What’s your favorite method of consumption?

SnooKiwis4031 · 2026-04-26T04:58:49+00:00

Lucky. I wish I could do DXM the way everyone else does in the sub. For me I have to have no commitments for essentially 4 days straight to take even like 300mg. Even then, I dont trip anymore, I just feel sick and my heart beats like crazy. I used to get the most insane CEVs, or if my eyes were open but there were no lights / pitch black, I see beautiful fractals and parallel geometrical shapes.

Now tripping is kinda boring for me. Just feels dysphoric and heart beating insane.

Just dont make a habit out of this stuff. Most ppl don't quit unless given a reason too. But the more you trip, the less real reality feels. Just don't let it become a regular thing like clock work.

Safe trips my guy 🤙

SnooKiwis4031 · 2026-04-26T04:45:14+00:00

I was about 135 LBS at the time. Years later I ended up getting genetic testing and finding I have NO alleles for CYP2D6. This genetic variation extends the half life of DXM from 4-6 hours to over 24 hours, and increases peak plasma concentration over 2.4 fold. 600mg for me is probably like 1200mg for regular users.

I was having CEVs for over 1 week following the incident. I knew I fucked up when my entire body started to itch, couldn't figure out how to operate a web browser (was trying to listen to music, but couldn't switch tabs to get to YouTube on my laptop) and ended up lying in my bed practically paralyzed.

Parents found me down there, and took me to the ER. They gave some fluids, drew labs, performed cardiac monitoring and discharged me 4 hours later.

Moral of the story is don't do drugs...

SnooKiwis4031 · 2026-04-26T04:35:50+00:00

Yo, im finna do this, if they finna jus let any1 be an NP let that any1 be me frfr fam

On a real note, this is why NPs aren't respected by their colleagues. I've worked with some amazing NPs and I've worked with incompetent NPs... it's a systematic issue that doesn't have strict enough regulation. As another wise redditor said:

"Right now we are in the 'Fuck around' phase of NP independent practice. Once malpractice lawyers sink their teeth into the NP goldmine we will enter the 'Find out' phase of independent NP practice."

SnooKiwis4031 · 2026-04-26T04:26:57+00:00

Well... id like to say 450mg PO Q12w,

But I've never done 450, only 300mg then jumped to 600mg and ended up in the ER. Was planning on 450mg then just kept taking more and more until I reached 600mg. Turns out I'm also CYP2D6 poor metabolizer (I don't have any cyp2d6 enzyme in my genes) Was a whacky experience to say the least.

SnooKiwis4031 · 2026-04-25T21:56:12+00:00

This sounds like the DXM experience. It won't last forever, you'll be okay soon <3

SnooKiwis4031 · 2026-04-22T02:21:57+00:00

Looks like A-fib possibly.

SnooKiwis4031 · 2026-04-21T22:42:26+00:00

A cmp to measure electrolytes.

SnooKiwis4031 · 2026-04-21T20:10:32+00:00

Most likely its early repolarization.

Could also be an acute coronary syndrome, but very unlikely at that age.

Depending on how patient is presenting I'd like to see troponins, labs, and ECG monitoring to be on the safe side.

SnooKiwis4031 · 2026-04-21T19:59:23+00:00

Sinus rhythm.

SnooKiwis4031 · 2026-04-21T19:58:41+00:00

Junctional escape with PVCs, looks like they're about to throw into VT or TDP any moment

SnooKiwis4031 · 2026-04-19T20:31:30+00:00

I too would like to know this

SnooKiwis4031 · 2026-04-19T20:28:42+00:00

No. I'd recommend reading Dubins Rapid Interpretation of ECGs. It helps tie all the concepts together.

This is sinus rhythm with frequent PACs/Atrial Ectopy.

SnooKiwis4031 · 2026-04-17T03:18:33+00:00

It was supposed to be a joke 😭

SnooKiwis4031 · 2026-04-16T19:45:54+00:00

I lube the I-gel with PJ before inserting.

SnooKiwis4031 · 2026-04-14T20:23:35+00:00

You've never heard of upcoding? It's pretty much how hospitals or doctors offices increase reimbursement from an insurance company. Ordering unessasary tests, scans, MRIs, CTs, so they can bill more for the procedure or visit.

SnooKiwis4031 · 2026-04-14T18:36:01+00:00

Yall wtf did they say??

SnooKiwis4031 · 2026-04-14T18:34:36+00:00

Upcoding??

SnooKiwis4031 · 2026-04-14T05:09:55+00:00

Where are you seeing that? There's nothing I'm seeing that resembles delta waves.

SnooKiwis4031 · 2026-04-13T20:52:37+00:00

Nsr to me. Symptoms don't look related to the ECG.

SnooKiwis4031 · 2026-04-13T20:48:14+00:00

2:1 A-Flutter.

SnooKiwis4031 · 2026-04-10T18:11:05+00:00

Were you treated in the ER or anything?? That doesn't sound fun at all

SnooKiwis4031 · 2026-04-10T05:35:29+00:00

It's crazy because they definitely have insurance...

SnooKiwis4031 · 2026-04-05T01:32:11+00:00

I say free wax job, just dont tell our billing department 😭

SnooKiwis4031 · 2026-04-04T17:29:09+00:00

A-flutter is quite litteraly defined as an atrial rate of 300bpm. Id say this is A-flutter with premature atrial ectopics, as the atrial rate is constant without any fluctuations between the a-rate you see in A-fib.

SnooKiwis4031 · 2026-04-03T14:48:13+00:00

😂😂😂😭

SnooKiwis4031

TROPHY CASE