Cough and cold medicines, both over-the-counter (OTC) and prescription, are being abused more often than ever. They are popular among young adults, who use them as an alternative, or in combination with street drugs or alcohol. Many of these medications can cause hallucinations or feelings of euphoria. Some people who abuse cough and cold medicines may take them in huge doses, which can cause serious health problems or even death.
If you or a loved one struggles with cough syrup abuse, breaking the cycle of addiction early is critical for a successful recovery. At Northpoint Recovery, our personalized substance abuse treatment plans help build the recovery skills to succeed in sobriety.
Why Do People Abuse Cough Syrup?
Cough syrup is easy to obtain and relatively inexpensive. It is also often seen as a “safe” drug since it is legal. Many cough and cold medicines contain dextromethorphan (DXM), which can lead to a desirable high.
Popular cough medicines containing DXM include:
- Robitussin
- Triaminic
- Alka-Seltzer Plus cold medicine
- Vicks NyQuil
- Coricidin
Some prescription cough syrups contain codeine, which is a mild opioid. Despite being mild, codeine is still highly addictive and especially popular in hip hop music, where it is referred to as “syrup.”
DXM and codeine can both cause highs that drive people who abuse them to continue seeking higher doses as their tolerance grows.
Signs of Cough Syrup Abuse
Abusing cough syrup is the first step in the addiction cycle. While not all substance abuse is an addiction, a person can easily slip into a vicious cycle. People who begin abusing cough syrup are more at-risk of abusing other substances and struggling with addiction.
Look for the signs of cough syrup abuse, including:
- Sudden changes in mood or behavior
- Sloppy appearance
- Lying or being secretive
- Withdrawing from friends and family
- Missing school or work
- Poor performance in school or work
- Increased irritability
Recognizing the signs of cough syrup abuse can help save lives. As the cycle of abuse continues, higher doses are often sought to get high, which can easily result in an overdose.
Dangerous Doses of Cough Syrup
People who abuse cough syrup may take far higher doses than recommended. This can lead to dangerous side effects, including:
- High blood pressure
- Rapid heart rate
- Dilated pupils
- Nausea and vomiting
- Loss of coordination
- Slurred speech
- Dizziness
- Hallucinations
- Seizures
- Coma
Cough syrup can be easy to overdose on, especially for people with high tolerances. Overdosing on cough syrup is a medical emergency and requires immediate assistance. The number of people who overdose on cough syrup is on the rise, as is the number of fatalities. In 2015, there were 1,379 deaths from DXM overdoses in the United States.
Recognizing a Cough Syrup Overdose
If you suspect that someone has overdosed on cough syrup, it is crucial to seek medical help right away. Symptoms of a DXM overdose include:
- Agitation
- Confusion
- Delirium
- Loss of consciousness
- Muscle rigidity
- Nausea and vomiting
- Rapid heart rate
- Seizures
- Slurred speech
Medical professionals can treat a cough syrup overdose with activated charcoal, which can absorb the DXM and reduce its toxicity. If necessary, they may also administer fluids or other medications to stabilize the person’s heart rate and blood pressure.
Cough Syrup Detoxification
Once a person stops taking cough syrup, they may experience withdrawal symptoms. These can include:
- Anxiety
- Agitation
- Diarrhea
- Fatigue
- Headache
- Sweating
- Tremors
Cough syrup withdrawal is usually not life-threatening, but it can be uncomfortable. Because of this, it is often best to detox under medical supervision, which will ensure any complications can be quickly addressed.
FAQs About Cough Syrup Abuse (Adult-Focused)
1. What types of cough syrup are most commonly abused?
The most commonly misused types contain dextromethorphan (DXM), found in many over-the-counter brands, or codeine, which is available in prescription cough syrups. Both can produce a high when taken in large doses, but codeine also carries the risk of physical dependence.
2. Is abusing cough syrup as dangerous as using street drugs?
Yes. While it may seem safer because it’s legal and easy to access, high doses of DXM or codeine can be just as dangerous as street drugs—causing hallucinations, overdose, organ damage, and even death, especially when mixed with alcohol or other substances.
3. Can you get addicted to DXM or codeine?
Absolutely. Codeine is an opioid, and long-term use can lead to physical and psychological dependence. DXM can cause psychological addiction, where the person feels like they need it to escape, relax, or function in daily life.
4. How does cough syrup abuse typically start in adults?
It often begins with self-medicating—using more than the recommended dose to manage stress, anxiety, sleep issues, or physical discomfort. Over time, tolerance builds, and the person may start using it regularly for the sedative or euphoric effects.
5. What are the signs someone is misusing cough syrup?
Some signs include frequent purchases of cough medicine, empty bottles in unusual places, slurred speech, unsteady movements, mood swings, excessive sedation, or cognitive problems. You may also notice them avoiding responsibilities or withdrawing socially.
6. What are the long-term health risks of abusing cough syrup?
Chronic misuse can lead to liver damage (especially if the syrup contains acetaminophen), kidney problems, memory loss, depression, or respiratory issues. With codeine, there’s also the risk of opioid withdrawal and overdose.
7. Can cough syrup interact dangerously with other medications or alcohol?
Yes. DXM and codeine are both especially dangerous when mixed with alcohol, sedatives, or antidepressants, as they can cause slowed breathing, loss of consciousness, or death. Even mixing with common medications can increase the risk of side effects.
8. Is professional treatment necessary for cough syrup addiction?
In most cases, yes. Detoxing without support can be physically and emotionally difficult, especially with codeine. A structured treatment plan can help manage withdrawal symptoms, address underlying issues, and provide tools for long-term recovery.
9. How can I talk to someone I care about who’s abusing cough syrup?
Approach them with compassion and clarity. Focus on what you’ve observed, how it’s affecting them, and why you’re concerned. Offer support, not shame. Let them know that treatment works and that you’re willing to help them find the right kind of care.
Cough Syrup Rehabilitation at Northpoint Recovery
After detox, it is essential to begin working on underlying issues that may have contributed to cough syrup abuse. At Northpoint Recovery, our individualized treatment plans address each client’s unique needs. We offer a variety of therapeutic approaches, including:
- Cognitive-behavioral therapy
- Dialectical behavior therapy
- Motivational interviewing
- Family therapy
- Trauma-informed care
Your success in sobriety is our goal. We work with you to develop a flexible therapy schedule that helps maintain normalcy while still building the skills needed to recover. Contact us to start getting the support you need.