# AI将‘Tylenol #3’误解为对乙酰氨基酚300毫克和可待因30毫克，未对12岁以下儿童标记可待因成分

- **ID:** `medical/medication-list-interpretation`
- **领域:** medical
- **类别:** data_error
- **错误码:** `MED_LIST_INTERP_COD`
- **验证级别:** ai_generated
- **修复率:** 78%

## 根因

‘Tylenol #3’是对乙酰氨基酚300毫克和可待因30毫克的品牌名；AI未能识别可待因成分及其FDA黑框警告——12岁以下儿童扁桃体切除术后或任何18岁以下有呼吸风险的儿童禁用。

## 解决方案

1. ```
   Parse 'Tylenol #3' as a fixed combination: acetaminophen 300 mg + codeine 30 mg. Flag for pediatric patients under 12 years: 'Codeine is contraindicated in children under 12 years due to risk of respiratory depression.' Example: if patient is 8 years old, do not recommend this medication.
   ```
2. ```
   Use a medication database lookup (e.g., RxNorm, DrugBank) to resolve brand names into active ingredients with warnings. For any codeine-containing product, automatically check patient age and surgical history.
   ```

## 无效尝试

- **** — The '#3' suffix specifically indicates codeine 30 mg per tablet; interpreting it as quantity leads to missing the opioid component. (90% 失败率)
- **** — Codeine is a prodrug metabolized to morphine; ultra-rapid metabolizers (CYP2D6) can have fatal respiratory depression. FDA warns against all codeine use in children under 12. (95% 失败率)
- **** — Omits the opioid component entirely, leading to under-treatment of pain or missed drug interaction warnings. (85% 失败率)