🧪 DXM
Source: Harm Reduction Victoria · DanceWize Victoria SSB
Guudmar
DXM waa dawo-gooni (dissociative) oo laga helaa daaweynta ukunta oo aan resepshiin la'ahayn, kaas oo sawir aad u badan keena marka dose-ka ay sare tahay.
Dextromethorphan (DXM ama DM) waa dawo-gooni ukunta oo laga helaa daaweynta ukunta iyo qufac aad u badan. Marka dose-ka ay ka sare tahay habka caadiga ah, waxay noqotaa dawo-gooni aad u badan oo leh sawiro nolol. DXM oo ka mid ah morphinan class, waxay leedahay astaan naarkii iska dhaafaya, astaan ka dhaafaya iyo astaan fadhiisa.
Waxay jidh u dhufataa NMDA receptor sida ketamine - oo abuurta dhaawac laga jiraan dhankii. Waxaa lagu iibiyaa syrup, tablet, spray iyo lozenge (tusaale ahaan Robitussin, NyQuil, Dimetapp, Vicks). WAA MUHIIM IN DXM AY TAHAY KALIYA ASTAAN FIRFIRCOON - astaan kale (antihistamines, paracetamol) ay sababi karaan dhaawac aad u weyn ama dhimasho.
Waxaa jira afar hab isbaaro oo loo yaqaan 'plateaus' oo ku salaysan dose-ka mg/kg. DXM ma iska hadal Dextrorphan ama Dexamethasone.
Isticmaal ka badbaado badan
MUHIIM: Isticmaal kaliya daaweynta DXM ay ay tahay astaan kaliya - astaan kale ay dilaa karaan Xeerka guud: 1 plateau toddobaad (3rd-plateau dose = sug 3 toddobaad; 2nd-plateau = sug 2 toddobaad) Isticmaal meel caadi ah oo ay jiraan dad aad itirtirto Jaarka lagu jiro - isku darrid daaweyn gaar ah ay sababi karaan serotonin syndrome ama ataxia aad u weyn Qof badan oo ay leeyihiin CYP2D6 genetic mutation ay DXM u noqda aad u badan - baaro Ka dib markii saadka ay dhacdo 4–6 saac, DXM way hadal karaan jidhakaaga ilaa 24 saac
⚠ Ha ku darin
WAA KHATAR: MAOIs (khatar dhimasho aad u weyn); Daweynta gaajo (serotonin syndrome, oo dhimasho keenta); Daaweynta yogu lahaad sida fenfluramine ama phentermine (serotonin syndrome); MDMA (serotonin syndrome); Khamri (CNS depression iyo blackout - ka fogaada plateau 1st); GHB/GBL (aan la garanayn, khatar aad u weyn oo joogsi iyo malabsi); Opioids (CNS depression, neefsiga adag, hepatotoxic - isku darrid aad u khaldan); Tramadol. CAUTION: Antihistamines oo aan naarkii caadiga ahaan ahaan (gaar ahaan haddii ay jiraan DXM-ka); Benzodiazepines (naarkii u badan, maqan iyadoo naarkii ay sare tahay).
🚨 Haddii wax qaldamaan
Tijaabo waddada ay DXM ma tixgel karaan, laakiin poliska oo ay fuliyaan tijaabo fadhiisiga caadiga ah. Haddii qof ay joogso, dhig oo ay jiraan jogsiga caymiska si looga dabaalo malabsi. Wici 000 marka ay jiro degdeg.
Isticmaalka aad u badan ee mudada dheer waxa loo isku xidhaa arrin jiidhaarka gaaban, xasuusta iyo dareen. Gebi gaab daweynta ay kuu riskayn karaan carcharista trafficing - ogsow sharciga deegaanka ah.
Saameynta
Dhaawac iyo kaalmo iska leh jidhka Muuqaal iyo cod-arag aan runta ahayn Raaxi iyo kor u qaadista dareen Cirariga qalbigu sare u noqdo, cilka dhiga, karinta iyo kaarta jidhka Naaskii iska tegin, hadal la yar Nystagmus (indha faafaaf degdeg), cirro iyo diziness Jiidhaarka gaaban, rifaac iyo waxyaalahaab Walaac iyo sida waqtigu u noqdo Mar hore plateaus: dhaawac buuxa, kaalgemaado iska dhow dhimasho, laamaha ruh Suulooyin casaan ah iyo cirro sida allerji
Qiyaasta iyo muddada
Lagu cuno daboolka. Waqtiga Dhamaadka: 4–6 saac. Bilowga: 20–60 daqiiqo.
Waxa sare: 1.5–3 saac. Hoosista: 1–2 saac. Hangover: 1–12 saac.
DIGNIINTA: dhimasho waxa dhacday oo dhan 25 mg/kg. Plateau doses: 1st (1.5–2.5 mg/kg) fadhiis yar; 2nd (2.5–7.5 mg/kg) dhaalaac; 3rd (7.5–15 mg/kg) dhaawac; 4th (15–20 mg/kg) dhaawac buuxa. Tijaabo daaweynta: Urine 1 saac–3+ maalinta; Timaha ilaa 90 maalinta; Dhiga 15 daqiiqo–2 maalinta.