Meperidine hydrochloride overdose

Definition:
Poisoning from an overdose of meperidine.

Alternative Names:
Demerol; Mepergan Forte

Poisonous Ingredient:
  • meperidine


Where Found:
  • Demerol
  • Mepergan Forte


Symptoms:


Home Treatment:
DO NOT INDUCE VOMITING.

Before Calling Emergency:
Determine the following:
  • the patient's age, weight, and condition
  • the name of the product (ingredients and strengths if known)
  • the time it was swallowed
  • the amount swallowed
  • it the medication was prescribed for the patient


Poison Control, or a local emergency number:
They will instruct you if it is necessary to take the patient to the hospital. See Poison Control centers for telephone numbers and addresses. Take the container with you to the emergency room.

What to expect at the emergency room:
Some or all of the following procedures may be performed:
  • Use gastric lavage.
  • Administer activated charcoal.
  • Administer a laxative.
  • Give a counteracting medication (narcotic antagonist). Multiple doses may be needed.
  • Administer Intravenous fluids as needed.
  • Monitor breathing.
  • Treat the symptoms.


Expectations (prognosis):
If an antidote can be given, recovery from an acute overdose occurs within 24 to 48 hours.



Review Date: 1/7/2002
Reviewed By: Victoria Kennedy, RN, A.D.A.M. editorial.

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