Cough syrup abuse

Youth continue to abuse DXM, dextromethorphan, a widely available over-the-counter drug utilized to reduce or prevent cough. Since 2001, DXM abuse has skyrocketed. Although DXM abuse will not result in a physical drug dependency, tolerance rapidly develops. Chronic use can devolve into addictive and compulsive use with consequences consistent with those seen with methamphetamine, cocaine, ketamine, and PCP. Because a DXM high is a mix of mind-altering effects, it has become a popular party drug with drug using adolescents and young adults. Its over-the-counter availability and low cost fuel its popularity. Typically, a DXM user will require about 5 mg of DXM per kilogram of weight in order to get a potent high. Lower concentrations of 1-3 mg will result in a more sublime high. For a 175-pound male, 375 mg of DXM will probably suffice in achieving a memorable high. DXM abuse include, but are not limited to, the following: agitation; dilated pupils-normal reaction to light; facial flushing; goose flesh; sweating; delayed reactions; slow (not slurred) speech; slowed reactions; loud speech; inappropriate reactions; and laughing and/or crying jags. DXM's role in Robitussin-DM earned users the street identification as "robo-trippers."