Reported Reactions

Drugs › Opioid agonist

Generic name

Meperidine hydrochloride: adverse event reports filed with FDA

1,018 reports list it as a suspect or interacting product, 2004–2026. Class: Opioid agonist. Also reported as Meperidine Hydrochloride Inj, Meperidine Hydrochloride Tablets 100mg, Meperidine Hcl Injection Usp.

1,018
reports as suspect product
0% of all reports · about 46 a year
19
reports, 12 months to June 2026
50 in the 12 months before
83.5%
marked serious by the reporter
91.7% across the class
11.5%
record death among outcomes, as reported
117 reports · not verified by FDA

1,018 adverse event reports received by FDA list meperidine hydrochloride, a generic name as a suspect or interacting product, from March 2004 to June 2026. A further 279 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 19 reports listed it, down 62% from 50 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 46 reports a year and 0% of the 20,646,523 reports in the database, and 0.1% of the reports for the opioid agonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded dependence (26.5%), drug hypersensitivity (23.7%) and overdose (19.2%). A report can list several reactions, so shares add to more than 100%; 239 different terms appear across these reports. Dependence is recorded in 26.5% of these reports, a larger share than in the median opioid agonist drug (0.9%).

83.5% of the reports are marked serious by the reporter (91.7% across the class); 11.5% record death among the outcomes and 12.8% record hospitalisation, as reported. 49.4% of the reports came from consumers, and the largest patient age group is 45 to 64 (21.7%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

04998Jul 2021: 6Aug 2021: 12Sep 2021: 6Oct 2021: 8Nov 2021: 8Dec 2021: 292022Jan 2022: 37Feb 2022: 3Mar 2022: 7Apr 2022: 7May 2022: 8Jun 2022: 22Jul 2022: 4Aug 2022: 2Sep 2022: 6Oct 2022: 22Nov 2022: 4Dec 2022: 42023Jan 2023: 6Feb 2023: 3Mar 2023: 11Apr 2023: 4May 2023: 3Jun 2023: 9Jul 2023: 7Aug 2023: 57Sep 2023: 11Oct 2023: 72Nov 2023: 98Dec 2023: 742024Jan 2024: 3Feb 2024: 8Mar 2024: 3Apr 2024: 16May 2024: 9Jun 2024: 1Jul 2024: 3Aug 2024: 3Sep 2024: 3Oct 2024: 3Nov 2024: 6Dec 2024: 32025Jan 2025: 12Feb 2025: 4Mar 2025: 4Apr 2025: 7May 2025: 0Jun 2025: 2Jul 2025: 1Aug 2025: 3Sep 2025: 1Oct 2025: 1Nov 2025: 1Dec 2025: 12026Jan 2026: 3Feb 2026: 5Mar 2026: 0Apr 2026: 1May 2026: 0Jun 2026: 2

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01783552004: 520042005: 32006: 42007: 320072008: 92009: 12010: 420102011: 72012: 132013: 720132014: 42015: 102016: 1120162017: 152018: 382019: 5120192020: 552021: 1882022: 12620222023: 3552024: 612025: 3720252026: 11

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Meperidine hydrochloride reports recording the termmedian drug in opioid agonist

  1. Dependence26.5%270
  2. Drug hypersensitivityan allergic-type reaction to a medicine23.7%241
  3. Overdosea dose above the recommended amount19.2%195
  4. Drug intolerancethe medicine was not tolerated17.8%181
  5. Painpain, site not specified17.1%174
  6. Nauseafeeling sick16.3%166
  7. Drug dependencedependence on a medicine13.9%141
  8. Drug ineffectivethe medicine did not work as expected13.7%139
  9. Vomitingbeing sick13.5%137
  10. Infectionan infection, type not specified10.7%109
  11. Fatiguetiredness10%102
  12. Anxietyanxiety9.8%100
  13. Emotional distressemotional distress9.7%99
  14. Foetal exposure during pregnancythe unborn baby was exposed to the medicine9.5%97
  15. International normalised ratio fluctuation9.3%95
  16. Developmental delayslower development in a child8.3%84
  17. Hypertensionhigh blood pressure7.8%79
  18. Lyme disease7.5%76
  19. Bloody discharge7.4%75
  20. Hypoaesthesianumbness7.1%72
  21. Maternal exposure during pregnancythe mother took the medicine during pregnancy7%71
  22. Pyrexiafever6.6%67
  23. Off label useused for a purpose or in a way not on the label6.3%64
  24. Rashskin rash6.3%64
  25. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease6%61
  26. Infusion related reactiona reaction during or soon after an infusion5.9%60
  27. Psoriasispsoriasis, a skin condition5.8%59

Top 30 of 239 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 42 drugs in the opioid agonist class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death11.5%117
Life-threatening3.3%34
Hospitalisation (initial or prolonged)12.8%130
Disability12.1%123
Congenital anomaly1.7%17
Other serious77.5%789
Not serious16.5%168

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 965,051 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.1%1
2 to 110.1%1
12 to 170.3%3
18 to 443.8%39
45 to 6421.7%221
65 to 743.7%38
75 and over3.5%36
Age not given66.7%679

Patient sex

Female60.8%619
Male28.3%288
Not given10.9%111

Who reported

Physician12.1%123
Pharmacist1.3%13
Other health professional26.7%272
Lawyer9.8%100
Consumer or non-health professional49.4%503
Not given0.7%7

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 66.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rheumatoid arthritis918.9%
Pain262.6%
Adverse event50.5%
Back pain40.4%
Migraine40.4%
General anaesthesia30.3%

The indication field is filled in by the reporter and is often blank; shares are of all 1,018 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Meperidine hydrochloride reports
Morphine sulfate38437.7%
Acetaminophen Oxycodone Hydrochloride33432.8%
Percocet27927.4%
Endocet23723.3%
Acetaminophen Hydrocodone Bitartrate23122.7%
Tramadol hydrochloride22722.3%
Acetaminophen and codeine20720.3%
Opana20720.3%
Oxymorphone hydrochloride20720.3%
Oxycodone hydrochloride19819.4%

Other products listed in reports where Meperidine hydrochloride is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureMeperidine hydrochlorideOpioid agonistAll reports
Reports as suspect product1,018965,05120,646,523
Share of that pool—0.1%0%
Reports, latest 12 months19—1,332,454
Marked serious83.5%91.7%57.4%
Death recorded among outcomes, per 1,000 reports11535791
Hospitalisation recorded, per 1,000 reports128126213
Consumer-filed share49.4%32.5%45.8%
Top term, share of reportsDependence 26.5%median 0.9%0.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the opioid agonist class

DrugName typeReportsLatest 12 monthsMarked serious
OxyContinbrand146,26358494.6%
Oxycodone hydrochloridegeneric113,2202,59894.7%
Dilaudidbrand64,19117395.7%
Morphine sulfategeneric60,0921,57779.8%
Hydrocodone bitartrate and acetaminophengeneric59,05217096.2%
Percocetbrand57,79319895.4%
Fentanylgeneric53,6563,29286.2%
MS Continbrand52,1285598.7%
Oxycodonegeneric35,6712,85391.8%
Hysingla ERbrand30,703692.1%
Morphinegeneric28,4211,42190.5%
Nucyntabrand27,57512790.4%
Tramadol hydrochloridegeneric27,4471,95292.4%
Oxycodone and acetaminophengeneric24,91911294%
Norcobrand24,6614293.1%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Meperidine hydrochloride reports

How many adverse event reports has FDA received for Meperidine hydrochloride?

1,018 reports list Meperidine hydrochloride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 19 of them arrived in the latest 12 months. Another 279 list it only as a concomitant medication.

What reactions are recorded in Meperidine hydrochloride reports?

dependence (26.5%), drug hypersensitivity (23.7%), overdose (19.2%), drug intolerance (17.8%) and pain (17.1%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Meperidine hydrochloride was responsible.

How serious are the reports?

83.5% are marked serious by the reporter. Among the outcomes recorded, 11.5% of reports include death and 12.8% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (49.4%), other health professional (26.7%) and physician (12.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Meperidine hydrochloride rising?

19 reports in the 12 months to June 2026, down 62% from 50 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Meperidine hydrochloride was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Meperidine hydrochloride?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Meperidine hydrochloride as a suspect or interacting product; reports listing it only as a concomitant medication (279) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.