Article
Codeine intoxication associated with ultrarapid CYP2D6 metabolism.
The New England journal of medicine - 30 Dec 2004
Gasche Yvan, Daali Youssef, Fathi Marc, Chiappe Alberto, Cottini Silvia, Dayer Pierre, Desmeules Jules
Abstract excerpt
Life-threatening opioid intoxication developed in a patient after he was given small doses of codeine for the treatment of a cough associated with bilateral pneumonia. Codeine is bioactivated by CYP2D6 into morphine, which then undergoes further glucuronidation. CYP2D6 genotyping showed that the patient had three or more functional alleles, a finding consistent with ultrarapid metabolism of codeine. We attribute...
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