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X-posted in general breatfeeding. Does anyone know anything about codeine in bm?<br><br>
I've got strep throat very badly, so the doc prescribed codeine syrup for pain control. Dd woke up about 4:45 and came into bed with us. My throat hurt, so I got up and took the codeine syrup, then came back to bed and nursed dd.<br><br>
She's down to nursing once a day (mornings), and given my pain, lack of sleep, etc. I didn't even think about it!<br><br>
I won't do it again, but I'm just wondering what to look for in dd, if anything.<br><br>
She seemed fine when she woke up this AM - watched me take my antibiotics and announced "I don't have to take medicine because I'm healthy!" and trotted off to daycare without a thought (though very sad because we couldn't find the Baby Beluga book she wanted to read in the car!)
 

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Not a problem. Codeine can be safely given directly to two-year-olds, so the small amount she received from your milk is immaterial. As long as she's acting fine (and I'm sure she is, as, again, she could have had 100X the dose given to her directly if needed) then you have nothing to worry about.<br><br>
I hope you get well soon!
 

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It sounds like you nursed her immediately after taking it, right? Even though it won't hurt her, I doubt it could have crossed to your milk that fast anyway. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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I had a really painful problem with my neck right after dd was born and my doctor gave me codeine to take care of it. It wasn't a concern even with nursing a newborn so I'm sure the little bit that your older dd might get is fine.
 

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My response x-posted under BF'ing Beyond Infancy<br><br>
LynnS6,<br>
I am x-posting here in case you don't see my response under BF'ing Beyond Infancy and because the answers you got here, while well intentioned, are dangerous, especially for anyone with a young infant that might read this(although that's not the case for you.)<br><br>
This is actually a good reminder that information about drug safety is not "one size fits all". I don't know what percentage of the population carries both of the genese in question, but unless you know that you don't carry them (and how would you know) you should probably avoid Codeine.<br><br>
**Mothers with 2 copies of a specific gene matabolize Codeine into Morphine<br>
________________________________________<br>
LynnS6,<br>
This article is a little scary so I will preface it by saying that (if I remember another article correctly) that the one death they refer to involved a newborn whose mother took codeine over a 6 week period. The heartbreaking part is she did seek help before the baby died and they didn't know what to look for and sent them home.<br><br>
I wouldn't be paranoid but I would watch for lethargy. If you're really concerned you could go to the Pediatrician as a precaution.<br><br><a href="http://www.babylune.com/new-dangers-...ne-discovered/" target="_blank">http://www.babylune.com/new-dangers-...ne-discovered/</a> Breastfeeding new mothers (and those caring for them) who are taking a codeine-based pain relievers should take special note of this post.<br>
EXCERPT<br>
“…some women carry multiple copies of a gene that causes them to rapidly metabolize the Codeine into morphine, that can be passed to infants through breast milk. In at least one case, an infant has died of morphine overdose.”<br><br>
...This is not a reason to stop nursing. This is a reason to stop taking codeine.<br><br>
If you’re a nursing mother taking codeine for pain relief, watch your baby carefully. If s/he becomes more and more lethargic, seems to tired to be able to latch onto the breast, ask your doctor to test your milk and the baby’s blood for Morphine. If high levels are present, the baby may need an antidote called naloxone. The results of this study are so new that your doctor may not even know that the this problem has been discovered so be persistent. Also, if morphine is present in your milk, throw out any pumped milk you may have saved from when you were taking codeine. The good thing about metabolizing drugs quickly is that it should leave your milk quickly too. Just pump and toss the affected milk after you stop the drug."<br><br>
~Cath
 

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Discussion Starter · #7 ·
Thanks - she seemed fine, and now that I think about it, there wasn't much time for the codeine to pass into my milk (though she did nurse again about 7 am, so she probably go some then). But she was alert and chipper on her way to school, so I'm not worried. Now if I can just get to a point where I can swallow....<br><br>
I didn't know about the 'codeine-genes' but is a good warning. And codeine can inhibit breathing, so it's not a great drug in large doses!
 

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Just another thought. Not that this applies to you obviously. My brother is severely allergic to codine. A small ammount could kill him. The very first and only time he had it ( in the hospital ) he stopped breathing. They said if he was ever exposed to it again it would probably kill him. Just something to keep in mind.
 
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