On February 20, 2013, the U.S. Food and Drug Administration (FDA) issued a public warning to address a safety concern with the use of codeine in children after tonsillectomy and/or adenoidectomy. It will implement a “Black Box Warning,” the FDA's strongest safety statement, on the labeling of all codeine-containing drugs regarding increased risk in postoperative pain management in children following tonsillectomy and/or adenoidectomy. In fact, it appears that codeine will receive an official FDA contraindication for children in this specific posttonsillectomy setting. The FDA is also recommending that parents and caregivers of children receiving codeine for pain from other causes