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 الأصلية | الإنجليزيّة |
---|---|
الصفحات (من إلى) | 33-35 |
عدد الصفحات | 3 |
دورية | Canadian Family Physician |
مستوى الصوت | 53 |
رقم الإصدار | 1 |
حالة النشر | نُشِر - يناير 2007 |
منشور خارجيًا | نعم |