Article
CYP2D6 ultrarapid metabolism and morphine/codeine ratios in blood: was it codeine or heroin?
Journal of analytical toxicology - 1 Mar 2008
He Y J, Brockmöller J, Schmidt H, Roots I, Kirchheiner J
Abstract excerpt
The concentration ratio of morphine (Mor) over codeine (Cod) in opiate positive blood samples is used to discriminate between the use of illegal heroin (high ratios) and therapeutic codeine (low ratios). However, genetically caused CYP2D6 ultra-rapid metabolism might lead to Mor/Cod comparable to heroin intake. A single oral dose of 30 mg codeine was administered to 11 CYP2D6 ultrarapid metabolizers (UMs) and 12...
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