Recreational use of dextromethorphan

DXM Doses

Recreational use of dextromethorphan involves the misuse of the cough suppressant dextromethorphan (DXM), a medication found in many over-the-counter cold medicines. DXM is used medically to treat coughing associated with conditions like the common cold and influenza. However, when taken in doses much higher than medically recommended, DXM can produce psychoactive effects, leading to its misuse for recreational purposes.

Effects

The effects of dextromethorphan vary depending on the dose. Lower recreational doses can induce euphoria and dissociation, while higher doses may lead to more intense hallucinations and dissociative states. The experience is often described in plateaus, ranging from mild stimulation and euphoria at lower doses to full dissociative effects at higher doses. The most sought-after effects include:

• Euphoria
• Altered sensory perception
• Visual and auditory hallucinations
• Dissociation from one's body
• Altered time perception

Risks

Recreational use of DXM is not without risks. High doses can lead to serious adverse effects, including:

• Nausea and vomiting
• Increased heart rate and blood pressure
• Impaired motor function
• Confusion and disorientation
• Psychosis and neurotoxicity in extreme cases

Moreover, many DXM-containing products also include other active ingredients, such as acetaminophen, antihistamines, and decongestants, which can cause additional harm in high doses, including liver damage from acetaminophen and cardiovascular issues from decongestants.

Legal Status

The legal status of dextromethorphan varies by country, but it remains legal for purchase as a cough suppressant in many places. However, due to its potential for abuse, some regions have restricted sales to minors or placed limits on the amount that can be purchased at one time.

Harm Reduction

Harm reduction strategies for those who choose to use DXM recreationally include:

• Educating oneself on the safe dosage ranges and potential side effects
• Avoiding products with additional active ingredients that can increase the risk of harm
• Using in a safe environment and with a sober sitter present
• Staying hydrated and avoiding dangerous activities, such as driving

Conclusion

While dextromethorphan is a legal and effective cough suppressant, its recreational misuse poses significant health risks. Awareness and education on the effects and dangers of DXM abuse are crucial for harm reduction and preventing potential adverse outcomes.

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