Am J Emerg Med August 2020 PMID 31864868

Bromism: An overlooked and elusive toxidrome from chronic dextromethorphan abuse.

Sarah Monks, May Yen, Justin Myers

Mentions

8
Peak: 1 in Feb 2020
across 3 sources since Feb 2020

Extended reach

19,604
potential audience

Total likes

319

Video views

19,251

Mentions per month

Feb 2020 – Jun 2025

Where it's discussed

  • News5 articles
  • YouTube2 videos
  • X / Twitter1 posts

AI synopsis

What people are saying

The discussions highlight concerns about the unrecognized dangers of chronic dextromethorphan use, with phrases like 'overlooked toxidrome' and references to bromide accumulation. The tone underscores the clinical significance and the need for awareness, as seen when users mention the potential for missed diagnoses and the importance of paying attention to seemingly benign over-the-counter medicines.

AgreementModerate agreement

Many discussions acknowledge the importance of recognizing bromism as an overlooked issue caused by dextromethorphan abuse.

InterestHigh interest

Interest levels are high, with discussions focusing on the implications of the article and personal experiences with over-the-counter medications.

EngagementModerate engagement

Participants discuss the significance of bromide toxicity, citing the case example of the 47-year-old woman, showing thoughtful engagement.

ImpactModerate impact

The discussions suggest the article could influence clinical awareness and regulation of cough medicines, though the overall impact remains moderate.

Abstract in brief

  • Bromism is a form of toxicity caused by chronic use of dextromethorphan-containing cough medicines, specifically due to bromide accumulation.
  • The 47-year-old woman experienced repeated overdoses from over-the-counter Robitussin HBr, leading to high bromide levels, hyperchloremia, and a low anion gap, with no other symptoms or co-ingestions.
  • Treatment involved supportive care, and diagnosis was confirmed through elevated bromide levels, highlighting that bromism can be overlooked and linked to seemingly benign over-the-counter medications.]

Top posts

Most liked on X and Bluesky
雨夜空
@RAlNY_NlGHT · X

有磕右美Br中毒的案例了,有段时间了 溴中毒:慢性右美沙芬滥用引起的被忽视且难以捉摸的中毒综合征 Bromism: An overlooked and elusive toxidrome from chronic dextromethorphan abuse

Jun 29, 2025 · 13 likes · 354 followers View post →

All mentions

雨夜空
@RAlNY_NlGHT · X

有磕右美Br中毒的案例了,有段时间了 溴中毒:慢性右美沙芬滥用引起的被忽视且难以捉摸的中毒综合征 Bromism: An overlooked and elusive toxidrome from chronic dextromethorphan abuse

Jun 29, 2025 · 13 likes · 354 followers View post →