Dangers of Mixing DXM and Alcohol | Risks, Effects, and Overdose

   Jun. 30, 2025
   4 minute read
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Last Edited: June 30, 2025
Author
Edward Jamison, MS, CAP, ICADC, LADC
Clinically Reviewed
Mark Frey, LPCC, LICDC, NCC
All of the information on this page has been reviewed and certified by an addiction professional.

“First you take a drink, then the drink takes a drink, then the drink takes you.” – F. Scott Fitzgerald

The dangers mixing DXM and alcohol are far greater than many people realize. DXM, short for dextromethorphan, is a common cough suppressant found in over-the-counter cold medicines. Alcohol is legal and socially accepted. But when these two substances are combined, the risks multiply, leading to dangerous side effects, overdose, addiction, and even death.

Both DXM and alcohol depress the central nervous system. Together, they can slow breathing to dangerous levels, cause extreme drowsiness, confusion, hallucinations, and life-threatening toxicity. According to the National Institute on Drug Abuse, over 50% of emergency room visits involving DXM abuse also involve other substances like alcohol, increasing the danger of severe complications.

What Is DXM?

DXM (dextromethorphan) is a cough suppressant found in cold and flu medications like Robitussin and Delsym. In normal doses, it is safe and effective. But at high doses, DXM acts as a dissociative hallucinogen, causing out-of-body experiences, hallucinations, and euphoria. This is why teens and young adults often misuse it for its mind-altering effects.

Why Is Mixing DXM and Alcohol Dangerous?

Mixing DXM and alcohol is dangerous because both substances:

  • Depress the central nervous system (CNS).
    This can slow breathing and heart rate to life-threatening levels.
  • Cause severe drowsiness and confusion.
    Leading to accidents, falls, and injuries.
  • Increase the risk of overdose.
    High doses of DXM alone can be toxic, but adding alcohol magnifies these risks.

🚨 Dangers Mixing DXM and Alcohol

Here are some of the most severe dangers of mixing DXM and alcohol:

1. Breathing Problems
Both substances slow respiratory function. Combined, they can cause shallow breathing, unconsciousness, and respiratory arrest.

2. Loss of Coordination and Judgment
Users may fall, drive under the influence, or engage in risky behaviors that lead to injury or death.

3. Extreme Sedation and Blackouts
People may pass out and choke on vomit, leading to asphyxiation.

4. Hallucinations and Psychosis
High doses of DXM already cause hallucinations. Alcohol intensifies confusion, paranoia, and dangerous behavioral changes.

5. Liver Damage
Both substances are processed by the liver. Mixing them increases the risk of liver toxicity, damage, or failure, especially with repeated use.

Statistics Highlighting the Risks

✔️ 1 in 10 teens report abusing cough medicine to get high, according to the Partnership for Drug-Free Kids.
✔️ Over 15 million people in the US struggle with alcohol use disorder (NIAAA).
✔️ Mixing DXM with alcohol or other depressants significantly increases the risk of overdose and death (NIDA).

Addiction Treatment for DXM and Alcohol Abuse

Dangers Mixing DXM and Alcohol in Addiction Treatment

When someone mixes DXM and alcohol repeatedly, it can quickly lead to dependence and addiction. Addiction treatment for these substances requires:

  • Medical Detox: To safely clear alcohol and DXM from the body under medical supervision.
  • Therapy and Counseling: To address underlying mental health issues, trauma, and triggers for substance use.
  • Support Groups: Like AA (Alcoholics Anonymous) or NA (Narcotics Anonymous) for community and accountability.
  • Aftercare Planning: To build healthy routines and prevent relapse.

Famous Quote on Recovery

“Recovery is hard. Regret is harder.” – Brittany Burgunder

Choosing recovery is difficult, but the pain of addiction, overdose, and broken relationships is far worse.

Signs of DXM and Alcohol Overdose

If you suspect someone is experiencing an overdose from DXM and alcohol, call 911 immediately. Signs include:

  • Slow or stopped breathing
  • Unconsciousness or inability to wake up
  • Blue lips or fingertips
  • Severe vomiting
  • Irregular heartbeat
  • Seizures

Time is critical to save a life in overdose situations.

Hope for Recovery

No matter how far addiction has taken you, recovery is always possible. Treatment centers, medical detox programs, and outpatient therapy can help you or your loved one break free from substance abuse. You don’t have to walk this journey alone. Millions of people have found freedom from DXM, alcohol, and other substances – and you can too.

Stay Informed, Stay Safe

The dangers mixing DXM and alcohol are real and life-threatening. What starts as experimentation can quickly turn into overdose, permanent health problems, or death. If you or someone you love is misusing DXM, alcohol, or other substances, seek professional help today.

“Rock bottom became the solid foundation on which I rebuilt my life.” – J.K. Rowling

Let your struggles become the starting point for healing, growth, and hope.

Frequently Asked Questions
What happens if you mix DXM and alcohol?
Mixing DXM and alcohol can cause extreme drowsiness, confusion, slowed breathing, hallucinations, and loss of coordination. Both substances depress the central nervous system, increasing the risk of overdose, unconsciousness, respiratory arrest, and death.
Can you overdose from mixing DXM and alcohol?
Yes, combining DXM and alcohol greatly increases the risk of overdose. Symptoms include slowed or stopped breathing, seizures, unconsciousness, vomiting, and potentially fatal respiratory failure. Seek emergency help immediately if overdose is suspected.
Why do people mix DXM and alcohol?
Some people mix DXM and alcohol to intensify the euphoric or hallucinogenic effects. However, this is extremely dangerous and can lead to overdose, addiction, mental health issues, and long-term damage to the brain, liver, and other organs.
Is mixing DXM and alcohol addictive?
Yes, using DXM and alcohol together can quickly lead to psychological and physical dependence. Addiction treatment is often needed to address withdrawal symptoms, mental health issues, and triggers that drive continued substance abuse.
How can I get help for DXM and alcohol abuse?
Treatment options include medical detox to manage withdrawal safely, inpatient or outpatient rehab, therapy to address underlying causes of addiction, and support groups like AA or NA. Contact a treatment center or addiction hotline for confidential help today.
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