Page last updated: 2024-10-30

meperidine and HbS Disease

meperidine has been researched along with HbS Disease in 39 studies

Meperidine: A narcotic analgesic that can be used for the relief of most types of moderate to severe pain, including postoperative pain and the pain of labor. Prolonged use may lead to dependence of the morphine type; withdrawal symptoms appear more rapidly than with morphine and are of shorter duration.
pethidine : A piperidinecarboxylate ester that is piperidine which is substituted by a methyl group at position 1 and by phenyl and ethoxycarbonyl groups at position 4. It is an analgesic which is used for the treatment of moderate to severe pain, including postoperative pain and labour pain.

Research Excerpts

ExcerptRelevanceReference
"To determine if a single dose of intramuscular ketorolac given on presentation to the emergency department has a narcotic-sparing effect in adult patients with sickle cell vaso-occlusive crisis pain."9.07Ketorolac for sickle cell vaso-occlusive crisis pain in the emergency department: lack of a narcotic-sparing effect. ( Mitchell, TR; Norris, RL; Wright, SW, 1992)
"Reports of seizures associated with meperidine have led to a growing reliance on intravenous morphine, usually with patient-controlled devices."5.30Low frequency of meperidine-associated seizures in sickle cell disease. ( Nadvi, SZ; Ravindranath, Y; Sarnaik, S, 1999)
"To determine if a single dose of intramuscular ketorolac given on presentation to the emergency department has a narcotic-sparing effect in adult patients with sickle cell vaso-occlusive crisis pain."5.07Ketorolac for sickle cell vaso-occlusive crisis pain in the emergency department: lack of a narcotic-sparing effect. ( Mitchell, TR; Norris, RL; Wright, SW, 1992)
"Reports of seizures associated with meperidine have led to a growing reliance on intravenous morphine, usually with patient-controlled devices."1.30Low frequency of meperidine-associated seizures in sickle cell disease. ( Nadvi, SZ; Ravindranath, Y; Sarnaik, S, 1999)
"Four patients had generalized seizures only with meperidine administration, all of whom had nonfocal EEG and radiological studies."1.29The spectrum of epilepsy in sickle cell anemia. ( Ballas, SK; Gzesh, DJ; Liu, JE, 1994)
"The gene for sickle cell disease is carried by 8% of the African-American population in the United States."1.28Sickle cell vaso-occlusive pain crisis in adults: alternative strategies for management in the emergency department. ( Pollack, CV; Sanders, DY; Severance, HW, 1992)
" Patients number 8 through 16 gave higher ratings probably because a more idealized dosage regimen was being used by that time in the study."1.28Patient-controlled analgesia in patients with sickle cell vaso-occlusive crisis. ( Castro, O; Finke, H; McPherson, E; Perlin, E; Pittman, J, 1990)
" Patients given continuous infusions required more narcotic to control their pain and had more side effects than those treated with bolus injections alone, suggesting a dose-response relationship between narcotic dose and several known side effects."1.27Intravenous narcotic therapy for children with severe sickle cell pain crisis. ( Buchanan, GR; Cole, TB; Smith, SJ; Sprinkle, RH, 1986)

Research

Studies (39)

TimeframeStudies, this research(%)All Research%
pre-19908 (20.51)18.7374
1990's23 (58.97)18.2507
2000's7 (17.95)29.6817
2010's1 (2.56)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Phillips, WJ1
Jones, J1
McCarter, J1
Uzun, B1
Kekec, Z1
Gurkan, E1
Perlman, KM1
Myers-Phariss, S1
Rhodes, JC1
Charles, KS1
Osagie, K1
Battini, RK1
Morgan, MT1
Howland, MA1
Goldfrank, LR1
Ballas, SK3
Perlin, E2
Finke, H2
Castro, O2
Rana, S1
Pittman, J2
Burt, R1
Ruff, C1
McHugh, D1
Yang, YM1
Hoff, C1
Hamm, C1
Mankad, V1
Boerth, RC1
Friedrich, L1
Liu, JE1
Gzesh, DJ1
Richardson, P2
Steingart, R2
Ward, SJ1
Simini, B1
Forbes, K1
Hanks, GW1
Justins, DM1
Cherry, DA1
Meltzer, BA1
Fertleman, CR1
Gallagher, A1
Rossiter, MA1
Daggett, P1
Agble, YM1
D'Sa, S1
Parker, N1
Clare, N1
Nadvi, SZ1
Sarnaik, S1
Ravindranath, Y1
Sanders, DY1
Severance, HW1
Pollack, CV1
Pegelow, CH1
Walson, PD1
Harrison, JF1
Liesner, R1
Davies, SC1
Wright, SW1
Norris, RL1
Mitchell, TR1
Longenecker, GL1
Beyers, BJ1
Mankad, VN1
Pryle, BJ1
Grech, H1
Stoddart, PA1
Carson, R1
O'Mahoney, T1
Reynolds, F1
McPherson, E1
Friedman, EW1
Webber, AB1
Osborn, HH1
Schwartz, S1
Cole, TB1
Sprinkle, RH1
Smith, SJ1
Buchanan, GR1
Venkataraman, M1
Westerman, MP1
Abbuhl, S1
Jacobson, S1
Murphy, JG1
Gibson, G1
Schreiner, J1
Marx, GF1
Karayalcin, G1
Imran, M1
Rosner, F1
Bellina, JH1
Bickers, JN1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Prospective, Multicenter, Double-Blind, Randomized, Placebo-Controlled Study of Nitric Oxide for Inhalation in the Acute Treatment of Sickle Cell Pain Crisis[NCT00094887]Phase 2150 participants (Actual)Interventional2004-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Length of Hospitalization

Length of hospitalization is defined as the length of time from admission to discharge order (NCT00094887)
Timeframe: within 40 days

InterventionDays (Median)
Inhaled Nitric Oxide4.06
Placebo3.11

Number of Participants Discharged to Home Within the First 24 Hours

(NCT00094887)
Timeframe: within 24 hours

InterventionParticipants (Count of Participants)
Inhaled Nitric Oxide5
Placebo7

Number of Participants With Acute Chest Syndrome/Pneumonia Requiring Blood Transfusion

Number of participants who required a blood transfusion before discharge because of acute chest syndrome/pneumonia (NCT00094887)
Timeframe: within 40 days

InterventionParticipants (Count of Participants)
Inhaled Nitric Oxide8
Placebo7

Time to Vaso-occlusive Pain Crisis (VOC) Resolution

"VOC resolution was defined by all of the following conditions:~Pain relief - Visual Analog Scale (VAS) pain scores of 6 or less, (6 as worst and 0 as best)~Freedom from parenteral narcotic use,~Ability to walk unless the subject was not able to walk for any reason other than acute VOC prior to the onset of crisis,~Subject and/or family's belief that the painful crisis could be managed at home with or without oral analgesic use, and the physician concurred with that assessment." (NCT00094887)
Timeframe: within 30 days

InterventionHours (Median)
Inhaled Nitric Oxide61.83
Placebo55.16

Number of Participants Readmitted to Hospital Within 30 Days After Discharge

The number of participants readmitted to the hospital for any reason within 30 days after discharge (NCT00094887)
Timeframe: during first 24 hours and during 30 day follow-up

,
InterventionParticipants (Count of Participants)
during first 24 hoursduring 30-day follow-up
Inhaled Nitric Oxide09
Placebo017

Total Dose of Opioids Received

The total dose (mg) of opioid medications received during the trial (NCT00094887)
Timeframe: within 8 hours and within 40 days

,
Interventionmg (Median)
within 8 hourswithin 40 days
Inhaled Nitric Oxide16.25153.75
Placebo17.25211.37

Trials

3 trials available for meperidine and HbS Disease

ArticleYear
Efficacy of tramadol vs meperidine in vasoocclusive sickle cell crisis.
    The American journal of emergency medicine, 2010, Volume: 28, Issue:4

    Topics: Acute Disease; Analgesics, Opioid; Anemia, Sickle Cell; Blood Pressure; Emergency Service, Hospital;

2010
Enhancement of pain control with ketorolac tromethamine in patients with sickle cell vaso-occlusive crisis.
    American journal of hematology, 1994, Volume: 46, Issue:1

    Topics: Adult; Analgesics; Anemia, Sickle Cell; Constriction, Pathologic; Digestive System Diseases; Double-

1994
Ketorolac for sickle cell vaso-occlusive crisis pain in the emergency department: lack of a narcotic-sparing effect.
    Annals of emergency medicine, 1992, Volume: 21, Issue:8

    Topics: Acute Disease; Adult; Analgesics; Anemia, Sickle Cell; Double-Blind Method; Emergencies; Female; Hum

1992

Other Studies

36 other studies available for meperidine and HbS Disease

ArticleYear
Meperidine for acute sickle cell crisis: what is the rationale?
    Annals of emergency medicine, 2008, Volume: 52, Issue:6

    Topics: Analgesics, Opioid; Anemia, Sickle Cell; Humans; Meperidine; Pain

2008
A shift from demerol (meperidine) to dilaudid (hydromorphone) improves pain control and decreases admissions for patients in sickle cell crisis.
    Journal of emergency nursing, 2004, Volume: 30, Issue:5

    Topics: Anemia, Sickle Cell; Clinical Protocols; Emergency Service, Hospital; Humans; Hydromorphone; Meperid

2004
Hospital admissions for acute painful crisis in Trinidad and Tobago. Are the British Committee for Standards in Haematology (BCSH) guidelines applicable?
    Clinical and laboratory haematology, 2006, Volume: 28, Issue:5

    Topics: Adolescent; Adult; Analgesics, Opioid; Anemia, Sickle Cell; Female; Guideline Adherence; Hospitaliza

2006
Use of meperidine as the analgesic of choice in treating pain from acute painful sickle cell crisis.
    Annals of emergency medicine, 2008, Volume: 51, Issue:2

    Topics: Analgesics, Opioid; Anemia, Sickle Cell; Humans; Meperidine; Pain

2008
Why meperidine should not make a comeback in treating patients with sickle cell disease.
    Annals of emergency medicine, 2008, Volume: 51, Issue:2

    Topics: Analgesics, Opioid; Anemia, Sickle Cell; Humans; Meperidine; Pain

2008
Meperidine for acute sickle cell pain in the emergency department: revisited controversy.
    Annals of emergency medicine, 2008, Volume: 51, Issue:2

    Topics: Analgesics, Opioid; Anemia, Sickle Cell; Emergency Service, Hospital; Half-Life; Humans; Meperidine;

2008
Pharmacokinetics of meperidine in sickle cell patients.
    American journal of hematology, 1995, Volume: 49, Issue:4

    Topics: Anemia, Sickle Cell; Humans; Meperidine

1995
The spectrum of epilepsy in sickle cell anemia.
    Journal of the neurological sciences, 1994, Volume: 123, Issue:1-2

    Topics: Adult; Anemia, Sickle Cell; Brain; Electroencephalography; Epilepsy; Female; Humans; Magnetic Resona

1994
Acute-phase response and sickle crisis.
    Lancet (London, England), 1993, May-22, Volume: 341, Issue:8856

    Topics: Acute-Phase Reaction; Anemia, Sickle Cell; Humans; Meperidine; Pain

1993
Meperidine and ketorolac in the treatment of painful sickle cell crisis.
    Annals of emergency medicine, 1993, Volume: 22, Issue:10

    Topics: Analgesics; Anemia, Sickle Cell; Humans; Ketorolac; Meperidine; Pain; Tolmetin

1993
Sickle cell pain crisis.
    Lancet (London, England), 1996, Jan-27, Volume: 347, Issue:8996

    Topics: Analgesia; Analgesia, Patient-Controlled; Analgesics, Opioid; Anemia, Sickle Cell; Humans; Meperidin

1996
Sickle cell pain crisis.
    Lancet (London, England), 1996, Jan-27, Volume: 347, Issue:8996

    Topics: Analgesics, Opioid; Anemia, Sickle Cell; Humans; Meperidine; Morphine; Pain

1996
Sickle cell pain crisis.
    Lancet (London, England), 1996, Jan-27, Volume: 347, Issue:8996

    Topics: Analgesics, Opioid; Anemia, Sickle Cell; Humans; Meperidine; Morphine; Pain

1996
Sickle cell pain crisis.
    Lancet (London, England), 1996, Jan-27, Volume: 347, Issue:8996

    Topics: Analgesics, Opioid; Anemia, Sickle Cell; Contraindications; Humans; Meperidine; Pain; Practice Guide

1996
Evaluation of fast track admission policy for children with sickle cell crises: questionnaire survey of parents' preferences.
    BMJ (Clinical research ed.), 1997, Sep-13, Volume: 315, Issue:7109

    Topics: Adolescent; Analgesics, Opioid; Anemia, Sickle Cell; Child; Child, Preschool; Decision Making; Emerg

1997
Fast track admission for children with sickle cell crises. Should morphine or pethidine be given?
    BMJ (Clinical research ed.), 1998, Mar-21, Volume: 316, Issue:7135

    Topics: Analgesics, Opioid; Anemia, Sickle Cell; Child; Child, Preschool; Humans; Meperidine; Morphine

1998
Management of sickle cell disease. Non-addictive analgesics can be as effective as morphine and pethidine.
    BMJ (Clinical research ed.), 1998, Mar-21, Volume: 316, Issue:7135

    Topics: Acetaminophen; Analgesics, Opioid; Anemia, Sickle Cell; Child; Child, Preschool; Codeine; Drug Combi

1998
Fast track admission for children with sickle cell crises. Opiates other than pethidine are better.
    BMJ (Clinical research ed.), 1998, Mar-21, Volume: 316, Issue:7135

    Topics: Analgesics, Opioid; Anemia, Sickle Cell; Child; Child, Preschool; Decision Making; Humans; Meperidin

1998
Management of sickle cell disease. Management would improve if doctors listened more to patients.
    BMJ (Clinical research ed.), 1998, Mar-21, Volume: 316, Issue:7135

    Topics: Analgesics, Opioid; Anemia, Sickle Cell; Communication; Humans; Infusions, Intravenous; Meperidine;

1998
Low frequency of meperidine-associated seizures in sickle cell disease.
    Clinical pediatrics, 1999, Volume: 38, Issue:8

    Topics: Adolescent; Anemia, Sickle Cell; Female; Humans; Infant; Infant, Newborn; Injections, Intravenous; M

1999
Treatment of painful sickle cell leg ulcers with topical opioids.
    Blood, 2002, Feb-01, Volume: 99, Issue:3

    Topics: Administration, Topical; Adult; Aged; Anemia, Sickle Cell; Female; Humans; Leg Ulcer; Meperidine; Na

2002
Sickle cell vaso-occlusive pain crisis in adults: alternative strategies for management in the emergency department.
    Southern medical journal, 1992, Volume: 85, Issue:8

    Topics: Acetaminophen; Adolescent; Adult; Amitriptyline; Analgesics; Anemia, Sickle Cell; Anti-Inflammatory

1992
Survey of pain management therapy provided for children with sickle cell disease.
    Clinical pediatrics, 1992, Volume: 31, Issue:4

    Topics: Acetaminophen; Analgesics; Anemia, Sickle Cell; Child; Child, Preschool; Codeine; Drug Administratio

1992
Neurologic abnormalities in sickle cell disease: role of meperidine.
    The Journal of pediatrics, 1992, Volume: 121, Issue:5 Pt 1

    Topics: Anemia, Sickle Cell; Child; Humans; Meperidine; Nervous System Diseases

1992
Pethidine in sickle cell crisis.
    BMJ (Clinical research ed.), 1992, Jul-18, Volume: 305, Issue:6846

    Topics: Anemia, Sickle Cell; Humans; Meperidine; Pain

1992
Platelet regulatory prostanoids and platelet release products in sickle cell disease.
    American journal of hematology, 1992, Volume: 40, Issue:1

    Topics: Adolescent; Anemia, Sickle Cell; Aspirin; beta-Thromboglobulin; Blood Platelets; Epoprostenol; Human

1992
Toxicity of norpethidine in sickle cell crisis.
    BMJ (Clinical research ed.), 1992, Jun-06, Volume: 304, Issue:6840

    Topics: Adolescent; Adult; Anemia, Sickle Cell; Cholinesterase Inhibitors; Female; Humans; Male; Meperidine;

1992
Patient-controlled analgesia in patients with sickle cell vaso-occlusive crisis.
    The American journal of the medical sciences, 1990, Volume: 299, Issue:1

    Topics: Adult; Analgesia; Anemia, Sickle Cell; Female; Humans; Hydroxyzine; Infusion Pumps; Male; Meperidine

1990
Oral analgesia for treatment of painful crisis in sickle cell anemia.
    Annals of emergency medicine, 1986, Volume: 15, Issue:7

    Topics: Administration, Oral; Adult; Anemia, Sickle Cell; Emergencies; Emergency Service, Hospital; Female;

1986
Intravenous narcotic therapy for children with severe sickle cell pain crisis.
    American journal of diseases of children (1960), 1986, Volume: 140, Issue:12

    Topics: Adolescent; Anemia, Sickle Cell; Child; Female; Humans; Infusions, Intravenous; Male; Meperidine; Mo

1986
Meperidine usage in patients with sickle cell crisis.
    Annals of emergency medicine, 1986, Volume: 15, Issue:12

    Topics: Anemia, Sickle Cell; Humans; Meperidine; Pain

1986
B-cell changes occur in patients with sickle cell anemia.
    American journal of clinical pathology, 1985, Volume: 84, Issue:2

    Topics: Adult; Anemia, Sickle Cell; Antibodies, Monoclonal; B-Lymphocytes; Hemolytic Plaque Technique; Human

1985
Serum concentrations of meperidine in patients with sickle cell crisis.
    Annals of emergency medicine, 1986, Volume: 15, Issue:4

    Topics: Absorption; Adult; Anemia, Sickle Cell; Body Weight; Chromatography, Gas; Female; Humans; Injections

1986
[Obstetrical anaesthesia in sickle cell haemopathia (author's transl)].
    Der Anaesthesist, 1974, Volume: 23, Issue:8

    Topics: Anemia, Sickle Cell; Anesthesia, Intravenous; Anesthesia, Obstetrical; Anesthetics; Black People; Cy

1974
Priapism in sickle cell disease: report of five cases.
    The American journal of the medical sciences, 1972, Volume: 264, Issue:4

    Topics: Adult; Anemia, Sickle Cell; Blood Transfusion; Chlorpromazine; Codeine; Diethylstilbestrol; Drainage

1972
Modern management of sickle cell disease in pregnancy.
    Southern medical journal, 1974, Volume: 67, Issue:4

    Topics: Abortion, Spontaneous; Anemia, Sickle Cell; Black or African American; Blood Transfusion; Blood Visc

1974