However, when taken in large amounts and combined with other substances, it may cause the drug to act in a similar way to other opioids. Loperamide is an opioid designed not to enter the brain. Repeatedly seeking to experience that feeling can lead to addiction-a chronic relapsing brain condition characterized by inability to stop using a drug despite damaging consequences to a person's life and health. When taken in large doses, DXM causes a depressant effect and sometimes a hallucinogenic effect, similar to PCP and ketamine. How do these OTC medicines affect the brain?ĭXM is an opioid without effects on pain reduction and does not act on the opioid receptors. It is unclear how often this drug is misused. When misusing loperamide, people swallow large quantities of the medicine. Loperamide is an anti-diarrheal that is available in tablet, capsule, or liquid form. These medicines are often misused in combination with other drugs, such as alcohol and marijuana. DXM may be swallowed in its original form or may be mixed with soda for flavor, called "robo-tripping" or "skittling." Users sometimes inject it. OTC medications that contain DXM often also contain antihistamines and decongestants. The most common sources of abused DXM are "extra-strength" cough syrup, tablets and gel capsules. There are two OTC medicines that are most commonly misused.ĭextromethorphan (DXM) is a cough suppressant found in many OTC cold medicines. What are some of the commonly misused OTC medicines?
In some states, only people 18 years of age or older can buy pseudoephedrine. A prescription is not needed in most states, but in states that do require a prescription, there are limits on how much a person can buy each month. For this reason, products containing pseudoephedrine are sold "behind the counter" nationwide. Pseudoephedrine, a nasal decongestant found in many OTC cold medicines, can be used to make methamphetamine.
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