"Despite a warning by the FDA regarding the significant safety risks of opioids, a new study published in the journal Pediatrics finds that 1 in 20 children were still prescribed codeine after having a tonsillectomy and/or adenoidectomy, according to data through 2015.
The study analyzed the records of more than 362,000 children from a commercial claims database who underwent a tonsillectomy and/or adenoidectomy from 2010-2015. Based on their results, the authors believe that more vigilance is necessary to reduce inappropriate codeine prescribing, while promoting the use of non-opioid medications such as ibuprofen to treat postoperative pain after tonsillectomy. "Tonsillectomy and adenoidectomy is the second most commonly performed ENT surgery in children, following ear tube placement” according to Dr. Nina Shapiro, Professor of Head and Neck Surgery at UCLA, and author of the forthcoming book, HYPE: A Doctor's Guide to Medical Myths, Exaggerated Claims and Bad Advice: How to Tell What's Real and What's Not.
Before 2010, Tylenol with codeine elixir was the most commonly prescribed postoperative analgesic. But even before 2010, this drug had multiple reports of adverse effects, partly explained by the fact that it is a combination drug. “Secondly, codeine itself is not an analgesic, but is a 'pro-drug'. It metabolizes to morphine for analgesic effect. However, variants in patients' P450-2D6 enzymatic activity can lead to either no therapeutic blood levels of morphine or levels multitudes higher than is safe, leading to respiratory depression and even death, especially in children with a history of obstructive sleep apnea, and more so in the hours following general anesthesia and airway surgery.”..." #awareness #children #health #doctors #doctor #tonsillectomy #adenoidectomy #childhood #opiates #overdose #prescription #safety #toronto #vancouver #seattle #portland #newyork #chicago #boise #surgery #death #painkiller #bigpharma