PMID- 26294136 OWN - NLM STAT- MEDLINE DCOM- 20160711 LR - 20150909 IS - 1556-4029 (Electronic) IS - 0022-1198 (Linking) VI - 60 IP - 5 DP - 2015 Sep TI - The Effects of Dextromethorphan on Driving Performance and the Standardized Field Sobriety Test. PG - 1258-62 LID - 10.1111/1556-4029.12833 [doi] AB - Dextromethorphan (DXM) is abused most commonly among adolescents as a recreational drug to generate a dissociative experience. The objective of the study was to assess driving with and without DXM ingestion. The effects of one-time maximum daily doses of DXM 120 mg versus a guaifenesin 400 mg dose were compared among 40 healthy subjects using a crossover design. Subjects' ability to drive was assessed by their performance in a driving simulator (STISIM(R) Drive driving simulator software) and by conducting a standardized field sobriety test (SFST) administered 1-h postdrug administration. The one-time dose of DXM 120 mg did not demonstrate driving impairment on the STISIM(R) Drive driving simulator or increase SFST failures compared to guaifenesin 400 mg. Doses greater than the currently recommended maximum daily dose of 120 mg are necessary to perturb driving behavior. CI - (c) 2015 American Academy of Forensic Sciences. FAU - Perry, Paul J AU - Perry PJ AD - Touro University California College of Pharmacy, Vallejo, CA, 94592. FAU - Fredriksen, Kristian AU - Fredriksen K AD - Touro University California College of Pharmacy, Vallejo, CA, 94592. FAU - Chew, Stephanie AU - Chew S AD - Touro University California College of Pharmacy, Vallejo, CA, 94592. FAU - Ip, Eric J AU - Ip EJ AD - Touro University California College of Pharmacy, Vallejo, CA, 94592. FAU - Lopes, Ingrid AU - Lopes I AD - Touro University California College of Pharmacy, Vallejo, CA, 94592. FAU - Doroudgar, Shadi AU - Doroudgar S AD - Touro University California College of Pharmacy, Vallejo, CA, 94592. FAU - Thomas, Kelan AU - Thomas K AD - Touro University California College of Pharmacy, Vallejo, CA, 94592. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20150821 PL - United States TA - J Forensic Sci JT - Journal of forensic sciences JID - 0375370 RN - 0 (Antitussive Agents) RN - 0 (Expectorants) RN - 0 (Nonprescription Drugs) RN - 495W7451VQ (Guaifenesin) RN - 7355X3ROTS (Dextromethorphan) SB - IM MH - Adult MH - Antitussive Agents/administration & dosage/*adverse effects MH - Automobile Driving MH - Computer Simulation MH - Cross-Over Studies MH - Dextromethorphan/administration & dosage/*adverse effects MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - *Driving Under the Influence MH - Expectorants/administration & dosage/adverse effects MH - Female MH - Guaifenesin/administration & dosage/adverse effects MH - Humans MH - Male MH - Nonprescription Drugs MH - *Substance Abuse Detection OTO - NOTNLM OT - antitussive OT - cough suppressant OT - dextromethorphan OT - driving performance OT - driving simulator OT - forensic science OT - over-the-counter medications OT - standardized field sobriety test EDAT- 2015/08/22 06:00 MHDA- 2016/07/12 06:00 CRDT- 2015/08/22 06:00 PHST- 2014/06/17 00:00 [received] PHST- 2014/09/22 00:00 [revised] PHST- 2014/10/06 00:00 [accepted] PHST- 2015/08/22 06:00 [entrez] PHST- 2015/08/22 06:00 [pubmed] PHST- 2016/07/12 06:00 [medline] AID - 10.1111/1556-4029.12833 [doi] PST - ppublish SO - J Forensic Sci. 2015 Sep;60(5):1258-62. doi: 10.1111/1556-4029.12833. Epub 2015 Aug 21.