home
RSS
Despite dangers, docs continue to prescribe kids codeine
Codeine is commonly prescribed for children with coughs and colds, although it's not recommended, a new study finds.
April 21st, 2014
04:24 PM ET

Despite dangers, docs continue to prescribe kids codeine

Every year, there are up to 870,000 prescriptions of codeine written for children in emergency rooms in the United States.

And that's a huge danger, because the narcotic can have particularly powerful effects on children. So powerful that the American Academy of Pediatrics issued guidelines against its use in 1997. Yet, despite those guidelines, a new study in the journal Pediatrics has found that little has changed in codeine prescribing habits.

Study author Dr. Sunitha Kaiser and her colleagues evaluated the National Hospital and Ambulatory Medical Care Survey database for emergency room visits of children between the ages of 3 and 17  from 2010 through 2010. They found found that in the nine years evaluated, the percentage of codeine prescriptions dropped very little - from 3.7%  to 2.9%.

Codeine can be a particular threat to children, because they can metabolize it very differently than adults. Up to a third of all children don't process it efficiently, so that they need more than a standard dose. Another 8% of children metabolize it too quickly, meaning a standard dose can result in a fatal overdose.

"Codeine is notorious for rashes, hives, vomiting in kids, and constipation. You can be allergic to it," says Dr. Alan Woolf, director of the Pediatric Environmental Health Center at Boston Children's Hospital. Woolf wrote an accompanying editorial titled "Why Can't We Retire Codeine?" in the same issue of Pediatrics.

Kaiser and her colleagues found that children between the ages of 8 and 12 were most likely to be prescribed the drug. While coughs and colds were commonly cited as a reason for codeine, the AAP's guidelines specifically state "no well-controlled scientific studies were found that support the efficacy and safety of narcotics (including codeine)."

"Codeine's been around a long time. You know, just like many other drugs, there's complacency about it. Because it has such name value, people assume it's safe. ... And I don't think a lot of practitioners, and a lot of (the) public, makes the connection between codeine and narcotic," says Woolf.

In fact, codeine's use is so prevalent that, according to the Food and Drug Administration, over 1.7 million prescriptions for codeine or codeine based products were filled for children under 18 in 2011.

Woolf suggests asking your doctor for codeine alternatives, when presented with a codeine option. The AAP endorses using products with dark honey as a cough suppressant. Even when trying to manage pain, Woolf says there are much safer options for children.

So how to get doctors to stop prescribing codeine? "Education is part of the answer," Woolf suggests, along with "getting other hospital therapy committees to consider whether they need codeine in their formularies," and making stricter regulation on codeine prescribed through Medicaid. "Maybe a combination of all those things may help."


soundoff (682 Responses)
  1. Internet Marketing Service Near Me

    The very next time I read a blog, Hopefully it won't disappoint me as much as this particular one. After all, Yes, it was my choice to read, nonetheless I really believed you would probably have something useful to say. All I hear is a bunch of crying about something that you could possibly fix if you were not too busy looking for attention.

    http://www.fsbofinder.com/__media__/js/netsoltrademark.php?d=affordableranking.com/

    June 20, 2021 at 02:14 | Report abuse | Reply
  2. Local Marketing Consultant

    You need to be a part of a contest for one of the most useful sites on the web. I'm going to recommend this website!

    http://malignantmelanoma.com/__media__/js/netsoltrademark.php?d=www.https://affordableranking.com/

    June 20, 2021 at 03:30 | Report abuse | Reply
  3. Social Media Marketing Near Me

    https://highpointtreestands.com/__media__/js/netsoltrademark.php?d=affordableranking.com/

    June 20, 2021 at 04:23 | Report abuse | Reply
  4. Miguel Gittins

    How do you save your bookmarks in Firefox when transferring from one computer to another?

    https://twitter.com/katekdesigns

    June 20, 2021 at 07:59 | Report abuse | Reply
  5. Internet Marketing Service

    http://blog.tieonline.com/feedtie/feed2js.php?src=https://www.affordableranking.com/&num=3&au=y&date=y&utf=y&html=y

    June 20, 2021 at 10:44 | Report abuse | Reply
  6. Sharita Rokusek

    When I originally commented I seem to have clicked the -Notify me when new comments are added- checkbox and now every time a comment is added I recieve four emails with the same comment. Is there an easy method you are able to remove me from that service? Thanks a lot!

    https://www.es.paltalk.com/client/webapp/client/External.wmt?url=https://www.sprintervanrepairnearme.com/

    June 20, 2021 at 11:25 | Report abuse | Reply
  7. Marquetta Lichter

    I couldnít refrain from commenting. Well written!

    https://eridan.websrvcs.com/System/Login.asp?id=48747&Referer=https://www.thelawofsuccesscoach.com/

    June 20, 2021 at 11:47 | Report abuse | Reply
  8. Simonne Castles

    You've made some decent points there. I looked on the internet to learn more about the issue and found most people will go along with your views on this site.

    http://slides.virtualpathology.leeds.ac.uk/research_4/slide_library/r_bishop_collection/card_index_set/soft_tissue/33959.svs/view.apml?returnurl=https://ocrv.today

    June 20, 2021 at 12:35 | Report abuse | Reply
  9. Jacki Avendano

    I absolutely love your blog.. Pleasant colors & theme. Did you create this amazing site yourself? Please reply back as Iím wanting to create my own personal site and would love to know where you got this from or just what the theme is named. Many thanks!

    https://google.ml/url?q=https://allbrewsupplies.com

    June 20, 2021 at 12:43 | Report abuse | Reply
  10. Irwin Yagues

    Way cool! Some extremely valid points! I appreciate you writing this article and the rest of the website is also really good.

    http://anonym.to/?highrisetv.com

    June 20, 2021 at 12:48 | Report abuse | Reply
  11. Georgeanna Rivadulla

    https://biz.timesfreepress.com/__media__/js/netsoltrademark.php?d=https://www.onlinebannerdisplayadvertisingservices.com

    June 20, 2021 at 14:37 | Report abuse | Reply
  12. Desmond Dalio

    http://www.ams.ceu.edu/optimal/optimal.php?url=https://lifebusinessfitness.com

    June 20, 2021 at 14:53 | Report abuse | Reply
  13. Darell Wiedenheft

    That is a very good tip especially to those new to the blogosphere. Brief but very precise infoÖ Thank you for sharing this one. A must read post!

    https://image.google.com.mx/url?q=https://postfallshealth.com

    June 20, 2021 at 15:21 | Report abuse | Reply
  14. Laverne Cuhel

    https://www.tvtropes.org/pmwiki/no_outbounds.php?o=https://prnroofing.com/

    June 20, 2021 at 18:56 | Report abuse | Reply
  15. Esteban Brendel

    Hi! I could have sworn Iíve been to your blog before but after looking at a few of the articles I realized itís new to me. Nonetheless, Iím certainly happy I found it and Iíll be bookmarking it and checking back often!

    https://encrypted.google.com/url?q=j&rct=j&url=https3A2F2Fbestlocalnearme.com&sa=D&sntz=1&usg=AFQjCNGaY_nlK9ozc51fqwjiVdMaYZL7rg

    June 20, 2021 at 20:46 | Report abuse | Reply
  16. jobs near me part time

    Good post. I learn something totally new and challenging on sites I stumbleupon everyday. It's always interesting to read content from other authors and use something from their web sites.

    http://nytera.org/__media__/js/netsoltrademark.php?d=quotenearme.com

    June 20, 2021 at 22:15 | Report abuse | Reply
  17. chevy dealership near me

    http://littleart.org/__media__/js/netsoltrademark.php?d=masternearme.com

    June 20, 2021 at 22:38 | Report abuse | Reply
  18. RV Repair Shops Near Me

    Way cool! Some very valid points! I appreciate you writing this article and the rest of the site is very good.

    http://phichart.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com

    June 20, 2021 at 23:09 | Report abuse | Reply
  19. RV Repairs Nearby

    http://www.expertoptimization.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com

    June 20, 2021 at 23:11 | Report abuse | Reply
  20. walgreens near me

    http://osgpurchasing.com/__media__/js/netsoltrademark.php?d=masternearme.com

    June 20, 2021 at 23:26 | Report abuse | Reply
  21. burger places near me

    I like reading a post that can make men and women think. Also, many thanks for allowing me to comment!

    http://www.torrent.ai/lt/redirect.php?url=https://www.bestlocalnearme.com

    June 21, 2021 at 01:26 | Report abuse | Reply
  22. chick-fil-a near me

    http://www.smithhill.net/__media__/js/netsoltrademark.php?d=bestshopnearme.com

    June 21, 2021 at 01:45 | Report abuse | Reply
  23. Sprinter Repair Shop Near Me

    You ought to take part in a contest for one of the greatest blogs on the internet. I'm going to highly recommend this website!

    http://www.worldoftours.net/__media__/js/netsoltrademark.php?d=ocrvcenter.com

    June 21, 2021 at 01:47 | Report abuse | Reply
  24. Sprinter Repair Orange County

    http://www.ra2d.com/directory/redirect.asp?id=596&url=https://www.ocrvcenter.com

    June 21, 2021 at 07:11 | Report abuse | Reply
  25. same day results covid testing near me

    https://truehits.net/webout.php?url=https://reviewnearme.com/

    June 21, 2021 at 12:34 | Report abuse | Reply
  26. hyundai dealer near me

    Iím impressed, I have to admit. Rarely do I encounter a blog thatís both educative and interesting, and let me tell you, you've hit the nail on the head. The problem is something which too few men and women are speaking intelligently about. I'm very happy I came across this during my hunt for something relating to this.

    http://launchbox-emailservices.ca/mail/t.aspx?S=59&ID=9110&NL=135&N=12353&SI=1448518&URL=https://reviewnearme.com/

    June 21, 2021 at 12:43 | Report abuse | Reply
  27. bbq near me

    Right here is the right site for anyone who wants to find out about this topic. You realize so much its almost hard to argue with you (not that I actually would want toÖHaHa). You certainly put a fresh spin on a subject that has been written about for many years. Excellent stuff, just excellent!

    http://blueprintsfortomorrow.org/__media__/js/netsoltrademark.php?d=bestservicenearme.com/

    June 21, 2021 at 12:59 | Report abuse | Reply
  28. RV Repair Shop Near Me

    http://bondbroker.net/__media__/js/netsoltrademark.php?d=rvmarketingexperts.com/

    June 21, 2021 at 13:44 | Report abuse | Reply
  29. Sprinter Van Restoration

    http://xju.4hopefoundation.com/__media__/js/netsoltrademark.php?d=sprintervanrepair.com

    June 21, 2021 at 14:06 | Report abuse | Reply
  30. Mercedes High Top Van Repair Shop

    Good info. Lucky me I came across your blog by chance (stumbleupon). I've saved as a favorite for later!

    http://ifeelfear.net/__media__/js/netsoltrademark.php?d=www.commercialvanrepairshop.com

    June 21, 2021 at 14:53 | Report abuse | Reply
  31. RV Repair Fountain Valley

    https://www.buscocolegio.com/Colegio/redireccionar-web.action?url=http://ocrvcenter.biz

    June 21, 2021 at 15:00 | Report abuse | Reply
  32. RV Water Repair Man Near Me

    http://www.starsprogram.com/__media__/js/netsoltrademark.php?d=ocrvcenter.co

    June 21, 2021 at 15:05 | Report abuse | Reply
  33. Sprinter Blower Fan Repair Near Me

    I enjoy looking through a post that can make men and women think. Also, thank you for allowing for me to comment!

    http://www.antiqueweek.com/scripts/sendoffsite.asp?url=http://sprintervanrepair.com

    June 21, 2021 at 16:32 | Report abuse | Reply
  34. Chevrolet Luxury Van Repair Shop Near Me

    Hi there! This article couldnít be written any better! Reading through this article reminds me of my previous roommate! He always kept talking about this. I'll send this information to him. Fairly certain he'll have a good read. I appreciate you for sharing!

    http://www.startgames.ws/myspace.php?url=https://sprinterrepairnearme.com/

    June 21, 2021 at 17:06 | Report abuse | Reply
  35. Sprinter Repair Shop Near Me

    When I initially commented I appear to have clicked on the -Notify me when new comments are added- checkbox and from now on every time a comment is added I receive four emails with the same comment. Is there an easy method you can remove me from that service? Appreciate it!

    https://events-azalea.outpace.com/event-redirect/offer.marriott_homepage.click?user_id=&offer_id=9de6c91d-ade8-4593-a15c-2f3361fddd6d&position=2&creative_id=fef3dba5-d6d8-4b75-9fdf-701c8887dc7c&placement=marriott_homepage_tile&url=https://ocrv.guru/

    June 21, 2021 at 17:29 | Report abuse | Reply
  36. RV Camper Repair Near Me

    http://parla-newyork.com/__media__/js/netsoltrademark.php?d=ocrv.rocks

    June 21, 2021 at 20:34 | Report abuse | Reply
  37. RV Repairs Nearby

    http://www.paydeliverybill.com/__media__/js/netsoltrademark.php?d=www.ocrvcenter.com

    June 21, 2021 at 22:51 | Report abuse | Reply
  38. RV Repair Store Near Me

    http://school364.spb.ru/bitrix/rk.php?goto=https://ocrvcenter.biz

    June 22, 2021 at 04:10 | Report abuse | Reply
  39. RV Mobile Repair Near Me

    Good post. I learn something new and challenging on sites I stumbleupon everyday. It will always be interesting to read content from other writers and use a little something from other sites.

    http://business-centres.com/__media__/js/netsoltrademark.php?d=ocrvluxurycoaches.com/

    June 22, 2021 at 04:20 | Report abuse | Reply
  40. Jet Van Repair Shop Near Me

    Hello there! This blog post couldnít be written much better! Looking at this post reminds me of my previous roommate! He always kept talking about this. I most certainly will forward this article to him. Fairly certain he's going to have a great read. Many thanks for sharing!

    http://www.sensitivesingles.com/__media__/js/netsoltrademark.php?d=fleetrepairshops.com

    June 22, 2021 at 04:34 | Report abuse | Reply
  41. energy group

    http://telotristatethyl.us/__media__/js/netsoltrademark.php?d=realchrisburns.com

    June 22, 2021 at 08:39 | Report abuse | Reply
  42. Sprinter Climate Control Repair

    http://cilada.com/__media__/js/netsoltrademark.php?d=fleetservicerepairshop.com

    June 22, 2021 at 12:45 | Report abuse | Reply
  43. RV Repair Shops Near Me

    http://coleellison.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com/

    June 22, 2021 at 21:46 | Report abuse | Reply
  44. SEO Marketing Specialist

    I couldnít refrain from commenting. Perfectly written!

    https://www.yunsom.com/redirect/commodity?url=http://consciousgrowthmarketing.com/

    June 22, 2021 at 23:20 | Report abuse | Reply
  45. RV Repair Service Near Me

    http://www.terrispencer.net/__media__/js/netsoltrademark.php?d=www.oc-rv.com

    June 23, 2021 at 01:45 | Report abuse | Reply
  46. RV Repair And Service Near Me

    https://thediplomat.com/ads/books/ad.php?i=4&r=http://ocrvcenter.biz/

    June 23, 2021 at 07:51 | Report abuse | Reply
  47. adam carolla podcast

    https://members.ascrs.org/sso/logout.aspx?returnurl=https://backbonehunters.com/

    June 23, 2021 at 08:28 | Report abuse | Reply
  48. 24 Hour RV Repair Near Me

    I used to be able to find good advice from your content.

    http://romhacking.ru/go?https://ocrvcenter.net/

    June 23, 2021 at 19:34 | Report abuse | Reply
  49. RV And Camper Repair Near Me

    This site was... how do I say it? Relevant!! Finally I have found something which helped me. Many thanks!

    http://portugaldailyview.com/__media__/js/netsoltrademark.php?d=ocrvmotorsports.info

    June 23, 2021 at 19:57 | Report abuse | Reply
  50. ophthalmologist near me

    http://dieblok.com/__media__/js/netsoltrademark.php?d=quotenearme.com

    June 23, 2021 at 20:09 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14

Post a comment


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.