The Clinton Herald, Clinton, Iowa

Food & Health

April 21, 2014

Kids get codeine in ER despite risks, guidelines

CHICAGO — Despite recommended limits on codeine use in children, the potent painkiller is prescribed for children in at least half a million emergency room visits each year, a study suggests.

Use of the drug in that setting is hardly rampant — just 3 percent of kids' ER visits resulted in a codeine prescription in 2010, the 10-year study found. But with more than 25 million ER visits by children each year, the authors say far too many kids are getting the drug when better options are available.

THE CONCERNS

Codeine is an opiate drug and a genetic variation makes some people metabolize it too quickly, potentially resulting in dangerous side effects including excessive sleepiness and difficulty breathing. The Food and Drug Administration issued its strictest warning last year about a rare risk for life-threatening complications or death in children given the drug after certain surgeries. It advises using codeine for children's pain only if anticipated benefits outweigh the risks.

Another genetic variation makes the drug ineffective for pain relief in as many as a third of patients. Codeine was once commonly used for coughs, but the American Academy of Pediatrics recommends against that use because of the risks and no evidence it relieves coughs.

THE FINE PRINT

Injuries and respiratory symptoms are the top reasons for children's ER visits. The study authors analyzed 2001-10 national data on ER visits for kids aged 3 to 17. The portion of visits where codeine was prescribed dipped slightly during the study. But the authors estimated the yearly number of codeine visits ranged from almost 560,000 to 877,000. Information on any side effects was not included in the data.

The study was published online Monday in Pediatrics.

WHAT DO DOCTORS SAY?

Dr. Kathleen Neville, a pediatric drug expert at Children's Mercy Hospitals and Clinics in Kansas City, said it's likely the numbers have declined since the study ended, given the FDA's black box warning.

Text Only
Food & Health
  • Fist bump photo Study: Fist bumps less germy than handshakes

    When it comes to preventing the spread of germs, maybe the president is on to something with his fondness for fist bumps.

    July 30, 2014 1 Photo

  • Watermelon Think beyond the slice with refreshing watermelon

    Watermelon is one of those foods you really don’t need to overthink.
    Slice it. Eat it. Spit out the occasional seed. Done.

    July 27, 2014 1 Photo

  • Health insurers owe Iowans nearly $1.8M in refunds

    The federal government says insurers owe Iowans nearly $1.8 million in refunds because of a provision in the Affordable Care Act.

    July 24, 2014

  • Agents get subsidized 'Obamacare' using fake IDs WASHINGTON (AP) — Undercover investigators using fake identities were able to secure taxpayer-subsidized health insurance under President Barack Obama’s health care law, congressional investigators said Wednesday.The weak link seemed to be call cente

    July 24, 2014

  • Almost half of America's obese youth don't know they're obese

    The good news is that after decades of furious growth, obesity rates finally seem to be leveling off in the U.S.. The bad news is that America's youth still appear to be dangerously unaware of the problem.

    July 23, 2014

  • Illinois patients to docs: 'What about marijuana?'

    Illinois doctors, nursing homes, hospitals and hospice organizations are ramping up for their role as gatekeepers in the state's new medical marijuana program.

    July 23, 2014

  • Amanda Stecker Herbs make a better way to flavor meals Summer is a season full of fresh herbs. This is the best time of year to take advantage of the fresh herbs in the grocery store. Herbs add a boost of flavor without added sodium and are rich in antioxidants. Herbs are easy to incorporate into everyda

    July 23, 2014 1 Photo

  • Genome Genetic mapping triggers new hope on schizophrenia WASHINGTON, D.C. — Scientists have linked more than 100 spots in our DNA to the risk of developing schizophrenia, casting light on the mystery of what makes the disease tick.Such work could eventually point to new treatments, although they are many y

    July 23, 2014 1 Photo

  • An oncologist uses scorpion venom to locate cancer cells

    Olson, a pediatric oncologist and research scientist in Seattle, has developed a compound he calls Tumor Paint. When injected into a cancer patient, it seems to light up all the malignant cells so surgeons can easily locate and excise them.

    July 22, 2014

  • Obamacare hit by ruling, but subsidies to continue

    A federal appeals court delivered a potentially serious setback to President Barack Obama's health care law Tuesday, imperiling billions of dollars in subsidies for many low- and middle-income people who bought policies.

    July 22, 2014

Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.