Safety of codeine during breastfeeding: Fatal morphine poisoning in the breastfed neonate of a mother prescribed codeine

Parvaz Madadi, Gideon Koren, James Cairns, David Chitayat, Andrea Gaedigk, J. Steven Leeder, Ronni Teitelbaum, Tatyana Karaskov, Katarina Aleksa

نتاج البحث: نشر في مجلةمقالة مرجعية مراجعة النظراء

152 اقتباسات (Scopus)

ملخص

QUESTION: Recently a newborn died from morphine poisoning when his mother used codeine while breastfeeding. Many patients receive codeine for postlabour pain. Is it safe to prescribe codeine for nursing mothers? ANSWER: When a mother is an ultrarapid metabolizer of cytochrome P450 2D6, she produces much more morphine when taking codeine than most people do. In this situation, newborns might be exposed to toxic levels of morphine when breastfeeding. Options to reduce this risk include discontinuing codeine after 2 to 3 days of use and being aware of symptoms of potential opioid toxicity in both mothers and newborns.

اللغة الأصليةالإنجليزيّة
الصفحات (من إلى)33-35
عدد الصفحات3
دوريةCanadian Family Physician
مستوى الصوت53
رقم الإصدار1
حالة النشرنُشِر - يناير 2007
منشور خارجيًانعم

بصمة

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