What are the contraindications of Demerol?

What are the contraindications of Demerol?

Meperidine is contraindicated in patients that are actively receiving or have been exposed during the past 14 days to monoamine oxidase inhibitors (MAOI) because of unpredictable severe, and occasionally fatal reactions such as coma, severe respiratory depression, hypotension, cyanosis, and acute narcotic overdose.

Why is pethidine contraindicated?

4.3 Contraindications Pethidine Hydrochloride is contraindicated in the following: ➢ Hypersensitivity to Pethidine. ➢ Respiratory depression, or where respiratory reserve is depleted (acute bronchial asthma, chronic airway disease, severe emphysema, severe chronic bronchitis, kyphoscoliosis).

Why is Demerol contraindicated in older adults?

Meperidine is a poor drug for control of pain in elderly patients because it is less likely to provide appropriate levels of pain control and because it can lead to delirium or seizures. Use of this drug in vulnerable patients older than age 65 is considered to be an indicator of poor quality care.

Why is Demerol no longer recommended?

Many clinicians recommend that meperidine be removed from health-systems or that its use be restricted, due to concerns about adverse reactions, drug interactions, and normeperidine neurotoxicity. In addition, clinical evidence shows that meperidine has no advantage over other opioids for biliary colic or pancreatitis.

What precautions do you need to take while administering the meperidine Demerol )?

Do not drink alcohol, take prescription or nonprescription medications that contain alcohol, or use street drugs during your treatment. Do not allow anyone else to take your medication. Meperidine may harm or cause death to other people who take your medication, especially children.

What can I monitor with meperidine?

Meperidine injection may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

• lightheadedness.
• headache.
• agitation.
• constipation.
• uncontrollable shaking of a part of your body.
• blurred vision.
• dry mouth.
• pain or redness at injection site.

Is pethidine and meperidine the same?

Meperidine (pethidine) is another opioid, but the use of meperidine is not very popular in countries such as the USA and Canada, however it is still used in Iran for pain management in the ED.

What are the contraindications of tramadol?

The following conditions are contraindicated with this drug….Who should not take TRAMADOL HCL ER?

• low blood sugar.
• decreased function of the adrenal gland.
• low amount of sodium in the blood.
• symptoms from alcohol withdrawal.
• suicidal behavior.
• suicidal thoughts.
• alcoholism.
• alcohol intoxication.

What should I check before administering meperidine?

Check with your doctor right away if you have anxiety, restlessness, a fast heartbeat, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, or see or hear things that are not there. These may be symptoms of a serious condition called serotonin syndrome.

What should you assess before administering meperidine?

Assess symptoms of respiratory depression, including decreased respiratory rate, confusion, bluish color of the skin and mucous membranes (cyanosis), and difficult, labored breathing (dyspnea).

When should tramadol be avoided?

Tramadol should also not be used in used in children 12 to 18 years of age who are obese or who have a neuromuscular disease (disease that affects the nerves that control voluntary muscles), a lung disease, or obstructive sleep apnea (condition in which the airway becomes blocked or narrow and breathing stops for short …

What drugs interact with tramadol?

Some products that may interact with this drug include: certain pain medications (mixed opioid agonist-antagonists such as butorphanol, nalbuphine, pentazocine), naltrexone, samidorphan. Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction.

What drugs would you be concerned about combining in the elderly?

Opioids, tranquilizers, antidepressants and antipsychotics affect the central nervous system, and combining them can put older people at risk.

Can you take gabapentin and tramadol together?

Generally, you shouldn’t, though some doctors may prescribe these medications together to alleviate severe pain. But, if you aren’t advised to do so by your doctor, you should not take tramadol and gabapentin together. A tramadol interaction with gabapentin is dangerous because both drugs act as depressants.