Demerol (Meperidine Tablets) and Hydrocodone and Chlorpheniramine Extended-Release Capsules
Determining the interaction of Demerol (Meperidine Tablets) and Hydrocodone and Chlorpheniramine Extended-Release Capsules and the possibility of their joint administration.
In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.
Consumer:Using narcotic pain or cough medications together with other medications that also cause central nervous system depression can lead to serious side effects including respiratory distress, coma, and even death. Talk to your doctor if you have any questions or concerns. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring to safely use both medications. Do not drink alcohol or self-medicate with these medications without your doctor's approval, and do not exceed the doses or frequency and duration of use prescribed by your doctor. Also, you should avoid driving or operating hazardous machinery until you know how these medications affect you. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Professional:GENERALLY AVOID: Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants (e.g., nonbenzodiazepine sedatives/hypnotics, anxiolytics, muscle relaxants, general anesthetics, antipsychotics, other opioids, alcohol) may result in profound sedation, respiratory depression, coma, and death. The risk of hypotension may also be increased with some CNS depressants (e.g., alcohol, benzodiazepines, phenothiazines).
MANAGEMENT: The use of opioids in conjunction with benzodiazepines or other CNS depressants should generally be avoided unless alternative treatment options are inadequate. If coadministration is necessary, the dosage and duration of each drug should be limited to the minimum required to achieve desired clinical effect. Patients should be monitored closely for signs and symptoms of respiratory depression and sedation, and advised to avoid driving or operating hazardous machinery until they know how these medications affect them. Cough medications containing opioids (e.g., codeine, hydrocodone) should not be prescribed to patients using benzodiazepines or other CNS depressants including alcohol. For patients who have been receiving extended therapy with both an opioid and a benzodiazepine and require discontinuation of either medication, a gradual tapering of dose is advised, since abrupt withdrawal may lead to withdrawal symptoms. Severe cases of benzodiazepine withdrawal, primarily in patients who have received excessive doses over a prolonged period, may result in numbness and tingling of extremities, hypersensitivity to light and noise, hallucinations, and epileptic seizures.
- US Food and Drug Administration "FDA warns about serious risks and death when combining opioid pain or cough medicines with benzodiazepines; requires its strongest warning. Available from: URL: http://www.fda.gov/downloads/Drugs/DrugSafety/UCM518672.pdf." ([2016, Aug 31]):
Generic Name: meperidine
Brand name: Demerol, Demerol HCl, Meperitab
Synonyms: Demerol
Generic Name: chlorpheniramine / hydrocodone
Brand name: TussiCaps, Tussionex PennKinetic, S-T Forte 2, HyTan, Novasus, Vituz
Synonyms: Chlorpheniramine and hydrocodone, Hydrocodone and Chlorpheniramine
In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.
- Demerol (Meperidine Tablets)-Hydrocodone and Chlorpheniramine Extended-Release Suspension
- Demerol (Meperidine Tablets)-Hydrocodone and Chlorpheniramine Oral Solution
- Demerol (Meperidine Tablets)-Hydrocodone and chlorpheniramine polistirex
- Demerol (Meperidine Tablets)-Hydrocodone and Chlorpheniramine Solution
- Demerol (Meperidine Tablets)-Hydrocodone and Guaifenesin
- Demerol (Meperidine Tablets)-Hydrocodone and Guaifenesin Oral Solution
- Hydrocodone and Chlorpheniramine Extended-Release Capsules-Demerol Injection
- Hydrocodone and Chlorpheniramine Extended-Release Capsules-Demser
- Hydrocodone and Chlorpheniramine Extended-Release Capsules-Demulen 1/35
- Hydrocodone and Chlorpheniramine Extended-Release Capsules-Demulen 1/50
- Hydrocodone and Chlorpheniramine Extended-Release Capsules-Denavir
- Hydrocodone and Chlorpheniramine Extended-Release Capsules-Denavir Topical