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Codeine in breastfeeding — GPhC CRA MCQ

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ModerateCNS TherapeuticsCodeine in breastfeedingGPhC CRA

A 27-year-old woman who is breastfeeding asks to buy codeine linctus for a dry cough. Her baby is 4 weeks old and healthy. She has no red flag symptoms. What would you advise the patient?

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Correct answer: A — Avoid codeine while breastfeeding and suggest a suitable non-opioid option

Codeine is generally avoided during breastfeeding because variable metabolism can expose the infant to morphine and cause toxicity. A non-opioid approach and self-care advice are preferred for a dry cough, with referral if symptoms suggest infection or deterioration. The advice should include seeking medical help if the infant becomes unusually sleepy or feeds poorly after any opioid exposure.

Reference: BNF