Dosing Guidlines for Adults

Drug Detail for Adult Drugs


Codeine

Analgesics

Narcotics and Narcotic Antagonists


General Toxicity Notes
Excreted Unchanged %
Hepatic
Half-Life (NormalESRD) hours
2.5-3.5/No data
Plasma Protein Binding %
7
Volume of Distribution L/kg
3-4
Dose for Normal Renal Function
30-60 mg q4-6h
Second Dose
Adjustment for Renal Failure Method
D
Adjustment for Renal Failure GFR, mL/min >50 [Recommended Level]
100% [D]
Adjustment for Renal Failure GFR, mL/min 10-50 [Recommended Level]
75% [D]
Adjustment for Renal Failure GFR, mL/min <10 [Recommended Level]
50% [D]
Supplement for Dialysis [Recommendation Level]: IHD
IHD: No data
Supplement for Dialysis [Recommendation Level]: PD
PD: No data
Supplement for Dialysis [Recommendation Level]: CRRT
CRRT: Dose for GFR 10-50, titrate, [D]
References
Davies G, Kingswood C, Street M. Pharmacokinetics of opioids in renal dysfunction. Clin Pharmacokinet. 1996; 31: 410-22. [PMID: 8968655] / Elseviers MM, De Broe ME. Combination analgesic involvement in the pathogenesis of analgesic nephropathy: the European perspective. Am J Kidney Dis. 1996; 28: S48-55. [PMID: 8669430] / Quiding H, Anderson P, Bondesson U, Bor&#233; us LO, Hynning PA. Plasma concentrations of codeine and its metabolite, morphine, after single and repeated oral administration. Eur J Clin Pharmacol. 1986; 30: 673-7. [PMID: 3770062]
Toxicity Notes