The cytochrome P450 enzyme primarily responsible for the conversion of codeine to its active metabolite, morphine, is CYP2D6. Cytochrome P450 enzymes are a superfamily of enzymes involved in the metabolism of many drugs, including opioids. Codeine itself has relatively low affinity for opioid receptors and is considered a prodrug, meaning it needs to be metabolized into a more active form to exert its ana....
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