“…Dextromethorphan, as an over-the-counter medicine, is often rationalized by its users as being safer, easier to obtain, widely accessible and undetected on routine drug screening; furthermore, confirmed dextromethorphan dependence is rarely reported in the literature (Bryner et al, 2006;Desai et al, 2006;Navarro, Perry, & Bobo, 2006;Shin, Lee, Kim, Nabeshima, & Kim, 2008;Logan, Goldfogel, Hamilton, & Kuhlman, 2009). Metabolomics is a newly emerging omics approach to the investigation of metabolic phenotype changes induced by environmental or endogenous factors (Patti, Yanes, & Siuzdak, 2012;Deng et al, 2015aDeng et al, , 2015bWang et al, 2015aWang et al, , 2015bWen et al, 2015Wen et al, , 2016aWen et al, , 2016b.…”