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What can be done to prevent 
drug abuse?  
  
Talk with your teen 
Young adults who say they learn a lot about 
the risks of drugs at home are approximately 
50 percent less likely to try drugs. Parents 
should talk often, listen regularly and 
communicate clearly that they do not want 
their children using drugs. 
Sample questions to ask your teen: Did you know 
that abusing cough medicine can cause vomiting, 
slowed breathing and even death? Do you know 
what can happen if you mix drugs? 
Recognize the signs of drug abuse 
Signs of drug abuse include: 
§ Change in friends 
§ Change in sleeping pattern 
§ Declining grades 
§ Loss of interest in hobbies or favorite 
activities 
§ Hostile and uncooperative attitude 
§ Unexplained disappearance of household 
money 
§ Visits to pro-drug Web sites 
YTH: Over-the-counter medicines 
cannot be as harmful as illegal drugs. 
ACT: DXM, an ingredient found in over-the- 
counter cough medicines, is just as 
dangerous as illegal drugs. Abusers are at 
risk of serious harm, and possibly even death. 
What can I do if I suspect 
drug use? 
§ Sit down with the child for an open 
discussion about alcohol and drug use. 
§ Openly voice your suspicions but avoid 
direct accusations. 
§ Ask the child what’s been going on in his or 
her life. 
§ Discuss ways to avoid using alcohol and 
other drugs in the future. 
§ If you need help with this conversation, or if 
you believe your child needs professional 
help, contact your doctor, hospital or 
school counselor. 
Call 1-800-222-1222 
if you suspect a poisoning or 
drug overdose. 
Learn more about drug 
abuse prevention at 
www.drugfreeamerica.org. 
_________________________ 
The Illinois Poison Center (IPC) provides free, 
confidential treatment recommendations for 
poisonings via a toll-free hot line. 
The IPC is a program of the Metropolitan Chicago 
Healthcare Council. 
Adapted from A Parent’s Guide to…Preventing 
Teen Cough Medicine Abuse, a brochure from the 
Partnership for a Drug-Free America® 
Your Guide to 
Preventing Cough 
Medicine Abuse 
www.IllinoisPoisonCenter.org 
1-800-222-1222
Facts about Cough 
Medicine Abuse 
Many young people are abusing over-the-counter 
medicines containing 
dextromethorphan (DXM). Learn the signs 
and symptoms so you can help prevent the 
abuse. 
Q: What is DXM? 
DXM is a cough 
suppressant 
ingredient found in 
over-the-counter 
(OTC) cough 
medicines. 
When used according to directions, products 
containing DXM have few side effects and 
have a long history of safety and 
effectiveness. 
Q: How can DXM be harmful? 
Some young adults 
are trying to “get high” 
by taking much larger 
than recommended 
doses of DXM in the 
form of OTC cough 
syrup, tablets and gel 
caps. At these high doses, DXM abusers can 
hallucinate. 
Q: What are the effects of DXM abuse? 
The effects of DXM abuse vary, depending on 
the amount taken. 
Physical signs of abuse can include: 
· Nausea 
· Vomiting 
· Diarrhea 
· Abdominal pain 
· Confusion 
· Poor coordination 
· Rapid heart rate 
· Dizziness 
At very high doses, DXM can cause inability 
to move arms or legs, and can make it hard to 
talk. It also can cause slowed breathing, 
which can decrease the amount of oxygen 
flowing to the brain. It can even cause death. 
DXM also is sometimes abused with other 
drugs or alcohol, which can increase the 
dangerous effects listed above. 
Q: What are slang terms for 
dextromethorphan? 
Slang terms for dextromethorphan vary by 
product and region. The most common terms 
include: 
· Dex 
· DXM 
· Robo 
· Skittles 
· Syrup 
· Triple-C 
· Tussin 
Use of DXM may be called Robo-ing, Robo-tripping 
and skittling. 
How can parents and caregivers 
prevent DXM and 
other drug abuse? 
Research shows that parents can influence 
their children’s decision about using drugs. 
What to do: 
Know where your teen is 
It’s important to know where your teen is, and 
what he or she is doing. 
Sample questions to ask your teen: Where will 
you be this afternoon? Where are you going after 
practice? 
Get your teen involved in activities 
Find out what adult-supervised activities 
interest your teen and help get him or her 
involved. 
Sample questions to ask your teen: What sports 
interest you most? What after-school activities are 
offered at your school? 
Know your teen’s friends 
Research reports that more than half of all 
teens say they have close friends who get 
high regularly. Are these the close friends of 
your teen? 
Know the dangers of drugs 
Parents need to be able to talk effectively 
about the dangers of drugs. To learn about 
the effects of DXM or other drug abuse, call 
the Illinois Poison Center at 1-800-222-1222 
to speak with specially trained health care 
professionals.

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You Are Guide to Preventing Cough Medicine Abuse

  • 1. What can be done to prevent drug abuse? Talk with your teen Young adults who say they learn a lot about the risks of drugs at home are approximately 50 percent less likely to try drugs. Parents should talk often, listen regularly and communicate clearly that they do not want their children using drugs. Sample questions to ask your teen: Did you know that abusing cough medicine can cause vomiting, slowed breathing and even death? Do you know what can happen if you mix drugs? Recognize the signs of drug abuse Signs of drug abuse include: § Change in friends § Change in sleeping pattern § Declining grades § Loss of interest in hobbies or favorite activities § Hostile and uncooperative attitude § Unexplained disappearance of household money § Visits to pro-drug Web sites YTH: Over-the-counter medicines cannot be as harmful as illegal drugs. ACT: DXM, an ingredient found in over-the- counter cough medicines, is just as dangerous as illegal drugs. Abusers are at risk of serious harm, and possibly even death. What can I do if I suspect drug use? § Sit down with the child for an open discussion about alcohol and drug use. § Openly voice your suspicions but avoid direct accusations. § Ask the child what’s been going on in his or her life. § Discuss ways to avoid using alcohol and other drugs in the future. § If you need help with this conversation, or if you believe your child needs professional help, contact your doctor, hospital or school counselor. Call 1-800-222-1222 if you suspect a poisoning or drug overdose. Learn more about drug abuse prevention at www.drugfreeamerica.org. _________________________ The Illinois Poison Center (IPC) provides free, confidential treatment recommendations for poisonings via a toll-free hot line. The IPC is a program of the Metropolitan Chicago Healthcare Council. Adapted from A Parent’s Guide to…Preventing Teen Cough Medicine Abuse, a brochure from the Partnership for a Drug-Free America® Your Guide to Preventing Cough Medicine Abuse www.IllinoisPoisonCenter.org 1-800-222-1222
  • 2. Facts about Cough Medicine Abuse Many young people are abusing over-the-counter medicines containing dextromethorphan (DXM). Learn the signs and symptoms so you can help prevent the abuse. Q: What is DXM? DXM is a cough suppressant ingredient found in over-the-counter (OTC) cough medicines. When used according to directions, products containing DXM have few side effects and have a long history of safety and effectiveness. Q: How can DXM be harmful? Some young adults are trying to “get high” by taking much larger than recommended doses of DXM in the form of OTC cough syrup, tablets and gel caps. At these high doses, DXM abusers can hallucinate. Q: What are the effects of DXM abuse? The effects of DXM abuse vary, depending on the amount taken. Physical signs of abuse can include: · Nausea · Vomiting · Diarrhea · Abdominal pain · Confusion · Poor coordination · Rapid heart rate · Dizziness At very high doses, DXM can cause inability to move arms or legs, and can make it hard to talk. It also can cause slowed breathing, which can decrease the amount of oxygen flowing to the brain. It can even cause death. DXM also is sometimes abused with other drugs or alcohol, which can increase the dangerous effects listed above. Q: What are slang terms for dextromethorphan? Slang terms for dextromethorphan vary by product and region. The most common terms include: · Dex · DXM · Robo · Skittles · Syrup · Triple-C · Tussin Use of DXM may be called Robo-ing, Robo-tripping and skittling. How can parents and caregivers prevent DXM and other drug abuse? Research shows that parents can influence their children’s decision about using drugs. What to do: Know where your teen is It’s important to know where your teen is, and what he or she is doing. Sample questions to ask your teen: Where will you be this afternoon? Where are you going after practice? Get your teen involved in activities Find out what adult-supervised activities interest your teen and help get him or her involved. Sample questions to ask your teen: What sports interest you most? What after-school activities are offered at your school? Know your teen’s friends Research reports that more than half of all teens say they have close friends who get high regularly. Are these the close friends of your teen? Know the dangers of drugs Parents need to be able to talk effectively about the dangers of drugs. To learn about the effects of DXM or other drug abuse, call the Illinois Poison Center at 1-800-222-1222 to speak with specially trained health care professionals.