Proper Opioid Resuscitation- From an EMT. Tryna Spread the Word on Every Drug Sub

DXM looks like a mirror image of an opioid (levomethorphan), while it doesn't have a traditional opioid effect it can still bump around and bind to opioid receptors given enough time and concentration.

From what I gathered the danger of an OD lies primarily in respiratory depression and seizures which Narcan can reverse due to its potent opioid antagonism. So Narcan is not a full antidote to DXM OD because like you said DM is not an actual opioid it can deal with respiratory depression, depending on how severe of an OD and whether other drugs are involved the person might need a benzo to counteract seizures and an antipsychotic drug to help with the psychosis and serotonin toxicity.

/r/dxm Thread Parent