Dextromethamphetamine

Dextromethamphetamine was a drug and additive utilized before the Great War.

Background
The Nuka-Cola Corporation attempted to create a new Nuka-Cola variant with a coffee base, but was unsuccessful. Back at the drawing board, the development team at the Kanawha Nuka-Cola Plant proposed a change of the main additive ingredient from coffee to dextromethamphetamine. Taste tests with this addition were also not particularly successful with one taste tester relaying that the new version had an excessively metallic taste and further made their teeth itch.

Appearances
Dextromethamphetamine is mentioned in Fallout 76.

Behind the scenes
Dextromethamphetamine, also known as D-methamphetamine, is a highly addictive strong psychostimulant, stronger than racemic methamphetamine, but harder to synthesize. The mixture of dextromethamphetamine and levomethamphetamine produces racemic methamphetamine, also known as crystal meth. Both racemic methamphetamine and dextromethamphetamine are illicitly trafficked and sold owing to their potential for recreational use.

In low to moderate doses, methamphetamine can elevate mood, increase alertness, concentration and energy in fatigued individuals, reduce appetite, and promote weight loss. At very high doses, it can induce psychosis, breakdown of skeletal muscle, seizures and bleeding in the brain. Chronic high-dose use can precipitate unpredictable and rapid mood swings, stimulant psychosis (e.g., paranoia, hallucinations, delirium, and delusions) and violent behavior.