how much dextromethorphan use conside per treatment cycle

Immediate-release: 10 to 20 mg orally every 4 hours or 30 mg orally ever 6 to 8 hours Extended-release: 60 mg orally every 12 hours Maximum dose: 120 mg in 24 hours

Full Answer

What are the dosages of dextromethorphan?

What Are Dosages of Dextromethorphan? Children over 12 years: 10-20 mg orally every 4 hours or 30 mg every 6-8 hours not to exceed 120 mg per day What Are Side Effects Associated with Using Dextromethorphan?

Is dextromethorphan available over the counter?

Overview of dextromethorphan (DXM) Dextromethorphan (DXM) is a safe, cough suppressant with a long history of nonprescription or over-the-counter (OTC) use in the U.S. and many other countries. DXM was approved by the U.S. Food and Drug Administration (FDA) as an OTC antitussive in 1958.

What are the long-term effects of dextromethorphan abuse?

Long-term abuse of dextromethorphan-based drugs often leads to dependence, tolerance, and addiction. Taking DXM-containing drugs for nonmedical reasons has become extremely popular among adolescents in the US. According to a study in 2008, one in 10 teenagers abused DXM products.

Can dextromethorphan become habit-forming?

Although this effect has happened only rarely, dextromethorphan has become habit-forming (causing mental or physical dependence) in some persons who used too much for a long time. The dose of this medicine will be different for different patients.

How many mg of DXM do you need?

For syrup dosage form: For cough: Adults and children 12 years of age and older—30 mg every six to eight hours, as needed. Children 6 to 12 years of age—7 mg every four hours or 15 mg every six to eight hours, as needed.

What is the maximum amount of dextromethorphan?

Usual dose range based on dextromethorphan component: 20 mg PO every 4 hours as needed or 30 mg PO every 6 to 8 hours as needed. Maximum: 120 mg/day of dextromethorphan.

How do you administer dextromethorphan?

How should this medicine be used? Dextromethorphan comes as a liquid-filled capsule, a chewable tablet, a dissolving strip, a solution (liquid), an extended-release (long-acting) suspension (liquid), and a lozenge to take by mouth. It is usually taken every 4 to 12 hours as needed.

How long can you use dextromethorphan?

Dextromethorphan (Delsym) is only meant to treat short-term coughs. You should stop using this medication and talk to your provider if your cough lasts longer than 7 days, if it stops and returns, or if you develop other symptoms, such as a fever, rash, or headache, that don't go away.

Can I take 70 mg of dextromethorphan?

Dosing for both oral strip and oral gel formulations is 30 mg every 6 to 8 hours. For the lozenges, 5 to 15 mg can be taken every 1 to 4 hours. Regardless of formulation, an adult should never take more than 120 mg of dextromethorphan in a day, and maximum daily doses are even lower for some children.

What happens if you take too much dextromethorphan?

Taking a lot of DXM causes hallucinations and out-of-body sensations similar to the ones caused by drugs like ketamine and PCP. These effects can last as long as 6 hours. DXM also can make users have trouble controlling their limbs and cause blurred vision, slurred speech, dizziness, and impaired judgment.

How many mL of cough syrup should I take?

Adults and Adolescents over 12 years of age: 1 to 2 teaspoonfuls (5 mL to 10 mL). Children 6 to 12 years of age: ½ to 1 teaspoonful (2.5 mL to 5 mL). These doses may be given every 4 to 6 hours as needed.

How many times a day can I take cough syrup?

Do not take more than 6 doses in a day. Do not increase your dose or take this drug more often than directed. Drink plenty of fluids while taking this medication. Fluids will help to break up mucus and clear congestion.

What is dextromethorphan HBR 30 mg used for?

Dextromethorphan is used to relieve coughs due to colds or influenza (flu). It should not be used for chronic cough that occurs with smoking, asthma, or emphysema or when there is an unusually large amount of mucus or phlegm (flem) with the cough.

Is dextromethorphan good for dry cough?

Dextromethorphan Hbr (Hydrobromide) is a cough suppressant that is particularly effective in addressing a nagging dry cough.

How long can you take cough medicine?

Make sure you're getting what you need. Don't use medicine for more than 7 days. If you do, you could be covering up a more serious problem. See your doctor if your cough is severe or if it doesn't get better after a week.

What are the side effects of taking dextromethorphan?

AdvertisementBlurred vision.difficulty in urination.drowsiness or dizziness.nausea or vomiting (severe)shakiness and unsteady walk.slowed breathing.unusual excitement, nervousness, restlessness, or irritability (severe)

How many mg of a sulfate can you take?

Adults and children 12 years of age and older—5 to 15 mg every two to four hours, as needed.

Can you use dextromethorphan more often?

Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor or the label says. Although this effect has happened only rarely, dextromethorphan has become habit-forming (causing mental or physical dependence) in some persons who used too much for a long time.

Can you take a low sodium medicine with alcohol?

Proper Use. Make certain your health care professional knows if you are on a low-sodium, low-sugar, or any other special diet. Most medicines contain more than their active ingredient, and many liquid medicines contain alcohol. Use this medicine only as directed by your doctor or the directions on the label. Do not use more of it, do not use it ...

Before Using

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Proper Use

Make certain your health care professional knows if you are on a low-sodium, low-sugar, or any other special diet. Most medicines contain more than their active ingredient, and many liquid medicines contain alcohol.

Precautions

If your cough has not improved after 7 days, if sore throat has not improved after 2 days, if you have a high fever, skin rash, or continuing headache with the cough, or if asthma or high blood pressure is present, check with your doctor. These signs may mean that you have other medical problems.

Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

How many drugs interact with tranylcypromine?

tranylcypromine. Dextromethorphan has serious interactions with at least 36 different drugs. Dextromethorphan has moderate interactions with at least 38 different drugs. Dextromethorphan has mild interactions with at least 24 different drugs. This information does not contain all possible interactions or adverse effects.

Can you stop taking a medicine before checking with your doctor?

Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider or pharmacist first.

Can you use dextromethorphan while pregnant?

Animal studies show risk and human studies are not available, or neither animal nor human studies were done. It is not known if dextromethorphan is excreted in breast milk, use caution if breastfeeding.

Usual Adult Dose for Allergic Rhinitis

5 mL orally every 4 to 6 hours Maximum dose: 30 mL in 24 hours (promethazine 37.5 mg; dextromethorphan 90 mg) Comments: -Each 5 mL contains promethazine 6.25 mg and dextromethorphan 15 mg. Use: For the temporary relief of coughs and upper respiratory symptoms associated with allergy or the common cold.

Usual Adult Dose for Cold Symptoms

5 mL orally every 4 to 6 hours Maximum dose: 30 mL in 24 hours (promethazine 37.5 mg; dextromethorphan 90 mg) Comments: -Each 5 mL contains promethazine 6.25 mg and dextromethorphan 15 mg. Use: For the temporary relief of coughs and upper respiratory symptoms associated with allergy or the common cold.

Usual Adult Dose for Cough

5 mL orally every 4 to 6 hours Maximum dose: 30 mL in 24 hours (promethazine 37.5 mg; dextromethorphan 90 mg) Comments: -Each 5 mL contains promethazine 6.25 mg and dextromethorphan 15 mg. Use: For the temporary relief of coughs and upper respiratory symptoms associated with allergy or the common cold.

Usual Pediatric Dose for Allergic Rhinitis

Less than 2 years: Contraindicated 2 years to less than 6 years: 1.25 to 2.5 mL orally every 4 to 6 hours Maximum dose: 10 mL in 24 hours (promethazine 12.5 mg; dextromethorphan 30 mg) 6 years to less than 12 years: 2.5 to 5 mL orally every 4 to 6 hours Maximum dose: 20 mL in 24 hours (promethazine 25 mg; dextromethorphan 60 mg) 12 years to 18 years: 5 mL orally every 4 to 6 hours Maximum dose: 30 mL in 24 hours (promethazine 37.5 mg; dextromethorphan 90 mg) Comments: -Each 5 mL contains promethazine 6.25 mg and dextromethorphan 15 mg. -Extra caution is advised with use of promethazine in children as respiratory depression is strongly associated with use; however, its occurrence is not directly related to individualized weight base dosing. Use: For the temporary relief of coughs and upper respiratory symptoms associated with allergy or the common cold..

Usual Pediatric Dose for Cold Symptoms

Less than 2 years: Contraindicated 2 years to less than 6 years: 1.25 to 2.5 mL orally every 4 to 6 hours Maximum dose: 10 mL in 24 hours (promethazine 12.5 mg; dextromethorphan 30 mg) 6 years to less than 12 years: 2.5 to 5 mL orally every 4 to 6 hours Maximum dose: 20 mL in 24 hours (promethazine 25 mg; dextromethorphan 60 mg) 12 years to 18 years: 5 mL orally every 4 to 6 hours Maximum dose: 30 mL in 24 hours (promethazine 37.5 mg; dextromethorphan 90 mg) Comments: -Each 5 mL contains promethazine 6.25 mg and dextromethorphan 15 mg. -Extra caution is advised with use of promethazine in children as respiratory depression is strongly associated with use; however, its occurrence is not directly related to individualized weight base dosing. Use: For the temporary relief of coughs and upper respiratory symptoms associated with allergy or the common cold..

Usual Pediatric Dose for Cough

Less than 2 years: Contraindicated 2 years to less than 6 years: 1.25 to 2.5 mL orally every 4 to 6 hours Maximum dose: 10 mL in 24 hours (promethazine 12.5 mg; dextromethorphan 30 mg) 6 years to less than 12 years: 2.5 to 5 mL orally every 4 to 6 hours Maximum dose: 20 mL in 24 hours (promethazine 25 mg; dextromethorphan 60 mg) 12 years to 18 years: 5 mL orally every 4 to 6 hours Maximum dose: 30 mL in 24 hours (promethazine 37.5 mg; dextromethorphan 90 mg) Comments: -Each 5 mL contains promethazine 6.25 mg and dextromethorphan 15 mg. -Extra caution is advised with use of promethazine in children as respiratory depression is strongly associated with use; however, its occurrence is not directly related to individualized weight base dosing. Use: For the temporary relief of coughs and upper respiratory symptoms associated with allergy or the common cold..

Dose Adjustments

Elderly: Dose selection should be cautious, usually starting the low end of the dosing range.

How long does DXM last?

2 The effects generally last 5–6 hours, but this amount of time can vary depending on the dose and use of other substances. 1,2. Panic attack.

What is the effect of DXM on the body?

Frequent use of high doses of DXM can lead to a condition known as toxic psychosis. 2 Toxic psychosis generally involves the loss of contact with reality, with the person in a constant state of confusion. 2 This constant state of psychosis can be both disturbing and dangerous for the person suffering it.

What is DXM in cough medicine?

Dextromethorphan—often abbreviated as DXM or DM—is one of the primary ingredients in cough medications . In high doses, DXM can have powerful hallucinogenic and dissociative effects on the user. When abused, it can pose serious health threats, including the possibility of addiction or death. Understanding the risks that accompany DXM abuse is an ...

How does DXM affect the person?

A substance use disorder involving a substance like DXM can impact every aspect of the user’s life, from work and school performance to social and interpersonal functioning. When diagnosing a substance use disorder, addiction professionals will consider whether the person: 8.

What is the street name for DXM?

Common street names for DXM include CCC, Triple C, Skittles, Tussin, and Robo (short for Robitussin). Illicit use of DXM is sometimes referred to as “skittling” or “Robo-tripping.”. It is most often acquired through OTC cough medicines but can also be purchased in powder form online.

What happens if you get high on DXM?

If a person gets high on DXM and tries to drive, for example, they could end up getting in a serious vehicle accident. DXM has powerful effects on a person’s visual and auditory perception, putting the user in an extremely vulnerable state that could unknowingly lead them into a dangerous situation.

What are the risks of taking DXM?

Many of the DXM-based cough medicines have a number of other medicinal ingredients to help alleviate other cold symptoms, which come with their own serious risks when taken in high doses: 2,4. Acetaminophen (pain reducer): Liver damage. Antihistamines (allergy relief): Poor coordination, heart problems, seizures, coma.

How long does it take for dextromethorphan to become intoxicated?

Intoxication from a nonmedical dose begins between 15 and 30 minutes after ingestion, as the stomach digests the drug, and the effects typically last for 3-6 hours. At 1500 mg or more, a person is likely to overdose on dextromethorphan. This is 5-10 times the recommended dose of any over-the-counter medicine containing DXM.

Why is it important to get help for a person suffering from a DXM overdose before these symptoms begin

It is important to get help for a person suffering from a DXM overdose before these symptoms begin because they are more likely to lead to coma or death. You are not alone. You deserve to get help for meth addiction. AAC is an industry leader in addiction treatment.

What is DXM used for?

It also means that DXM interacts with psychiatric medications, including antidepressants like SSRIs, tricyclic antidepressants, and MAO inhibitors. These medicines are designed to change the levels of serotonin in the brain, and they can be dangerous when mixed.

What is DXM in cough syrup?

When codeine, a mild opioid narcotic, was moved to Schedule III and required a prescription for purchase, drugs containing dextromethorphan were popularized since the active ingredient was believed ...

What are the symptoms of DXM overdose?

Heart palpitations. Elevated body temperature. Common behavioral symptoms from DXM overdose include hyperexcitability and somnolence. If a person displays either, or both, of these symptoms, they may be experiencing an overdose. Also, if a person appears to experience hallucinations or psychosis, they may be overdosing on DXM.

What to do if you overdose on DXM?

What to Do During a Dextromethorphan Overdose. If a person is overdosing on DXM, they require emergency medical attention. Call 911 immediately. There are no drugs that counteract a DXM overdose; the only way they can survive the condition is to get help in a hospital immediately.

What are the symptoms of DXM?

Overdose Symptoms. Common behavioral symptoms from DXM overdose include hyperexcitability and somnolence. If a person displays either, or both, of these symptoms, they may be experiencing an overdose. Also, if a person appears to experience hallucinations or psychosis, they may be overdosing on DXM.

Usual Adult Dose For Cough

Usual Pediatric Dose For Cough

• Under 4 years: Not recommended 4 to 6 years: Immediate-release: 2.5 to 5 mg orally every 4 hours or 7.5 mg orally every 6 to 8 hours Extended-release: 15 mg orally every 12 hours Maximum dose: 30 mg in 24 hours 6 to 12 years: Immediate-release: 5 to 10 mg orally every 4 hours or 15 mg orally every 6 to 8 hours Extended-release: 30 mg every 12 hours...

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