When you drink alcohol, your liver works to break down the alcohol and remove it from your body. Similarly, when you take Dayquil, your liver works to break down the active ingredients in the medication so that they can be eliminated from your body. However, when you consume both alcohol and Dayquil at the same time, your liver has to work even harder to metabolize both substances, which is damaging to liver cells. Abuse of over‐the‐counter (OTC) drugs is a well‐recognized social problem in adolescence. We report this case presentation to raise awareness about the hazards of OTC drugs and to discuss clinical pharmacological pathology.
- Dextromethorphan, also known as DXM, is a cough suppressant used in many common cough and cold medicines.
- All information comes directly from medical research, reliable news sources, and people who have abused DXM.
- Others mix DXM and alcohol or other substances to try to get high.
- DXM also affects serotonin — a complex neurochemical best known for its role in mood and cognition.
- If you are taking dextromethorphan oral liquid or extended-release oral suspension, use an accurate measuring device to measure your dose, such as a dosing cup provided with the medicine.
- The effects of DXM are all exacerbated by alcohol since they both bind to NMDA receptors.
- Alcohol is classified as a central nervous system (CNS) depressant.
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Mixing DXM (dextromethorphan) with alcohol can be dangerous and is not recommended. Both substances can have sedative effects on the central nervous system (CNS), which can lead to increased drowsiness, dizziness, and impaired coordination. This combination can also cause respiratory depression, which is a potentially life-threatening condition that occurs when breathing slows down or stops altogether. In addition, both DXM and alcohol are metabolized in the liver, and combining them can increase the risk of liver damage or failure. Additionally, mixing these substances can increase the risk of overdose or death. It is important to always read the label and follow the instructions for any medication, and to avoid drinking alcohol while taking medication unless directed by a healthcare professional.
- The accessibility of DXM leads many to underestimate its dangers compared to illegal drugs.
- At the age of 22, because of the COVID‐19 pandemic, he was fired, and the quantity of alcoholic drinks was increased to 128 g of pure alcohol per day.
- The hyperthermia that can result from mixing DXM and alcohol can cause coma or damage to the brain.
- A DXM overdose can be fatal when combined with other substances, including alcohol.
- Although DXM is structurally similar to opioids, it works on different receptors in the brain than opioids.
- Mixing DXM (dextromethorphan) with alcohol can be dangerous and is not recommended.
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Heavy drinking alcohol and dextromethorphan should always be avoided when taking standard doses of dextromethorphan for cough suppression. Reading product labels carefully and not exceeding the recommended dosing is important. While risks for alcohol use during pregnancy are well known, the effects of DXM use in pregnancy aren’t clear.
The Severe Risks of Mixing DXM and Alcohol
Combining alcohol with any medication that has sedative properties like DayQuil increases the risk of respiratory depression and loss of consciousness. Cough drops work by coating the throat with an ingredient like menthol or eucalyptus to temporarily numb nerve endings that trigger coughing. Other ingredients may also work to thin mucus secretions or soothe inflammation in the throat. While most cough drops simply provide symptomatic relief, some contain the active ingredient dextromethorphan which acts on the brain to suppress the cough reflex. When taken as directed, most cough drops are safe to use even for extended periods of time.
Dextromethorphan (DXM) and Alcohol: a Dangerous Interaction
Do not stop using any medication without first talking to your doctor. If someone is regularly mixing DayQuil with alcohol or showing signs of substance use disorders or addiction, it’s essential to seek help from a healthcare professional or addiction specialist. Alcohol is a depressant that can cause physical dependence in some people who use it regularly. This is commonly referred to as alcohol addiction or alcohol abuse. When a person chooses to stop drinking after prolonged use, they may experience withdrawal symptoms such as tremors, sweating, nausea, anxiety, or seizures. These symptoms can be intensified when combined when taking DayQuil.
However, he could not bear the environment and group living, and was discharged from the hospital without completing the program. After discharge, he continued outpatient visits to be prescribed zolpidem 5 mg for insomnia. We started acamprosate 999 mg/day medication and motivational therapy.
Acetaminophen is a pain reliever and fever reducer that is commonly found in over-the-counter medications such as DayQuil and Tylenol. Alcohol consumption while taking acetaminophen can increase the risk of liver damage or failure, as both substances are metabolized in the liver. The combination can also increase the risk of gastrointestinal bleeding, stomach ulcers, and kidney problems. Mixing phenylephrine and alcohol can be dangerous as they can increase the risk of side effects such as dizziness, lightheadedness, and impaired coordination. Phenylephrine is a decongestant that works by narrowing blood vessels in the nasal passages to relieve congestion. In addition, drinking alcohol while taking phenylephrine can also increase the risk of high blood pressure and heart problems.