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Old 03-15-2019, 02:04 PM   #88
'Hamas' Jenkins 'Hamas' Jenkins is offline
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Quote:
Originally Posted by dwwataz View Post
They actually started me on Tylenol 3, then 4, before being bumped to hydrocodone 5, 7.5, and ultimately the 10s. Even though the opiate dosage is higher in the hydrocodone, I felt substantially more lethargic on the codeine
There's a chance you could be an ultra-rapid metabolizer of CYP 2D6. Codeine is a prodrug that is in converted to morphine. A small subset of the population has more of those specific enzymes than others. If so, a "normal" dose of codeine can actually be much higher for the person in question.

This is why codeine is not given to children anymore.
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