Document Detail


Dextromethorphan Abuse Leading to Assault, Suicide, or Homicide.
MedLine Citation:
PMID:  22537430     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
  Dextromethorphan is a commonly encountered antitussive medication which has found additional therapeutic use in the treatment of pseudobulbar disorder and as an adjunct to opiate use in pain management. Dextromethorphan at high doses has phencyclidine-like effects on the NMDA receptor system; recreational use of high doses has been found to cause mania and hallucinations. The toxicology and pharmacology of the drug in abuse are reviewed, and the historical literature of adverse psychiatric outcomes is assessed. Five new cases of dextromethorphan intoxication that resulted in assault, suicide, and homicide are reported, together with the corresponding toxicology results. Blood concentrations ranged from 300 to 19,000 μg/L. These results are compared with typical concentrations reported in therapeutic use and impaired driving cases. Based on these findings, dextromethorphan should be considered as a potential causative agent in subjects presenting with mania, psychosis, or hallucinations, and abusers are at risk for violent and self-destructive acts.
Authors:
Barry K Logan; Jillian K Yeakel; Gary Goldfogel; Michael P Frost; Greg Sandstrom; Dennis J Wickham
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-26
Journal Detail:
Title:  Journal of forensic sciences     Volume:  -     ISSN:  1556-4029     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375370     Medline TA:  J Forensic Sci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 American Academy of Forensic Sciences.
Affiliation:
The Center for Forensic Science Research and Education, The Fredric Rieders Family Renaissance Foundation, 2300 Stratford Avenue, Willow Grove, PA. NMS Labs, 3701 Welsh Road, Willow Grove, PA. Whatcom County Medical Examiner's Office, Bellingham, WA. Addiction Medicine, 706 Fayette Street, Conshohocken PA. Kitsap County Coroner's Office, Bremerton, WA. Clark County Medical Examiner's Office, Vancouver, WA.
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