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Dextromethorphan and brief delusional psychosis (1992)

Dextromethorphan and brief delusional psychosis (1992)

  1. Paracelsus
    Many, S. (1992). Dextromethorphan & brief delusional psychosis. Retrieved April 1, 2008, from http://smpsych.com/cases/case1.pdf

    A case is presented of a 57 year old white male who developed unusual behavior, dissociative phenomena, and delusions of death and suicide in the presence of a clear sensorium after several days of excessive consumption of over-the-counter cough control medications whose common ingredient was dextromethorphan. While reports of mental state change with such agents are infrequent, their widespread availability suggests a heightened level of diagnostic scrutiny in patients presenting with excessive self-administration of poly-pharmaceuticals or multiple risk factors. Drug related psychiatric disorders deserve consideration even in the absence of acute delerium [sic] and negative drug screens. The use of on-line search methodology is of considerable value in the review of differential diagnosis.