CNS - Pain and Analgesic

Question 1

What are the key Important Safety Information surrounding Codeine and restricted use in children? (8)

Answer 1

1. Must be above 12 to use due to risk of respiratory side effects
2. Only use when pain cant be relieved by paracetamol and ibuprofen alone
3. Max daily dose is 240mg (3 days max)
4. Contra-indicated in all children who undergo removal of tonsil for treatment of obstructive sleep apnoea
   5, Contra indicated in pt known with ultra-rapid metabolisers (CYP2D6)
5. Avoid in breastfeeding women
6. Avoid in children with respiratory issues
7. Be aware of signs/symptoms of morphine toxicity

Question 2

What is the age licensing for Acnisal (salicylic acid 2%)

Answer 2

MUST be above 2 years old

Question 3

What is the age licensing for Bazuka (salicylic 26%)

Answer 3

Above 2 years old

Question 4

What is the age licensing for Bonjela (Choline Salicylic)

Answer 4

Must be above 16

Question 5

What is the age licensing for Capasal

Salicylic

Question 6

What signs/symptoms of morphine toxicity (7)

Answer 6

Codeine is metabolised to morphine

signs & symptoms:
Reduced consciousness
Lack of appetite
Somnolence (very sleepy)
Constipation
Respiratory depression
Pin point pupils
Nausea / Vomiting