Drug General Information (ID: DDIMOH9PBF)
  Drug Name Meperidine Drug Info Isoniazid Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Anesthetics Antitubercular Agents
  Structure

 Mechanism of Meperidine-Isoniazid Interaction (Severity Level: Moderate)
     Additive CNS depression effects Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Meperidine Isoniazid
      Mechanism 1 CNS depression effects CNS depression effects
      Key Mechanism Factor 1
Factor Name CNS depression effects
Factor Description CNS depressants are drugs that inhibit or suppress brain activity and can reduce mental and physical processes. Excessive CNS depression can lead to decreased heart rate, slow breathing (less than 10 breaths per minute), extreme confusion or loss of memory, nausea and vomiting, poor judgment, blue lips or fingertips, irritability and aggression, and clammy or cold skin.
      Mechanism Description
  • Additive CNS depression effects by the combination of Meperidine and Isoniazid 
     Additive hypotensive effects Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Meperidine Isoniazid
      Mechanism 2 Hypotensive effects
Alpha-2 adrenergic receptor  Agonist
Hypotensive effects
      Key Mechanism Factor 2
Factor Name Adrenergic receptor alpha-2 Structure Sequence
Protein Family G-protein coupled receptor 1 family
Protein Function
Alpha-2 adrenergic receptors mediate the catecholamine-induced inhibition of adenylate cyclase through the action of G proteins. The rank order of potency for agonists of this receptor is oxymetazoline > clonidine > epinephrine > norepinephrine > phenylephrine > dopamine > p-synephrine > p-tyramine > serotonin = p-octopamine. For antagonists, the rank order is yohimbine > phentolamine = mianserine > chlorpromazine = spiperone = prazosin > propanolol > alprenolol = pindolol.
    Click to Show/Hide
      Mechanism Description
  • Additive hypotensive effects by the combination of Meperidine and Isoniazid 

Recommended Action
      Management Patients should be closely monitored for hypotension and CNS depression if these drugs must be used together.

References
1 Gannon RG, Pearsall W, Rowley R "Isoniazid, meperidine, and hypotension." Ann Intern Med 99 (1983): 415. [PMID: 6614704]