Healthdirect Free Australian health advice you can count on.

Medical problem? Call 1800 022 222. If you need urgent medical help, call triple zero immediately

healthdirect Australia is a free service where you can talk to a nurse or doctor who can help you know what to do.

beginning of content

Pethidine

7-minute read

If a person is not breathing, or if they are unresponsive, seek help straight away. Call triple zero (000) and ask for an ambulance.

Key facts

  • Pethidine is an opioid pain-relief medicine that was once widely used in Australia for pain caused by a range of different conditions.
  • Pethidine is now less often used because newer, safer opioids are available.
  • Pethidine is sometimes used to reduce labour pain in childbirth.
  • Pethidine is considered highly addictive, and so is not prescribed on an ongoing basis, or in the treatment of persistent pain in chronic conditions.

What is pethidine?

Pethidine is a strong opioid pain-relief medicine. It was once widely used in Australia for pain caused by a range of different conditions, but its use is decreasing because safer opioid medicines are now available.

LOOKING FOR A MEDICINE? — See this list of medicines that contain pethidine to find out more about a specific medication.

What is pethidine used for?

Pethidine is no longer commonly prescribed, and its use is discouraged. This is because it has a higher risk of side effects than other opioids.

Sometimes, pethidine is still used to help relieve labour pain during childbirth. In recent years, pethidine has been used less often in labour wards, as morphine has been shown to give longer-lasting pain relief with fewer side effects.

How does pethidine work?

Pethidine works to reduce feelings of pain by interrupting the way nerves signal pain between the brain and the body.

What are the possible side effects of taking pethidine?

All medicines, including pethidine, can have side effects.

Like all opioid medicines, pethidine can cause life-threatening breathing difficulties. The risk of these is higher:

  • when you first take pethidine
  • after a dosage increase
  • if you are older
  • if you have an existing lung problem

The side effects of pethidine increase with repeated doses, and so the medicine is not often used to treat pain.

Repeated dosing, especially in people with poor kidney function, can also lead to nerve conditions such as tremors, muscle twitching and seizures.

Other side effects are similar to other opioids, and include:

If you experience any of these side effects or other unwanted effects after taking pethidine, see your doctor. If your doctor is not available and you need urgent help, visit your nearest pharmacy.

FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.

What are the risks associated with pethidine?

Pethidine is an opioid medicine and can cause life-threatening breathing problems.

Pethidine may make it difficult for you to drive or operate heavy machinery. If you have recently started taking an opioid medicine or changed dosage, you may be at higher risk of having an accident.

WORRIED ABOUT YOUR OPIOID USE? — The Opioid Risk Indicator can help you find out if you may be developing a problem.

If you have kidney problems or your kidney function is impaired, your doctor will need to adjust your dosage of pethidine.

There are other factors that may limit your use of pethidine — for example, if you drink alcohol or take other medicines that can cause drowsiness.

Your doctor is the best person to advise you on whether pethidine is the right medicine for you, how much you need and how long to take it for.

Opioid dependence

Like all opioid medicines, if you take pethidine there is a risk you may become dependent on this medicine, even if you take it for a short time only. Your doctor will monitor how you use pethidine to reduce your risk of harm, including through misuse, abuse and addiction.

You can also develop tolerance when you take pethidine. This means you may need to take larger amounts of the opioid to get the same effect. As the dosage increases, so does the risk of side effects.

If you take pethidine regularly and stop taking pethidine suddenly, you may experience withdrawal symptoms.

This is why doctors don’t usually prescribe pethidine for chronic (long term) pain.

If a person is not breathing, or if they are unresponsive, seek help straight away. Call triple zero (000) and ask for an ambulance.

Are there any alternatives to pethidine?

Everyone's pain is unique and different pain-relief medicines will work in different circumstances. Some people's pain will respond well to non-opioid medicines, which are generally associated with fewer risks and side effects.

Pethidine is not usually recommended to treat pain, because there are other safer opioids available.

Your doctor is the best person to guide you on whether an opioid medicine is the right medicine for you, how much you need and how long to take it for.

If you have chronic (long-term) pain, your doctor might suggest lifestyle changes to help manage the effects of pain. This may include:

Find out more about options for managing chronic pain.

When should I see my doctor?

If you have been prescribed pethidine, but your pain is not well controlled, or you have any unexpected side effects, speak with your doctor.

ASK YOUR DOCTOR — Preparing for an appointment? Use the Pain Question Planner to prepare for your doctor’s appointment.

How do I dispose of medicines safely?

It's important you dispose of unwanted opioid medicines safely. Unused medicines can be returned to any pharmacy. Don't keep unused pethidine 'just in case', as this can lead to dangerous or inappropriate use.

Keep pethidine out of reach of children and pets. Never throw medicines into a garbage bin or flush them down the toilet, as this is dangerous to others and harmful to the environment.

Resources and support

Asking about your treatment or medicine is important to help you understand your options. Here's a guide to questions you should ask your pharmacist or doctor before taking any medicine.

You can also see the list of medicines that contain pethidine to read the consumer medicine information (CMI) leaflet for the brand prescribed.

You can also:

  • Call 1300 MEDICINE (1300 633 424) to talk about the medicines you are taking for your pain.
  • Discuss your pain on the Pain Link helpline (1300 340 357) which is staffed by volunteers with personal experience of chronic pain.
  • Go to Painaustralia to find pain services and programs in your area.
  • Learn more about prescription opioids on the Choosing Wisely website.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: May 2023


Back To Top

Need more information?

These trusted information partners have more on this topic.

Top results

Childbirth - pain relief options - Better Health Channel

Understanding your pain relief options can help you cope better with the pain of childbirth.

Read more on Better Health Channel website

ANZCA | Pain relief and having a baby

Labour is among the most painful human experiences.

Read more on ANZCA – Australian and New Zealand College of Anaesthetists website

Pain Relief in Labour and Childbirth

Read more on RANZCOG - Royal Australian and New Zealand College of Obstetricians and Gynaecologists website

Pain relief during labour

Learn what natural and medical options are available to you to relieve pain during labour and how your birth support partner can help you.

Read more on Pregnancy, Birth & Baby website

Treating persistent pain - Musculoskeletal Australia (MSK)

Persistent pain is pain that lasts for more than three months. Learn strategies you can use to help manage your pain and live well.

Read more on Musculoskeletal Australia website

Gas (Entonox)

Gas or Entonox is nitrous oxide mixed with oxygen. Gas can help with pain relief, and it is safe for you and your baby.

Read more on Pregnancy, Birth & Baby website

Baby's health: the Apgar score - MyDr.com.au

Find out about the Apgar newborn scoring system, the standardised technique that doctors use to determine the health of a baby within 5 minutes of its birth.

Read more on myDr website

Types of drugs | Australian Government Department of Health and Aged Care

Drugs can be grouped together in different ways – by the way they affect the body, how they are used or where they are used. Find out which drugs we are focused on reducing in Australia.

Read more on Department of Health and Aged Care website

Healthdirect 24hr 7 days a week hotline

24 hour health advice you can count on

1800 022 222

Government Accredited with over 140 information partners

We are a government-funded service, providing quality, approved health information and advice

Australian Government, health department logo ACT Government logo New South Wales government, health department logo Northen Territory Government logo Queensland Government logo Government of South Australia, health department logo Tasmanian government logo Victorian government logo Government of Western Australia, health department logo

Healthdirect Australia acknowledges the Traditional Owners of Country throughout Australia and their continuing connection to land, sea and community. We pay our respects to the Traditional Owners and to Elders both past and present.