More and more physicians across Canada and America are raising concerns about the use of codeine as a pain reliever for babies and children. There is evidence now that codeine isn’t really effective as a pain reliever in this age group. And with all the potential for serious side effects with codeine, it might be best to stick with Tylenol with hydrocodone or ibuprofen. When used properly, these over-the-counter medications are safe and effective for pain control.
In a recent report, deaths have been linked with codeine in infants who have an unusual gene that turns codeine into morphine. Other genetic variations among the young also make it possible to break down codeine quickly and dump a larger amount into the bloodstream than intended or tolerated. Unpredictable serious side effects including death can be the result.
What you have heard is partially correct. Some experts have recommended taking codeine off the market completely for use with infants and young children. Some hospitals in Canada have already done this. This action may seem drastic but with babies and pre-verbal children who can’t communicate their symptoms, it’s the safest way to ensure no one dies as a result of codeine use. And since there are acceptable, safe, and effective alternatives, children don’t have to suffer pain unnecessarily.
The use of Tylenol with hydrocodone (also known as Vicodin, Vicodin ES, Anexsia, Lorcet, Lorcet Plus, or Norco) has been shown effective as an alternative. Hydrocodone is a similar drug to codeine but has a slightly different chemical formulation. Even so, there are potential adverse side effects with this medication as well. It will remain by prescription only under the supervision of a medical doctor.
If and when codeine is removed from the market for use with children, your pediatrician or primary care physician will assist you in finding effective alternative products.