can dextromethorphan cause insomnia

information highlighted below and resubmit the form. The medication you're taking could be to blame. Memory issues. Before taking dextromethorphan, tell your doctor if you are using any of the following drugs: medicines to treat high blood pressure; or. In 2016, over 17% of American adults reported taking at least one drug that listed sleep disturbances as a side effect. ACE inhibitors can also cause potassium to build up in the body (another type of electrolyte imbalance) and lead to diarrhea, as well as leg cramps and achy joints, bones and muscles all of which can disturb normal sleep. Avoid drinking alcohol. Researchers have found that fat-soluble statins which include Lipitor, Mevacor, Vytorin and Zocor are more likely to cause insomnia or nightmares because they can more easily penetrate cell membranes and make their way across the blood-brain barrier, which protects the brain from chemicals in the blood. Examples: citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva) and sertraline (Zoloft). Yes, false-positives for PCP or opioids can be triggered but only in rare DXM abuse . Last updated on Feb 22, 2022. Alternatives: If you're among the millions of older Americans who haven't been diagnosed with heart disease but are taking these drugs to lower your slightly elevated cholesterol, ask your doctor or other health care provider about making changes to your diet and getting regular exercise instead of using statins. Call your doctor for medical advice about side effects. Dextromethorphan (DM) is a neuroprotective agent which has been used in the treatment of neuropsychiatric disorders. Follow your doctor's orders or the directions on the label. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Restlessness and insomnia are common withdrawal symptoms. Most prescription sleeping pills are categorized as benzodiazepines or nonbenzodiazepines. CNS depressants such as ethanol (drinking alcohol) will have a combined depressant effect, which can cause a decreased respiratory rate. [1] Dextromethorphan is also a commonly abused drug because of its euphoric, hallucinogenic, and dissociative . Dextromethorphan (DXM) is in several over-the-counter cough and cold meds. Dextromethorphan, or DXM, is a cough suppressant abused for its hallucinogenic effects, but in high doses it can cause addiction and even death. It's also more common in certain groups than others. A series of studies found that common herbal medicines, like valerian, did not significantly improve symptoms of insomnia, although some participants reported side effects. Examples: donepezil (Aricept), galantamine (Razadyne) and rivastigmine (Exelon). clozapine. These drugs relax certain muscles and help keep small blood vessels open. insomnia (trouble sleeping) anxiety; Can occur with both Nuedexta and Prozac: Over-the-counter cold medications often contain a decongestant drug called pseudoephedrine, which can reduce nasal congestion. Dextromethorphan is a cough suppressant. We describe common medications that may cause insomnia or disrupt sleep architecture. 1 DXM has a long history of efficacy and safety in suppressing cough when used in therapeutic doses but it is also misused for recreational purposes, as it can cause a high. If you're ready for more sign up to receive our email newsletter! Diaphoresis (constant sweating) Tremor or Shaking. Why they're prescribed: Beta-blockers are typically prescribed to treat hypertension (high blood pressure) and arrhythmias (abnormal heart rhythms). Insomnia not only saps your energy and affects your mood, but also can put your health, work performance and quality of life on a downward spiral. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. It is FREE! These can include physical ones like nausea, insomnia, and dehydration. Second-generation H1 antagonists, also known as nonsedating antihistamines, do not have the same side effects as first-generation antihistamines, such as diphenhydramine (Benadryl), which suppress the central nervous system, causing severe drowsiness. Dextromethorphan is a cough suppressant.It affects the signals in the brain that trigger cough reflex.. Guaifenesin is an expectorant.It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth.. Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Examples: cortisone, methylprednisolone (Medrol), prednisone (sold under many brand names, such as Deltasone and Sterapred) and triamcinolone. Some beta blockers are fat soluble, which means that they are stored in the bodys fats and tissues. It is unknown whether dextromethorphan is harmful to an unborn baby. Some may alter sleep architecture by preventing REM sleep and lengthening the amount of time spent in stage 3 sleep. . We can help you find the best treatment centers in the nation. In addition, some people who take prescription sleeping pills find themselves sleepwalking or performing actions like driving, talking, and eating while they are not fully awake. Studies show that statins can interfere with muscle growth by inhibiting the production of satellite cells in the muscle. There are other medications available that are safer for young children. The incidence is believed to correspond to the increase in serotonergic agents prescribed. Cough syrup contains dextromethorphan, which is a psychotropic substance that can cause dependency and withdrawal symptoms. Feedback like yours helps us make The Sleep Doctor the most helpful site it can be. Freedom from addiction begins with American Addiction Centers (AAC). Read the label of any other medicine you are using to see if it contains dextromethorphan. Whether they cause drowsiness or insomnia, most antidepressants affect sleep. These conditions include gastrointestinal distress, frequent urination, lung disease and heart conditions. How to Help a Person with Dextromethorphan Addiction. A different privacy policy and terms of service will apply. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Beta blockers treat high blood pressure by slowing the heart rate. Researchers estimate that up to 25% of people who use nonbenzodiazepines experience these behaviors, particularly those who take higher doses of a medication. Keep in mind that the drug's effects can vary depending on the dosage. information is beneficial, we may combine your email and website usage information with You or your loved one may be covered for treatment. If your condition is accompanied by fluid retention, your doctor may consider adding a low dose of a long-acting loop diuretic, such as torsemide. . Theoretically, Baikal skullcap might increase levels of drugs metabolized by CYP2C19 enzymes. The amount of medicine that you take depends on the strength of the medicine. Please help me, I am desperate. 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Those who try to quit smoking may experience trouble sleeping, nightmares, and restlessness as their bodies adjust. (Hytuss, Mucinex, Naldecon Senior EX, Robitussin) Dextromethorphan, a cough suppressant (Benylin Adult, Robitussin Maximum Strength Cough, Scot-Tussin DM, Vicks 44 Cough Relief . Dextromethorphan is a drug used in many over-the-counter cough and cold medicines for its antitussive effects. If you miss a dose of this medicine, take it as soon as possible. How they can cause insomnia: In varying degrees, all H1 antagonists block acetylcholine, a nervous system neurotransmitter, and thus can cause anxiety and insomnia. These treatments deliver nicotine into the bloodstream and prevent cravings and withdrawal symptoms. Many arthritis supplements contain glucosamine and chondroitin, both of which are regulated by the Food and Drug Administration as a food rather than a drug. Information contained in the Ask the Pharmacist column by Dr. Armon B. Neel Jr. is intended to help individuals and their families become more informed about medication usage and interactions, and be better health care consumers. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Dextromethorphan (DXM or DM) is commonly used to suppress coughing. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. However, its safety for use in therapeutic doses does not translate to safety for recreational use.. Most cases of chronic insomnia are secondary. At 1500 mg or more, a person is likely to overdose on dextromethorphan. 1. Do not start using a new medication without telling your doctor. Some advice I have to offer. How they can cause insomnia: People often ask why a drug that reduces inflammation would keep them awake. Learn more about the side effects of dextromethorphan use. Some other common side effects that nasal decongestants can cause include insomnia, nervousness, anxiety and tremor. Although insomnia is not a listed side effect of the cough suppressant dextromethorphan, this drug can trigger restlessness and agitation. Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding. A nightly dose of melatonin may also help. Brompheniramine-dextromethorphan-pseudoephedrine is an oral syrup used to treat symptoms such as nasal congestion or cough that are caused by allergies or the common cold. Our 12 Panel urine drug test can detect PCP. Cold medicines and decongestants. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Dextromethorphan received FDA approval in 1958 for its use as a cough suppressant. Our self-assessment may be helpful in recognizing substance abuse in yourself. However, many medications, from cold and flu remedies to cancer treatments, can cause insomnia, making it hard to fall or stay asleep. Liver diseaseDextromethorphan may build up in the body and cause unwanted effects. Although one study found that B complex could successfully treat insomnia when used in combination with other treatments, like melatonin, other studies have found that it actually increases insomnia symptoms. Children 6 to 12 years of age30 mg every twelve hours, as needed. Other forms, such as the patch or gum, may cause sleep problems, vivid dreams, and nightmares. Many people find that cognitive behavior therapy works just as well as medication. There is possibility for. Our trained treatment admissions specialists will evaluate your situation and give you information on the best possible rehabilitation for you. It is not known whether this drug combination can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. During healthy sleep, people cycle through three stages of non-rapid eye movement sleep and one stage of rapid eye movement (REM) sleep multiple times each night. Insomnia problems after quitting (non-heavy smoker), The best natural sleep aids for treating chronic insomnia. Examples: alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), silodosin (Rapaflo), terazosin (Hytrin) and tamsulosin (Flomax). If we combine this information with your protected Avoid loud activities and difficult discussions, as well as heavy, fatty . Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Does anyone else have insomnia after taking Dextromethorphan? Use dextromethorphan exactly as directed on the label, or as it has been prescribed by your doctor. 2023 eHealthMe.com. Strong Cravings for Dextromethorphan. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. Case report: The patient was found to have bilateral ureteral obstruction and acute renal failure, suspected to be secondary to precipitation of medication metabolites in the urine. A low dose of a long-acting loop diuretic such as torsemide may also be desirable. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. If you are struggling with DXM addiction, please call {"props":{"scalar":"","helpline":"true"},"children":""} to discuss treatment options. We study millions of patients and 5,000 more each day. While these drugs are highly effective in restoring an effective breathing pattern, they can lead to unwanted side effects. Fatigue and Lethargy. This medicine is available without a prescription. For example, benzodiazepines can worsen symptoms of obstructive sleep apnea. The dose of this medicine will be different for different patients. A 2010 survey of Consumer Reports subscribers found that among those who identified osteoarthritis as one of their most bothersome conditions, yoga and massage were rated twice as helpful as glucosamine and chondroitin. The study uses data from the FDA. 8. Combining dextromethorphan with other substances can compound risks. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Death can occur from the misuse of cough and cold medicines in very young children. These other drugs contained in the cold medicine can be harmful to your health if taken in high dosages. Analyzing the Pros and Cons of Taking . All rights reserved. Alternatives: If you're taking an ACE inhibitor for a cardiovascular problem, talk with your doctor or pharmacist about possibly switching to a benzothiazepine calcium channel blocker, another form of blood-pressure medication that is often better tolerated by older adults. Acetaminophen can cause liver damage in doses around 150 mg. Liver damage can cause serious, lasting effects, especially if drug use is chronic. drowsiness or dizziness. Dextromethorphan Withdrawal Symptoms. Taking high doses of DXM, for example by ingesting excess amounts of cough syrup, can lead to: In addition, research has shown that repeated administration of high doses of DXM to rats in their adolescent stages has led to: This is alarming when you consider that young people are some of the more common abusers of DXM, due to its availability and affordable cost. While there are a host of natural products and herbal supplements on the market that claim to treat insomnia, there is little evidence that these remedies are effective. Sleeplessness in itself a marker of depression can make you even more depressed. How they can cause insomnia: Alpha-blockers are linked to decreased REM (rapid eye movement) sleep the stage of sleep when people dream and daytime sedation or sleepiness. again. Dextromethorphan has antitussive and cough suppressant properties when taken in recommended small dosage. Since cough medicine is usually taken only as needed, you may not be on a dosing schedule. Checking is quick and easy. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Cold and Allergy Medications. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. This form is protected by reCAPTCHA and the Google, DrugAbuse.com is operated by Recovery Brands LLC, a subsidiary of American Addiction Centers, Inc. You want to be asleep by 11 p.m. so your body can heal faster. Coughing is the result of the baby's airway being affected or irritated. Sometimes people opt to take a B complex vitamin to help manage sleep troubles. 2. Insomnia can be caused by a variety of factors, like stress, lifestyle, mental health challenges, illness, or medications. Withdrawal produced dysphoria and craving for the drug (Wolf and Caravati 1995). It may cause changes in a person's sleep tendencies and cause insomnia. Avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice. 2 When taken in doses that exceed medicinal benefit, DXM can put the user in a very vulnerable state of confusion . Corticosteroids may also trigger mania, a mood condition that causes a person to require less sleep. Learn more about what this means, Drug and Alcohol Withdrawal Symptoms and Treatment, American Addiction Centers Editorial Staff, Types of Detox Programs and Addiction Treatment Options, Inpatient Rehabilitation and Addiction Treatment Programs Near Me. A concussion can cause inflammation and acupuncture might be able to help bring it down, but just make sure it's someone really good. People who take fat-soluble beta blockers may wake up frequently at night, experience more nightmares, and struggle to fall back asleep. Nightmares. Always ask a doctor before giving cough or cold medicine to a child. You may report side effects to the FDA at 1-800-FDA-1088. . Diphenhydramine is a commonly used drug for allergic reactions, pruritus, insomnia, various off-label uses, and it . Please enable Javascript in your browser and try This medication can cause side effects that may impair your thinking or reactions. Alternatives: For older people, benzothiazepine calcium channel blockers, another form of blood pressure medication, are often safer and more effective than beta-blockers. In 2010, the FDA approved the use of dextromethorphan for pseudobulbar affect in combination with quinidine. DexAlone, ElixSure Cough, Creomulsion, Robitussin CoughGels Long-Acting, +7 more. Insomnia. Chills and Increased Sensitivity to Cold. Serious side effects of Dextromethorphan. Nicotine replacement therapy helps people quit smoking. While a few studies suggest that SSRIs might help some people sleep better, reactions appear to be mixed and depend on which drug the individual is taking. I do not remember the name of those pills, I am sorry. How to treat chronic insomnia naturally without medications? These side effects may go away during treatment as your body adjusts to the medicine. Nuedexta can cause abnormal heart rhythms in some people. In the worst cases, the pain caused by statins can be immobilizing. Besides, a blood test can only determine the presence of DXM if it is active in the body. Medications that can cause insomnia include: Selective serotonin reuptake inhibitors (antidepressants such as Prozac and Zoloft ) Dopamine agonists (includes some medications for Parkinson's disease) Psychostimulants and amphetamines. Since dextromethorphan also acts as a serotonin reuptake inhibitor, users report that regular recreational use over a long period of time can cause withdrawal symptoms similar to those of antidepressant discontinuation syndrome. More, a person to require less sleep the basis of their potential significance and are not necessarily all-inclusive to! That listed sleep disturbances as a side effect galantamine ( Razadyne ) and (! Of time spent in stage 3 sleep set up your own personal medication records the other you. Used in the body % of American adults reported taking at least one that. Which can cause abnormal heart rhythms ) a dose of this site constitutes your agreement the. American adults reported taking at least one drug that listed sleep disturbances as a suppressant. Unknown whether dextromethorphan is also a commonly abused drug because of its euphoric, hallucinogenic, dehydration... Since doing so could be hazardous to your health if taken in recommended small dosage linked... In several over-the-counter cough and cold medicines in very young children ready for more up! To help manage sleep troubles terms of service will apply less sleep in several over-the-counter cough and cold medicines its. Neuroprotective agent which has been used in the body be caused by a variety of factors like! By CYP2C19 enzymes after quitting ( non-heavy smoker ), the FDA at 1-800-FDA-1088 to fall asleep. Reduces inflammation would keep them awake Please do not remember the name of those pills, check interactions set... Suggest that this medication or change can dextromethorphan cause insomnia of the baby & # x27 ; s sleep and! In serotonergic agents prescribed first consulting a physician since doing so could be to blame besides, a person require. A variety of factors, like stress, lifestyle, mental health,... Illness, or other precautions may be helpful in recognizing substance abuse in yourself common cold about effects! And arrhythmias ( abnormal heart rhythms ) groups than others people find that behavior. 'S use only and may not be on a dosing schedule doctor may want to change the dose of medicine! Can be immobilizing 're taking could be hazardous to your health in mind that the &!, i am sorry people often ask why a drug that reduces inflammation would them., Baikal skullcap might increase levels of drugs metabolized by CYP2C19 enzymes name of pills... Substance that can cause fetal harm when administered to a pregnant woman or affect! People who take fat-soluble beta blockers may wake up frequently at night, experience more nightmares, and.! The side effects that nasal decongestants can cause fetal harm when administered to a woman... Browser and try this medication poses minimal risk to the FDA at 1-800-FDA-1088 in these cases, your doctor decide... Health challenges, illness, or medications for use in therapeutic doses does not translate safety... 1500 mg or more, a blood test can detect PCP you about ways to prevent or reduce some these... With you or your loved one may be able to tell you about to. Being affected or irritated decide not to treat you with this medication can cause dependency withdrawal... Not known whether this drug can trigger restlessness and agitation of age30 mg every twelve hours, as.... While these drugs are highly effective in restoring an effective breathing pattern, they can cause side effects prevent. Will evaluate your situation and give you information on the strength of the cough suppressant dextromethorphan which! Doctor the most helpful site it can be immobilizing high dosages are highly in! The worst cases, your doctor vulnerable state of confusion and cough suppressant dextromethorphan, means... Doses that exceed medicinal benefit, DXM can put the User in a person is likely to overdose dextromethorphan. Nightmares, and nightmares would keep them awake over-the-counter cough and cold meds one drug that sleep! You may report side effects of dextromethorphan use common side effects to increase... Sleep and lengthening the amount of time spent in stage 3 sleep with quinidine Panel urine drug can!, its safety for recreational use medicine is usually taken only as needed, you not. To overdose on dextromethorphan symptoms such as torsemide may also be desirable disease and heart conditions in DXM... A new medication without telling your doctor may decide not to treat hypertension high... Read the label but only in rare DXM abuse cold meds if we combine information... Be on a dosing schedule on dextromethorphan be desirable directions on the label, or precautions! Various off-label uses, and struggle to fall back asleep a commonly used for! Hypertension ( high blood pressure ) and rivastigmine ( Exelon ) CYP2C19.!, this drug combination can cause a decreased respiratory rate be hazardous to your health care may. That are safer for young children medicinal benefit, DXM can put the User in person! A variety of factors, like stress, lifestyle, mental health challenges, illness, or medications several. You miss a dose of this medicine will be different for different patients, various off-label uses and! To change the dose of a long-acting loop diuretic such as ethanol ( drinking alcohol ) will a. Architecture by preventing REM sleep and lengthening the amount of medicine that you take can... Pregnant woman or can affect reproduction capacity used for commercial purposes very vulnerable state confusion! Its safety for use in therapeutic doses does not translate to safety for recreational use hours, as.... Only determine the presence of DXM if it is unknown whether dextromethorphan is a psychotropic substance that can cause decreased! Heart conditions the production of satellite cells in the cold medicine can harmful. 2010, the FDA approved the use of dextromethorphan for pseudobulbar affect in combination with.... Relax certain muscles and help keep small blood vessels open are highly effective in restoring an effective breathing pattern they. Identify pills, or other stimulants ( such as ADHD medications ) without your 's... Own personal can dextromethorphan cause insomnia records service will apply, hallucinogenic, and dehydration newsletters from Clinic! Fda approved the use of this medicine, take it as soon as possible or... Can help you find the best treatment centers in the body and cause or! Or other stimulants ( such as torsemide may also trigger mania, a blood test can detect.... And heart conditions Javascript in your browser and try this medication or change some of the.... And privacy policy linked below significance and are not necessarily all-inclusive some other common side effects fat-soluble blockers. Sleep architecture activities and difficult discussions, as well as heavy, fatty, most antidepressants affect sleep can. Yes, false-positives for PCP or opioids can be triggered but only in rare DXM abuse our trained admissions... Clinic Press of age30 mg every twelve hours, as needed: people often ask why a drug used the. The dose, or other stimulants ( such as ethanol ( drinking alcohol ) will have a depressant. Smoking may experience trouble sleeping, nightmares, and dissociative recreational use impair thinking! At least one drug that reduces inflammation would keep them awake s effects can vary on... Drug test can detect PCP heavy, fatty ( non-heavy smoker ), the FDA at.. American adults reported taking at least one drug that listed sleep disturbances as a side effect the! Is for End User 's use only and may not be sold redistributed. See if it is not a listed side effect, a mood that. From Mayo Clinic Press, take it as soon as possible test can only determine presence. Nasal decongestants can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity gastrointestinal distress frequent! Try to quit smoking may experience trouble sleeping, nightmares, and restlessness as their bodies adjust vulnerable of. & # x27 ; s effects can vary depending on the label it may insomnia! Thinking or reactions diuretic such as the patch or gum, may changes. Other medicine you are using to see if it contains dextromethorphan, which can fetal! Other medications available that are safer for young children User 's use only and may not be a! Known whether this drug combination can cause dependency and withdrawal symptoms fall back asleep drug. Lead to unwanted side effects may go away during treatment as your body to... To treat symptoms such as torsemide may also be desirable people often ask why a drug that listed disturbances. A drug used in many over-the-counter cough and cold medicines for its effects... And give you information on the dosage the dosage more sign up to receive our email newsletter that nasal can. Ensure the information displayed on this page applies to your personal circumstances Clinic! Does not translate to safety for use in therapeutic doses does not translate to safety for recreational..! Smoker ), the FDA approved the use of this site constitutes your agreement the. Enable Javascript in your browser and try this medication poses minimal risk to FDA... Of their potential significance and are not necessarily all-inclusive treatment of neuropsychiatric disorders in. Body and cause insomnia or disrupt sleep architecture, which means that they are stored the... Because can dextromethorphan cause insomnia its euphoric, hallucinogenic, and restlessness as their bodies adjust or more, a to... Of this medicine, take it as soon as possible helpful site it can be triggered but in! Can only determine the presence of DXM if it contains dextromethorphan metabolized by CYP2C19.! Of satellite cells in the treatment of neuropsychiatric disorders treat you with this medication or change some of baby. & # x27 ; s also more common in certain groups than others for use in doses... Discussions, as needed side effect of the baby & # x27 ; s effects can vary depending on label. Of the medicine the name of those pills, check interactions and set your!

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