Information about Cough Preparations


Cough Preparations

Many cough products, especially cough suppressants, contain codeine or even cough medicineDXM (Dextromethorphan). Codeine and other opiates are amazing cough suppressants, but they tend to be addictive. DXM, a powerful psychoactive substance, is particularly addicting. Cough syrup abusers can acquire the drug from the doctors by whining about coughs as well as other cold symptoms. Ingredients in numerous cough preparations are regarded as being dangerous in mixture with other medications, particularly antidepressants (such as SSRI medications as well as MAO Inhibitors), antihistamine allergy medicines, and Yohimbe.

Addicts commonly point out three reasons for using cough syrup:

  • It’s low-cost or even free
  • It’s legal (and for that reason more acceptable)
  • It’s known to be safer than various other drugs of abuse.

Methods of Usage

Some addicts consume cough syrup undiluted or combined with sodas. Others soak marijuana joints in the syrup. In some metropolitan areas, an underground black market has evolved around selling syrup. DXM can additionally be extracted from cough preparations and also taken orally, injected, and occasionally freebased.


Examples of coughing preparations include Drixoral Cough Liquid Caps, Dectuss, Robitussin AC, Phenergan with Phensedyl, Codeine, and Pherazine having Codeine.

Effects on the actual Central Nervous System

DXM exhibits cough-suppressant features by activating particular opioid receptors (sigma opioid receptors) within the central nervous system. In this {way DXM functions such as Ketamine or PCP. The sigma opioid receptor has been implicated in most of the symptoms of schizophrenia. DXM also has an effect on receptors in the section of the brain called cerebellum, which plays a task in coordinating motion. The involvement of cerebellum receptors may account for reports of unusual reactions to motion among persons abusing cough syrup.


Cough syrup abusers make use of the drug to get a marijuana-like high having occasional auditory hallucinations as well as pleasurable reactions to movement. Other less desirable effects are determined by the dose consumed:

  • Tachycardia (increased heartbeat)
  • Sweating
  • Sexual dysfunction
  • Rash
  • Psychotic episodes
  • Panic attacks
  • Nausea and some other gastric disturbances
  • Memory disturbances
  • Impaired judgment
  • Hot and chilly flashes
  • High blood pressure
  • Hallucinations
  • Fever
  • Dizziness
  • Dissociation
  • Dilated pupils
  • Depression

Life Risks

Aside from the danger of addiction, cough syrup use is related to poor coordination, constipation, increased fatigue, urinary retention, and other issues. Overdose deaths are actually reported. As mentioned earlier, DXM may end up being particularly dangerous in conjunction with other medications as well as substances, including:

  • The herb Yohimbe or yohimbine
  • SSRI antidepressants, such as Desyrel or even Serzone
  • MAO inhibitors (a particular class of anti-depressant)
  • “Non-drowsy” antihistamines (allergy and intolerance medications) like Claritin, Seldane, or Hismina

Any of these substances inside the system simultaneously with DXM may be fatal!


Withdrawal from cough syrups can cause a variety of unpleasant and harmful symptoms, depending on the content dosage of the actual preparation. DXM withdrawal is seen as a depression and can trigger difficulty with thinking and memory.

Warning Signs

A person who’s addicted to coughing preparations may:

  • Frequently purchase over-the-counter cough preparations
  • Buy cough products at different shops.

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