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Encyclopedia > Meperidine

Pethidine
Ethyl-1-methyl-4-phenylpiperidine-4-carboxylate
Empiric formula C15H21NO2
Molecular weight 247.33
Bioavailability 50%
Metabolism Liver
Elimination half life 3-8 h
Excretion Urine
ATC code N02AB02
Pregnancy category ? (USA)
C (Aus)


Pethidine (INN) or meperidine (USAN) (also referred to as: isonipecaine; lidol; operidine; pethanol; piridosal; Algil; Alodan; Centralgin; Demerol; Dispadol; Dolantin; Dolestine; Dolosal; Dolsin; Mefedina) is a fast-acting opioid analgesic drug. It is used to deal with moderate to severe pain, and is delivered as hydrochloride as tablets, as a syrup or by intramuscular injection. Because pethidine has the potential to be both physically and psychologically habituating, it is important that it be used in only the doses prescribed, and that withdrawal from the drug be supervised by a physician to ensure there are no adverse reactions.

Contents

Mode of action

Main article: opioid


Pethidine has similar effects as morphine, but has very little effect on cough or diarrhea. It also tends to cause restlessness instead of sedation. Pethidine's analgesic effect is more rapid than morphine's, but shorter (2-4 hours). In addition it has a slight antimuscarinic effect.


Pharmacokinetics

Pethidine is quickly hydrolysed in the liver to pethidinic acid and also demethylated to norpethidine, which is more toxic than pethidine, due to its convulsant and hallucinogenic effects. Pethidine's metabolites are further conjugated with glucuronic acid and excreted into the urine.


Interactions

Pethidine interacts with a number of other medications, including muscle relaxants, antidepressants, benzodiazepines, and alcohol. It is especially dangerous to use if the patient is using monoamine oxidase inhibitor (MAOI) type antidepressants. Such patients may suffer convulsions and hyperthermia. This may be due to inhibition of an alternative metabolic pathway, which leads to increased production of norpethidine. The patient using pethidine should not take any medicine not first cleared with a physician. Pethidine is also contraindicated for use when a patient is suffering from gallbladder, liver, or kidney disease, has a history of seizures or epilepsy, has an enlarged prostate or urinary retention problems, or suffers from hyperthyroidism, asthma, or Addison's disease.


Adverse effects

Main article: opioid


Users of pethidine may experience serious side effects. These include asthma, swelling of the mucous membranes of the nose and throat, swelling of the lips, tongue, or face, seizures, cold and clammy skin, or dizziness and possible unconsciousness. The presence of any of these side effects is an indicator to stop using pethidine immediately and seek immediate medical attention.


Less serious side effects include constipation, dry mouth, lightheadedness, itchiness, muscular twitches, and nausea.


  Results from FactBites:
 
MedlinePlus Drug Information: Meperidine (985 words)
Meperidine is used to relieve moderate to severe pain.
Meperidine is in a class of medications called narcotic analgesics, a group of pain medications similar to morphine.
Meperidine may cause serious side effects or death if it is taken in these ways.
MEPERIDINE HYDROCHLORIDE Drug Information MEPERIDINE HYDROCHLORIDE (3794 words)
Meperidine hydrochloride, a white crystalline substance with a melting point of 186° C to 189° C. It is readily soluble in water and has a neutral reaction and a slightly bitter taste.
Meperidine, in 60 mg to 80 mg parenteral doses, is approximately equivalent in analgesic effect to 10 mg of morphine.
Meperidine is an opioid agonist of the morphine-type.
  More results at FactBites »

 
 

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