A to milligram mg dose of DXM produces effects that some say are similar to those of ecstasy. It causes mild stimulation and has an uplifting effect.
People also describe feeling more energetic, social, and talkative. The second stage happens with to mg of DXM. Euphoria and hallucinations are also likely with this dose.
Things can get pretty hectic at this level, which produces effects similar to those of ketamine. At this stage, the effects are similar to taking a hallucinogen like PCP. The effects of this dose are hard to shake off and last longer than the effects of other plateaus.
Some people have experienced the effects for 2 weeks after stopping DXM, though this is very rare. Taking this much DXM causes a trance-like state and sensations similar to out-of-body experiences. Delirium and hallucinations often lead to aggressive or violent behavior. People also experience reduced pain perception. DXM produces several physical effects that vary from person to person and by dose. The product you take also matters. DXM products often contain other active ingredients that produce their own effects.
The effects start to kick in around 30 to 60 minutes after taking DXM and reach their peak at 2 to 4 hours. Your dose, other ingredients, and your body mass index BMI can affect how quickly you begin to feel it. Your best bet is to try to sleep it off. In these folks, the substance takes longer to clear from the body, increasing the risk of overdose and death.
This can stop your lungs from exchanging oxygen and carbon dioxide, which is medically known as respiratory depression. This results in slow and shallow breathing. Left untreated, it could lead to respiratory arrest and death. High doses of DXM have been linked to dangerous behavior that stems from effects like hallucinations, psychosis, and agitation. According to various reports , DXM misuse has also been linked to assault, suicide, and homicide.
Taking it with other CNS depressants can intensify or prolong the effects of both and significantly increase your risk for respiratory arrest, overdose, and death. Mixing substances is never a good idea, but the following make for a particularly risky combo with DXM:. They include:. People can develop a substance use disorder, including addiction, around DXM. Users can develop a tolerance as well as a psychological and physical dependence to DXM.
Taking more than the directed dose of DXM — or any medication for that matter — comes with risks. Just be sure to tell them about specific symptoms so they can send the appropriate response. Have them bend their top knee inward if they can for added support. This position will keep their airways open in case they begin to vomit.
In high doses, it can have serious and lasting effects, including dependence. Adrienne Santos-Longhurst is a freelance writer and author who has written extensively on all things health and lifestyle for more than a decade.
Robitussin, along with many other cough-suppressant products, contain an ingredient known as DXM. You can find it in at least 70 common over-the-counter OTC cough and cold medicines. DXM has no serious side effects when used in small doses. When taken in larger amounts, it can distort awareness and alter time perception. It can also cause hallucinations.
Cold medicines with DXM also have other ingredients that can be harmful in large amounts. These include acetaminophen or decongestants. Combining high doses of DXM with alcohol is very unsafe, too. It can lead to death. Cough syrup abuse has been a problem for decades. But the concern in the past had been about the alcohol and codeine in cough and cold products. Because of that, the alcohol has been removed from most OTC cough and cold remedies.
State laws also restrict the sale of products that have codeine. DXM seemed a good substitute to codeine and alcohol. It had few, if any, side effects, when used as directed. And a larger amount of DXM such as drinking several bottles of cough syrup at one time would cause vomiting. But today, teens have options to drinking the syrup. DXM is available in powder, capsule, and pill forms. You can find it online. These forms can be swallowed or snorted.
Some websites even tell users how to extract DXM from cough syrup. They also advise users how much DXM to take to get high. Illegal users may take mg to 1, mg of DXM at a time. All 3 are called dissociative substances. At high doses, they give the abuser a feeling of not being in one's own body.
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