Pharmacokinetics
Absorption: 50% from the GI tract; well absorbed from IM sites. Oral doses are about half as effective as parenteral doses
Distribution: Widely distributed. Crosses the placenta; enters breast milk.
Protein Binding: Neonates: 52%; Infants 318 months: 85%; Adults: 6080%
Metabolism and Excretion: Mostly metabolized by the liver; some converted to normeperidine, which may accumulate and cause seizures. 5% excreted unchanged by the kidneys
Half-life: Neonates: 1239 hr; Infants 318 months: 2.3 hr; Children 58 yr: 3 hr; Adults: 2.54 hr (prolonged in impaired renal or hepatic function [711 hr]).
TIME/ACTION PROFILE (analgesia)
| ROUTE | ONSET | PEAK | DURATION |
| PO | 15 min | 60 min | 24 hr |
| IM | 1015 min | 3050 min | 24 hr |
| Subcut | 1015 min | 4060 min | 24 hr |
| IV | immediate | 57 min | 23 hr |
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