DXM
Dextromethorphan
APPEARANCE
Sold in syrup, tablet, spray, & lozenge forms. In its pure form, dextromethorphan occurs as a white powder
ADMINISTRATION
Ingested orally, Inhaled nasally
DURATION
Total: 4-6 hours
DESCRIPTION
Dextromethorphan hydrobromide (‘DXM’ or ‘DM’) which, when taken at doses exceeding the recommended therapeutic range, becomes a powerful dissociative drug with psychedelic properties. Part of the morphinan class of substances, DXM has sedative, dissociative, and stimulant properties (at higher doses).
Dissociatives are mostly NMDA receptor antagonists, these substances are hallucinogenic but different than psychedelics. As per the name, these substances create a distance between the user and reality. It is also the cough suppressant in many overthe-counter (‘OTC’) cold and cough medicines especially in those with ‘DM’ or ‘Tuss’ in their names. Dextromethorphan has numerous other uses in medicine, ranging from pain relief (as either the primary analgesic, or an opioid potentiator) and psychological applications to the treatment of dependence.
DXM is not to be confused with Dextrorphan or Dexamethasone. Sold in syrup, tablet, spray, & lozenge forms. In its pure form, dextromethorphan occurs as a white powder. Examples include Robitussin, NyQuil, Dimetapp, & Vicks.
It is IMPORTANT to make sure DXM is the only active ingredient in the preparation.
EFFECTS
THE FIRST PLATEAU(1.5-2.5mg/kg): mild stimulant effect with a little bit of a buzz, / has been compared to MDA
THE SECOND PLATEAU(2.5-7.5mg/kg): more intoxicating, been compared to being drunk & stoned at the same time
THE THIRD PLATEAU(7.5-15mg/kg): is dissociative, like a lower dose of ketamine.
THE FOURTH PLATEAU(15-20mg/kg): fully dissociative like a higher dose of ketamine.
You should AVOID higher plateau doses unless you have someone with you who can take care of you in case you get sick or freak out. It happens on DXM.
Many things can happen unexpectedly on upper plateaus, such as spontaneous memory recall, complex delusions, hallucinations, out-of-body experiences, near-death experiences, and perceived contact with spiritual or alien entities. You need a strong foundation of support and experience to navigate this space. *WARNING: Death has occurred in the 25mg/kg range.
PHYSICAL
• Urinary Retention • Increased Heart Rate • Increased Blood Pressure • Sweating • Itchiness • Lethargy • Slurred Speech • Red/Blotchy Skin Rashes • Hyperactivity • Nystagmus (Rapid Eye Movement) • Difficulty Communicating • Nausea/Dizziness • Allergic-Like Responses
EMOTIONAL
• Euphoria • Happiness / Mood Lift
PSYCHOLOGICAL
• Visual / Auditory hallucinations • Dissociation • Reduced or increased anxiety • Introspection • Music enhancement • Confusion • Depression/fatigue • Talkative • Short term memory loss or confusion • Disorientation • Paranoia • Altered time perception
It is Not recomendded that you use DXM if you have: Respiratory (breathing) issues, Liver issues, Heart issues.
LONG TERM EFFECTS The toxicity and long-term health effects of recreational DXM use in humans has not been studied in any scientific context and the exact toxic dosage is unknown.illness, but it is important to be aware of this possibility. Many chronic users report significant issues with memory, attention, and mood that persist for many months after stopping usage.
SAFER USING:
Harm Reduction Tips
• AVOID using any preparation of DXM that has ANY other active ingredients, as they can make you sick and/or dead.
• General rule of thumb for DXM : 1 plateau/week. In other words, If you take a Third Plateau Dose, wait 3 weeks before using again. If you use a Second Plateau dose, wait 2 weeks before using again. • Try to use in comfortable environments with people you trust to look out for you
• Watch out what you are mixing DXM with, as mixing with certain drugs can cause serotonin syndrome, or Ataxia,
• Some people can’t use DXM due to a genetic mutation in an important enzyme. Do your research.