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Rhode Island Special Investigation: Kids Abuse Cold Medication

Ingredient In Coricidin Produces High
Most parents worry about their children using illegal drugs, things like marijuana and cocaine.
But Health Check 10 has learned of a new concern. Teens are abusing seemingly harmless cold medications; one in particular. Some have died as a result.

Triple C. Skittles. Cory. Dex.


They're all names for one over-the-counter drug: Coricidin HBP Cough & Cold. It's a medication that's gaining in popularity among teens but not for its medicinal benefits.

"My friends started telling me there is this new drug that I can take that won't show up on drug tests and basically it gets you really high," said one teenager, whose name News Channel 10 withheld.

What is getting kids really high is an ingredient in Coricidin: dextromethorphan, or DXM.

"DXM, when overdosed, stimulates a part of the brain that is very similar to those receptors stimulated by LSD so you get a dissassociative, an out-of-body kind of experience," said state Sen. Leo Blais, who's a pharmacist.

DXM is a cough suppressant and can be found in dozens of over-the-counter cough and cold medications: Nyquil, TheraFlu, Robitussin, Comtrex and Vicks 44, just to name a few.

So why is Coricidin the problem?

"Coricidin HBP has 30 milligrams of dextromethorphan per tablet. It's the most concentrated dosage form of dextromethorphan on the nonprescription market today," Blais said.

Sharon Morello, administrator for substance abuse treatment for the state of Rhode Island, said since January, the poison control center in Massachusetts has received 22 calls from Rhode Island regarding dextromethorphan.

Last year, the regional poison control center received 110 calls of dextromethorphan misuse from Rhode Island. It handled more than 1,000 calls from Massachusetts.

Morello said there were probably many more calls that were never made.

Morello said the problem is, "It's not illegal."

And information on the drug is unbelieveably easy to get.

Online, all you have to do is type in the word "dextromethorphan," "Coricidin," or "DXM" and you'll find many thousands of Web sites --some of them warnings about the misuse of this cough suppressant, but many more on how to use it to get high.

Coventry police officer Bob Sturdahl works at the town's high school. His first, first-hand experience with an overdose was last December at the school.

"The young lady that I dealt with, she was very irrational, delusional" and panicky, Sturdahl said. "She was on a PCB-type of high where she was very euphoric and then she became combative and eventually she became unresponsive and had some respiratory distress."

This particular drug sits in the same part of the brain as codeine does and other opiates, Morello said.

"High doses of codeine and other opiates sitting in that particular part of the brain will cause respiratory depression, which is usually the overdose that happens with death imminent," she said.

Kids have died from overdosing on DXM. While it's not considered an addictive drug, kids are becoming addicted.

"As much as I wanted to quit, it still wants me to keep going," the teenager said.

"His addiction and his use of the product has been on going for years," said an unidentified father. This dad spoke to News Channel 10 in the shadows and so does this 16-year-old drug user.

"Every time I did it, I did it with friends because I was scared, I was gonna do something stupid like kill myself or hurt somebody else," he said.

Both are talking about abuse of this over-the-counter medication: Coricidin HPB Cough & Cold. And while they speak in the dark, they want to put the spotlight on this growing problem.

"He's addicted to this product," the father said.

It's the dextromethorphan or DXM that's the problem. DXM is a cough suppressant that can be found in many products, but is most concentrated in the Coricidin Cough &Cold.

"The normal dosage is 10 to 20 milligrams in an adult but in Coricidin it's 30 milligrams," said pharmacist Leo Blais.

It's not uncommon for a teen addicted to DXM to take 30 tablets at a time. They'd have to drink about two bottles of Robitussin to get the same effect.

That's why Coricidin is usually the drug of choice.

This dad said his son has used up to 40 tablets of the Coricidin at a time to get what can be described as an LSD type of high. He said his son has gone from an athletic above-average student, "to failing the 8th, 9th and now the 10th grade."

"The two teens that I spoke with said that they used it once and they felt that they were dying."

Claire Silva is the coordinator for the Coventry Substance Abuse Prevention task force. She's been aware of the problem for several months now and thinks everyone, especially parents should be aware.

"Look for signs, look for, you know, eratic behavior or, just changes from how they were to now," said Silva. "Look for empty packages. And if you think a typical drug test will detect it, you're wrong."

"We're talking about an over-the-counter medication that doesn't show up in urine screens," said Sharon Morello of the Rhode Island Department of Health.

There is a specific urine screen for DXM but it has to be requested. That's where parents can help make a difference and speak up.

And health care providers, too, need to know to ask about or suspect a DXM overdose if other drugs aren't detected. Not detecting it can be deadly.

"You can have convulsions, seizures...>>

As a state senator, Leo Blais says he can't do anything about it legislatively but as a pharmacist and owner of the Pawtuxet Valley Prescription and Surgical Center in Coventry, he can and has taken Coricidin Cough and Cold off the shelves and replaced it with a sign to see the pharmacist.

State health officials said they plan on asking all pharmacies to do the same thing, calling this a significant public health issue.

"We're calling upon schools to work with their local prevention task forces to provide education around their abuse and especially education to parents as well," said Craig Stenning of the Rhode Island Department of Health.

This dad says the news can't get out fast enough, especially if it helps other families avoid what his son is going through.

"Effectively, he's checked out of life," he said.

News Channel 10 contacted the makers of Coricidin, the Schering-Plough company. The company said it's concerned about reports of abuse and that it is "co-chairing an industry task force" that is "working with the Partnership for a Drug Free America to develop educational materials, including an online initiative to educate teens."


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