Robitussin and Tylenol Cough could eventually go the way of nasal decongestants — behind the pharmacist’s counter. Increasing signs of abuse and injuries among adolescents have prompted U.S. regulators to consider dispensing restrictions for the over-the-counter cough syrups, Bloomberg reports.
Non-medical use of dextromethorphan, a cough suppressant that has been on the market since 1958, led to 7,988 visits to the emergency room in 2008, up from 4,634 in 2004, according to a government memo released last week.
The medicine can be found in products including Robitussin Cough & Chest Congestion, Tylenol Cough & Sore Throat, Vicks NyQuil Cough and Delsym.
Since 2006, pharmaceutical companies have tried to teach parents and educators about cough medicine abuse, known as “robo-tripping” or “skittling.”
Drug manufacturers expressed concern, however, about restrictions that would place a burden on consumers. “Our goal is to stop the intentional abuse of cough medicine while allowing for continued, responsible availability of these medicines,” said Elizabeth Funderburk, a spokeswoman for the Consumer Healthcare Products Association.
The Drug Enforcement Administration is recommending new restrictions on dextromethorphan, and a U.S. Food and Drug Administration advisory panel will meet to consider the issue on Sept. 14.


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