Precautions and Warnings With Meperidine

There are many precautions and warnings with meperidine to be aware of, including knowing who should not use this drug. Although meperidine was once very popular, it is now recommended that it be avoided if possible (as serious side effects have resulted). Since meperidine has significant abuse potential, it is not a good choice for people with a history of alcohol or drug abuse.

What Should I Tell My Healthcare Provider Before Taking Meperidine?

You should talk with your healthcare provider prior to taking meperidine hydrochloride (Demerol®) if you have:
 
  • A history of drug or alcohol dependence
  • Liver disease, such as cirrhosis, liver failure, or hepatitis
  • Kidney disease, such as kidney failure (renal failure)
  • An irregular heart rhythm, such as atrial fibrillation or atrial flutter
  • Seizures or epilepsy
  • Low blood pressure (hypotension)
  • Gallbladder or pancreas disease
  • Lung disease of any sort
  • A head injury or high intracranial pressure
  • Severe abdominal (stomach) pain
  • An underactive thyroid (hypothyroidism)
  • Asthma
  • Addison's disease
  • An enlarged prostate (benign prostatic hypertrophy, or BPH)
  • Seizures or epilepsy
  • Sickle cell anemia
  • Any allergies, including allergies to foods, dyes, or preservatives.
     
Also, let your healthcare provider know if you are:
 
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
     
Make sure to tell your healthcare provider about any other medications you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
 
(Precautions and Warnings With Meperidine Continued: Page 2)
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;
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