Over-the-counter cold and cough medicines containing the drug Dextromethorphan (DXM) have also been abused. DXM is sold in syrup, gel and tablet form. When sold on the Internet as powder, it is particularly risky because of the uncertainty of its composition and dose. It is found in more than 100 products; Coricidin and Robitussin are abused the most. EFFECTS Visual hallucinations Hyperexcitability Insomnia Lethargy Physical dependence (with prolonged use) Dizziness Slurred speech Delusions Sweating High blood pressure Liver and brain damage Mixed with other drugs, cough syrup can also cause central nervous system and heart problems. Combined with alcohol, it is particularly dangerous and can result in death.