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The prevention of drug abuse aims to change personal, social or environmental factors in order to assist delaying or avoiding the onset of drug use and its progression to harmful or problematic abuse. It is undertaking an action that makes drug abuse less likely in helping to promote health and well-being.

Because of the diverse nature and severity of problems that arise from substance use, prevention activity takes many forms, from brief interpersonal contact to broad national policies. Clearly, it is better to address problems before they occur than after they have developed, but substance abuse is persistent and prevention can be difficult to achieve.



Did you know that more than 6 million people ages 12 or older have abused a prescription drug and one in 10 youth ages 12 through 17, or 2,400,000 children, reports having intentionally abused cough medicine to get high?  Help raise awareness about the dangers of prescription (Rx) drug abuse and over-the-counter (OTC) cough medicine abuse by taking part in National Medicine Abuse Awareness Month, observed annually in October.

National Medicine Abuse Awareness Month urges communities to educate parents and youth of the potential dangers associated with prescription and OTC medicine abuse and to hold educational events throughout the month of October to spur discussions in the community.

According to the 2009 National Survey on Drug Use and Health, considered the preeminent national study on teen substance abuse, since 2002 prescription drug abuse has jumped 20 percent among those ages 12 and older. Among those ages 12-17, prescription drug abuse increased 17 percent, jumping from 2.3 percent of youth in 2008 to 2.7 percent in 2009. In addition, the 2009 Monitoring the Future Survey showed that 5 percent of teens have abused an over-the-counter cough medicine to get high over the past year.

National Medicine Abuse Awareness Month is an ideal launching pad for any medicine abuse prevention efforts. Several prevention and intervention activities and materials are available to help community coalitions address Rx and OTC drug abuse.

Support National Medicine Abuse Awareness Month by:

  • Convening town hall meetings: Host educational events, such as town hall meetings, with your local anti-drug abuse advocates, substance abuse treatment experts, healthcare professionals and policy makers to talk about the facts and craft prevention and intervention strategies.
  • Register your event for the CADCA 50 Challenge: Your event must address both prescription drug abuse and over-the-counter cough medicine abuse. Just by registering, you are automatically entered in a drawing for a free iPad and you become eligible to apply for the Dose of Prevention award. The deadline to register is Dec. 1. Register now!
  • Obtain and integrate materials from:
  • Download the following tools:

Cough Medicine Abuse

Cough medicine abuse is taking extremely large doses of cough medicine to get high. The "high" is caused by taking a large amount of dextromethorphan, which is often abbreviated DXM, a common active ingredient found in many cough medications. This sort of abuse -- whether it's called cough medicine abuse, or dextromethorphan, or DXM abuse -- can be dangerous.


OTC Cough Medicine Abuse and Dextromethorphan Legislative Efforts

Every year, millions of consumers use over-the-counter (OTC) cough medicines safely and effectively to relieve coughs due to the common cold or flu. Many teenagers, however, are abusing large amounts of cough medicine—sometimes as much as 25 to 50 times the recommended dose—to get “high” from dextromethorphan, the active ingredient in OTC cough medicines.

Dextromethorphan is a safe and effective ingredient found in well over 100 over-the-counter cough and cold medicines. It was first approved by the U.S. Food and Drug Administration (FDA) in the 1950s, and is an effective, non-narcotic cough suppressant that works by raising the coughing threshold in the brain. Dextromethorphan has no pain relieving properties and is not physically addictive. When ingested in large amounts for an intentional high, however, its effects can include confusion, dizziness, double or blurred vision, slurred speech, loss of physical coordination, abdominal pain, nausea and vomiting, rapid heartbeat, and disorientation.

CHPA has a full legislative agenda in place to complement its educational efforts and provide additional tools for combating this teen substance abuse behavior:

  • CHPA supports prohibiting the sale of cough medicine to those under the age of 18.
  • CHPA supports a prohibition of the sale of the raw, unfinished form of dextromethorphan to ensure only entities registered with the U.S. Food and Drug Administration—such as scientists, researchers, and manufacturers—have access to this form of the ingredient.
  • CHPA supports the designation of a yearly National Medicine Abuse Awareness Month to encourage communities to engage in fighting this type of teen substance abuse.

The Dextromethorphan Distribution Act
CHPA supports legislation ensuring that only legitimate entities registered with FDA or relevant state agencies can purchase raw, unfinished dextromethorphan, the most dangerous form of the ingredient when abused. Currently, there are no national sales or purchase restrictions for dextromethorphan in this form. The Dextromethorphan Distribution Act (H.R. 1259) was passed by the U.S. House of Representatives on March 31, 2009. CHPA is working to see that a companion bill is introduced and passed in the Senate as well.

The Dextromethorphan Abuse Reduction Act
CHPA supports legislative and retail efforts to implement sales restrictions prohibiting the sale of OTC cough medicine to minors. In the 111th Congress, the Dextromethorphan Abuse Reduction Act (S. 1383) was introduced to accomplish this goal. CHPA, and partners such as the Community Anti-Drug Coalitions of America, the Food Marketing Institute, the National Association of Chain Drug Stores, and the Partnership for a Drug-Free America, are working with members of Congress to see the legislation enacted.

Additional Programming in the Community
CHPA is working closely with the Community Anti-Drug Coalitions of America, the Partnership for a Drug-Free America, and D.A.R.E. America to raise awareness among parents and in communities about the dangers of OTC cough medicine abuse.

We encourage members of Congress to join us in our efforts to educate parents by including information on cough medicine abuse in any upcoming constituent newsletters. Please visit to learn more.

Related links:


Most people take medicines only for the reasons their doctors prescribe them. But an estimated 20 percent of people in the United States have used prescription drugs for nonmedical reasons. This is prescription drug abuse. It is a serious and growing problem.

Abusing some prescription drugs can lead to addiction. You can develop an addiction to:

  • Narcotic painkillers
  • Sedatives and tranquilizers
  • Stimulants

Experts don't know exactly why this type of drug abuse is increasing. The availability of drugs is probably one reason. Doctors are prescribing more drugs for more health problems than ever before. Online pharmacies make it easy to get prescription drugs without a prescription, even for youngsters.

NIH: National Institute on Drug Abuse


Millions of Teens Abuse Prescription Medications

More Teens Experiment With Prescription Medications Than With Any Illicit Drug Except Marijuana

From Maureen Salamon

Updated February 12, 2009 Health's Disease and Condition content is reviewed by the Medical Review Board

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(LifeWire) - Drug use among teenagers is a significant problem. But if you think it mainly involves "street drugs," you're missing the full picture. Prescription drugs are a major source of experimentation.

The number of young people who abuse prescription medications exceeds that of any illicit drug except marijuana. In 2006, according to the U.S. Department of Health and Human Services, more than 2.1 million 12- to 17-year-olds reported experimenting with prescription drugs. For 12- and 13-year-olds, they are the drugs of choice.

Abuse of prescription drugs is a real problem. In 2008, 15.4% of high school seniors -- one in six -- said they'd abused at least one prescription drug in the previous year, according to the National Institute on Drug Abuse. Since the 1980s, the greatest increase has been among adolescent girls and young women (ages 12 to 25), and girls are twice as likely to become addicted.

The problem isn't limited to teens: More than 7 million Americans have reported prescription drug abuse. But adolescents -- who tend to feel immune to the consequences of dangerous choices -- are particularly vulnerable.

Many teens think that because prescription drugs come from a pharmacy, they must be safe: It's an ill-founded and dangerous view. Prescription drugs taken for nonmedical reasons can lead to addiction and may be fatal. In the United States in the first decade of this century, deaths from prescription drug abuse exceeded those from cocaine and heroin overdoses combined. The danger increases if drug takers mix pills from the medicine cabinet with alcohol, street drugs or other substances.

What Are These Drugs?

The three main categories are include:

Painkillers: These are the most common prescription drugs abused by adolescents -- in particular, opioids (often prescribed for pain), such as OxyContin (oxycodone), Percocet (acetaminophen and oxycodone) and Vicodin (acetaminophen and hydrocodone). Opioids affect the region of the brain that regulates pleasure, leading to feelings of euphoria. But they can fatally depress the respiratory system.

Depressants or tranquilizers: Prescribed for anxiety or sleep problems, these medications include Valium (diazepam), Ativan (lorazepam) and Xanax (alprazolam). They slow brain activity and lead to calm and drowsy feelings. But they can cause seizures and depress heart rate and breathing.

Stimulants: These drugs (prescribed for ADHD, narcolepsy or obesity) include Adderall (amphetamine and dextroamphetamine), Ritalin (methylphenidate) and Concerta (methylphenidate). They increase alertness, energy and attentiveness, but  they can cause irregular heartbeat, fatal seizures, fever, hostility and paranoia.

It can be difficult for parents to recognize prescription drug abuse among teens. The drugs are easy to obtain from the home medicine cabinet and from those of relatives and friends, making it hard to notice missing pills. Teen can get drugs online because some Internet pharmacies sell them without requiring a prescription.

Kids most at risk are those with low self-esteem, depression or a family history of drug abuse -- and those who seem alienated or highly resistant to authority.

What Parents Can Do

  • Talk about dangers and possible consequences, including death.
  • Safeguard medications, and alert relatives to do the same.
  • Carefully dispose of old or unused drugs. Don't flush them down the toilet unless directed to do so; the chemical compounds could pollute the water supply.

More Information:


"Highlights: National Survey on Drug Use and Health, 2006. Office of Applied Studies." Office of Applied Studied of the Substance Abuse and Mental Health Services Administration (SAMHSA), part of the U.S. Department of Health and Human Services. (2007). 30 Jan. 2009 <>.

"Information Brief: Prescription Drug Abuse and Youth." 1 Jan. 2006. U.S. Department of Justice. 25 Jan. 2009 <>.

"National Survey on Drug Use and Health, 2006. Table 1.5A." Office of Applied Studied of the Substance Abuse and Mental Health Services Administration (SAMHSA), part of the U.S. Department of Health and Human Services. (2007). 30 Jan. 2009 <>.   "NIDA InfoFacts: High School and Youth Trends." Dec. 2008. National Institute of Drug Abuse. 25 Jan. 2009 <>.

"Parents Underestimate Teens' Access to Prescription Drugs." 1 Dec. 2008. Drug Abuse and Resistance Education. 25 Jan. 2009 <>.

"Prescription Medicine Abuse: A Serious Problem." 24 Sep. 2008. Partnership for a Drug Free America. 25 Jan. 2009 <>.

"Teenage Prescription Drug Abuse." 12 June 2005. Teen Drug Abuse. 25 Jan. 2009 <>.

"Tips on Raising Your Pre-Teens and Teens." 2009. Rhode Island Department of Health. 25 Jan. 2009 <>.

LifeWire, a part of The New York Times Company, provides original and syndicated online lifestyle content. Maureen Salamon is a New Jersey-based freelance writer whose work has appeared in a variety of online and print publications.