Dextromethorphan Abuse

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 5

Dextromethorphan:

()

5 2553

dextromethorphan d-3-methoxy-N-methylmorphinan
(DXM) 4 2553
DXM 50

DXM
2546 DXM
2548
DXM 4x100

.. 2005 (USFDA)
DXM 5
DXM DXM


DXM

DXM

DXM

DXM
DXM
15-30 mg 4-6 120 mg

(euphoric effect)

DXM
DXM dextrorotatory stereoisomer methylated derivative levorphanol
analog codeine medulla
threshold opiate -receptor
DXM
DXM 15-30
5-6 DXM cytochrome P-450 (CYP) isoenzyme
2D6 dextrorphan N-methyl-D-aspartate receptors (NMDA
receptors antagonist) phencyclidine (PCP) (euphoria)
(hallucinations) 5-HT receptors
lysergic acid diethylamide (LSD)
DXM NMDA receptors
dextrorphan phencyclidine enzyme
CYP 2D6 ( genetic polymorphism)
DXM 7-10 DXM
dextrorphan dextrorphan
phencyclidine

DXM




DXM 15-30 mg 4-6


120 mg
100-200 mg (euphoric
effect)

400 mg
(hallucination) (vivid imagination)
phencyclidine ketamine 6
DXM 600 mg

DXM DXM
dextromethorphan Robitussin-DM Vicks formula 44 D
2543 Cincinati Poison Control Center
(dextromethorphan 30 mg
chlorpheniramine 4 mg) LSD
DXM
CCC, robo, red devil, poor mans PCP, DXM Dex
DXM
DXM

DXM (HBr) DXM


DXM
4-5 DXM


8 16 (-= 2-60
) 8 1-2
8-16
DXM
DXM DXM
DXM 1500 mg
24-48

DXM

DXM


National Guideline Clearinghouse
- decontamination
1 1

- (sedative) naloxone
pure opioid receptor antagonist opioid overdose
- benzodiazepine
40 hyperthermia

DXM ... .. 2510

(non-prescription
drug) DXM
Illinois DXM
DXM

Anonymous. Recreational use of dextromethorphan. Available at


http://en.wikipedia.org/wiki/Recreational_use_of_dextromethorphan. Accessed February 4, 2010.
Banerji S, Anderson IB. Abuse of coriicidin HBP cough&cold tablets: episodes recorded by a poison center.
Am J Health Syst Pharm 2001; 58: 1811-4.
Bryner JK, Wang UK, Hui JW, et al. Dextromethorphan abuse in adolescence: an increasing trend: 1999-2004.
Arch Pediatr Adolesc Med 2006; 160: 1217-22.
Chyka PA, Erdman AR, Manoguerra AS, et al. Dextromethorphan poisoning: an evidence-based consensus
guideline for out-of-hospital management. Clin Toxicol 2007; 45: 662-77.
Cranston JW, Yoast R. Abuse of dextromethorphan. Arch Fam Med 1999; 8: 99-100.
Miller SC. Dextromethorphan psychosis, dependence and physical withdrawal. Addict Biol 2005; 10: 325-7.
Noonan WC, Miller WR, Feeney DM. Dextromethorphan abuse among youth. Arch Fam Med 2000; 9: 791-2.
Romanelli F, Smith KM. Dextromethorphan abuse: clinical effect and management. J Am Pharm Assoc 2009;
49: e20-7.
Schneider SM, Michelson EA, et al. Dextromethorphan poisoning reversed by naloxone. Am J Emerg Med
1991; 9: 237-8.
Schwartz RH. Adolescent abuse of dextromethorphan. Clin Pediatr 2005; 44: 565-8.

Shaul WL, Wandell M, Robertson WO. Dextromethorphan toxicity: reversal by naloxone. Pediatrics 1977; 59:
117-8.
Stephen M, Timothy B. Abuse of over-the-counter dextromethorphan by teenagers. Southern Medical Journal
1993; 86: 1151-3.
Waknine Y. FDA warns public of OTC dextromethorphan abuse. Available at
http://www.medscape.com/viewarticle/505410. Accessed February 4, 2010.
Wolfe TR, Caravati EM. Massive dextromethorphan ingestion and abuse. Am J Emerg Med 1995; 13: 174-6.

You might also like