DXM - A Powerful Drug Used and Abused DXM or dextromethorphan is a drug that is primarily used as a cough suppressant. It is readily available over the counter in most countries and is found in many cough medicines. However, DXM is also abused and used as a recreational drug. When taken in large doses, it can produce a dissociative, and sometimes euphoric, effect similar to that of ketamine or PCP. While safe to use as directed, the abuse of DXM can be dangerous and even deadly. The drug is often ingested in large quantities by young people looking for a cheap and easily accessible high. Ingesting large amounts of DXM can cause a range of side effects including double vision, loss of balance, and impaired judgment. Additionally, taking DXM with other drugs such as alcohol, cocaine or opioids can greatly increase the risk of overdose or other dangerous health complications. Unfortunately, because DXM is so widely available, it is a drug that is difficult to regulate. The risks of abuse are compounded by the fact that it is often mixed with other drugs, alcohol or even soda, candy, or other common items, in order to mask its unpleasant taste. It is important for individuals to understand the risks associated with DXM abuse and to take responsibility for their own health and safety. Parents should also be aware of the risks and watch for any signs of DXM abuse in their children such as changes in behavior, agitation, or an increase in “sick days” from school. Ultimately, the key to preventing the dangerous abuse of DXM is education. By understanding the risks and dangers associated with its use, individuals can make informed decisions about their own health and safety. Together we can work to prevent the unnecessary loss of life due to the abuse of this powerful drug.