TY - JOUR T1 - CHildren’s deaths linked with postsurgical codeine AU - Voelker R Y1 - 2012/09/12 N1 - 10.1001/2012.jama.11525 JO - JAMA SP - 963 EP - 963 VL - 308 IS - 10 N2 - The surgeries were performed to treat obstructive sleep apnea. FDA officials said it appeared that the 3 children who died, who were aged 2 to 5 years, were “ultrarapid metabolizers” who metabolize codeine much more quickly and completely than others. This trait results from a gene variant that makes the drug-metabolizing enzyme cytochrome P450 2D6 in the liver more active (http://www.fda.gov/Drugs/DrugSafety/ucm313631.htm). Overall prevalence of the inherited trait is 1% to 7% but reaches 29% in Ethiopian populations, the FDA reported. The agency has approved genetic tests that can detect the trait. SN - 0098-7484 M3 - doi: 10.1001/2012.jama.11525 UR - http://dx.doi.org/10.1001/2012.jama.11525 ER -