Why can't we retire codeine?
نویسندگان
چکیده
Some remedies have long outlived their usefulness and have thankfully been relegated to historical archives, supplanted by safer, more effective drugs. We no longer prescribe mercury loop diuretics or antisyphilitic arsenicals. Yet, the use of codeine-containing products persists for cough relief and analgesia in children. As Kaiser et al report in their study “National Patterns of Codeine Prescriptions for Children in the Emergency Department” in this month’s issue, prescriptions for codeine-containing products barely edged down in frequency between 2001 and 2010, despite convincing studies documenting their lack of benefit and serious adverse effects. Using data from the National Hospital and Ambulatory Medical Care Survey database, they found codeine prescribed in the pediatric emergency department at the incredible rate of 558 805 to 876 729 prescriptions per year with only a small statistical decline over that period. Additionally, the US Food and Drug Administration reported that .1.7 million children aged 17 years and younger had a prescription for a codeine product filled at a pharmacy in 2011. These high numbers continue despite guidance from professional societies discouraging the use of codeine in children. Why do pediatric practitioners continue to write prescriptions for codeine? Kaiser et al observed wide practice variations, with fewer prescriptions written in the Northeast compared with other locales and fewer written by nonphysicians. There are good reasons why we should encourage all pediatric clinicians to give up their codeine-prescribing habit.
منابع مشابه
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ورودعنوان ژورنال:
- Pediatrics
دوره 133 5 شماره
صفحات -
تاریخ انتشار 2014