Pure DXM. DXM is a dissociative substance of the morphinan class. DXM is the primary active ingredient in many common over-the-counter (OTC) cold and cough medicines. When exceeding approved doses, DXM produces dissociative effects similar to those of ketamine and phencyclidine (PCP). The pharmacology of DXM is not completely understood, but it is thought to act primarily by blocking NMDA receptors in the brain.
DXM was first reported in 1953 and approved for use as a cough suppressant in the United States in 1958. After its approval, it was introduced as an OTC medication under the name Romilar. As early as 1975, the popularity and extensive abuse of DXM was recognized, and Romilar was voluntarily removed from the OTC market.
A few years later, companies began introducing various refined DXM products designed to deter abuse, such as including ingredients with an unpleasant taste. However, recreational use of DXM has persisted and is a considered a growing trend, particularly among teenagers seeking low cost and easily available highs
What is DXM?
Cough suppressor found in many over-the-counter medications, such as cough syrup, tablets, capsules, and powder. Popular over-the-counter brands: Robitussin, Coricidin HBP.
Other medical uses of DXM include the temporary relief of sinus congestion. And runny nose, cough, sneezing, itching of the nose and throat, and watery eyes caused by hay fever. Also allergies, cold, or flu (influenza). Approximately 70 DXM-containing products are available to consumers.
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CCC, DXM, Poor Man’s PCP, Robo, Skittles, Triple C
What does it look like?
In its pure form, dextromethorphan occurs as a white powder. DXM is also available in Cough syrup and cough and cold tablets or gel caps which can be bought without a prescription.
How DMX and Cough Syrup is taken
DXM in cough syrup is taken orally.
DXM in Was approved by the FDA in 1958 when research supported its legitimacy and effectiveness in suppressing cough. After its approval, it was introduced as an OTC medication under the name Romilar. So as early as 1975, DXM became very popular and was abused extensively. AS a resul, this made Romilar to be removed from the OTC market.
Chemistry of Pure DXM Dextromethorphan
Dextromethorphan is the dextrorotatory enantiomer of levomethorphan. Which is the methyl ether of levorphanol, both opioid analgesics. It is named according to IUPAC rules as (+)-3-methoxy-17-methyl-9α,13α,14α-morphinan. As its pure form, dextromethorphan occurs as an odorless, opalescent white powder.
DXM is a dissociative anesthetic that at high doses can create powerful psychedelic effects. The effects caused by DXM use vary depending on the dose.
DXM may produce euphoria and mind-altering effects when taken in quantities greater than the recommended treatment dose. Also people who misuse DXM describe different “plateaus”. Ranging from mild distortions of color and sound to visual hallucinations. And also “out-of-body” sensations, and loss of motor control.
Hot flashes, Nausea and dizziness. Lack of coordination, Panic attack or seizures. Disassociation from the body, Visual and auditory hallucinations. Impaired judgment and mental performance. Sweating, Lethargy., Slurred speech, Hypertension (increased blood pressure). Nystagmus (rapid eye movement, Vomiting, Rashes, red blotchy skin.
The online DXM community categorizes the types of experiences that can result from oral DXM use into five “plateaus” which are characterized by qualitatively distinct effects.
First Plateau (1.5 – 2.5 mg/kg) – The effects felt in the first plateau are usually not very intense. They can include but are not limited to: cognitive euphoria, increased music appreciation, time distortion, pupil dilation, and stimulation. First plateau is often described as a “drunk” feeling.
Second Plateau (2.5 – 7.5 mg/kg) – Many DXM users consider this the to be the most recreational plateau. The second plateau is more sedating than stimulating, while euphoria and visual disconnection are more intense. Additional effects of the second plateau can include but are not limited to: Wakefulness, physical euphoria, spatial disorientation, Frame rate suppression, Increased music appreciation.
Many users of DXM do not proceed past the second plateau, as the desired effects are thought to be outweighed by the increasingly unpredictable adverse physical and cognitive effects as well as a more pronounced “body load”. Music is greatly enhanced at this plateau, sounding very rich, clear, and amplified. Bass is more powerful. Feelings of bodily lightness are common on this plateau.
Third Plateau (7.5 – 15 mg/kg) – The Third Plateau is much more intense than the second. One should gradually work up to it. The effects of the third plateau can include but are not limited to: dissociation, sedation, nausea (during comeup), memory suppression and ego death, auditory hallucinations, internal hallucinations, cognitive dysphoria, Cognitive and Physical Euphoria, anxiety, delusions, and all the effects of the second plateau. Third plateau trips are capable of inducing euphoric, introspective, and profound experiences.
One may feel an omnipotent feeling that one is in control of the entire universe, accompanied with CEVs. Closed eye visuals are often present at this plateau consisting of usually darker colored geometric patterns, vast landscapes and scenes.
Music can greatly enhance this; however, music can also become tinny sounding, distorted, and difficult to hear. Sometimes though it can be heard clearly (often when taken alongside Cannabis), and it will take on a bizarre and alien sound. A user may be able to break down every single fragment of a song and visualize all of it in their mind. One may also relive past memories.
The third plateau is often reported to be extremely introspective. Many users report these introspective trips to help them grow as a person and improve their lives. While “bad trips” can leave someone shaken for a few days. The afterglow from this plateau is sedating and the person may feel very groggy yet slightly euphoric the next day (especially when yawning).
Fourth Plateau (15 – 20 mg/kg) – The effects of the fourth plateau can include but are not limited to external hallucinations, complete dissociation, and all the effects of the third plateau, with greater intensity. Amnesia can occur, leading to memory blackouts or brownouts. Doses of DXM in this range are very dangerous and have a high risk of injury and overdose, and are therefore advised against.
Fifth Plateau (also known as “Plateau Sigma”) – A common method to experience the so-called “Plateau Sigma” is to take second plateau dose, followed by another second plateau dose three hours later, then at the peak of the second dose, take a fourth plateau dose. Plateau Sigma may also occur unintentionally from redosing. It is nearly always a very unpleasant and unpredictable experience. The experience can last from one day to four days. Plateau Sigma usually results in delirious hallucinations, dysphoria, delirium, psychosis, and anxiety. Plateau Sigma has a high potential to cause serotonin syndrome and is therefore strongly advised against.
DXM is available in several different forms that can be found over the counter or online.
DXM cough syrup is the most common form online and over the counter. Well-known brands include Benylin, DayQuil, Delsym, NyQuil, Robitussin, and Siltussin. Many of these products contain other medicines, including aspirin, acetaminophen, caffeine, guaifenesin or pseudoephedrine. Within the UK, Benylin dry coughs 7.5mg/5ml syrup (225mg dosage per 150ml bottle) is available behind the counter at every pharmacy.
Generic brands are also available within these shops for a consistently lower price. In recent years in the United States, a DXM formulation called RoboCough (which has no other active ingredients, and comes in small bottles) has become popular.
- Gel capsules, lozenges, soft pastilles, and pills are available online and over the counter. Well-known brands include Benylin, Comtrex, Coricidin, DayQuil, Mucinex, NyQuil, and Robitussin. Many of these products contain other medicines, including aspirin, acetaminophen, caffeine, guaifenesin or pseudoephedrine.
Pure DXM Powder is available online. This is the safest way to use DXM, as there is no danger of overdose from secondary chemicals. However, one should still test their powder to avoid ingesting toxic byproducts or a preparation falsely advertised as DXM powder.
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