Side Effects of Lidocaine Amherst MA

The most common adverse effect of lidocaine is central nervous system (CNS) toxicity. The symptoms are usually mild, dose-dependent, and always resolve with a decrease in the infusion rate or discontinuation of the drug. These side effects may be particularly frequent in the elderly or in those with heart failure, settings in which CNS levels are increased due to a reduced volume of distribution, and in patients with significant liver impairment in whom the metabolism of lidocaine is reduced.

Community Healthcare Inc
(413) 584-2404
297 Pleasant Street
Northampton, MA
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient

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Hairston House
(413) 585-8390
25 Graves Avenue
Northampton, MA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

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Cooley Dickinson Hospital
(413) 586-8550
10 Main Street
Florence, MA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Seniors/older adults, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Sisters of Providence Hospital
(413) 493-2741
1233 Main Street
Holyoke, MA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

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Behavioral Health Network
(413) 536-5473x130
40 Bobala Road
Holyoke, MA
Services Provided
Substance abuse
Types of Care
Outpatient

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Grace House
(413) 586-8212
143 West Street
Northampton, MA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Residential beds for clients' children
Language Services
Spanish

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Northampton Veterans Affairs Med Ctr
(413) 584-4040
421 North Main Street
Leeds, MA
Services Provided
Substance abuse , Detoxification, Halfway house, Buprenorphine Services
Types of Care
Hospital inpatient, Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Men

Data Provided by:
Providence Behavioral Health Hospital
(413) 536-5111
1233 Main Street
Holyoke, MA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, French, German, Portugese, Spanish

Data Provided by:
Gandara Residential Services For Woman
(413) 540-9881
507 Appleton Street
Holyoke, MA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Residential beds for clients' children
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Holyoke Hospital Inc
(413) 534-2626
575 Beech Street
Holyoke, MA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

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Side Effects of Lidocaine

INTRODUCTION TO LIDOCAINE

Lidocaine is a substance administered intravenous in the treatment of ventricular arrhythmias, is generally very well tolerated. The major side effects primarily involve the central nervous system, the cardiovascular system, and the gastrointestinal tract.

LIDOCAINE NEUROLOGIC TOXICITY

The most common adverse effect of lidocaine is central nervous system (CNS) toxicity. The symptoms are usually mild, dose-dependent, and always resolve with a decrease in the infusion rate or discontinuation of the drug. These side effects may be particularly frequent in the elderly or in those with heart failure, settings in which CNS levels are increased due to a reduced volume of distribution, and in patients with significant liver impairment in whom the metabolism of lidocaine is reduced.

Tremor is a useful bedside sign of toxicity. Other neurologic side effects include insomnia or drowsiness, lightheadedness, dysarthria and slurred speech, ataxia, depression, agitation, change in sensorium, a change in personality, nystagmus, hallucinations, memory impairment, and emotional lability.

High plasma concentrations of lidocaine can also provoke seizures that are usually generalized. This can also occur at lower drug concentrations if lidocaine is given to patients receiving oral tocainide or mexiletine, which are congeners of lidocaine.

LIDOCAINE CARDIOVASCULAR TOXICITY

Cardiac side effects are an infrequent complication of lidocaine therapy which is general...

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