Cough syrup psychosis.

CJEM. 2011 Jan;13(1):53-6.

Amaladoss A, O’Brien S.

Department of Psychiatry, Queen’s University, Kingston, ON, Canada.

Over-the-counter medications are widely accessible and used. Cough suppressant syrups contain dextromethorphan (DM), which has the potential to be abused, with resultant psychiatric symptoms. This case report describes a young woman presenting with psychotic mania secondary to DM abuse. We also describe the treatment of this toxidrome and include the results of a literature search on this topic. The recognition of cough syrup as an agent of abuse and its toxidrome is important. This will facilitate early diagnostic clarification and promote efficient treatment strategies.

PMID: 21324299 [PubMed – in process]

1 Comment

  1. I’m a 50 year old female, bipolar 1 with 7 severe episodes of mania….in (remission) now for 3 years. On no melds….. today I took cough medicine dm and have had severe agitation, self harming feelings, panic attacks, helplessness with periods of calm in between. I can only conclude it is because of the cough med(((((

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