Codeine, C6G, CYP2D6?
This is not true. ("anymore") They actually have found that C6G is the primary active compound and not CYP2D6, which only contributes to 5% of the metabolite process. Consequently, being a poor metabolizer of CYP2D6 will have a negligible effect. This also means that there is no ceiling effect to codeine like we previously thought! They also found that inhibiting CYP2D6 does nothing to stop addiction or abuse, as the person still gets high even with complete CYP2D6 inhibition due to it being negligible in the metabolization. https://en.m.wikipedia.org/wiki/Codeine Codeine is metabolized to codeine-6-glucuronide (C6G) by uridine diphosphate glucuronosyl transferase UGT2B7, and, since only about 5% of codeine is metabolized by cytochrome P450 CYP2D6, the current evidence is that C6G is the primary active compound.[20] Claims about the supposed "ceiling effect" of codeine doses are based on the assumption that high doses of codeine saturate CYP2D6, preventing furt...