Someone who overdoses may have brain damage or seizures, and might even die. People using cold medicines to get high may not realize they are taking high doses of many drugs, not just DXM. Mixing DXM with other drugs or alcohol increases the likelihood of life-threatening conditions.
For instance, combining it with drugs like MDMA increases the risk of hyperthermia and can lead to brain damage, seizures, a coma, and death. Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor. Search KidsHealth library. When the recommended dose is exceeded, side effects of DXM may include: confusion, nausea and vomiting, sweating, dizziness, accelerated heartbeat, stomach pain, hyperexcitability, paranoia, slurred speech, seizures and vivid auditory and visual hallucinations.
The use of high doses of DXM in combination with alcohol or other drugs is particularly dangerous and deaths have been reported. Chronic abuse of the drug has also been associated with psychosis. Related posts. Nonbinary Gender Affirming Care July 15, Emergency; Later Suicide August 11, Dangers of Binge Drinking July 13, One multiadditive cough product, Buckley's Mixture, includes such odd ingredients as camphor, ammonium carbonate, Canada balsam, menthol, pine needle oil, and tincture of capsicum.
Many of these products have no FDA-approved oral use, and the effects of oral ingestion could be devastating. Abusers who choose a medication with this mix of unapproved ingredients risk unknown and potentially deadly sequelae. Apparently, some abusers are aware of the dangers of the additional ingredients, engaging in a practice known as the "robo shake. The fallacy in this strange practice is that absorption of all ingredients occurs simultaneously. Thus, the user still risks toxicity from the other active ingredients.
Some abusers, however, have discovered and shared chemical methods to extract DXM from cough syrups. It is referred to as "triple C," in reference to the three C 's imprinted on the tablets. Other names include "skittles," "dex," "candy," "red hots," and "red devils. In one case, a year-old Colorado boy tried to cross a highway under the influence of DXM. Investigators hypothesized that visual problems caused him to misjudge the time he would have to cross the road.
Abuse of DXM powder caused two deaths--a suicide and an unintentional overdose. One of the girls admitted later that she had been abusing DXM for the past 12 months, while the other had a history of intermittent cannabis use.
They ingested eight geltabs each before going into a movie theater; a few minutes later, they decided to empty the box and took another eight apiece. One girl vomited 30 minutes later, and the other vomited five times.
After the movie, one of the girls engaged in laughter at inappropriate times and admitted abuse to her parents. Both girls were taken to an emergency department. They experienced lateral nystagmus, and physicians also reported minimally reactive pupils, dry oral mucosa, facial flushing, and the appearance of mild illness. A screening test for drugs of abuse was negative in both girls. Both recovered after being given intravenous fluids. Another case illustrates the toxicity dangers from DXM combinations.
In the emergency department, it was found that acetaminophen had significantly damaged her liver. She was given oral N -acetylcysteine but developed manifestations of severe liver compromise. As her condition continued to deteriorate, she was evaluated for a liver transplant. Eventually, she improved, and a transplant was not needed.
The DOJ bulletin stated that DXM was not yet proven to be addictive, but it did cause withdrawal cravings in some abusers. He also discovered that he could more easily carry the tablets to school surreptitiously.
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