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DXM

DXM (dextromethorphan) Information

DXM (dextromethorphan) is an opioid drug agent used as a cough suppressant. DXM has been around since the 1960's and is found in more than 140 over-the-counter drugs. Abuse of DXM, especially by teenagers in the "rave " dance party scene, is becoming more widespread throughout the United States. Because of this, interest in the drug is growing rapidly.

Street Names

Street names for the drug dextromethorphan include "C-C-C", "Robo", "Skittles", "Red Devils", "DXM", "robo-tripping", "tussin", or "dex".

Side Effects

Many over-the-counter drugs contain DXMSome of the health hazards of the drug DXM include:

  • mental status changes
  • lethargy
  • ataxia
  • slurred speech
  • confusion
  • hallucinations and seizures
  • dry mouth
  • loss of body fluid
  • dry itchy skin
  • blurred vision
  • cognitive alterations
  • delusions
  • nausea
  • abdominal pain
  • vomiting
  • irregular heartbeat
  • high blood pressure
  • numbness of fingers or toes
  • redness of face
  • headache
  • loss of consciousness
  • death

Extent of Use

A recent survey of 376 4th - 12th graders in New Mexico revealed that non-prescription products containing dextromethorphan ranked significantly higher in selection to "get high" than those without it. The most frequently identified abused drug was Nyquil®. The reported drug abuse appeared to increase with student age.

In addition to the Unites States, cases of dextromethorphan drug abuse have been reported in Sweden, Australia, Germany and Canada. Dextromethorphan-related deaths have been seen in Sweden.

Many over-the-counter drugs contain DXMOf twenty-five intentional exposures to dextromethorphan reported to the Maryland Poison Center in 2000, eighteen involved adolescents and young adults. Sixteen of these exposures were classified as intentional drug abuse and nine were classified as intentional use for a suspected suicide attempt. There were eight cases of intentional ingestion of the dextromethorphan-containing product Coricidin® HBP Cough and Cold.

The Cincinnati Drug & Poison Information Center reported a series of 19 Coricidin® HBP Cough and Cold cases over a 6-week period in 2000.

Information on this page courtesy of Maryland Poison Center.

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