About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Canadian Doctors to Consider Alternatives to Codeine for Nursing Mothers

by Gopalan on August 24, 2008 at 11:01 AM
Font : A-A+

 Canadian Doctors to Consider Alternatives to Codeine for Nursing Mothers

Canadian doctors are to look for pain relief alternatives for nursing mothers following findings that codeine may be deadly for some infants.

A joint meeting of the Society of Obstetricians and Gynecologists of Canada and the Canadian Pediatric Society is to deliberate on the issue and evolve appropriate guidelines.

Advertisement

Codeine is metabolized into morphine and is commonly used for pain relief in combination with acetaminophen.

While the American Academy of Pediatrics currently lists codeine as compatible with breastfeeding, studies show some women may end up metabolizing it into morphine at a faster rate, potentially exposing a breast-fed infant to an excess dose.
Advertisement

Dr. Gideon Koren, director of the Motherisk program at Toronto's Hospital for Sick Children, and his colleagues found 17 of 72 infants studied became sedated or experienced abnormal breathing after their mothers took codeine.

Nearly half of infants in North America are delivered by caesarean section or after episiotomy or surgical incision to enlarge the vagina to facilitate delivery during childbirth.

Hence such mothers may need pain relievers, such as Tylenol 3 or other analgesics that combine codeine with acetaminophen.

"However, our study confirms that codeine as a treatment for pain may be unsuitable and cannot be considered safe for all breastfed infants," Koren said.

Non-codeine medications and icing are other possibilities to ease pain following childbirth.

Health Canada has not changed labelling on the drug to highlight the potential risk to nursing mothers, but it is considering doing so.

Hospitals are considering pulling the combination pills from shelves or restricting their use.

In the meantime, pediatric pharmacologists advise mothers taking painkillers containing codeine to be extremely careful and watch for signs of increased sleepiness or overdose.

The advice also applies to children taking painkillers containing codeine.



Source: Medindia
GPL
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Advertisement
News Category
What's New on Medindia
Top 7 Benefits of Good Oral Hygiene
Healthy and Safer Thanksgiving 2021
Long-Term Glycemic Control - A Better Measure of COVID-19 Severity
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Nursing Home Care Eradicate Quackery, Save Lives Different Medical Specialists and their Area of Medical Expertise 

Recommended Reading
Acetaminophen and Codeine
Acetaminophen and codeine is a combination of non-opiate and opioid (opium-like sleep inducing) ......
Opiates
Opiates...
Excessive Use of Codeine and Barbiturates Linked to Chronic Migraine Risk
A new study has found that those who overuse barbiturates and opioids, such as codeine, butalbital, ...
Different Medical Specialists and their Area of Medical Expertise
A medical specialist is a recognized expert in his field and is usually accredited by a medical boa...
Eradicate Quackery, Save Lives
Quackery means promotion of a medical cure which is otherwise scientifically unproven and baseless....
Nursing Home Care
Nursing Home Care was initiated with the noble intention of looking after people who needed constant...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use