Child-Proofing Drugs

When children need medications, getting the dosing and method of administration right is like trying to hit a moving target with an untried weapon.

Written byEdyta Zielinska
| 12 min read

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In 2005, a mother who had just given birth received codeine to dull the pain associated with childbirth. In her body, the codeine was converted into morphine by a drug-metabolizing enzyme called CYP2D6. Although people carry many variations in the gene for this enzyme, this woman had an unusual difference: she expressed multiple copies of the gene. As a result, the additional CYP2D6 enzymes in her body churned through the codeine so efficiently that her morphine levels spiked and stayed high. Unbeknownst to her doctors, high doses of the drug had passed from her milk into her infant. When the baby was brought back to the hospital with gray skin 12 days after his birth, doctors were puzzled. He was an otherwise healthy baby boy. ...

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