Article
Pharmacogenetics for Safe Codeine Use in Sickle Cell Disease.
Pediatrics - 1 Jul 2016
Gammal Roseann S, Crews Kristine R, Haidar Cyrine E, Hoffman James M, Baker Donald K, Barker Patricia J, Estepp Jeremie H, Pei Deqing, Broeckel Ulrich, Wang Winfred, Weiss Mitchell J, Relling Mary V, Hankins Jane
Abstract excerpt
After postoperative deaths in children who were prescribed codeine, several pediatric hospitals have removed it from their formularies. These deaths were attributed to atypical cytochrome P450 2D6 (CYP2D6) pharmacogenetics, which is also implicated in poor analgesic response. Because codeine is often prescribed to patients with sickle cell disease and is now the only Schedule III opioid analgesic in the United...
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