One of the most abused drug in the US is DXM. It is also referred to as robo, rome, skittles, and syrup, among other names. DXM has been in use in the US for about thirty years. It is the active ingredient in many over-the-counter cough medications. It should be noted that dependence on this drug is easily formed due to a number of factors. For starters, DXM is easily available in cough medications. Secondly, information about DXM extraction from drugs containing it is easily available online.
Another factor leading to increased DXM use is that use of it is legal, unlike other drugs. It follows that individuals will freely use this drug, leading to addiction. This drug is found in various forms, including gelatin capsules, lozenges, and cough syrup, among others. Pure form of dextromethorphan is found as powder, mainly sold in the black market. It is used in a number of ways. For starters, the drug may be taken orally. This is the most common form of intake. It may also be injected or snorted. It has cough-suppressing properties, which have the effect of activating opioid receptors in the brain.
DXM also affects receptors in the cerebrum which are responsible for movement coordination. When introduced to the body, this drug has a number of effects on the user. Some of these include:
The user may also experience fever and panic attacks. In the long run, a dextromethorphan user may experience psychological and physical dependency, cognitive ability impairment, and psychosis.
Research shows that the dissociative effect of DXM is the main cause of addiction. When ingested, a user experiences 5 levels of psychological and physical states, otherwise known as plateaus. In the first plateau, the user has slight intoxication, elevated moods, and euphoria. The user also develops an increased appreciation for dancing and music. In the second plateau, the user develops double vision, short term memory loss, and a floating sensation. In the third plateau, a DXM abuser experiences cognitive ability impairment, and panic attacks. At this juncture, the user may experience a detachment from reality.
In the fourth phase, the user experiences a situation whereby he or she feels completely detached from reality. The user also has zero self-awareness. The last stage is known as plateau sigma, where the user may develop hallucinations and psychosis-like effects. At this stage, many users claim hearing voices ordering them around. The last three stages are very intense and are associated with a detachment from reality.
In these three stages, drug users feel relaxed, and have pleasant sensations. Combination of DXM with other drugs can be fatal. Many DXM users use it with stimulants, prescription drugs, and alcohol, among others. This can lead to respiratory depression, serotonin syndrome, and other life-threatening situations. Ingestion of high amounts of DXM can be fatal and may lead to stroke, cerebral hemorrhaging, permanent brain damage, and death.