Codeine Intoxication in the Neonate

Author:

Magnani Barbarajean12,Evans Richard2

Affiliation:

1. From the Department of Pathology and Laboratory Medicine, Boston Medical Center, Boston University School of Medicine, and the

2. Office of the Chief of Medical Examiner, Commonwealth of Massachusetts, Boston, Massachusetts.

Abstract

Although opiates can provide patients with relief from pain and the discomfort of cough, the routine prescription of these drugs for infants demands caution and concern. Infants, particularly neonates, are not merely small adults requiring smaller dosages, but rather uniquely different patients. Neonates present with an immature physiology and biochemistry with respect to drug metabolism. We report a case of codeine intoxication in the neonate, in which the drug was prescribed for cough control during an emergency department visit.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference19 articles.

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2. Forensic drug testing for opiates. III. Urinary excretion rates of morphine and codeine following codeine administration.;Cone;J Anal Toxicol.,1991

3. Infants and young children metabolise codeine to morphine: a study after single and repeated rectal administration.;Quiding;Br J Clin Pharmacol,1992

4. Codeine intoxication in childhood.;von Muhlendahl;Lancet,1976

5. Pharmacokinetics and metabolism of codeine in humans.;Vree;Biopharm Drug Dispos,1992

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