Upcoming Webinars Archived Webinars Training Vitals Host A Webinar About Get Updates Contact

Is Codeine Still The Best Choice For Pediatric Pain Management?

XTALKS VITALS NEWS

The physician’s group is advising healthcare providers to stop prescribing codeine-based medication to children, and is looking to increase awareness of the risks of the drug in those under the age of 18.

Tweetables from this article:

Tweet: Codeine has been linked to serious breathing-related reactions but is still regularly prescribed to children http://ctt.ec/CiqQI+Codeine has been linked to serious breathing-related reactions but is still regularly prescribed to children.

Share this!

September 21, 2016 | by Sarah Hand, M.Sc.

According to the American Academy of Pediatrics (AAP), the answer to this question is a resounding “no.” The physician’s group is advising healthcare providers to stop prescribing codeine-based medication to children, and is looking to increase awareness of the risks of the drug in those under the age of 18.

The AAP’s most recent clinical report on the issue was published in the journal, Pediatrics. According to the article, the common painkiller has been linked to serious breathing-related reactions but is nevertheless still prescribed to children quite regularly.

Codeine is an opioid that has been used in both prescription and over-the-counter medications for decades. The drug is broken down into morphine in the liver but due to the variable metabolic rates among individuals, a standard dose may have a strong effect on some, and an inadequate effect on others.

Children are especially vulnerable to the effects of rapid metabolism, which could cause a standard dose of codeine to severely slow breathing rates, potentially leading to death. Those with additional compounding health factors, including obstructive sleep apnea, face an even higher risk of codeine-associated complications.

In addition to the AAP, the World Health Organization (WHO) and the US Food and Drug Administration (FDA) have also documented the risks of codeine use in pediatric patients. Despite the available data, over-the-counter cough syrups are still sold without a prescription in the District of Columbia along with 28 US states.



Codeine also remains a commonly prescribed painkiller for children following routine surgeries, including tonsillectomies. Between 2007 and 2011, over 800,000 patients aged 11 and under were prescribed codeine, according to a study presented in the AAP’s report. Ear, nose and throat specialists – known as otolaryngologists – prescribed codeine most frequently at 19.6 percent, while dentists, pediatricians and family physicians accounted for 13.3, 12.7, and 10.1 percent of all prescriptions, respectively.

The AAP report points out a few alternatives to codeine for pain relief in children, however the authors admit that there is a lack of safe painkillers available to pediatric patients. “Effective pain management for children remains challenging because children's bodies process drugs differently than adults do,” said Dr. Joseph D. Tobias, the report’s lead author.


Keywords: Opioid, Pediatrics, Pain Management


| NEXT ARTICLE | MORE NEWS | BLOGS | VIDEOS | POLLS & QUIZZES | WEBINARS |

Share this with your colleagues!

MORE NEWS
Lavazza Acquires Controlling Stake in Canada’s Kicking Horse Coffee

May 26, 2017 - Italian coffee company Lavazza, has secured an 80 percent equity stake in Canadian organic and fair-trade coffee company Kicking Horse Coffee, in a deal worth CAD$215 million.

Featured In: Food News


FDA First: Keytruda Approved for Cancer Treatment Based on Biomarker Alone

May 25, 2017 - For the first time, the FDA has approved a cancer treatment for solid tumors based on the presence of a biomarker, as opposed to specifying a tissue of origin.

Featured In: Biotech News


One Year of Medically Assisted Dying in Canada

May 25, 2017 - In June of 2016, the federal government of Canada passed legislation to legalize medically assisted dying.

Featured In: Life Science News


LEAVE A COMMENT
 
  
THE XTALKS VITALS INDUSTRY BLOG

Top 5 Most Impactful Tweets in Life Sciences During the Last Week

REGISTER FOR THESE WEBINARS

EU IVD Regulation: Top Five Changes for Medical Device Manufacturers to Consider


Thermal Processing Systems for the Food Industry: A Guide to Selecting Thermal Equipment and Technology


Rare Disease & Orphan Drug Development: Cost-Efficient Trial Design to Minimize Cash Burn


eTMF Workflows: Active eTMF to Improve the Quality of Clinical Trials


Copyright © 2016-2017 Honeycomb Worldwide Inc.