Everything You Need to Know About Robotripping

Robotripping describes the practice of taking dextromethorphan (DXM) to induce various mental and bodily effects. Although it’s legal in many places, that doesn’t make it harmless. At high amounts it can produce severe and lasting consequences.

DXM, short for dextromethorphan, is an over-the-counter (OTC) cough suppressant present in some cough syrups and cold remedies.

Also called dexing or skittling, robotripping refers to using DXM to trigger a spectrum of psychological and physical experiences.

Because DXM is lawful and easy to buy, it might seem innocuous. However, robotripping typically involves doses above recommended levels, which can be hazardous. In addition, many DXM-containing products include other active ingredients that may be harmful in excess.

Healthline does not condone the illegal use of any substances. We aim to provide clear, accessible information to lower the harm that can occur when people use substances.

How does it feel?

It depends on the amount taken.

Effects from robotripping vary considerably with dose. DXM produces distinct stages (often called plateaus) that change as dosage increases.

What about bodily side effects?

DXM causes multiple physical reactions that differ by individual and by dose. The specific product matters too, since many formulations include additional active compounds with their own effects.

Possible side effects include:

• hot flashes
• sweating
• nausea
• dizziness
• slurred speech
• fatigue
• hyperactivity
• elevated blood pressure
• slow breathing
• irregular heartbeat
• itching
• rash
• involuntary eye movements
• loss of consciousness
• seizures

How long do effects last?

Typically the effects subside within about a day, but many variables determine how long you’ll feel them.

Factors include:

• the dose taken
• other active ingredients in the product
• how much food is in your stomach
• your body size

People can develop a substance use disorder, including addiction, to DXM. Tolerance, psychological dependence, and physical dependence are all possible.

Can you end it sooner?

No — once ingested you generally need to let it wear off.

Sleeping is often the best way to ride it out. If you feel extremely disoriented or nauseous, sit upright in a comfortable chair rather than lying flat in case you vomit.

Other measures that may help during a trip:

• Take ginger or sip ginger tea if you feel queasy.
• Play music or a movie to distract yourself and relax.
• Drink water to avoid dehydration.
• Remind yourself that the effects are temporary and will end.

What are the risks?

While DXM is legal, the quantities used for robotripping are often unsafe.

Here are some of the dangers.

Heat-related illness

DXM can disrupt thermoregulation, causing body temperature to rise to dangerous levels.

It has been associated with heat emergencies, including heatstroke — sometimes called rave-related heatstroke because it’s more likely with vigorous physical activity like dancing.

Respiratory depression

DXM depresses the central nervous system, which controls breathing. This can impair the lungs’ ability to exchange oxygen and carbon dioxide, known as respiratory depression.

That leads to slow, shallow breaths and, if untreated, can progress to respiratory arrest and death.

Dangerous actions

Large doses of DXM have been connected with risky behaviors driven by hallucinations, psychosis, or agitation.

It can cause detachment from reality, increasing the chance of doing things you normally wouldn’t.

Liver injury

Many OTC cough and cold products that contain DXM also include acetaminophen.

Acetaminophen can produce severe liver damage when taken above recommended amounts.

Does DXM interact with other substances?

DXM can provoke dangerous interactions with other drugs, whether OTC or prescription.

Combining it with other central nervous system depressants can amplify or prolong effects and greatly raise the risk of respiratory arrest, overdose, and death.

Other recreational substances

Mixing substances is risky; the following are particularly dangerous when combined with DXM:

• alcohol (sometimes combined with DXM to make lean)
• MDMA
• ketamine
• sassafras
• heroin
• cannabis
• cocaine
• PCP
• LSD

Over-the-counter medications

DXM shouldn’t be combined with certain OTC drugs, including some herbal remedies and supplements.

These include:

• other cold or cough medicines
• acetaminophen
• antihistamines
• sleep aids, even natural ones like valerian root and melatonin

Prescription drugs

Many prescription medicines should not be used with DXM. These include:

• narcotics such as oxycodone, morphine, and fentanyl
• antidepressants
• certain antibiotics
• dopamine agonists
• amphetamines
• antiemetic medications

Safety advice

Taking more than the recommended amount of DXM — or any medication — carries significant hazards.

If someone decides to use it despite the risks, the following steps can reduce some danger:

• Know what’s in it. Read labels to avoid ingesting extra active ingredients like acetaminophen, guaifenesin, or antihistamines. The same applies to DXM bought from unknown sources; pills from strangers or the internet may be contaminated.
• Use the smallest dose possible. Begin with a very low amount and allow time for it to take effect before considering more.
• Avoid mixing. Most fatal overdoses involve combining substances. Don’t mix DXM with alcohol or other drugs.
• Stay hydrated. DXM can cause dehydration. Drink plenty of fluids before and after use.
• Don’t be alone. Avoid using alone. Have someone present who can help if complications arise.
• Pick a safe place. Stay at home or another familiar, secure location in case hallucinations or loss of consciousness occur.
• Remain seated when possible. DXM can impair coordination and cause drowsiness, raising the risk of falls or injury. Deep sedation and slowed breathing increase the chance of passing out and choking if vomiting occurs. Excessive movement can also lead to overheating.

Signs of overdose

If you’re using DXM or around someone who is, it’s vital to recognize overdose symptoms.

Call 911 if you or another person shows any of these signs after taking DXM:

• irregular breathing, particularly slow or shallow respirations
• elevated blood pressure
• high body temperature
• vomiting
• blurred vision
• bluish skin, lips, or nails
• paranoia
• hallucinations
• extreme sleepiness
• muscle twitching
• convulsions or seizures
• loss of consciousness

If you worry about involving law enforcement, you don’t have to disclose substances used when calling. Describe the symptoms so responders can send appropriate help. If you’re caring for someone, place them slightly on their side with the top knee bent inward if possible. This position helps keep their airway clear if they vomit.

The takeaway

DXM is legal, but that does not equate to safety. In large doses it can produce serious and long-term harms.

If you feel your DXM use is becoming problematic, help is available. You can discuss it with a healthcare provider if you’re comfortable, or use these free, confidential resources:

• SAMHSA’s National Helpline at 800-662-HELP (4357) or the online treatment locator
• Support Group Project