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 (492 Responses)
  1. Maserati Rick

    https://www.tshirthell.com/store/clicks.php?partner=sbgerlinkd&page=https://club-maserati.com/

    May 14, 2021 at 16:49 | Report abuse | Reply
  2. Maserati Service Near Me

    https://www.erc.ur.ru/include/links.php?go=https://club-maserati.com

    May 14, 2021 at 21:30 | Report abuse | Reply
  3. realtors nearby

    Very good information. Lucky me I discovered your blog by accident (stumbleupon). I have book-marked it for later!

    http://sc.sie.gov.hk/TuniS/meganleary.com/

    May 14, 2021 at 22:12 | Report abuse | Reply
  4. near by home for sale

    http://www.momoantena.com/redirect?url=https://meganleary.com/

    May 14, 2021 at 23:24 | Report abuse | Reply
  5. rv storage orange ca

    http://flash.wakunavi.net/rank.cgi?mode=link&id=333&url=newportcatalina.com/

    May 15, 2021 at 02:40 | Report abuse | Reply
  6. real estate for sale hayden lake idaho

    http://www.4geo.me/redirect/?service=catalog&url=meganleary.com

    May 15, 2021 at 03:20 | Report abuse | Reply
  7. realtor near me

    You should be a part of a contest for one of the finest websites on the internet. I will highly recommend this blog!

    https://sc.hkexnews.hk/TuniS/meganleary.com/

    May 15, 2021 at 03:51 | Report abuse | Reply
  8. Arizona Vision Center

    Hi, I do think this is an excellent website. I stumbledupon it 😉 I may come back once again since I book marked it. Money and freedom is the best way to change, may you be rich and continue to help others.

    https://pet-fufu.com/cgi-bin/pet/rank.cgi?mode=link&id=6054&url=https://arizonasvision.com/

    May 15, 2021 at 08:15 | Report abuse | Reply
  9. Eye Clinic Near Me

    You need to take part in a contest for one of the highest quality blogs on the net. I most certainly will highly recommend this site!

    http://www.navi-ohaka.com/rank.cgi?mode=link&id=1&url=https://www.arizonasvision.com

    May 15, 2021 at 10:36 | Report abuse | Reply
  10. Maserati Bora

    Hi, I do think this is a great website. I stumbledupon it 😉 I'm going to come back once again since I book-marked it. Money and freedom is the best way to change, may you be rich and continue to guide other people.

    http://yamato4u.cside.com/ys4/rank.cgi?mode=link&id=1809&url=https://club-maserati.com

    May 15, 2021 at 10:52 | Report abuse | Reply
  11. Eyeglasses Near Me

    You need to be a part of a contest for one of the most useful websites on the web. I am going to highly recommend this site!

    http://www.matomex.com/dir/rank.cgi?mode=link&id=1406&url=https://www.arizonasvision.com/

    May 15, 2021 at 14:02 | Report abuse | Reply
  12. 2002 Maserati Spyder

    http://server.tongbu.com/tbcloud/gmzb/gmzb.aspx?appleid=699470139&from=tui_jump&source=4001&url=https://club-maserati.com/

    May 15, 2021 at 15:44 | Report abuse | Reply
  13. Ray Ban Prescription Sunglasses

    Excellent blog you have got here.. It’s difficult to find good quality writing like yours these days. I seriously appreciate individuals like you! Take care!!

    https://urm.org/n/november-splash/?redirect_to=http://arizonasvision.com

    May 15, 2021 at 15:51 | Report abuse | Reply
  14. Local Marketing California

    http://www.redirect.me/?http://www.getmoneytraveling.com

    May 15, 2021 at 18:29 | Report abuse | Reply
  15. Social Media Marketing La Habra

    http://www.apps.jaworowi.cz/r.php?url=http://www.affordableranking.com

    May 15, 2021 at 21:47 | Report abuse | Reply
  16. Digital Marketing Consultant

    http://www.eiledon-briards.biz/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 16, 2021 at 00:20 | Report abuse | Reply
  17. Internet Marketing Job

    Everything is very open with a clear clarification of the issues. It was really informative. Your website is extremely helpful. Thank you for sharing!

    https://www.st-thomas-winchelsea.e-sussex.sch.uk/service/util/logout/CookiePolicy.action?backto=https://www.affordableranking.com

    May 16, 2021 at 00:38 | Report abuse | Reply
  18. Google Marketing Agencies

    Hi there! I just would like to offer you a big thumbs up for your excellent info you have got right here on this post. I'll be coming back to your website for more soon.

    https://www.techmedics.biz/__media__/js/netsoltrademark.php?d=www.affordableranking.com

    May 16, 2021 at 03:44 | Report abuse | Reply
  19. Aika50 Aika50

    http://www.dogfriendly.com/servlet/refer?from=pageFL&dest=https://aikareborn.com/PowerRank

    May 16, 2021 at 06:19 | Report abuse | Reply
  20. Aika50 Aika50

    Your style is so unique in comparison to other people I have read stuff from. Many thanks for posting when you have the opportunity, Guess I will just book mark this web site.

    http://doctor-navi.com/cgi/hospital-search-engine2/rank.cgi?mode=link&id=14979&url=aikareborn.com/wiki/paladin_unique_weapon/

    May 16, 2021 at 07:13 | Report abuse | Reply
  21. Aika Astrobunny

    https://mitsui-shopping-park.com/lalaport/iwata/redirect.html?url=https://aikareborn.com

    May 16, 2021 at 12:15 | Report abuse | Reply
  22. Sprinter Side Door Lock Repair

    https://www.chinarundreisen.com/publicbin/redirect.asp?url=https://commercialvanrepairshop.com/rv-technician-shop-near-me

    May 16, 2021 at 16:08 | Report abuse | Reply
  23. Cyndy Wason

    I don't know about you all but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2010/07/video-the-boeing-787-9-dreamliner/

    http://myemail.constantcontact.com/Be-a-Part-of-Giving-Tuesday-by-Supporting-the-Future-of-Flight-Foundation-.html?soid=1111846961938&aid=zrXG1JFUdEw

    May 16, 2021 at 18:38 | Report abuse | Reply
  24. Mercedes Sprinter Rust Repair Panels

    http://www.ffatsearch.com/search/rank.cgi?mode=link&id=9636&url=http://www.ocrvfleetservices.com/truck-technician-shop-near-me

    May 16, 2021 at 18:48 | Report abuse | Reply
  25. Sprinter Van Repair Near Me

    Hi, I do believe this is a great site. I stumbledupon it 😉 I will revisit once again since i have book marked it. Money and freedom is the greatest way to change, may you be rich and continue to help other people.

    http://fitness.flexybox.com/foreverfit/ViewSwitcher/SwitchView?mobile=True&returnUrl=http://boxtruckrepairshop.com/semi-truck-dent-repair-shop-near-me/&lang=da

    May 16, 2021 at 22:57 | Report abuse | Reply
  26. Keystone Sprinter Tank Repair Leaking

    http://koromo.co.jp/files/rank.cgi?mode=link&id=1260&url=https://ocrvfleetservices.com/chevrolet-high-top-van-repair-shop-near-me/

    May 17, 2021 at 03:50 | Report abuse | Reply
  27. Twanda Griffiths

    Have you ever heard of second life (sl for short). It is essentially a video game where you can do anything you want. Second life is literally my second life (pun intended lol). If you would like to see more you can see these sl authors and blogs

    http://myvedana.blogspot.com/2011/01/thinking-of-stuff.html

    May 17, 2021 at 08:44 | Report abuse | Reply
  28. Sprinter Service Repair

    Great information. Lucky me I ran across your website by accident (stumbleupon). I've saved as a favorite for later!

    http://www.hammer.x0.to/cgi/search/rank.cgi?mode=link&id=6289&url=https://fleettruckrepairshop.com/mack-truck-repair-repair-shop-near-me/

    May 17, 2021 at 09:52 | Report abuse | Reply
  29. Rv Mercedes Sprinter Service Center Near Me

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

    https://members.sitegadgets.com/scripts/jumparound.cgi?goto=https://fleettruckrepairshop.com/semi-truck-technician-shop-near-me/

    May 17, 2021 at 12:09 | Report abuse | Reply
  30. 2004 Maserati Spyder

    http://en.turismegarrotxa.com/track.php?t=destacat&id=29&url=https://maseratis.net

    May 17, 2021 at 12:29 | Report abuse | Reply
  31. school bus repair near me

    https://www.schornsteinfeger-duesseldorf.de/redirect.php?url=https://calivitamins.com/tr/calivita-blog/14_temizlik.html

    May 17, 2021 at 16:17 | Report abuse | Reply
  32. Maserati Quatroporte

    https://www.zlatestranky.cz/Cookies/Disagree?returnUrl=http://maseratis.net/ugryum_reka_2021

    May 17, 2021 at 21:15 | Report abuse | Reply
  33. Maserati Accessory

    https://www.historyhub.history.gov/external-link.jspa?url=https://www.maseratis.net

    May 17, 2021 at 21:54 | Report abuse | Reply
  34. oc wheel repair

    Good post! We will be linking to this particularly great post on our website. Keep up the great writing.

    https://www.navi-mxm.dojin.com/cgi-bin/ys/rank.cgi?mode=link&id=3385&url=https://www.ocrvcenter.com

    May 18, 2021 at 01:45 | Report abuse | Reply
  35. motorhome repair near me

    This is the perfect webpage for anybody who would like to understand this topic. You know so much its almost hard to argue with you (not that I personally will need to…HaHa). You definitely put a fresh spin on a subject which has been written about for a long time. Great stuff, just wonderful!

    https://www.doctor-navi.com/cgi/hospital-search-engine2/rank.cgi?mode=link&id=14979&url=https://www.ocrvcenter.com

    May 18, 2021 at 02:26 | Report abuse | Reply
  36. Dalia Bhattacharya

    I don't know about you people but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2010/07/video-pan-am-introduces-jet-service/

    http://www.washingtonbids.us/washington-contractors/naics-71-Arts-Entertainment.14.htm

    May 18, 2021 at 03:53 | Report abuse | Reply
  37. motorhome restoration interior

    http://fanslations.azurewebsites.net/release/out/takami-no-kago-chapter-39/11534/?url=https://ocrvcenter.com

    May 18, 2021 at 04:35 | Report abuse | Reply
  38. rv replacement parts near me

    Way cool! Some very valid points! I appreciate you penning this write-up and also the rest of the website is really good.

    http://cs.odu.edu/~mln/teaching/cs518-f08/?method=display&redirect=http://ocrvcenter.com/

    May 18, 2021 at 07:16 | Report abuse | Reply
  39. index of xvideos

    http://www.ktpusan.com/NEW/bin/search/jump.php?url=https://ocrvcenter.com

    May 18, 2021 at 09:48 | Report abuse | Reply
  40. Cheap Maserati

    http://aurora.network/redirect?url=http://maseratis.net

    May 18, 2021 at 15:04 | Report abuse | Reply
  41. vehicle air conditioning repair near me

    bookmarked!!, I really like your site!

    https://www.koromo.co.jp/files/rank.cgi?mode=link&id=1260&url=https://www.cool-air-tech.com/

    May 18, 2021 at 17:11 | Report abuse | Reply
  42. adhd coach near me

    Right here is the perfect blog for anyone who wants to understand this topic. You understand a whole lot its almost hard to argue with you (not that I really will need to…HaHa). You certainly put a brand new spin on a subject which has been written about for years. Wonderful stuff, just wonderful!

    https://www.ibar.cc/link.php?url=https://www.menmastermind.com

    May 18, 2021 at 18:43 | Report abuse | Reply
  43. health training online

    May I simply just say what a relief to find someone that actually knows what they're discussing over the internet. You actually understand how to bring a problem to light and make it important. More people have to look at this and understand this side of the story. I was surprised that you are not more popular given that you definitely have the gift.

    https://www.ehso.com/ehsord.php?URL=https://menmastermind.com/

    May 18, 2021 at 20:37 | Report abuse | Reply
  44. Vision Doctor Near Me

    This website was... how do I say it? Relevant!! Finally I have found something that helped me. Cheers!

    https://www.alliedacademies.org/user-logout.php?redirect_url=http://bettersightovernight.com

    May 19, 2021 at 03:46 | Report abuse | Reply
  45. Genie Grosky

    I don't know about you all but I infatuated with airplanes. I had a friend in highschool that loves airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2011/01/exploring-the-flying-heritage-collection-at-paine-field/

    http://blog.seattlepi.com/airlinereporter/2010/01/21/get-vip-tickets-to-watch-the-boeing-747-8-first-flight/

    May 19, 2021 at 05:43 | Report abuse | Reply
  46. Best Selection Of Eyeglass Frames Near Me

    I’m impressed, I must say. Rarely do I come across a blog that’s both equally educative and entertaining, and let me tell you, you have hit the nail on the head. The issue is an issue that not enough men and women are speaking intelligently about. I'm very happy I found this in my hunt for something concerning this.

    https://bestrevie.ws/r/46678c091e3ae21e328f865434774f917baebabe-MDEyMDE5?url=https://bettersightovernight.com

    May 19, 2021 at 08:12 | Report abuse | Reply
  47. Maserati Levante Dealers Near Me

    This excellent website certainly has all the info I needed about this subject and didn’t know who to ask.

    http://www.dmca.com/Protection/Status.aspx?ID=edc817fd-d796-4c84-abb8-d1cb5b2e3719&refurl=http://maseratis.net/

    May 19, 2021 at 09:30 | Report abuse | Reply
  48. Social Media Marketing Job

    Very good write-up. I definitely appreciate this site. Thanks!

    http://redirects.tradedoubler.com/utm/td_redirect.php?td_keep_old_utm_value=1&url=https://marketingpostfalls.com

    May 19, 2021 at 09:36 | Report abuse | Reply
  49. pills that give you energy

    I could not resist commenting. Well written!

    http://he-web.com/rank.cgi?mode=link&id=6111&url=http://bonus-books.com/

    May 19, 2021 at 09:52 | Report abuse | Reply
  50. Mercedes Diesel Repair

    https://www.zhhsw.com/home/link.php?url=https://www.ocrv.tv/

    May 19, 2021 at 13:57 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10

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.