A Discussion On Over-The-Counter Cough Syrup Misuse

See @Chubbyemu video https://youtu.be/WPxb2IG9MOk
Featuring: Dr Sonal Jagasia
Patient GG depicted by @MerryRose Howley
Additional patient depictions by @Whang!

Video with @Whang! : https://youtu.be/QKIobyk6Isc

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Dextromethorphan is an over the counter cough medicine. It is for coughs. Misuse of it can cause life threatening side effects.

Thumbnail case courtesy of Dr Derek Smith, Radiopaedia.org, rID: 53692

References:
Dextromethorphan, chlorphenamine and serotonin toxicity: case report and systematic literature review. https://pubmed.ncbi.nlm.nih.gov/21175434/

Case of Serotonin Syndrome Initially Presenting as Diffuse Body Pain. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196581/

Serotonin Syndrome. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3865832

Bromism: An overlooked and elusive toxidrome from chronic dextromethorphan misuse. https://pubmed.ncbi.nlm.nih.gov/31864868/

Dextromethorphan-induced serotonin syndrome. https://pubmed.ncbi.nlm.nih.gov/19238739/

Cognitive Deterioration from Long-Term Misuse of Dextromethorphan:A Case Report. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1188627/

Pediatric Fatalities Associated With Over the Counter (Nonprescription) Cough and Cold Medications. https://pubmed.ncbi.nlm.nih.gov/19101060/

"DXM": a new drug of. https://pubmed.ncbi.nlm.nih.gov/9624331/

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