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Dextromethorphan Detox


Dextromethorphan abuse can lead to tolerance and addiction.

Dextromethorphan is a substance found in certain over-the-counter cough syrups that is often used by teenagers and young adults as a way to get high or intensify the effects of alcohol. Unfortunately, many young people abuse this drug without an understanding of the serious side effects their abuse can cause, especially addiction and dependence. Even those who take dextromethorphan as they are supposed to can become dependent if they use it regularly for a long period of time. This behavior—or abuse—can lead to withdrawal symptoms if the dependent individual suddenly stops using the drug. Though dextromethorphan detox isn’t considered to be life-threatening it can still cause problems and be extremely uncomfortable.

If you or someone you love has become dependent on and addicted to this dangerous drug, call 800-996-6135(Who Answers?) now. We can help you find detox centers where you can begin your medically assisted withdrawal and safely put an end to your drug abuse.

Understanding Dextromethorphan Abuse

According to the National Library of Medicine, dextromethorphan is meant to be taken every 4 to 6 hours as needed by those who require help with a persistent cough. While the drug is effective for this purpose, many individuals also abuse it.

  • Dextromethorphan abuse occurs because young people who cannot buy liquor are often able to get ahold of this dangerous drug instead.
  • They drink it in large amounts in order to experience a temporary high.
  • Some people mix it with soda to mask the taste while others might mix it with alcohol in order to intensify the effects of both substances.
  • The drug is often referred to as its street name lean because it makes it difficult for person who has been drinking it all night to stand up straight.

Dextromethorphan is often used by those who believe it has no problematic effects, but this is untrue. In fact, the drug’s misuse is extremely dangerous and can cause a deadly overdose. Those who abuse it can also become addicted, tolerant, and dependent.

Dextromethorphan Abuse and Dependence

Most people who take dextromethorphan as recommended do not become dependent on it because it is only meant to be used sparingly. However, those who abuse it can easily become dependent, especially if they are taking it often and in large doses.

Dependence is defined by a need to use the drug in order to feel normal, and dextromethorphan can cause this type of issue if abused often enough and in large doses. Unfortunately, many people who misuse this drug do so in doses between 500 and 1500 mg because they are hoping to achieve dissociative sedation (Drug Enforcement Administration).

Dextromethorphan Withdrawal

Withdrawal from dextromethorphan occurs if someone who is dependent on the drug suddenly stops using it. This can happen if the individual no longer has access to the drug or if they stop taking it purposefully because they don’t realize they are already dependent on it. Withdrawal is not usually life-threatening, but it can be uncomfortable, even painful. In some cases, complicated dextromethorphan withdrawal can be dangerous.

Signs and Symptoms of Dextromethorphan Withdrawal

Dextromethorphan withdrawal feels somewhat similar to opioid withdrawal, which is like the flu. As stated by the National Institute on Drug Abuse, the symptoms of this withdrawal syndrome have not been well studied, but in many cases, people experiencing the syndrome complain of the same effects as those going through opioid withdrawal. These can include

  • Restlessness
  • Discomfort
  • Insomnia
  • Hot flashes
  • Chills
  • Diarrhea
  • Vomiting
  • Muscle, joint, and bone pain
  • Anxiety
  • Depression
  • Toxic psychosis

Many of these symptoms also occur when people experience opioid withdrawal, which is why the syndrome is a bit confusing to those who are attempting to study it. However, they are mostly physical, so it can be easy to recognize the syndrome itself in a loved one or a friend. With the exception of toxic psychosis (which is a rare occurrence), uncomplicated withdrawal symptoms associated with this medication are usually mild.

Timeline of Dextromethorphan Withdrawal

Dextromethorphan withdrawal has not been extensively studied, so it is difficult to pinpoint an exact timeline as well as the moments when withdrawal symptoms begin to change. In most cases, withdrawal lasts about three weeks.

  • Week 1: Users experience the most intense symptoms, including pain, anxiety, and restlessness.
  • Week 2: Physical symptoms start to intensify. Most people will start vomiting and experiencing diarrhea at this point.
  • Week 3: Symptoms may start to subside, although some individuals experience long-term symptoms that last for another week or so.

Like with most withdrawal syndromes, certain symptoms associated with dextromethorphan dependence can linger after acute withdrawal has ended. This is known as PAWS or the post-acute withdrawal syndrome. People may experience symptoms like depression, restlessness, anxiety, and insomnia for weeks after withdrawal has ended.

Dangers of Dextromethorphan Withdrawal

Dextromethorphan doesn’t usually cause a physically or psychologically dangerous withdrawal syndrome. This is partially because it is an over-the-counter drug. However, those who abuse it and become dependent can still experience serious effects that can, in fact, become dangerous if left to worsen.

Relapse is always a potential danger of withdrawal because many people don’t realize how hard it will be. This can cause them to return to dextromethorphan abuse, but their tolerances will be diminished, which can lead to overdose.

Dextromethorphan overdose can be deadly, according to the National Highway Traffic Safety Administration. Its symptoms can include

  • Excitation
  • Nausea
  • Vomiting
  • Drowsiness
  • Dizziness
  • Blurry vision
  • Rash
  • Sweating
  • Fever
  • Hypertension
  • Shallow breathing
  • Urinary retention
  • Diarrhea
  • Toxic psychosis
  • Coma
  • Increased heart rate
  • Increased blood pressure
  • Increased body temperature
  • Seizures
  • Loss of consciousness
  • Bleeding

The gastrointestinal effects of dextromethorphan withdrawal, much like in the case of opioid withdrawal, can potentially lead to dehydration.

People who go through this syndrome might not realize that they are losing bodily fluids to vomiting, diarrhea, and sweating. If the individual does not replenish these by drinking plenty of water, they will become sick and need emergency medical attention.

Depression can also occur during withdrawal, and many individuals who were on large doses of the drug experience severe effects such as suicidal thoughts.

It is always important to screen every individual going through withdrawal for any potential signs of depression. This way, the person can be treated appropriately so the symptoms do not worsen suddenly.

Though it is rare, some individuals experience toxic psychosis as a sudden and dangerous symptom of dextromethorphan withdrawal.

Hallucinations, delirium, and aggressive and violent behavior can all occur. Individuals going through this syndrome will not experience these symptoms for long, but they can hurt themselves or someone else if they are not treated properly for it.

For the most part, dextromethorphan is an uncomplicated form of drug withdrawal, but those who have been using extremely large doses are at heightened risk of the symptoms listed above. In addition, it is difficult to be sure one will not experience any complications during withdrawal, so it is important to always be safe and to seek professional treatment.

Call now to find dextromethorphan detox centers near you!

Who Answers?

Am I Dependent on Dextromethorphan?

If you have been abusing dextromethorphan regularly and in large doses, you could be dependent. Though this doesn’t usually occur when individuals are taking doctor-recommended doses, abusers don’t always realize when they have become dependent. If you think you need the drug in order to feel normal or you think you are dependent, you probably already are.

Should I Go through Dextromethorphan Withdrawal at Home?

It is always safer to undergo withdrawal with the help of trained medical professionals. This way, if you do experience complications associated with dextromethorphan withdrawal, you will be able to do so safely and receive any necessary treatments. In addition, you can avoid relapse, which often occurs in those who try to go through detox on their own. In every instance, withdrawal in a detox center is safer than at-home withdrawal.

This is not to say that you would be unable to choose outpatient care if you will benefit from it. In general, as long as you are receiving professional care at the level most suited to your needs, you will be able to recover from withdrawal effectively and safely.

Dextromethorphan Detox Treatment

Dextromethorphan detox has not been widely studied, as stated previously, so your symptoms will likely be treated as they occur.

  • Certain medications may be used to treat your withdrawal symptoms, or you may need to be slowly weaned off the drug.
  • Behavioral therapies are often available during detox to prepare patients for rehab.
  • Most people need inpatient care for detox, but if you have a strong support system of friends and family, you may be able to seek outpatient care. The program will depend on your treatment requirements as a recovering individual and the severity of your dependence.
  • If you have been abusing and/or are addicted to any other drugs in addition to dextromethorphan, you may require further treatments for additional withdrawal symptoms.

You can seek out low-cost, free, spiritual, holistic, and many other kinds of detox programs depending on your needs. Every patient is different and requires their own options for treatment that will suit them best.

What Happens After Detox?

After detox, you will need to attend rehab for your dextromethorphan abuse. Detox itself only treats dependence, so you will require further care in an addiction treatment center (NIDA). Here, you will learn to cope with cravings, recognize and avoid triggers, and deal with the other aspects of addiction recovery. Afterward, you may choose to attend another treatment program or perhaps an aftercare option such as a 12-step group.

Detox is not the end of recovery, but it can be the end of your dependence on dangerous drugs like dextromethorphan. It can also be the beginning of your journey to put your substance abuse and addiction in the past and focus on a better future.

Get Help Today

Dextromethorphan, like many other drugs that cause dependence, can become very dangerous for those who abuse it. Call 800-996-6135(Who Answers?) now to get answers to your questions about dependence and withdrawal, begin searching for a detox center that will suit your needs, and safely navigate the intake process.


  1. U.S. National Library of Medicine. (2018). Dextromethorphan.
  2. Drug Enforcement Administration. (2014). Dextromethorphan (Street Names: DXM, CCC, Triple C, Skittles, Robo, Poor Man’s PCP).
  3. National Institute on Drug Abuse. (2017). Over-the-Counter Medicines.
  4. National Highway Traffic Safety Administration. (2004). Drugs and Human Performance Fact Sheets.
  5. National Institute on Drug Abuse. (2017). Frequently Asked Questions-What is Detoxification, or “detox”?
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