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Cough syrup psychosis.

Alfred Amaladoss1, Simon O'Brien

  • 1Department of Psychiatry, Queen's University, Kingston, ON, Canada. alfiamaladoss@yahoo.ca

CJEM
|February 18, 2011
PubMed
Summary
This summary is machine-generated.

Dextromethorphan (DM) in cough syrup can be abused, leading to psychotic mania. Recognizing this cough syrup toxidrome is crucial for early diagnosis and effective treatment of psychiatric symptoms.

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Area of Science:

  • Pharmacology
  • Psychiatry
  • Toxicology

Background:

  • Over-the-counter (OTC) medications, including cough suppressants, are widely accessible.
  • Cough suppressants containing dextromethorphan (DM) have a potential for abuse.
  • Abuse of DM can lead to significant psychiatric symptoms.

Observation:

  • This case report details a young woman who developed psychotic mania.
  • The patient's symptoms were directly attributed to the abuse of dextromethorphan (DM) cough syrup.
  • The clinical presentation and management of this specific toxidrome were observed.

Findings:

  • Dextromethorphan (DM) abuse can precipitate severe psychiatric conditions, including mania and psychosis.
  • The literature search revealed a pattern of psychiatric symptoms associated with DM abuse.
  • Successful treatment strategies for DM-induced toxidrome were identified and applied.

Implications:

  • Recognizing cough syrup abuse and its associated toxidrome is critical for timely diagnosis.
  • Healthcare providers should be vigilant for dextromethorphan (DM) abuse in patients presenting with psychiatric symptoms.
  • Efficient treatment protocols for DM abuse can improve patient outcomes and reduce healthcare burdens.