Codeine Contraindication Post-Tonsillectomy — FRCA Final MCQ
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Correct answer: B — Codeine 0.5 mg/kg oral
Codeine absolutely contraindicated post-tonsillectomy in children. MHRA warning: multiple fatalities from ultra-rapid CYP2D6 → toxic morphine levels with post-tonsillectomy airway oedema + respiratory depression = fatal. Morphine and fentanyl are safe alternatives.
Reference: MHRA – 2013 – Codeine restricted use in children