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                            1
                            2024MHRA Drug Safety Update
                            Codeine linctus (codeine oral solutions): reclassification to prescription-only medicine Cookies on GOV.UKWe use some essential cookies to make this website work.We’d like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services.We also use cookies set by other sites to help us deliver content from their services.Accept additional cookiesReject additional cookiesView cookiesSkip to main content GOV.UK Navigation menu Menu Search GOV.UK HomeDrug Safety UpdateCodeine linctus (codeine oral solutions): reclassification to prescription-only medicineAdvice for healthcare professionals on the reclassification of codeine linctus to a prescription-only medicine (POM), following a public consultation.From:Medicines and Healthcare products
                            2
                            2023MHRA Drug Safety Update
                            Codeine linctus: public consultation on the proposal to reclassify to a prescription-only medicine Skip to main contentCookies on GOV.UKWe use some essential cookies to make this website work.We’d like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services.We also use cookies set by other sites to help us deliver content from their services.Accept additional cookiesReject additional cookiesView cookies GOV.UK Navigation menu Menu Search GOV.UK HomeDrug Safety UpdateCodeine linctus: public consultation on the proposal to reclassify to a prescription-only medicineWe have launched a public consultation on the proposal to reclassify codeine linctus to a prescription-only medicine.From:Medicines and Healthcare products Regulatory
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                            Using codeine, dihydrocodeine or tramadol during breastfeeding SPS - Specialist Pharmacy ServiceAbout Log in RegisterNHSGuidanceEventsPodcastsPlanningTrainingPublicationsTools SearchCOVID-19PGDsAdministeringCautions and contraindicationsDosingSwitchingMore Using codeine, dihydrocodeine or tramadol during breastfeedingPublished 17 January 2023 · Last updated 7 February 2023 · See all updatesTopics : Anaesthesia and pain · Codeine · Dihydrocodeine · 2 more Tramadol and dihydrocodeine can be used while breastfeeding for pain control. Codeine should not be used . Advice applies to full term, healthy infants.ContentsGeneral considerationsRecommendationCodeineRecommendationEvidence against its useEffects in infantsIf codeine is taken accidentallyDihydrocodeineRecommendationMilk levels are likely
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                            2021CADTH - Health Technology Review
                            Review Analysis
                            Appears Promising
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                            Codeine for Pain Related to Caesarean Section: A Review of Clinical Effectiveness Codeine for Pain Related to Caesarean Section: A Review of Clinical Effectiveness | CADTH Skip to main content * About * Collaboration/Outreach * Patient/Community * Careers * Contact * My CADTH * FR * Reports * Reports * Reimbursement Review * Health Technology Review * Reference List * Submit a Request * CADTH Topic Request Form * Who and What is Eligible * News & Events * News * Symposium * CADTH in Conversation with... * Events * Email: requests@cadth.ca * About * Collaboration/Outreach * Patient/Community * Careers * Contact * My CADTH Breadcrumb 1. Home 2. Codeine for Pain Related to Caesarean Section: A Review of Clinical
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                            2021CADTH - Health Technology Review
                            Review Analysis
                            Appears Promising
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                            Codeine for Acute Dental Pain and Acute Pain Related to Dental Procedures Codeine for Acute Dental Pain and Acute Pain Related to Dental Procedures | CADTH Skip to main content * About * Collaboration/Outreach * Patient/Community * Careers * Contact * My CADTH * FR * Reports * Reports * Reimbursement Review * Health Technology Review * Reference List * Horizon * Submit a Request * CADTH Topic Request Form * Who and What is Eligible * News & Events * News * Symposium * CADTH in Conversation with... * Events * Email: requests@cadth.ca * About * Collaboration/Outreach * Patient/Community * Careers * Contact * My CADTH Breadcrumb 1. Home 2. Codeine for Acute Dental Pain and Acute Pain Related to Dental
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                            2021CADTH - Health Technology Review
                            Review Analysis
                            Appears Promising
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                            Codeine for Acute Extremity Pain: A Review of Clinical Effectiveness Codeine for Acute Extremity Pain: A Review of Clinical Effectiveness | CADTH Skip to main content * About * Collaboration/Outreach * Patient/Community * Careers * Contact * My CADTH * FR * Reports * Reports * Reimbursement Review * Health Technology Review * Reference List * Horizon Scan Request Form * Who and What is Eligible * News & Events * News * Symposium * CADTH in Conversation with... * Events * Email: requests@cadth.ca * About * Collaboration/Outreach * Patient/Community * Careers * Contact * My CADTH Breadcrumb 1. Home 2. Codeine for Acute Extremity Pain: A Review of Clinical Effectiveness Copied to clipboard Codeine
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                            2021CADTH - Health Technology Review
                            Review Analysis
                            Appears Promising
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                            Medications Containing Low-dose Codeine for the Treatment of Pain and Coughs Medications Containing Low-dose Codeine for the Treatment of Pain and Coughs | CADTH Skip to main content * About * Collaboration/Outreach * Patient/Community * Careers * Contact * My CADTH * FR * Reports * Reports * Reimbursement Review * Health Technology Review * Reference List * Submit a Request * CADTH Topic Request Form * Who and What is Eligible * News & Events * News * Symposium * CADTH in Conversation with... * Events * Email: requests@cadth.ca * About * Collaboration/Outreach * Patient/Community * Careers * Contact * My CADTH Breadcrumb 1. Home 2. Medications Containing Low-dose Codeine for the Treatment of Pain
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                            2020CADTH - Health Technology Review
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                            Codeine for Pain Related to Osteoarthritis of the Knee and Hip: A Review of Clinical Effectiveness Codeine for Pain Related to Osteoarthritis of the Knee and Hip: A Review of Clinical Effectiveness | CADTH Skip to main content * About * Collaboration/Outreach * Patient/Community * Careers * Contact * My CADTH * FR * Reports * Reports * Reimbursement Review * Health Workspaces Registration * Submit a Request * CADTH Topic Request Form * Who and What is Eligible * News & Events * News * Symposium * CADTH in Conversation with... * Events * Email: requests@cadth.ca * About * Collaboration/Outreach * Patient/Community * Careers * Contact * My CADTH Breadcrumb 1. Home 2. Codeine for Pain Related
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                            2021UK Teratology Information Service
                            Codeine or dihydrocodeine You need to be logged in to see the full monograph.LoginUSE OF CODEINE OR DIHYDROCODEINE IN PREGNANCYDate of issue: August 2022, Version: 2A corresponding patient information leaflet on USE OF CODEINE OR DIHYDROCODEINE IN PREGNANCY is available.Codeine is an opioid analgesic used in the treatment of mild-to-moderate pain and as an antitussive. Dihydrocodeine is a semisynthetic opioid also used in the treatment of mild-to-moderate pain and as an antitussive. There are no published pregnancy safety data specifically for dihydrocodeine; however, any fetal or neonatal effects are expected to be similar to those for codeine. UKTIS has collected prospective data on 99 pregnancies with therapeutic exposure to dihydrocodeine (including 23 live-born infants with first
                            10
                            2024PLoS ONE
                            Codeine and promethazine: Exploratory study on "lean" or "sizzurp" using national survey data and an online forum. The concoction known as "lean" containing codeine and promethazine, holds a prominent cultural presence and is often referenced in mass media platforms (e.g., music and social media). Surprisingly, there's a scarcity of national data characterizing the use of lean. Therefore
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                            Analgesic effect of oral paracetamol 1000 mg/ibuprofen 400 mg, paracetamol 1000 mg/codeine 60 mg, paracetamol 1000 mg/ibuprofen 400 mg/codeine 60 mg, or placebo on acute postoperative pain: a single-dose, randomized, and double-blind study. Combining analgesics with different mechanisms of action may increase the analgesic efficacy. The multidimensional pharmacodynamic profiles of ibuprofen 400  mg/paracetamol 1000 mg, ibuprofen 400 mg/paracetamol 1000 mg/codeine 60 mg, and paracetamol 1000 mg/codeine 60 mg and placebo were compared. A randomized, double-blind, placebo-controlled, parallel-group, single-centre, outpatient, and single-dose study used 200 patients of both sexes and homogenous ethnicity after third molar surgery (mean age 24 years, range 19-30 years). Primary outcome was sum
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                            Does cytochrome 2D6 genotype affect the analgesic efficacy of codeine after ambulatory surgery? Prospective trial in 987 adults. Paracetamol-codeine combination tablet is widely used in pain management after day surgery. For safety reasons, its use has decreased in recent years. Codeine is a prodrug metabolised in the liver by the cytochrome P450 2D6 (CYP2D6) enzyme to morphine that produces the analgesic effect of codeine. CYP2D6 is highly polymorphic, and based on genotypes, individuals can be divided into four categories: poor-, intermediate-, normal- and ultrarapid metabolisers. Differences in morphine and its metabolite concentrations have been described between different CYP2D6 genotypes following codeine administration. The aim of the study was to investigate the possible effect of CYP2D6
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                            2023EvidenceUpdates
                            Prescription of oxycodone versus codeine after childbirth and risk of persistent opioid use: a population-based cohort study Oxycodone is increasingly prescribed for postpartum analgesia in lieu of codeine owing to concerns regarding the neonatal safety of codeine during lactation. We examined whether initiation of oxycodone after delivery was associated with an increased risk of persistent opioid use relative to initiation of codeine. We conducted a population-based cohort study of people who filled a prescription for either codeine or oxycodone within 7 days of discharge from hospital after delivery between Sept. 1, 2012, and June 30, 2020. The primary outcome was persistent opioid use, defined as 1 or more additional prescriptions for an opioid within 90 days of the first postpartum
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                            2021Dutch Clinical Guidelines
                            Dutch Pharmacogenetics Working Group (DPWG) guideline for the gene-drug interaction between CYP2D6 and opioids (codeine, tramadol and oxycodone) The current Dutch Pharmacogenetics Working Group (DPWG) guideline, describes the gene-drug interaction between CYP2D6 and the opioids codeine, tramadol and oxycodone. CYP2D6 genotype is translated into normal metaboliser (NM), intermediate metaboliser (IM), poor metaboliser (PM) or ultra-rapid metaboliser (UM). Codeine is contraindicated in UM adults if doses >20 mg every 6 h (q6h), in children ≥12 years if doses >10 mg q6h, or with additional risk factors. In PMs, an alternative analgesic should be given which is not or to a lesser extent metabolised by CYP2D6 (not tramadol). In IMs with insufficient analgesia, a higher dose or alternative
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                            Effects of Codeine on Esophageal Peristalsis in Patients With Ineffective Esophageal Motility: Studies Using High-resolution Manometry. This study aims to evaluate the effects of acute codeine administration on primary and secondary esophageal peristalsis in patients with ineffective esophageal motility (IEM). Eighteen IEM patients (8 women; mean age 37.8 years, range 23-64 years) were enrolled in the study. The patients underwent high-resolution manometry exams, consisting of 10 single wet swallows, multiple rapid swallows, and ten 20 mL rapid air injections to trigger secondary peristalsis. All participants completed 2 separate sessions, including acute administration of codeine (60 mg) and placebo, in a randomized order. Codeine significantly increased the distal contractile integral (566 ± 81
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                            2024Laryngoscope
                            Post-Tonsillectomy Bleeding and Analgesic Use Before and After the FDA Boxed Warning Against Codeine. The aim of this study was to investigate the trends in post-tonsillectomy analgesic utility and incidence of post-tonsillectomy hemorrhage before and after the 2013 FDA Boxed Warning against codeine use after pediatric tonsillectomy. A retrospective study was conducted using TriNetX. A search for patients up to 18 years from 2008 to 2022 within the US Collaborative Network identified 15,648,542 subjects. CPT and ICD-10 codes were used to identify children who experienced post-tonsillectomy hemorrhage within 14 days of a tonsillectomy. Analgesics given within 14 days of tonsillectomy were tabulated annually from 2008 to 2022, including codeine, ibuprofen, acetaminophen, oxycodone, ketorolac
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                            2022Addiction
                            A prospective cohort study evaluating the impact of upscheduling codeine in Australia among frequent users of codeine. To evaluate and document the impacts of re-scheduling codeine to a prescription-only medication in Australia in February 2018. Prospective cohort study. Participants completed an on-line survey with a range of outcome measures at four time-points, once before codeine was re -scheduled (November 2017) and three times after the event: 1 month after (February 2018), 4 months after (June 2018) and 12 months after (February 2019). Australia. Participants were 260 Australians aged 18 years and above who reported regular over-the-counter (OTC) codeine use and, at the time of the study, were not engaged in treatment for codeine dependence. Survey measures included estimates of daily
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                            2022Journal of Ethnopharmacology
                            Pharmacokinetics and transplacental transfer of codeine and codeine metabolites from Papaver somniferum L. Papaveris Pericarpium, which is the dried husk of Papaver somniferum L., has been used as a phytomedicine to relieve cough, diarrhea and pain. The alkaloid codeine contained therein via biotransformation converts to morphine and potentially produces addictive and toxic effects. Due to the healthy concern for a pregnant woman, our hypothesis is that codeine and its metabolites can penetrate the placental barrier to reach the foetus and amniotic fluid, and these processes may be modulated by the transporter. Because codeine is also considered a prodrug of morphine, it has a good analgesic effect. It is often used by pregnant women but may expose the foetus to the risk of morphine harm
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                            2022PLoS ONE
                            L-Arginine reverses maternal and pre-pubertal codeine exposure-induced sexual dysfunction via upregulation of androgen receptor gene and NO/cGMP signaling. Although codeine has been reported to enhance sexual activity by improving penile reflexes, it has been shown to impair fertility indices. Also, codeine impairs ovarian steroidogenesis and folliculogenesis. Nonetheless, whether or not codeine exerts an epigenetic effect remains unclear. On the other hand, arginine has been speculated to enhance penile reflexes by upregulating NO/cGMP Signaling. The study evaluated the effect of maternal codeine exposure and prepubertal codeine and arginine treatments on F1 male sexual function and fertility indices, as well as the outcome of F2 progenies. In addition, the epigenetic programming mechanism
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                            2023Zhonghua yi xue za zhi
                            [Efficacy of compound pholcodine syrup and compound codeine phosphate oral solution on lung cancer-related cough]. To assess the clinical efficacy of compound pholcodine syrup and compound codeine phosphate oral solution on lung cancer-related cough. A total of 60 patients diagnosed with middle-advanced stage lung cancer and had lung cancer-related cough in the Department of Geriatric Oncology , and aged (62.0±8.1) years] received compound codeine phosphate oral solution treatment. The dosage of the two drugs was 15 ml each time, 3 times a day, and the treatment course was 5 days. The antitussive effectiveness, cough severity and quality of life (Leicester Cough Questionnaire in Mandarin-Chinese scale) were observed and compared between the two groups 3 days and 5 days after the treatment. All