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Cough Syrup Psychosis

Published online by Cambridge University Press:  11 May 2015

Alfred Amaladoss  and
Simon O'Brien
Alfred Amaladoss*
Affiliation:
Department of Psychiatry, Queen's University, Kingston, ON
Simon O'Brien
Affiliation:
Department of Psychiatry, Queen's University, Kingston, ON
*
Department of Psychiatry, Queen's University, Kingston, ON, K7L5G2; alfiamaladoss@yahoo.ca

Abstract

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Over-the-counter medications are widely accessible and used. Cough suppressant syrups contain dextromethorphan (DM), which has the potential to be abused, with resultant psychiatric symptoms. This case report describes a young woman presenting with psychotic mania secondary to DM abuse. We also describe the treatment of this toxidrome and include the results of a literature search on this topic. The recognition of cough syrup as an agent of abuse and its toxidrome is important. This will facilitate early diagnostic clarification and promote efficient treatment strategies.

Keywords

cough syrupdextromethorphanpsychosissubstance abuse
Type
Case Report • Rapport de cas
Information
Canadian Journal of Emergency Medicine , Volume 13 , Issue 1 , January 2011 , pp. 53 - 56
Copyright
Copyright © Canadian Association of Emergency Physicians 2011

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