Tag Archives: kratom

DXM and Kratom

Popular culture and media is bringing the issue of cough medicine abuse to light. Unfortunately, rather than presenting the dangers of abusing or mixing cough medication, many forms of media tend to glorify the drug. It is reported that 1 in 20 teens have taken DXM to achieve a recreational high. Some users choose to take the stance that its a ‘better’ addiction than alcohol or opioids- however, abusing any medication carries serious risks and consequences. Increasingly, people are experimenting with a combination of DXM and kratom.

What is DXM?

Dextromethorphan or more commonly known as a DXM is an over-the-counter (OTC) cough and cold medication. DXM is from a derivative of morphine, a very powerful opioid, but is not technically an opioid. Due to the effects it can have, it behaves like an opioid without the painkilling effects. It is effective at suppressing the average cough and creates some sedation which can help sick individuals relax or fall asleep. Unfortunately, when taken in much higher doses, DXM sometimes causes individuals to experience a euphoric high which is then sought after. 

According to the Drug Enforcement Agency (DEA), DXM is an antitussive (a type of medication used to stop a cough) found in over 120 cold medications (such as Vicks 44, NyQuil, Robitussin). The typical dosage is 15-30mg taken 3-4 times a day. When abused however, individuals can end up taking 100-1500mg a day. The DEA provides a ranking of “plateaus” which describes how users can manipulate different doses to achieve different effects.

  1. 100-200mg → Mild stimulation
  2. 200-400mg → Euphoria and hallucinations
  3. 300-600mg → Distorted visual perceptions, loss of motor coordination
  4. 500-1500mg → Dissociative sedation

The DEA will schedule certain drugs it deems to be dangerous and hazardous to the public’s health under its own classification system. For example, Methamphetamine is considered a schedule 1 drug and therefore is very dangerous. DXM is not classified under this system. It is typically found in liquid form but illicit websites and users have begun selling the drug in capsule or powder form.

DXM Side Effects

Some side effects of DXM include:

  • Sweating
  • Rashes or red, blotchy skin (not an allergic reaction)
  • Dizziness
  • Lethargy
  • Nausea and vomiting
  • Loss of coordination
  • Slurred speech
  • Impaired judgment
  • Reduced cognitive ability
  • Nystagmus, or rapid eye movements
  • Visual disturbances
  • Liver damage
  • Disorentiation

In high doses, the effects of DXM mimic those of Ketamine and PCP. A DXM overdose is possible if an individual takes enough of it. Given its suppressive effects, it can cause slowed breathing and critical organ function. 

How Long Does DXM Stay In Your System?

Testing for DXM is rare because of its common use as a cough suppressant. However, the drug can trigger false positives for PCP. DXM has a half-life of around 4 hours. A substance’s half-life is the time it takes for the chemical to reduce to 50% of its original size. Given its half-life elimination time, it can be assumed that most users can get rid of the chemical around 16.5 and 33 hours. While the chemical itself may be gone, this does not mean that traces cannot be tested for. 

DXM can be detected in:

  • Urine 24-48 hours after ingestion
  • Blood 3-24 hours after ingestion
  • Saliva does not apply as most OTC medications are taken orally
  • Hair up to 90 days after ingestion

What is Kratom?

Kratom is a plant found in Southeast Asia which is beginning to find its way into U.S. markets. Its leaves contain a chemical which produces a psychotropic (mind-altering) effect. The use of kratom is still pretty minimal in the U.S. but as of now, there is no nationwide ban or enforcement of the drug. In fact, most users can buy it online, although some states have banned the substance. According to the National Poison Data System, between 2011-2017 there were 11 deaths associated with kratom use.

dmx and kratom

Kratom’s effects are unpredictable. It is possible to use as a stimulant in lower doses, but can also have a heavy sedative effect when taken in higher doses. The lack of research on the effects of kratom makes it difficult to fully understand the negative side-effects. However, users can expect to experience:

  • Disrupted sleep
  • Increased energy and alertness
  • Drowsiness
  • Cough suppression
  • Pain reduction
  • Psychosis
  • Weight loss

While not all of these effects are necessarily negative, some negative short-term effects include:

  • Tremors
  • Dizziness
  • Nausea and vomiting
  • Constipation 

How Long Does Kratom Stay In Your System?

There is currently no drug test for kratom. However, the duration of the chemicals presence in your body lasts due to:

  • Frequency of use
  • Age
  • Genetics
  • Body fat
  • Metabolic rate
dxm and kratom

Mixing DXM and Kratom

It is possible to abuse both DXM and kratom to provide a sedative effect on the mind and body. While DXM may do a better job at this than kratom, mixing the two substances can greatly enhance the suppression effects. If taken at the same time, bodily function and critical organs may slow down to a dangerously low point, putting the user at risk of an overdose. The use of Naloxone has been proven to work against a patient overdosing on DXM and may save their life. 

Treatment

Cough syrup addiction and the tendency to mix it with other drugs as seen in popular culture presents a serious risk to those who do not understand the dangers. If you or a loved one is struggling with cough syrup abuse or addiction, please contact us today so we can begin the journey to a sober life.

Kratom and Alcohol

Kratom is a plant native to Southeast Asia. It is typically used for recreational purposes and has slowly made its way into the US market. Its leaves contain chemicals which produce a psychotropic (mind-altering) effect when ingested. While there is a lack of any known medical properties, there is currently no federal widespread ban on the drug. In fact, it is pretty easy to buy online in various forms. While it is not illegal in most states, that does not mean it can not be deadly or harmful. As many people consume alcohol, they will possibly mix Kratom and alcohol without realizing the potential risks.

Kratom 101

Kratom is the name given to the Mitragyna speciosa species of trees. It goes by several other names such as Biak, Ketum, Kakuam or Thom. In its native regions, Kratom is used as a painkiller and stomach medicine but has no legitimate medical use. It is typically found online in its powdered or capsule form, but the leaves can be eaten raw or crushed. 


The Drug Enforcement Agency (DEA) classifies drugs in the US under several schedules. A schedule 1 drug for example is considered to have a very high risk for abuse and has no accepted medical purposes. Drugs such as marijuana and heroin are considered schedule 1 drugs. The DEA however has not scheduled Kratom under any of its classifications. Still, the DEA has listed Kratom as a ‘Drug of Concern.’ There is a push to make the drug illegal in the U.S. and in fact, 7 states have so far made it illegal to possess or use.


In 2016, the DEA announced that it was going to place Kratom under a schedule 1 classification. However, later in the year, the agency withdrew their notice of intent and began “soliciting comments from the public regarding the scheduling of mitragynine and 7-hydroxymitragynine under the Controlled Substances Act”. There have been no significant updates since then.

kratom and alcohol

Kratom Side Effects

Kratom effects on the body can be unpredictable. In low doses, the drug acts as a stimulant, causing users to feel an increase in energy and alertness, but can also have sedative-like effects when taken in high enough doses. The two main compounds in the leaves, mitragynine and 7-a-hydroxymitragynine, bind to the opioid receptors in the brain which can cause sedation, a euphoric high and pain killing effects. 

Kratom presents similar properties as some opioids. One of the cases for making Kratom a controlled substance rather than outright banning it is because some believe it can be used to treat opioid addiction. While there still needs to be more clinical trials to prove this, there is a push to keep it legal in the U.S.

Significant research is still necessary on Kratom, and it is difficult to say with certainty what effects Kratom will have on users. In general, users can expect to experience:

  • Disrupted sleep
  • Increased energy and alertness
  • Drowsiness
  • Cough suppression
  • Pain reduction
  • Psychosis
  • Weight loss

While not all of these effects are necessarily negative, some negative short-term effects include:

  • Tremors
  • Dizziness
  • Nausea and vomiting
  • Constipation 
kratom side effects

Mixing Kratom and Alcohol

It is difficult to predict what the effects of mixing kratom and alcohol might be. Generally, mixing alcohol with anything is inherently dangerous. Mixing two or more drugs (also known as polysubstance abuse) will generally cause the effects of the one drug to enhance the effects of each other, in particular the negative effects. Kratom can present sedative or stimulant properties while alcohol is a central nervous system depressant.

Given that Kratom can enhance the effects of alcohol, mixing the two drugs can cause the depressive effects of alcohol to be enhanced and as a result lead to alcohol poisoning or death. According to the National Poison Data System, between 2011-2017 there were 11 deaths associated with Kratom use. Nine of those deaths involved other drugs such as alcohol, fentanyl, cocaine, benzodiazepines and even caffeine.

Additionally, substance use often lowers inhibitions and causes impaired judgement. The more substances are added, the more at risk someone might be for potentially serious consequences.

kratom and alcohol

Is Kratom Addictive?

There are two different types of addiction: chemical and psychological dependence. Given the similar effects to opioid drugs, it is very possible for an individual to become addicted to Kratom. It is still yet to be seen how severe Kratom addictions can be, as there lacks any clinical trials or an abundance of data to draw a conclusion from. Some users have reported becoming addicted to Kratom and have even experience Kratom withdrawal symptoms such as:

  • Muscle aches
  • Irritability
  • Hostility
  • Aggression
  • Emotional changes
  • Involuntary movements
  • Runny nose
  • Insomnia

You can also develop a tolerance to Kratom, where you will need to take more of the drug to feel the same effects.

How long does kratom stay in your system?

There are currently no specific drug tests to detect the presence of Kratom in the body, most likely due to the obscurity of the drug. However, like most other substances, the duration of the chemical traces in your body will depend on the following factors:

  • Frequency of use
  • Age
  • Genetics
  • Body fat
  • Metabolic rate

There is no known half-life for Kratom but one the primary alkaloids found in Kratom, mitragynine, has a half-life of around 24 hours. Essentially, it would take a person a full day to remove 50% of the alkaloid and the alkaloid can be detected in some drug tests. 

kratom and alcohol

Treatment

With the lack of research on Kratom, it may be easy to believe that the drug cannot be dangerous. Its lack of popularity is not due to medical acceptance as the drug can still be very dangerous when misused. Alcohol is legal and widely used, but also presents serious risk of misuse, abuse and addiction. More research is necessary on Kratom and alcohol, but it is better not to mix at all. Staying informed on the dangers can help keep you safe against abuse, addiction, or overdosing. If you or a loved one are struggling with addiction, please do not hesitate to contact us