FDA Panel: Cough Meds Should Stay Over-the-Counter - ABC News

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FDA Panel: Cough Meds Should Stay Over-the-Counter - ABC News
09-14-2010 05:26 PM



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(This thread was automatically posted from Google's RSS feed for news articles containing the term 'Dextromethorphan')

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Cough Meds Should Stay Over-the-Counter

A panel of medical experts said Tuesday that cough medicines like Robitussin and Nyquil should continue to be sold over-the-counter, despite increased abuse among teenagers that has prompted calls to restrict sales of the products.

The Food and Drug Administration panel voted 15-9 against a proposal that would require a doctor's note to buy medicines containing dextromethorphan, an ingredient found in more than 100 over-the-counter medications.

The FDA is not bound to follow the group's advice, though it often does. Specifically, panelists were asked if the ingredient should be "scheduled," a regulatory move designed to decrease access to drugs with high potential for abuse.

"For me there was no data to show us that scheduling this product would decrease abuse," said panelist Janet Engle, professor and department head of pharmacy practice at the University of Illinois.

Abuse of dextromethorphan, dubbed "robotripping," is popular among teenagers as an inexpensive way to get high, but it carries risks, including elevated blood pressure, heart rate and fever. Abusers can also suffer side effects from other ingredients mixed in cough medicines, such as acetaminophen, which can cause liver damage.

Medical complications from the behavior are on the rise with nearly 8,000 emergency room visits reported in 2008. That was up more than 70 percent from reports in 2004.

"Many teenagers are thinking that because it's a legal drug it must be safer to abuse, and that's why we're also seeing a growing trend in prescription drug abuse," said Engle, in a telephone interview with The Associated Press.

The FDA agreed to revisit how it regulates the medicines at the behest of the Drug Enforcement Agency, which suggested making them prescription drugs.

But many of FDA's panelists said making the drugs prescription-only would go too far — creating an enormous amount of extra work for doctors and pharmacists.

[Massive Blowjob]

Hahahaha.... awesome.

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Originally Posted by Massive Blowjob

Hahahaha.... awesome.

indeed

[kristur]

There's a trend among kids, dubbed "Robo tripping," and it's not the latest dance. In fact, "Robo tripping" is one of several colloquialisms used to describe getting high from - of all things - cough medicine. (Get it? "Robo" or Robitussin.)

The high comes from ingesting large doses of dextromethorphan, found in over-the-counter cough suppressants such as syrups and lozenges.

"I was looking for something that was easy to find, easy to do...even though I know...that this is not good, that this is wrong," said Shannon, whose story about abusing dextromethorphan as a teenager appears on the Partnership for a Drug-Free America website.

It is that ease that may be the biggest problem.

"These drugs are very often sitting in the medicine cabinet at home," said Dr. Michael Entrup, an anesthesiologist at Rhode Island Hospital. "What parent would think, 'My kid is abusing cough syrup'?"

Parents seem to be aware of other, more obvious drugs and their potential risks to children - heroin, cocaine, alcohol and marijuana, for example. Experts say that many are in the dark about the dangers of "Robo tripping."

"I know of cases where kids who were previously healthy come into the emergency room [after overdosing] with wide blood pressure swings, with disturbances in heart rhythm...problems with motor function," said Entrup, director of the Massachusetts Society of Anesthesiologists. "I have not seen anyone die, but I know of patients who have come close."

It is difficult to imagine near-death at the hands of a cough suppressant, but according to experts, it can happen. The danger comes when dextromethorphan-containing medications are taken with other stimulants such as caffeinated beverages, energy drinks, even prescription drugs to treat ADHD.

"It's playing with fire," said Entrup. "The ingredients in prescribed dosages don't usually cause problems, but when taken in higher dosages, and with other drugs...it could be potentially lethal."

Most often users report hallucinating, feeling dizzy or nauseated, vomiting, confusion, rapid heart beat, even numbness in the extremities.

According to a 2006 Substance Abuse and Mental Health Services Administration survey more than 3 million people age 12 to 25 had used cough medications to get high. Among patients rushed to the emergency room for non-medical use of dextromethorphan, about half (48 percent) were aged 12 to 20, according to SAMHSA.

"I would get nauseous to the point where I couldn't stand up," said Shannon. "I actually would start foaming. It's so gross to say but, when I would be getting sick I was throwing up foam...It was horrible."

And then there is what drug abuse by a teen or pre-teen suggests.

"The fact that someone is looking to abuse a drug, puts them in a category where they're more likely to abuse another drug," said Dr. Daniel Frattarelli, chair of the Committee on Drugs for the American Academy of Pediatrics. "It's not safe just because it's over the counter."

The American Society of Anesthesiologists offers tips for recognizing dextromethorphan abuse: an unusual medicinal smell on your child's breath; empty or missing cough medicine bottles; a sudden change in your child's physical appearance, attitude and/or sleeping habits; and visits by your child to pro-drug websites.

Even with the absence of the more glaring signs, experts recommend parents have a conversation about the potential dangers of "Robo tripping" with their kids.

http://pagingdrgupta.blogs.cnn.com/2...#comment-76092

Frankly, being both high and tired, the only adjectives I can assess this with are: retarded and bias. Please, help me find the right term to describe this hull of shit.