Print Friendly, PDF & Email

The Medicine Misuse Problem

Each generation of kids looks for new ways to get high. Recent trends indicate they are increasingly turning to prescription (Rx) or over-the-counter (OTC) medicines. Teens report getting many of these medicines from home medicine cabinets and mistakenly believe that they are “safer” than other drugs. A problem that often flies under the radar is the misuse of OTC cough medicines containing dextromethorphan (DXM).

According to the 2022 Monitoring the Future Survey, 1 in 31 teens report misusing OTC cough medicine to get high.

What OTC cough medicines are teens misusing?

While millions of Americans safely rely on OTC cough medicine to temporarily relieve their cough, some teens intentionally take large amounts – sometimes more than 25 times the recommended dose of these medicines – to get high. This means some teens ingest multiple packages or bottles of OTC cough medicines that contain dextromethorphan (DXM).

  • DXM is the active ingredient in most OTC cough medicines and the most widely used cough suppressant ingredient in the United States.
  • Teens may mistakenly believe that because DXM is usually found in OTC cough medicines, it must be harmless and an easy and safe way to get high. But it’s not. When taken in excessive amounts, DXM can cause serious side effects including rapid heartbeat, high blood pressure, memory problems, nausea and vomiting.
  • More than 100 OTC medicines containing DXM are on the market today. These medicines come in the form of liquids, capsules, gelcaps, lozenges, and tablets. Common DXM-containing cough medicines include many forms of Coricidin™, Delsym™, Dimetapp™, Mucinex DM™, Robitussin™, Triaminic™, Tylenol Cough & Cold™, Vicks DayQuil™/NyQuil™, Vicks Formula 44™ and more, including store brand and generic versions of these products.
What are the warning signs of OTC cough medicine?

Click the image above to expand.
  • Empty cough medicine boxes/bottles in trash of child’s room or in child’s backpack or school locker;
  • Purchase or use of large amounts of cough medicine when not ill;
  • Missing boxes or bottles of medicine from home medicine cabinets;
  • Hearing your child use certain slang terms for DXM abuse, such as skittles, skittling, tussin, robo-tripping, robo, CCC, triple Cs, dexing, and DXM;
  • Visiting pro-drug websites that provide information on how to abuse DXM;
  • Internet orders, the arrival of unexpected packages, or unexplained payments by credit card/PayPal;
  • Changes in friends, physical appearance, or sleeping or eating patterns;
  • Declining grades or loss of interest in hobbies or favorite activities;
  • Hostile and uncooperative attitude;
  • Unexplained disappearance of household money; and
  • Unusual chemical or medicinal smells on your child or in his or her room.
Help Prevent Medicine Misuse:
  • Learn tips on how to talk to your teen about OTC cough medicine abuse, monitor your medicine cabinets and your teen’s activities and share what you have learned with other parents and community leaders.