Keyword Analysis & Research: codeine metabolism
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How codeine metabolism affects its clinical use
https://pharmaceutical-journal.com/article/ld/how-codeine-metabolism-affects-its-clinical-use
WEBApr 27, 2021 · Metabolism. Codeine is primarily metabolised by two different pathways (see Figure) [2] . In most people, around 80% of codeine is conjugated to form codeine-6-glucuronide, which may have weak analgesic activity [2,7] . However, typically less than 10% of codeine undergoes CYP2D6-mediated O-demethylation to …
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Codeine - StatPearls - NCBI Bookshelf - National Center for
https://www.ncbi.nlm.nih.gov/books/NBK526029/
WEBFeb 13, 2023 · Metabolism: Codeine is metabolized by conjugation to morphine (5% to 10%) and N-demethylation to norcodeine (~10%). Cytochrome P450 2D6 is the principal enzyme responsible for the transformation of codeine to morphine, and P450 3A4 is the major enzyme for converting codeine to norcodeine.
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Codeine - Wikipedia
https://en.m.wikipedia.org/wiki/Codeine
WEBCodeine is metabolised by O- and N-demethylation in the liver to morphine and norcodeine. Hydrocodone is also a metabolite of codeine in humans. Codeine and its metabolites are mostly removed from the body by the kidneys, primarily as conjugates with glucuronic acid.
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Codeine and morphine metabolism | Pathway - PubChem
https://pubchem.ncbi.nlm.nih.gov/pathway/WikiPathways:WP1604
WEBJan 29, 2019 · Between 0-15% of codeine is O-demethylated to morphine, the most active metabolite, which has a 200 fold greater affinity for the mu-opioid receptor compared to codeine. This metabolic reaction is performed by CYP2D6.
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Codeine Therapy and CYP2D6 Genotype - Medical Genetics …
https://www.ncbi.nlm.nih.gov/books/NBK100662/
WEBSep 20, 2012 · The CYP2D6 enzyme converts codeine into its active metabolite, morphine, which provides its analgesic effect. Consequently, pain relief may be inadequate in individuals who have 2 inactive copies of CYP2D6 (“poor metabolizers”, PMs), because of reduced morphine levels.
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Pharmacokinetics of acetaminophen, codeine, and the codeine metabolites
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2867071/
WEBCodeine is metabolized to numerous metabolites including morphine and codeine-6-glucuronide, which in addition to codeine appear to contribute to analgesic effects after codeine administration to humans ( Lötsch, et al, 2006 ).
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Pharmacokinetics of codeine and its metabolite morphine in
https://www.nature.com/articles/6500406
WEBJul 4, 2006 · Codeine is an analgesic drug acting on μ -opiate receptors predominantly via its metabolite morphine, which is formed almost exclusively by the genetically polymorphic enzyme cytochrome P450...
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Pharmacokinetics of codeine and its metabolite morphine in ... - PubMed
https://pubmed.ncbi.nlm.nih.gov/16819548/
WEBPMID: 16819548. DOI: 10.1038/sj.tpj.6500406. Abstract. Codeine is an analgesic drug acting on mu-opiate receptors predominantly via its metabolite morphine, which is formed almost exclusively by the genetically polymorphic …
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Codeine - an overview | ScienceDirect Topics
https://www.sciencedirect.com/topics/biochemistry-genetics-and-molecular-biology/codeine
WEBIntroduction. Codeine is a naturally occurring low-efficacy opium alkaloid. It is usually prepared for medicinal use by methylation of morphine to give a white crystalline powder or fine-needle-shaped white crystals. Odorless, bitter tasting, and affected by light, it is hydrated on exposure to air. Aqueous solutions are acidic and levorotatory.
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Opioid Metabolism - Mayo Clinic Proceedings
https://www.mayoclinicproceedings.org/article/S0025-6196%2811%2960750-7/fulltext
WEBOpioid Metabolism. Clinicians understand that individual patients differ in their response to specific opioid analgesics and that patients may require trials of several opioids before finding an agent that provides effective analgesia with acceptable tolerability.
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