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meperidine Side Effects

Also known as: Demerol

Analysis of 8,979 adverse event reports submitted to the FDA from 2002 to 2025.

Total Reports

8,979

Death-Related

724

8.1% of reports

Hospitalizations

1,753

19.5% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG HYPERSENSITIVITY
3,249
DRUG INEFFECTIVE
1,271
PAIN
1,248
NAUSEA
1,132
OFF LABEL USE
861
HYPERHIDROSIS
821
DRUG INTOLERANCE
793
RASH
775
VOMITING
734
OVERDOSE
719
HYPERTENSION
677
HEADACHE
647
PYREXIA
631
FATIGUE
608
JOINT SWELLING
568
RHEUMATOID ARTHRITIS
567
UPPER RESPIRATORY TRACT INFECTION
564
INFUSION RELATED REACTION
559
HYPERSENSITIVITY
549
DRUG DEPENDENCE
510

Who Reports Side Effects

Gender Distribution

Female 5,893 (73%)
Male 2,163 (27%)
Unknown 27

Age Distribution

0-17 73 (1%)
18-44 956 (18%)
45-64 2,513 (48%)
65-74 1,010 (19%)
75+ 669 (13%)

Reporting Trend by Year

2002 2025

Reactions in Death Reports

Top reactions reported in 724 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 220
OVERDOSE 197
PAIN 191
FATIGUE 152
PYREXIA 150
BACK PAIN 148
HYPERTENSION 145
OFF LABEL USE 144
CONSTIPATION 138
HEADACHE 133
THROMBOCYTOPENIA 131
HYPERHIDROSIS 127
FLUID RETENTION 124
FOETAL DEATH 123
DRUG INEFFECTIVE 120
DRUG INTOLERANCE 120
DRUG HYPERSENSITIVITY 119
JOINT SWELLING 118
ASTHMA 117
HEPATIC ENZYME INCREASED 117

Reactions in Hospitalization Reports

Top reactions in 1,753 reports where hospitalization was an outcome.

Reaction Reports
PAIN 311
NAUSEA 274
VOMITING 257
FATIGUE 182
ANXIETY 171
DIZZINESS 161
PAIN IN EXTREMITY 158
ABDOMINAL PAIN 155
DYSPNOEA 154
MALAISE 149
DIARRHOEA 145
ARTHRALGIA 144
CHEST PAIN 142
DRUG INEFFECTIVE 141
BACK PAIN 136
FALL 136
HEADACHE 129
PNEUMONIA 124
PYREXIA 124
INJURY 121

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What the FAERS Data Reveals About meperidine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 8,979 voluntary reports linked to meperidine and its brand equivalents (Demerol), spanning 2002 through 2025. Of those, 724 (8.1%) listed death as an outcome and 1,753 (19.5%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 73% were female and 27% male; age distribution skews toward 45-64, with 2,513 reports in that bracket. The single most reported reaction is drug hypersensitivity with 3,249 submissions, followed by drug ineffective and pain.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.