December 19, 2006

silhouette3.JPG From the desk of Jane Galt:

Speaking of mind altering substances . . .

This morning on the news there was a short piece on kids "robotripping" on Robitussin, or taking Coracedin (sp?) cold and cough, which in the delightful parlance of these young pharmaceutical explorers, is known as "triple-C".

Okay, so I don't want to make myself sound too wild, but I must admit, I've had colds where I sucked down Robitussin like fine champagne. I recall it soothing my cough and making my headache better. But I don't recall any interesting neurological side effects. What was I missing? Is this real, or is this like the kid in my high school class who had half a can of beer at his brother's graduation party and managed to convince himself, and his gullible friends, that he was drunk?

Posted by Jane Galt at December 19, 2006 3:03 PM | TrackBack | Technorati inbound links
Comments
Posted by: Joe Grossberg on December 19, 2006 3:55 PM

I think intoxication is a combination of physical effect and psychological mindset.

Hence, high school kids getting "so wasted, maaan" off of oregano, or having to deal with a hassle "killing" one's high.

If you're not in the mindset of getting intoxicated, the Robitussin will have less of an effect. If you are receptive to those effects, they'll be more pronounced.

A cousin of the placebo effect, perhaps. Narcotic drugs also affect us, with more or less power, depending on how we view them.

Posted by: Eric J on December 19, 2006 4:23 PM

No, Dextromethorphan is definitely a psychotropic substance at the right dosages. About a full bottle for a somewhat narcotic effect, and more than that for a reality-altering psychedelic experience.

Coricidin can also have psychotropic effects, but is really nasty, toxic stuff at those dosage levels.

Check out http://www.third-plateau.org/faq/dxm_faq.shtml

Posted by: anon on December 19, 2006 4:26 PM

Eric J is right. You need to slug down at least a whole bottle of 'Tussin to get the intended effect. It also helps if you haven't eaten in a while - like a day.

Posted by: bob mcmanus on December 19, 2006 4:27 PM

Look up Dextromethorphan on Wikipedia. I take for allergies a pill containing 15 mg every day, at bedtime because it makes me slightly sleepy.

Recreational use is about 200 mg, my guess that is two bottles of Robitussin at once. Lethal dose is 50-500mg/kg of weight. So imagine taking 1000mg, or twenty bottles.

Posted by: Derek Lowe on December 19, 2006 4:30 PM

The target of abuse is the anti-coughing active ingredient in these things, namely dextromethorphan. It's in the same structural series as the opiates, but it has an odd binding profile on several CNS receptor families, such as several of the serotonin and nicotinic receptors. It also hits the sigma-1 site, whose function people have been arguing about for years.

Taken in large doses, at least ten times the amount recommended for cough, the compound does seem to lead to various hallucinatory effects in some people. Others seem to feel horribly sick, and some lucky users apparently get both at once.

This has been a problem for years now - here's a literature citation from 1993.

Two CNS receptor-based comments on your blog in one day! Maybe I should write about economics?

Posted by: Byrne Hobart on December 19, 2006 4:30 PM

Here's a decent, somewhat literate guide. Apparently it's only a powerful psychoactive if you drink a lot

Posted by: Njorl on December 19, 2006 4:30 PM

It hasn't really been an increasing problem. Since the replacement of codeine with DXM, overdoses have remained fairly constant. From what I've read, the effect is real, but not very pleasant. It is achieved by taking 10-20 times the recommended dosage at a time.

Often, the drug is difficult to abuse because of the additives. You vomit before you can take too much. Lately, people have been extracting the DXM from the cough syrup and making it into pills. This will allow a clever and determined idiot to more easily harm him or her self, so it might become a problem.

One reason that you might not have noticed any "high" is that it is very much like being sick. You get all the joys of nausea, dizzyness, confusion and a fever - your cough, however, will go away.

Posted by: wkwillis on December 19, 2006 8:27 PM

Different people have different membrane characteristics. My family has trouble with gluten, nitrous oxide, nitrogen narcosis (different phenomena), and fluorides.

Posted by: Leah Ingrid MacLennan on December 19, 2006 8:29 PM

Awful stuff, one table spoon of it is all I can take. How many bottles does it take before you get a buzz on? Leah

Posted by: Justin on December 19, 2006 9:23 PM

Leah: one bottle. They also make pills and sell them in stores, which have the same active ingredients (and effect).

Posted by: triticale on December 19, 2006 9:24 PM

I first abused the stuff, in the long-gone Romilar, in 1968. It is difficult to find DXM by itself anymore, and anytime you consume enough blended medicine to get the effects you are getting a really nasty overdose of the other drugs. I'd rather throw up peyote and not get off, than throw up DXM and get off, as it invariably produces shoulder-wrenching dry heaves. Given the ready availability of the vastly safer psilocybin mushrooms these days, the main reason for people to experiment with DXM is prohibition induced lack of connections.

Posted by: Eric J on December 19, 2006 9:53 PM

For a while, back in the Wild West days of the Internet, (1996-2000) there were a number of "Research Chemical" wholesalers who were selling pure USP DXM in powdered form. (In addition to quite a few other exotic compounds that weren't quite illegal.)

Posted by: Bob DObalina on December 20, 2006 12:29 AM

Given the ready availability of the vastly safer psilocybin mushrooms these days, the main reason for people to experiment with DXM is prohibition induced lack of connections.

I wish I knew how to find shrooms. They're not readily available to me, and I'm a student who runs with the kool kidz!

Posted by: bristlecone on December 20, 2006 9:30 AM

Abuse of cough medicine has been a staple of Houston, TX hip hop culture for years. It's called "Purple Drank" or "Lean" and influenced(along with Houston's heat and car culture) for the style of music popularized by DJ Screw, Paul Wall, Mike Jones, et al. in the same way that LSD influenced for psychadelic music.

DJ Screw died, btw, in 2000 from this, perhaps in conjunction with other substances.

I thought that Purple Drank was Codeine and Promethazine, not Dextromethorphan.

Posted by: Bona Fide on December 20, 2006 10:06 AM

How is it that this comment thread has come this far without mention being made of the "Flaming Homer"?

Posted by: Half Canadian on December 20, 2006 12:41 PM

Some time near the end of Brian Mulroney's tenure as Prime Minister of Canada, a book was published alleging that he made recreational use of Nyquil.

I like the stuff because it helps me sleep when I'm sick, but I figured that was because it was 40 proof (granted, I don't drink, so that probably helped).

Posted by: Christina on December 20, 2006 1:51 PM

My first drug experience was drinking a bottle of Robitussin DM at a New Years party in the 10th grade. As someone who had always shied away from taking the stuff for legitimate reasons, I had a hard time gulping it all down. But once it was in me, I felt it. The closest approximation to the feeling is smoking boat (marijuana laced with PCP). It's a foggy experience.

Subsequent to my first try, I bought a bottle of the generic version (Tussin), but it did nothing for me, and the awful taste convinced me that I was done Robotripping.

Posted by: RMc on December 20, 2006 2:12 PM

A whole thread on Robitussin, and nobody's mentioned Chris Rock? I'm shocked.

Posted by: Janine on December 20, 2006 9:06 PM

Just a note that I think other commenters have alluded to but not explicated: not every bottle of cough syrup is psychoactive. The "desired" chemical here is dextromethorphan - DXM. It's in Robitussin DM but not regular Robitussen.

Posted by: Paul on December 20, 2006 11:57 PM

Poor Man's PCP - Check out this piece that appeared in Harpers Magazine in 1993:

http://nepenthes.lycaeum.org/Drugs/DXM/poormanspcp.html

Excerpt:
"It was difficult to remember how to perform a money-for-merchandise transaction and even more difficult to put it into words, but I was eventually successful. I ate the hamburger slowly and deliberately. If I had become full before I finished the hamburger, I think I would have simply let it fall from my hands."


Posted by: Townleybomb on December 21, 2006 10:45 PM

Another important point for anyone who reads libertarianish econ blogs for party hints: be very careful to take products that contain only DXM as the active ingredient if you decide to tuss up. Several common OTC drugs (in particular acetominophen) are highly toxic in the large doses you'd get from a full bottle.

Not that it's all that exciting-- all I've ever been able to get is a clearer-headed drunkenness. It's supposedly similar to ketamine in very large doses, but no way will you want to drink that much unless you're extraordinarily hard up. You're better off ordering salvia if you're looking to batter down those doors of perception in a safe and legal manner.

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