The second stage of DXM effects occurs when someone takes to mg of dextromethorphan. This stage feels similar to alcohol intoxication, and side effects can include sedation, drowsiness, impaired judgment, decreased balance, and inhibited motor movement. Euphoria and hallucinations can also occur at this dose.
Once a person takes to mg of DXM, they may experience side effects similar to those of ketamine. These side effects include strong dissociation, intense hallucinations, and loss of motor coordination. At the fourth plateau of dextromethorphan effects, which refers to taking anywhere from to 1, mg of DXM, the effects are similar to taking a hallucinogen like PCP Angel Dust.
Taking this much DXM can produce a trance-like state and out-of-body feeling. Delirium as well as hallucinations are also common in this plateau and can lead to aggressive or violent behavior.
The effects of DXM take 30 to 60 minutes to kick in after the last dose and reach their peak after around 2 to 4 hours. How long DXM lasts in your system and the duration of its side effects also depend on the dose, other ingredients the medication may contain, your percentage of body fat, and more.
DXM is addictive, and you should never take a higher dose or dose more frequently than recommended. Those who are addicted to DXM may turn to other drugs to seek a more intense high.
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. Some teens believe that OTC medicines are safer to abuse because they are legal.
Watch the OTC medicines in your home. Keep track of how much medicine is in each bottle. Don't allow your children to keep OTC medicines in their bedroom, backpack, or school locker. Watch your children's internet use, keeping an eye out for websites visited that discuss OTC or other drug abuse.
Search Encyclopedia. Abuse on the rise Cough syrup abuse has been a problem for decades. Other effects of DXM include: Hot flashes Nausea, vomiting, and dizziness Lack of coordination Panic attack or seizures Impaired judgment Sweating Lethargy or drowsiness—or hyperactivity Slurred speech High blood pressure Rapid eye movement Rash Racing or pounding heartbeat Paranoia and hallucinations Feeling of floating Regular abuse of DXM at high doses can lead to a chemical psychosis.
What you can do As a parent, you should warn your children about the dangers of abusing OTC medicines. Here are other suggestions: Watch the OTC medicines in your home. Don't buy extra OTC medicines to stock up. Use OTC and prescription medicines responsibly yourself.
DXM might seem safe since it's sold over the counter. But large quantities can cause dangerous side effects, including loss of consciousness, seizures, brain damage, and death. One particularly dangerous side effect of DXM is hyperthermia — extremely high fever.
This is a big problem in hot environments or when DXM users physically exert themselves, like while dancing at a club. High body temperatures can quickly lead to brain damage or a coma.
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