Davis's Drug Guide

meperidine

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 3–18 months: 85%; Adults: 60–80%

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: 12–39 hr; Infants 3–18 months: 2.3 hr; Children 5–8 yr: 3 hr; Adults: 2.5–4 hr (prolonged in impaired renal or hepatic function [7–11 hr]).

TIME/ACTION PROFILE (analgesia)

ROUTEONSETPEAKDURATION
PO15 min 60 min2–4 hr
IM10–15 min30–50 min2–4 hr
Subcut 10–15 min40–60 min 2–4 hr
IVimmediate5–7 min2–3 hr



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