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Re: DXO vs. DXM (sidetrack) » Elizabeth

Posted by Cam W. on November 8, 2001, at 22:25:05

In reply to Re: DXO vs. DXM (sidetrack) - Cam?, posted by Elizabeth on November 8, 2001, at 19:55:58

Elizabeth - Hmmm...so by f***ed up, what do you mean. Anticholinergic dry mouth, dizziness, visual accomodation problems; or is it "walking on cornflakes, waiting for the band to come", kinda different, headspace (if ya know what I mean; sort of a detached feeling).

If it's the first, it's the desipramine; if it's the second, it's the dextromethorphan. Desipramine can exagerrate the CNS depressants, like DM; or by itself the DES's anticholinergic effects could be potentiated. If I had to chose, I'd pick the exagerrated CNS depressant effects. You see that detached, spacey thing when DM metabolism is inhibited by fluoxetine.

Now, for the cough. Is it dry and hacky or productive (ie. trying to bring up mucus). In either case, increase liquid (ie. water) intake and pee off the bug causing it, and steam to moisturize the tissues of a dry cough and to loosen the mucus of a productive cough.

In a productive cough, you really don't want to stop the cough (well, you do want to stop it, but you shouldn't). A productive cough is trying to get rid of the mucus in the lungs. It is worse at night because you change to a prone position and the mucus changes orientation, triggering the cilia in the lungs as it flows over new areas. It sometimes helps to prop yourself up in bed and sleep in a semi-sitting position (the mucus doesn't change orientation, as much). Also, you can take straight Robitussin™ (guaifenesin) which breaks the sulphur bonds in the mucus, making it easier to cough out. You have to saturate the lung tissue (ie. drink plenty of fluids and steam) or the mucus may stick in smaller pieces. If you don't have a steamer, just sit in the bathroom with a magazine or journal article, close the door, and run a hot shower.

God, I hope it's a productive cough; that was a lot of typing.

As for a dry cough, you're screwed. What you can do is the liquids and steam thing. Also suck on Fisherman's Friend lozenges (orignal - white package)(Altoids can be substituted, but F.F. works better).

I hope this helps. - Cam

P.S. John, thanks for the vote of confidence, dude (I am a community pharmacist).


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poster:Cam W. thread:83228
URL: http://www.dr-bob.org/babble/20011104/msgs/83626.html