that in adults, more men than women were prone to abuse this substance. In 2006, the National Survey on Drug Use and Health (NSDUH) reported that approximately 3.1 million people aged between have abused Dextromethorphan. It is challenging to have the full picture of Dextromethorphan abuse because the drug has legitimate medicinal use; abuse only occurs when the dosage is exceeded. An active ingredient of Dextromethorphan belongs to the morphinan class but works very differently from other drugs with similar morphine structure.