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OfflinemotamanM
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Youths risk death in latest drug abuse trend
    #2207244 - 12/29/03 09:40 AM (13 years, 10 months ago)

http://www.usatoday.com/news/health/2003-12-29-drug-abuse-cover_x.htm

Youths risk death in latest drug abuse trend
By Donna Leinwand, USA TODAY

Emergency rooms and schools across the nation are reporting that waves of youths are overdosing on non-prescription cough and cold medicines that are widely available in drugstores and supermarkets.


Dextromethorphan is a common cough suppressant in over-the-counter medicines.
By H. Darr Beiser, USA TODAY

The dozens of overdoses in the past two years ? including at least five deaths in which the abuse of over-the-counter medicines was a factor ? reflect how medicines such as Robitussin and Coricidin are becoming more popular as recreational drugs for kids as young as 12, police and doctors say.

The incidents represent a dangerous turn from past decades, when some youths would guzzle cough syrup to try to get a buzz from alcohol and codeine, authorities say. Most cough and cold medicines no longer contain alcohol, and those with codeine, an addictive opiate, are available only by prescription. But more than 120 over-the-counter medicines include dextromethorphan, or DXM, a cough suppressant that when taken in heavy doses can produce hallucinations and a loss of motor control, much as PCP does.



About DXM

Dextromethorphan, also called DXM, is found in more than 120 non-prescription cough and cold medicines, including Robitussin, Coricidin HBP, Vicks NyQuil and Vicks Formula 44. Other facts:

Youths' nicknames for DXM: Robo, Skittles, Triple C's, Rojo, Dex, Tussin, Vitamin D. DXM abuse is called "Robotripping" or "Tussing." Users might be called "syrup heads" or "robotards."

Symptoms of abuse: They include sweating; high body temperature; dry mouth; dry, itchy or flaky skin; blurred vision; hallucinations; delusions; nausea; stomach pain; vomiting; irregular heartbeat; high blood pressure; numbness in toes and fingers; red face; headache; loss of consciousness.

How much is too much: A normal dose of DXM is 15 to 30 milligrams. Mind-altering effects can occur at doses as low as 100 milligrams, but many abusers consume enough pills or syrup (say, half a 12-ounce bottle) to result in a dose of 240-360 milligrams.

Its status: The Drug Enforcement Administration classifies DXM as a "drug of concern" because of its potential for misuse, but there are no legal restrictions on buying the drug.

Sources: National Institutes of Health, Drug Enforcement Administration






Kids don't have to drink entire bottles of goopy cough syrup to go "Robotripping" or "Dexing." Pills such as Coricidin HBP Cough & Cold tablets ? known as "Triple C's" ? offer far more potent doses of DXM with less hassle. Youths can buy the medicines easily, then go to Web sites to learn how much someone of their weight should take to get high.

Whether in cough syrup or pills, DXM costs just a few dollars, is "easy to get ... and there's a lot of information about how to get high on it on the Internet," says Charles Nozicka, medical director of pediatric emergency medicine at St. Alexius Medical Center in Hoffman Estates, Ill., west of Chicago. He says that he began seeing DXM overdoses among teens three or four years ago, and that lately he has seen as many as four cases a week.

Authorities say DXM overdoses typically occur in clusters, as word of the drug spreads in a community's middle schools and high schools. This fall, parents and school officials in Naples, Fla., who had known little about DXM were shocked when several kids in their early teens suddenly passed out in class after overdosing on the drug.

At Pine Ridge Middle School in Naples in September, a 13-year-old girl brought about 80 Coricidin pills to campus one day and gave some to six friends, authorities there say. Each of the friends took at least five pills ? the recommended dosage for adults is no more than one pill every six hours ? and soon the school was in chaos. Two students lost consciousness in their first-period classes; they and one other overdosed youth were treated at a local hospital.

The girl who distributed the pills thought it would be "fun to feel messed up and act ... drunk," says Cpl. Joseph Scott of the sheriff's office in Collier County, which is in southwestern Florida on the Gulf Coast.

Another round of overdoses occurred on Nov. 6 at Immokalee High School, which also is in Collier County. A 15-year-old girl and two of her friends took five Coricidin pills each before school. By 10:45 a.m., the girl "couldn't remember her own name," Scott says. When paramedics could not stabilize her heartbeat, they called for a helicopter to take her to a hospital. Authorities learned later that she had obtained the pills from a boy who had taken them from his home. The girl's friends did not have to be hospitalized.

Scott says that many parents in Collier County were shaken by the idea that youths could buy large amounts of such a potentially dangerous drug at a local store, and then consume the drug, without breaking any laws. "It's something people aren't really informed about yet. The parents we've dealt with so far are pretty much in shock," Scott says. "It seems right now it's mostly the younger kids" who are taking DXM.

Scott says his office is compiling information packets about DXM that will be distributed to local pharmacies and schools.



Restricting access

Elsewhere, growing concerns about DXM have led some drugstores to restrict access to cough and cold medicines.

After two teenage girls and two 20-year-old men in Merrill, Wis., overdosed on medicines containing DXM this year, some drugstores in the city of about 10,000 people 160 miles north of Madison began to stow such remedies behind their counters. At the Aurora Pharmacy, customers now must request Coricidin tablets, and they aren't allowed to buy several boxes at once. Pharmacist Jim Becker says he wants the drug "where we can keep an eye on it."

Drug manufacturers say they sympathize with concerns about drug abuse, but they have resisted efforts to restrict consumers' access to Coricidin, Robitussin and other remedies containing DXM.

"The vast majority of people take them responsibly," says Fran Sullivan, spokesman for Wyeth Consumer Healthcare in Madison, N.J., which makes Robitussin products. "As a medicine, it works hands-down, so we want people to be able to use it if they need it."

Aware that teens might be tempted to abuse its newest DXM product, anti-cough gel-tabs, Wyeth made its packaging large enough so that it is difficult to stash in a backpack or pocket, Sullivan says. The company advertises on TV shows geared to adults, he says.

"We've noticed that the abuse comes and goes in waves," he says. "It gets really popular in a small area for a short period of time and then it dies out. Teens end up in the emergency room, it makes the local newspaper, and the area goes on alert."

Schering-Plough, which makes Coricidin, is working with the Partnership for a Drug-Free America to create an educational Web site on DXM, company spokeswoman Mary-Fran Faraji says. Company representatives also are meeting with pharmacists, parents, schools and retailers to discuss ways to prevent drug abuse.

But Faraji says Schering-Plough doesn't plan to eliminate DXM from its non-prescription cough and cold medicines. She notes that most of the potential alternatives to DXM as a cough suppressant are opiates that carry more potential for abuse. "Reformulating our product is not going to make the abuse issue go away," Faraji says. "Our product is safe and effective when used as directed."



DXM approved decades ago

DXM, a synthetic drug that chemically is similar to morphine, was approved by the Food and Drug Administration as a cough suppressant in 1954. Drug manufacturers began putting it in cough syrups in the 1970s as a replacement for codeine.

DXM is sold legally without a prescription because it does not make users high when taken in small doses. The recommended dose, about one-sixth to one-third of an ounce of an extra-strength cough syrup, contains 15 to 30 milligrams of DXM, according to the National Institute on Drug Abuse. At doses of 4 or more ounces of cough syrup, DXM produces effects similar to those of PCP or the anesthetic ketamine, the institute says. DXM can produce hallucinations, depressed breathing, elevated blood pressure and an irregular heartbeat. Overdoses can cause seizures, comas and death.

It can be particularly dangerous when taken with other drugs.

Lee Cantrell, interim director of the California Poison Control System's San Diego division, says that Robitussin and some other cough and cold remedies containing DXM have additional ingredients that can be fatal to abusers if taken in huge doses. For example, antihistamines, which often are combined with DXM in cough and cold remedies, can be toxic and cause respiratory distress, Cantrell says. He says cough medicine abuse emerged as a problem in California about three years ago.

During what officials called a "mini-outbreak" of DXM overdoses in New Jersey two months ago, a 15-year-old boy had to be treated for acetaminophen poisoning after he drank two bottles of Robitussin and took some Coricidin. Acetaminophen is a pain reliever/fever reducer that, over time, can cause liver damage if taken in large doses.

The federal government does not keep statistics on DXM abuse, but drug specialists say anecdotal evidence suggests that its use does not approach that of methamphetamine or the club drug Ecstasy. DXM abusers, drug specialists say, typically are young teens who are seeking a cheap alternative to drugs that are more expensive and more difficult to get.

Still, "what we see in the emergency department is probably the tip of the iceberg," Nozicka says of DXM abuse in his community near Chicago. "There's probably a lot more going on, but most (overdose cases) don't end up in the emergency room."

Some drug counselors and doctors say young adults have begun using DXM with alcohol, Ecstasy and other drugs.

DXM "looks innocuous enough, but if you take enough of it, it can cause serious problems," says Ed Bottei, medical director of the Iowa Statewide Poison Control Center in Sioux City. A 22-year-old college student in Ames, Iowa, died of a DXM overdose in October 2002. "Even though it's an over-the-counter medicine, it can still hurt you," Bottei says.

Authorities who have been more focused on illegal drugs often have been surprised by sudden outbreaks of DXM overdoses.

After a series of overdoses in the Detroit area in August, the U.S. Drug Enforcement Administration issued an alert that warned parents, schools and local communities about an "escalation" in DXM abuse.

The alert cited a "disturbing increase" of overdoses in the Grosse Point area, near Detroit.

DEA special agent David Jacobson, spokesman for the agency's Detroit office, says that federal drug enforcement analysts usually can forecast regional trends in drug use, based on geographic patterns. But "Robotripping" came out of nowhere, he says.

"Law enforcement hadn't heard about it, but all the kids had," Jacobson says. As he and others in the community asked around, they found that DXM abuse "was not only out there, but it was out there more than we thought."



Internet fuels trend

Like others who monitor DXM abuse, Jacobson says the Internet has fueled the trend.

"Now (DXM cases) pop up everywhere," he says. "If one kid is doing it anywhere, kids here will know about it."

At Michigan State University in East Lansing, the student health center is planning to include a question about DXM abuse on its next student health survey in the spring, says Dennis Martell, the university's interim coordinator for health education.

"We want to be proactive in identifying the problem before it becomes the rage," he says.

Meanwhile, as word of DXM spreads among teens and young adults, pharmacies are reporting more thefts of cough and cold medicines, as well as suspicious purchases.

Victor Vercammen, a pharmacist who works in a drugstore north of Chicago, says he recently watched two young men try to buy six packages of Coricidin. As the clerk rang up the purchase, Vercammen confronted the pair.

"I could tell as the conversation went on that they planned to misuse it, so I asked if they realized that it could cause a seizure, that it could be fatal," says Vercammen, a spokesman for the Illinois Pharmacists Association. "My hope was that educating them at least gets them to think about it. The popular conception is that because it's over-the-counter, it's safer."

The men left the packages on the counter and walked out.


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OfflineDailyPot
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Re: Youths risk death in latest drug abuse trend [Re: motaman]
    #2208758 - 12/30/03 12:21 AM (13 years, 10 months ago)

Wow, five pills? Thats it??

I dunno how much they have to worry about...the harder they make it to get the worse the problem will get as always. I've seen it first hand, not theres a 'new drug' in my area, alot of pills are going around filled w/ about 4 CCCs worth of pure DXM.

Its not that big a problem, very few deaths have happened and like they said it comes in very small waves, people start doing it in an area, word spread, people use it for afew months and it dies out. There aren't many people that do it more than afew times, there are better, funner, stronger things that are just as easy to get.


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OfflineChiefThunderbong
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Re: Youths risk death in latest drug abuse trend [Re: DailyPot]
    #2223319 - 01/06/04 03:52 PM (13 years, 10 months ago)

Quote:

the harder they make it to get the worse the problem will get as always.




Exactly. Amt popped up on my local drug market about a month after it was scheduled. Another month or two later and a good friend of mine OD'd and came REAL close to dying. But drugs are the devil, we must punish anyone who uses them!

However, DXM is like specially protected in the scheduling act.....so I doubt it's going anywhere.


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OfflineDailyPot
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Re: Youths risk death in latest drug abuse trend [Re: ChiefThunderbong]
    #2224385 - 01/06/04 11:33 PM (13 years, 10 months ago)

Quote:

ChiefThunderbong said:
Exactly. Amt popped up on my local drug market about a month after it was scheduled. Another month or two later and a good friend of mine OD'd and came REAL close to dying. But drugs are the devil, we must punish anyone who uses them!



Same here, it actually is considered a new drug completely. Its just as common as coke. Before people said hell no to trying a research chemical but clearly no one minds drugs. Thanks Congress for creating a new danger. I'm sure it didnt help that it was all over the news. Looks like AMT is here to stay now.

Quote:

ChiefThunderbong said:
However, DXM is like specially protected in the scheduling act.....so I doubt it's going anywhere.



I haven't heard anything about this...even if tehre were laws aren't set in stone and I bet they'll change it :frown:


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OfflineTylaire
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Re: Youths risk death in latest drug abuse trend [Re: motaman]
    #8097510 - 03/03/08 03:02 PM (9 years, 8 months ago)

I did CCC with my firends a couple of times freshman year. We went to go see Saw. It was fucked up, (the drug, though i guess the movie was too.) Its not that much fun CCC. Its like being drunk and and slightly trippin, but while feeling like shit. Not really worth it. But I could get it when I was 14.

The real fucked up part is that it made my friend's heart stop. He was revived in the hospital, but after that we never did that shit again.


--------------------
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Offlinenihilistism
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Re: Youths risk death in latest drug abuse trend [Re: Tylaire]
    #8100374 - 03/04/08 04:10 AM (9 years, 8 months ago)

ah DXM, some friends of mine and i basically started an epidemic of using it in our area. It was fun back in the day i guess, but its not really all that cool. We often joke about the new grape delsym and puking purple, lol.


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OfflineHelixx
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Re: Youths risk death in latest drug abuse trend [Re: nihilistism]
    #8100395 - 03/04/08 04:28 AM (9 years, 8 months ago)

Quote:

Robotards


LOL


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OfflineSeussA
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Re: Youths risk death in latest drug abuse trend [Re: Helixx]
    #8100516 - 03/04/08 06:25 AM (9 years, 8 months ago)

I absolutely loathe DXM. That being said, "oh no... teh children."


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Invisiblealphabeatu
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Re: Youths risk death in latest drug abuse trend [Re: motaman]
    #8100523 - 03/04/08 06:34 AM (9 years, 8 months ago)

kid #1:hey dude wanna get some weed?

kid #2 : nah man the pigs will lock us up for years like they did to so and so

kid #2: yeah right man fuck that i aint doin time for a plant

kid #3:lets get some booze!

kid #4: fuck that man and be raging drunk pieces of shit like my parents are....no way man

kid #5:hey dudes my mommy has some cough syrup bottles and it's legal too

kid 12345:glugagglugglog woahhhhhhhohoho glugaglug hahahahaha////////puke

doctors treat kids and make money
drug companies sell their poison and make fucktons of money
pigs bust pot smokers and make fuckloads of money

everyones happy

prohibition of weed and shrooms sends kids down the aisles of drugstores


--------------------



i need names and addresses of narc members

pm for details


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OfflineOjom
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Re: Youths risk death in latest drug abuse trend [Re: motaman]
    #8103858 - 03/05/08 12:43 AM (9 years, 8 months ago)

Quote:

motaman said:
http://www.usatoday.com/news/health/2003-12-29-drug-abuse-cover_x.htm

The incidents represent a dangerous turn from past decades, when some youths would guzzle cough syrup to try to get a buzz from alcohol and codeine, authorities say. Most cough and cold medicines no longer contain alcohol, and those with codeine, an addictive opiate, are available only by prescription.




I didn't bother reading the whole article, mainly becausee its too long to hold my attention, but also because the author does not have his facts straight.

Codeine containing cough syrups are available without a prescription in some states. They are behind the pharmacy counter and require valid ID and a signature to buy, but no prescription is required.


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OfflineAlan RockefellerM
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Re: Youths risk death in latest drug abuse trend [Re: Ojom]
    #8106063 - 03/05/08 02:55 PM (9 years, 8 months ago)

> Codeine containing cough syrups are available without a prescription in some states. They are behind the pharmacy counter and require valid ID and a signature to buy, but no prescription is required.

I guess that is true if Canada is considered a state.


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InvisibleLeftyBurnz
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Re: Youths risk death in latest drug abuse trend [Re: Alan Rockefeller]
    #8106692 - 03/05/08 05:47 PM (9 years, 8 months ago)

wow. FIVE whole deaths. surely alcohol doesnt hold a candle to DXM..... :rolleyes:


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OfflineOjom
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Re: Youths risk death in latest drug abuse trend [Re: Alan Rockefeller]
    #8106716 - 03/05/08 05:53 PM (9 years, 8 months ago)

Quote:

Alan Rockefeller said:
> Codeine containing cough syrups are available without a prescription in some states. They are behind the pharmacy counter and require valid ID and a signature to buy, but no prescription is required.

I guess that is true if Canada is considered a state.




Canada is not considered a state. Tennessee is one such state where codeine cough syrups are available in limited quantities (4 oz I believe) without a prescription.


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Offlinearchetype
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Re: Youths risk death in latest drug abuse trend [Re: Ojom]
    #8108798 - 03/06/08 12:16 AM (9 years, 8 months ago)

Holy shit i'm taking a Tennessee roadie asap. :laugh:

Those kids were flipping out at school on 5 pills?  Me and three buddies dropped 16 each before school one day freshman year.  We ended up leaving after like third hour because we were fried, but we didn't od.  5 pills isn't shit when it comes to skittles.

32 was the maximum i ever did.  That was the craziest trip i've EVER had and i sincerely hope i find another trip that can hold a candle to it because my stomach can hardly handle the coating on coricidin nowadays.

I still keep 6 boxes on hand at all times, though.  I think it's a fun as fuck buzz. :laugh:

Quote:

prohibition of weed and shrooms sends kids down the aisles of drugstores



True as fuck.


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OfflineTryptoFan
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Re: Youths risk death in latest drug abuse trend [Re: archetype]
    #8109954 - 03/06/08 08:39 AM (9 years, 8 months ago)

Man, kids are so stupid. I think everyone could agree that kids probably shouldn't be allowed to buy DXM simply because they are so ignorant and irresponsible.

Are these kids really 'overdosing' on 5 triple c's? Thats so weak.


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OfflineTryptoFan
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Re: Youths risk death in latest drug abuse trend [Re: motaman]
    #8109979 - 03/06/08 08:53 AM (9 years, 8 months ago)

Quote:


a 15-year-old boy had to be treated for acetaminophen poisoning after he drank two bottles of Robitussin and took some Coricidin.





:rockon: This kid is hardcore.  Thats somewhere around 800mg+!


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~~O frabjous day! Callooh! Callay!~~


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Offlinehpi
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Re: Youths risk death in latest drug abuse trend [Re: TryptoFan]
    #8118179 - 03/08/08 01:40 AM (9 years, 8 months ago)

haha 5 pills? That's 150mg's DXM and 20mng's of chlor w/e Maleate

Harmless to pretty much anyone.

Lost conciousness? What a shit load of fuck.


--------------------
Tohu Tehom Theli Than Leviathan Tanin'iver Taninsam!
Tohu Tehom Theli Than Leviathan Tanin'iver Taninsam!


There exists one lie that is the absolute worst. A lie that has successfully infiltrated many of the Western governments. This lie is Christianity, and it must be fought in every way, shape and form. Burn the churches and kill the priests. The abomination that is Christianity must be wiped from this Earth.





4-Methyl-Aminorex


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Offlinethehighking
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Re: Youths risk death in latest drug abuse trend [Re: ChiefThunderbong]
    #24040009 - 01/26/17 12:38 AM (9 months, 19 days ago)

OD'd on AMT myself but was able to ride it out after vomiting a lot. Nasty drug. It's the only one I've ever thrown away


--------------------
"Reality is merely an illusion, albeit a very persistent one" Albert Einstein


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InvisibleThemanwiththeplan
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Re: Youths risk death in latest drug abuse trend [Re: thehighking]
    #24043291 - 01/27/17 11:32 AM (9 months, 17 days ago)

Sounds like a good idea for the people


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Have I been here before..I'm pretty sure I've been here before..


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