Add Formweb to your mobile device
HIGH ALERT: Please review policy carefully.
Search results for:
meperidine
meperidine
Brand names: Meperidine HYDROCHLORIDE
| Form | Strength | ANAN | ASMP | LACH | LALK | LOHH | LOLR | LOWC | SDSD | SESE | SFSF | Formulary Status |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOLUTION, INJECTABLE | 25 mg/mL; 50 mg/mL | Restricted |
High Alert Drug
: Policy
Last updated: Apr. 26, 2024
- Black Box Warning: Addiction, Abuse, and Misuse; Life-Threatening Respiratory Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome
- Therapeutic Interchange: T.I.
- Restricted: meperidine (Demerol) is restricted to the prevention and treatment of drug-induced or blood product-induced rigors (e.g., amphotericin B, platelets) and treatment of postoperative shivering
Meperidine for injection (e.g. syringes, vials, PCAs, etc) high-alert
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Demerol Conversion
Meperidine (Demerol)
Morphine
Hydromorphone (Dilaudid)
12.5 mg
1 mg
0.25 mg
25 mg
2.5 mg
0.5 mg
50 mg
5 mg
1 mg
>75
Call
Call
Other doses (below 75 mg)
Round-down after converting using 0.13 multiplier. Pharmacist may round-down to the nearest standard dose Morphine.
Round-down after converting using 0.02 multiplier. Pharmacist may round-down to the nearest standard dose Dilaudid.
Formulary; restricted to use in prevention of drug-induced or blood product-induced rigors (e.g. amphotericin B, platelets) and treatment of post-op shivers.
PCA/IV/PO/IM use non-formulary for all other indications. Call provider and recommend above conversion.