Meperidine

Meperidine is a medication that belongs to the opioid class and is used to relieve moderate-to-severe pain.

Meperidine may also be used for reasons that are not mentioned in this medication guide.

MISUSE OF OPIOID MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it.

Using opioid medicine during pregnancy may cause life-threatening withdrawal symptoms in the newborn.

Fatal side effects can occur if you use opioid medicine with alcohol, or with other drugs that cause drowsiness or slow your breathing.

You should not use meperidine if you are allergic to it, or if you have:

• severe asthma or breathing problems; or
• a blockage in your stomach or intestines.

Do not use meperidine if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

Tell your doctor if you have ever had:

• a head injury, brain tumor, or seizures;
• breathing problems, sleep apnea;
• drug or alcohol addiction, or mental illness;
• a blockage in your stomach or intestines;
• urination problems;
• liver or kidney disease;
• problems with your gallbladder, adrenal gland, or thyroid;
• sickle cell anemia; or
• abnormal curvature of the spine that affects breathing.

If you use opioid medicine while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on opioids may need medical treatment for several weeks.

Do not breastfeed while using meperidine. Meperidine can pass into breast milk and cause drowsiness, breathing problems, or death in a nursing baby.

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Opioid medicine can slow or stop your breathing, and death may occur. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue-colored lips, or if you are hard to wake up.

Meperidine may cause serious side effects. Stop using meperidine and call your doctor immediately if you have:

• slow heartbeats, weak or shallow breathing, breathing that stops during sleep;
• severe drowsiness, feeling like you might pass out;
• confusion, mood changes;
• severe constipation;
• tremors, muscle movements you cannot control, or a seizure (convulsions); or
• low cortisol levels--nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.

Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.

Serious side effects may be more likely in older adults and those who are malnourished or debilitated.

Long-term use of opioid medication may affect fertility (ability to have children) in men or women. It is not known whether opioid effects on fertility are permanent.

Common side effects of meperidine may include:

• dizziness, drowsiness;
• headache;
• nausea, vomiting; or
• sweating.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Follow the directions on your prescription label and read all medication guides. Never use meperidine in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of this medicine.

Never share opioid medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it. Selling or giving away opioid medicine is against the law.

Meperidine oral is taken by mouth.

Meperidine injection is given as an infusion into a vein, or injected into a muscle or under the skin. A healthcare provider will give you this injection.

Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

Do not stop using this medicine suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using meperidine.

Never crush or break a meperidine pill to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death with the misuse of prescription drugs.

Store at room temperature away from moisture and heat. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.

Do not keep leftover opioid medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, flush the unused medicine down the toilet.

Since meperidine is used for pain, you probably won't miss a dose. If you do miss a dose and it's almost time for your next one, just skip the missed dose. Do not take two doses at the same time.

Seek emergency medical help or call the Poison Help line at 1-800-222-1222. A meperidine overdose can be deadly, especially in a child or anyone taking the medicine without a prescription. Symptoms of an overdose may include slow breathing and heart rate, severe drowsiness, muscle weakness, cold and clammy skin, blue-colored skin or lips, fainting, or coma.

Do not drink alcohol. Serious side effects or death can happen when alcohol is mixed with meperidine.

Avoid driving or doing anything risky until you know how meperidine will affect you. Dizziness or drowsiness can lead to falls, accidents, or serious injuries.

You may have trouble breathing or experience withdrawal symptoms if you begin or stop taking certain other medicines. Let your doctor know if you are also using an antibiotic, antifungal medication, heart or blood pressure medication, seizure medication, or medicine for HIV or hepatitis C.

Opioid medication can interact with many other drugs and can lead to dangerous side effects or even death. Make sure your doctor is aware if you are also taking:

• other narcotic medications—opioid pain medicine or prescription cough medicine;
• a sedative like Valium—diazepam, alprazolam, lorazepam, Xanax, Klonopin, Versed, and others;
• drugs that cause drowsiness or slow your breathing—a sleeping pill, muscle relaxer, medicine for mood disorders or mental illness; or
• drugs that affect serotonin levels in your body—a stimulant, or medicine for depression, Parkinson's disease, migraine headaches, serious infections, or nausea and vomiting.

This list is not complete. Other medications may also interact with meperidine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.