Article
Cytochrome P450 2D6 polymorphisms and predicted opioid metabolism in African American children with sickle cell disease.
Journal of pediatric hematology/oncology - 1 Oct 2013
Yee Marianne M, Josephson Cassandra, Hill Charles E, Harrington Rosiland, Castillejo Marta-Inés, Ramjit Ruan, Osunkwo Ifeyinwa
Abstract excerpt
The opioid medications codeine and hydrocodone, commonly prescribed in sickle cell disease (SCD), require metabolic conversion by cytochrome P450 2D6 (CYP2D6) to morphine and hydromorphone, respectively, to exert their analgesic effects. The CYP2D6 gene is highly polymorphic, with variant alleles that result in decreased, absent, or ultrarapid enzyme activity. Seventy-five children with SCD were tested for CYP2D6...
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