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Pethidine

An opioid painkiller (meperidine) for severe short-term pain.

Clinical information

Common uses

  • acute pain severe enough to need an opioid

Common side effects

  • lightheadedness
  • dizziness
  • sedation
  • nausea or vomiting
  • sweating

Cautions

  • risk of addiction, misuse, overdose and death (boxed warning)
  • can cause life-threatening slowed breathing
  • never with or within 14 days of MAOI antidepressants

Interactions

  • MAOI antidepressants (contraindicated)
  • CYP3A4 inhibitor or inducer medicines (many common drugs)

Pregnancy: prolonged use can cause newborn withdrawal — specialist care needed

Reference information, not medical advice — always follow your doctor or pharmacist. Source: DailyMed, dailymed.nlm.nih.gov, Meperidine Hydrochloride tablets and oral solution label (Hikma), setid 15bc51a8-1e24-4d33-9a2f-05a41c29acf0 (accessed 2026-08-16)

Approved brands & formulations4

Brand nameDosage formStrengthImporterCategory
DemothineParenteral ( Injection )50 mg/ mlauthorized medicine importerscontrolled
PethidineParenteral ( Injection )50 mg/mlauthorized medicine importerscontrolled
PethidineParenteral ( Injection )50 mg/ mlauthorized medicine importerscontrolled
PethidineParenteral ( Injection )50 mg/ mlMFDA designated importers with Pre Authorization approval before importcontrolled
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