Cough Medicine Abuse
Description
Abuse of cough medicine is becoming more common, especially among teens. Information on the internet enables the abusers to know which drugs are most effective for producing a "high" and how much to ingest. The main ingredient of abuse is dextromethorphan. This drug is easily available in many over the counter cold medications. Abuse causes hallucinations, loss of motor control, and "out-of-body" sensations. Severe intoxications can result in death.
Symptoms
Confusion, blurred vision, dizziness, paranoia, excessive sweating, slurred speech, nausea, vomiting, fainting, rapid heart rate, numbness, seizures, death.
Tests
A history and physical exam will be performed. Other tests will be done to rule out other causes of the altered mental status.
- CBC
- Chem 12
- EKG
- CT Scan
- BHCG
- UA
Treatment
Therapy depends on the severity of the symptoms. Treatment includes: supporting the vital signs with intravenous fluids, preventing the patient from hurting themselves, sedation, and anti-seizure medications. Severe cases may require artificial ventilation with a breathing tube (intubation). Consider calling the National Poison Control Phone Number for further information or assistance: 1-800-222-1222.
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