How to Identify Common Pills Abused by Teens

Identify the pills, then have a serious conversation

Teenage girl (13-15) pouring out pills into hand, rear view
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For more mental health resources, see our National Helpline Database.

You're not the first parent to find a few pills in your child's pocket while washing their clothes. Considering the epidemic of prescription drug addiction and an uptick in overdoses around the United States, it's all too common. Addiction is an inclusive disease that does not discriminate by social or economic status.

Unfortunately, some kids use, abuse, and sometimes become addicted to drugs. This behavior goes far beyond "traditional" substances, such as alcohol, cocaine, and heroin. Today, kids (and adults) also abuse cough medicines, glue, and many prescription medications.

One of the first steps you may want to take when you find an unknown pill is to identify which drug it is. Knowing the medications that are abused most often and how to search for pills will help you figure that out.

The Most Commonly Abused Pills

According to the National Institute on Drug Abuse (NIDA), commonly abused classes of prescription drugs include:

  • Opioids: Prescribed to treat pain.
  • Central Nervous System Depressants: Prescribed to treat anxiety and sleep disorders.
  • Stimulants: Prescribed to treat narcolepsy, ADHD, and obesity.

More specifically, the most commonly abused prescription drugs by brand and generic name are:

  • Adderall, Dexedrine (dextroamphetamine)
  • OxyContin, Percodan, Percocet, Endocet (oxycodone)
  • Darvon (propoxyphene)
  • Demerol (meperidine)
  • Dilaudid (hydromorphone)
  • Lomotil (diphenoxylate)
  • Nembutal (pentobarbital sodium)
  • Ritalin (methylphenidate)
  • Valium (diazepam)
  • Vicodin, Lortab, Lorecet (hydrocodone)
  • Xanax (alprazolam)

The U.S. Drug Enforcement Administration (DEA) offers a helpful booklet for parents that can tell you more about these drugs: Prescription for Disaster: How Teens Abuse Medicine. It includes photos and many of the common street names as well.

Familiarizing yourself with slang terminology can help you decode your teen's conversations if needed.

How to Identify Adderall

One small, round, blue pill that you might also find is Adderall. It has the marking "AD" on one side and the number "10" on the other. You can use the pill identification wizard on and search by "Shape/Color" using the terms "round" and "blue," the resulting long list of pills includes only one with those markings: Adderall 10mg tablets. You can also use the National Institutes of Health's identification database, Pillbox, to run a search for any mysterious pills you find.

Some teenagers take Adderall without a prescription simply to help them concentrate and to do better at school. Others take it to get high, either getting it from a friend or buying it at school.

Adderall pills can either be swallowed or ground up and snorted for a quicker effect.

How to Identify DXM

A round, red pill with the markings "C C + C" might also be among the cache of meds you just found in your kid's pocket.

Restarting the pill identification wizard, and again searching by shape and color—this time for a "round" and "red" pill—will give you a number of options. Although there are many similar pills, only one has those markings: Coricidin HBP Cough & Cold Tablets.

Although it is just a cold and cough medication, many teens actually abuse the dextromethorphan (also called DXM) contained in these little red pills. Coricidin HBP Cough and Cold is also known as "triple C" in the illicit drug market.

In addition to dextromethorphan, it contains an antihistamine. Teens take it in higher than recommended doses to produce a quick high, hallucinations, and/or dissociation. Deaths from kids abusing DXM and Coricidin have been reported.

The Next Step

Once you identify the pills, it's time to decide what to do about it. Usually, this involves discussing the pills with your child. Sharing what you found with your teen in a non-judgmental way conveying your concerns is a place to start.

If you don't think that a meeting with your child will go well, you might talk to a relative or adult your child respects. They may be willing to sit down and have a conversation with your teen on your behalf. This may help them open up about what's going on and give you some insight into the next steps to take.

Don't Be Afraid to Get Help

You can also go the professional route and schedule a visit with your pediatrician or a child psychologist. If you raise your concerns about your suspicions that your child is abusing drugs, they can bring up the subject during the appointment.

A Word From Verywell

While it can be shocking and upsetting to find unknown pills in your teen's possession, do your best to approach the situation with a clear head. There are a number of steps you can take that can get them the help they need but starting with a calm, caring demeanor is a good place to start. Listening to what they have to say rather than heading straight into consequences or lectures can help take your conversation where you want it to go.

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Article Sources
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Misuse of Prescription Drugs. National Institute on Drug Abuse. Updated December 2018.

  2. Drug Facts: Amphetamines. U.S. Drug Enforcement Administration.

  3. Dextromethorphan. U.S. Drug Enforcement Administration. Published July 2019.