Cough medicine abuse has become increasingly popular among teenagers due to several factors, including its affordability, accessibility, and the mistaken belief that it provides a safe way to experiment with altered states of mind. However, the truth is much more alarming.
This article aims to raise awareness about the growing trend of cough medicine abuse among teens, delving into its underlying causes, consequences, and the actions we can take to safeguard our young people from its potentially life-altering effects.

Increasing Misuse of OTC Medications
A growing number of teens are abusing over-the-counter (OTC) cough and cold medicines, particularly those containing dextromethorphan (DXM), for their euphoric and hallucinogenic effects.
Dextromethorphan (DXM) is a cough suppressant found in over 125 over-the-counter cold medications. When consumed in high doses, typically 5 to 10 times the recommended amount, DXM can produce effects similar to those experienced with ketamine or PCP. Users may encounter euphoria, hallucinations, and dissociative states.
Approximately 1 in 32 teenagers reports misusing excessive amounts of DXM to achieve a high. The abuse of DXM has been on the rise, especially among adolescents in rave and club environments.
Many teens view these legal medications as safe alternatives to illicit drugs, unaware of the severe health risks associated with DXM abuse.
The CHPA’s initiatives, such as the “Stop Medicine Abuse” campaign, aim to educate parents and teens about the dangers of cough medicine abuse.
If you or someone you know is struggling with DXM abuse, seek help from a trusted adult, healthcare professional, or addiction treatment rehab to address this dangerous trend before it’s too late.
Accessibility and Appeal to Teens
Over-the-counter cough and cold medicines containing dextromethorphan (DXM) can be easily purchased without a prescription at pharmacies and grocery stores, and their legal status may mislead teens into believing they’re safer than illicit drugs.
Online platforms provide information on dosages and methods of abuse, normalizing the recreational use of DXM.
The availability of various forms, such as liquids and lozenges, makes it easier for teens to experiment with different dosages, often exceeding safe limits without immediate detection by parents or guardians.
Find what are the most used drugs by teens and the dangerous consequences of abusing such substances.
Health Risks and Consequences
High doses of DXM can cause respiratory depression, increased heart rate, liver damage, hallucinations, confusion, and impaired motor function.
You may experience loss of consciousness and seizures, putting your life in danger. When you consume doses three times higher than recommended, you significantly increase the risk of addiction and overdose.
DXM abuse can also lead to mood swings, agitation, and paranoia, potentially causing long-term psychological effects if the abuse continues.
If you’re using DXM in active environments like parties or raves, you’re at a higher risk of overheating, dangerously high fever, and hypothermia.
Learn more about the negative impact of drugs on the developing adolescent brain here: https://newchapteryouthprogram.com/the-impact-of-drugs-on-the-teenage-brain/
Recognizing Signs of Abuse
You should be aware of the physical symptoms associated with DXM misuse, such as slurred speech, dizziness, and impaired motor function. These signs may be subtle at first, so it’s crucial to pay close attention to your teen’s behavior and physical condition.
Watch for changes in their academic performance, increased secrecy, and withdrawal from family and friends, as these could indicate potential cough medicine abuse.
Be on the lookout for empty cough medicine boxes or packs, as their presence may suggest that your teen is misusing these products. Familiarize yourself with slang terms related to DXM, like “Robo” or “Triple C,” to help you identify potential substance abuse in conversations or online interactions.

Proactive Measures for Parents
Discuss the risks of cold and cough medicine abuse with your teen, as this dialogue can significantly reduce the likelihood of misuse.
Secure your medicine cabinet, treating it like a liquor cabinet, to prevent access to cough and cold medicines. Dispose of unused or expired medications to eliminate potential sources of abuse in your home.
Collaborate with other parents to share knowledge and strategies, creating a united front in preventing teen access to cough medicine and addressing potential abuse. Establish clear household rules regarding drug use and discuss them ahead of time to set expectations and reinforce the importance of making healthy choices.
Final Thoughts from New Chapter Youth Program
If you or a teenager you know is struggling with cough medicine abuse or any other substance use problems, don’t hesitate to seek help from our team at New Chapter Youth Program. Our youth outpatient program is designed to provide comprehensive support and treatment tailored to the unique needs of adolescents. We offer a safe, nurturing environment where teens can work through their challenges, develop coping skills, and build a foundation for long-term recovery.





