Now, cough suppressants.
Have you ever had someone in
your house have a hacking cough?
And you're trying to sleep and all
you can hear is them coughing?
I'm gonna talk about
what that means.
I know when I teach in nursing
school and when proctoring exams
and somebody in the room has a cough, I worry
about their safety 'cause the students
just kind of give him the stare of death
when they keep coughing during a test.
But you know how it is
when you have a cough.
The more you try to not cough, the
more it seem you need to cough.
Let's talk about some over
the counter treatments.
anti - against, tussive - cough.
So these are cough suppressants
that are available.
Dextromethorphan, now it doesn't
have any opiod content.
It's a non-opioid cough suppressant.
It's available over the counter.
It's an opiod derivative but you don't
really have the euphoric effect
if you take it in a normal dosage.
Now, some of you probably already know
that this is a drug that can be abused.
That particulary in our teenage population,
they will drink large quantities of this.
And when they drink this cough medicine, they end
up like on a PCP-like dissociative mind trip.
So this one is another drug
that is at risk for abuse.
It's available, you usually don't
have to show your ID to purchase it.
And so if it's abused, you're gonna
end up with this PCP like experience.
Now Dextromethorphan is in lots
and lots of over the counter
cold medicine that are combinations.
So you always wanna be careful when you
are a family member or your patients
are combining multiple cold
medicines because they can overdose
some things like
tylenol or dextromethorphan.
Now, it's a pretty good antitussive.
I know when I have a cold, I use it.
But you wanna keep in mind:
take it within normal doses
and don't take multiple over
the counter cold medicines
because you're risking
overdosing on that.
Now, the next group
does involve opioids.
is opioid derivative
but it doesn't have that euphoria if
you take it in appropriate amount.
Prescription antitussives contain codeine and
this is more effective than dextromethorphan
but you have to have a script for it.
You gotta have a health care provider
write the prescription for you.
It is 1/10th a dose that we use for pain in codeine
so you would have to really drink a lot of it
to get a super high buzz but it is
very effective in treating your cough.
So when it comes to cough, you
have an over the counter option
and you have a prescription option.
Both of them are either an opioid
derivative or an actual opioid.
But remember it is in a much smaller
dosage than we would use for pain control.