CHA Family Medicine Residency

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No more codeine

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FDA: The safety of codeine in children 18 years of age and younger  12/10/2015

Reference ID: 3200177

This is kind of old news, but FDA is coming down harder on codeine-containing meds, especially in kids and adolescents. Includes similar conclusions by European Medicines Agency. A lot of information in this document, including some good graphics on pharmacology and why codeine can be so dangerous.

I would broaden that to “all humans”. Probably other species as well. Really just no good indication for codeine for anything. Any combination drug with a “C” or “AC” after it could contain codeine. Also, of course, “Tylenol #3”. I still  see a lot of Cheratussin AC out there, sadly sometimes prescribed by Malden providers.

Let’s just not use this stuff at all.

Especially if you see a child who has been prescribed it by some ED or urgent care. Tell them to throw it out.

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Author: gemaxted

Associate Program Director Tufts University Family Medicine Residency at Cambridge Health Alliance

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