The "2010 Lippincott's Nursing Drug Guide" reports that Demerol is a prescription medication indicated for the treatment of moderate to severe pain. It is also indicated for use during childbirth, surgery and the period prior to surgery. According to Drugs.com, this medicine works by altering the perception of pain in the brain. Physical and psychological dependence can occur when taking this controlled substance for an extended period of time. It is important to use this drug only as prescribed and to properly dispose of any unused medication. Demerol is the brand name for the drug meperidine hydrochloride. Meperidine is available in a variety of forms to meet patient needs.
Oral
Demerol is sometimes given orally, a method that works well in the patient's home. Typical adult dosage is 50 mg to 150 mg every three to four hours. A child's dose varies according to the weight of the child. An oral dose of meperidine may be given as a tablet, an oral solution or a syrup. Oral doses are given for pain relief.
Injection
Demerol is often given as a shot; normal adult dosage is 50 mg to 150 mg every three to four hours, with a dose of 50 mg to 75 mg being most common. A child's dose is dependent on weight. This method of administration is more common in the hospital setting than in the home. The shot may be given into the muscle--an intramuscular injection, or into the fat layer--a subcutaneous injection. An injection into the fat layer may take slightly longer to take effect and may be effective slightly longer than an injection into the muscle. Both types of shots work quicker than the oral route. A shot of Demerol may be given for pain, for the discomfort of contractions during labor, or prior to surgery.
Intravenous Administration
Meperidine hydrochoride may be diluted and given directly into the vein intravenously. The dosage depends on the reason for administration of the medication. It may be given for pain or to assist anesthesia during a surgical procedure. This method lets the drug work quicker than the other routes. Intravenous administration is used in a hospital setting.
References
- "2010 Lippincott's Nursing Drug Guide;" Amy M. Karch, R.N., M.S.; 2010
- Drugs.com: Demerol: Consumer Information
- Drugs.com: Demerol: Professional Information


