Balls Hen House Pharmacy

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Volume 6, Issue 9

Cough & Cold Medicine Abuse on the Rise: Protecting Your Family
Contributed by: Stephanie Gettler, Pharm.D. Candidate
                       KU School of Pharmacy

March 2008

Dextromethorphan (DXM) is a cough suppressant found in many over-the-counter (OTC) cold and cough products.  When used at recommended doses, DXM is generally considered safe and effective for controlling cough.  According to the Substance Abuse and Mental Health Services Administration (SAMHSA), an alarming number of teenagers and young adults are abusing DXM by taking large doses to get 'high.'  Taking large doses of DXM is very dangerous and may cause severe vomiting, impaired decision making, confusion, loss of coordination, muscle spasms, hallucinations, loss of consciousness, rapid heart beat, seizures, brain damage and even death.  Some common street names or slang terms for DXM are Triple C, Candy, Dex, Red Devils, Skittles, Tussin, Vitamin D, Velvet, Robo, and Syrup.   

Could my child be abusing DXM?  Signs to watch for include:

  • A decline in grades
  • Changes in behavior, appearance or mood
  • Cold and cough products disappearing from the medicine cabinet
  • Taking cold and cough products even when he or she does not appear to be ill
  • Finding large amounts of empty cold and cough bottles, pill blisters or boxes in the trash

How can I protect my child?

  • Monitor all cold and cough products kept in your house
  • Do not keep large amounts of these products in your house
  • Do not allow your child to keep cold and cough products in his or her room
  • Monitor your child's internet use because there are many misleading sites that promote DXM abuse but do not warn of the dangers
  • With DXM's over-the-counter status, many kids are misled into thinking it is safe so talk to your child because abusing OTC medication can be just dangerous as abusing prescription or illegal drugs

Where can I get more information?

Co-edited by:
Sarah Hare, Pharm.D.
Miranda Wilhelm, Pharm.D.
Kristian Olsen, Pharm.D.

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