Introduction Over-the-counter (OTC) cough medications are commonly found in medicine cabinets across America. While they offer relief for cold and flu symptoms, some contain dextromethorphan (DXM)—a cough suppressant that, in large doses, can produce psychoactive effects. This misuse, often referred to as “robotripping” or “skittling,” has emerged as a serious public health concern, particularly among teenagers seeking a cheap, accessible high. To address this issue, public health officials, educators, and lawmakers have increasingly turned to age restrictions and community education as preventive tools. But despite growing awareness, many parents and retailers remain unaware of the dangers DXM poses when abused,…