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There's an ingredient in many over-the-counter (OTC) cough and cold medicines called dextromethorphan.
Taking a lot of DXM causes hallucinations and out-of-body sensations similar to the ones caused by drugs like ketamine and PCP. You've probably seen the warnings on cough or cold medicines about not driving or using heavy machinery.
People using cold medicines to get high may not realize they are taking high doses of many drugs, not just DXM. If you or someone you know has been using DXM, you can start by working with a parent or friend to clean out the medicine cabinet and get rid of all the products containing dextromethorphan. When checked, Shutterstock's safe search screens restricted content and excludes it from your search results. Whether your child has a cough, the sniffles or a fever, Children's Delsym has the right solution to make your little one feel better.

DXM also depresses brain function, particularly the parts of the brain that control breathing and heart function.
But some people extract DXM from cough syrup and make it into a powder or capsule of "pure" DXM. But large quantities can cause dangerous side effects, including loss of consciousness, seizures, brain damage, and death. This is a big problem in hot environments or when DXM users physically exert themselves, like while dancing at a club. Obviously, if someone takes too much DXM, the user is even more impaired and at risk of causing accidents. For example, lots of cold medicines have acetaminophen, a pain reliever that can cause liver damage and failure when taken in large doses. Mixing DXM with other drugs or alcohol increases the likelihood of potentially life-threatening conditions.

Talking with a counselor or joining a support group or substance abuse treatment program can help make it easier to quit. It might seem tempting to try them for a cheap high, but doing so isn't safe, especially when they have other ingredients. For instance, combining it with drugs like MDMA increases the risk of hyperthermia and can lead to brain damage, seizures, a coma, and death.
It's hard to imagine that an OTC medicine can kill or leave someone with brain damage, but that's a possibility with DXM when it's taken in large quantities or mixed with other things.

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