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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Fractured Collar Bone. Given Tylenol And Codeine. Night Terrors Due To Medicine?

my 18 month old son fractured his collar bone on thanksgiving. the following Monday he started Tylenol with codeine to help him sleep. he has had about five episodes which clearly seem to be night terrors. (sometimes it is in the middle of the night and sometimes during a nap). he has always been a good sleeper and I wondered if the codeine has had any affect on his night terrors. he has always been a good sleeper and his patterns have not changed so I can t imagine they are triggered by sleep deprivation . please help!
Wed, 12 Dec 2012
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General & Family Physician 's  Response
Dear concerned.,
Thanks for writing to us.
The history does not tell us about the type of treatment given to your son's # clavicle.Was it Closed Manipulative Reduction with "8"shaped bandage? Was it done under GA(General Anaesthesia).
Was the medicine prescribed by Ortho Surgeon?
Codiene is a narcotic analgesic that is it acts on the Central Nervous System inducing sedation and reduces pain thereby.It is very much habit forming and has to be taken under supervision .The side effects are Constipation (This has to be counteracted by consuming more of fibre diet and drinking lot of water).If your child is an asthmatic/having infective bronchitis codeine is contraindicated as it suppresses caugh and may increase the collection of Sputum/Phlegm in the lungs and lead to worsening of respiratory condition.There may be episodes os Obstructive Sleep Apnoea.Do you refer this to night terrors? If so kindly change the medication in consultation with your MD.
You are also requested to go for regular follow up with your orthopedic surgeon for Clavicular Fracture treatment.
In addition advise your son to move his fingers/wristjoint/elbow minimally regularly to prevent freezing.

Wishing you a speedy recovery.,
Best Regards.,
Dr Lt Cdr ASN Bhushan.,
Ex-navy.
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Critical Care Specialist Dr. Sadiq Mughal's  Response
Hi thanks for your question.
Yes your right,this could be due to the side effects of codeine,as codeine does produce agitation, hallucination,unusuall thoughts and behivoural changes.
Consult your treating physician,he/she may stop or change the drug.
Hope this answers your question.
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Child Has Fractured Collar Bone. Given Tylenol And Codeine. Night Terrors Due To Medicine?

Dear concerned., Thanks for writing to us. The history does not tell us about the type of treatment given to your son s # clavicle.Was it Closed Manipulative Reduction with 8 shaped bandage? Was it done under GA(General Anaesthesia). Was the medicine prescribed by Ortho Surgeon? Codiene is a narcotic analgesic that is it acts on the Central Nervous System inducing sedation and reduces pain thereby.It is very much habit forming and has to be taken under supervision .The side effects are Constipation (This has to be counteracted by consuming more of fibre diet and drinking lot of water).If your child is an asthmatic/having infective bronchitis codeine is contraindicated as it suppresses caugh and may increase the collection of Sputum/Phlegm in the lungs and lead to worsening of respiratory condition.There may be episodes os Obstructive Sleep Apnoea.Do you refer this to night terrors? If so kindly change the medication in consultation with your MD. You are also requested to go for regular follow up with your orthopedic surgeon for Clavicular Fracture treatment. In addition advise your son to move his fingers/wristjoint/elbow minimally regularly to prevent freezing. Wishing you a speedy recovery., Best Regards., Dr Lt Cdr ASN Bhushan., Ex-navy.