American Academy of Pediatrics recommendation regarding the use of tramadol and codeine:
Codeine and tramadol should NOT be prescribed for
👉 children under 12 years of age for acute pain. (strong recommendations)
👉 Adolescents aged 12–18 years with conditions like obesity, obstructive sleep apnea, or severe lung disease. (strong recommendations)
👉 postsurgical pain after tonsillectomy or adenoidectomy in children and adolescents under 18 years. (strong recommendations)
👉 When treating acute pain in people of any age who are breastfeeding
(strong recommendations)
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Codeine and tramadol should NOT be prescribed for
👉 children under 12 years of age for acute pain. (strong recommendations)
👉 Adolescents aged 12–18 years with conditions like obesity, obstructive sleep apnea, or severe lung disease. (strong recommendations)
👉 postsurgical pain after tonsillectomy or adenoidectomy in children and adolescents under 18 years. (strong recommendations)
👉 When treating acute pain in people of any age who are breastfeeding
(strong recommendations)
Source: Opioid Prescribing for Acute Pain Management in Children and Adolescents in Outpatient Settings
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