Side Effects of Lidocaine Bangor ME

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.

Leeanne S. Taylor MS LADC
(207) 949-4959
263 State Street
Bangor, ME
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Phoenix Mental Health Services LLC
(207) 941-1113
444 Stillwater Avenue
Bangor, ME
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Substance abuse
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Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, DUI/DWI offenders
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Outpatient Chemical Dependency Agency
(207) 990-1941
185 Harlow Street
Bangor, ME
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Men, DUI/DWI offenders

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Northeast Occupational Exchange
(800) 857-0500
29 Franklin Street
Bangor, ME
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(888) 852-6267
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Substance abuse
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Outpatient, Partial hospitalization/day treatment
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Adolescents, Persons with co-occurring mental and substance abuse disorders, Women

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Carolyn Parker LADC LCPC
(207) 992-2106
96 Harlow Street
Bangor, ME
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Care Development of Maine
(207) 945-4240
970 Illinois Avenue
Bangor, ME
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DDPC Grant/Acadia Healthcare
(207) 941-4287
656 State Street
Bangor, ME
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Persons with co-occurring mental and substance abuse disorders

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Full Circle Wellness Center Inc
(207) 942-5055
265 Hammond Street
Bangor, ME
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DUI/DWI offenders, Criminal justice clients

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Laura Levenson
(207) 941-8007
73 Pine Street
Bangor, ME
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Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

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Dwayne A Hogan LADC LCSW
(207) 945-9333
96 Harlow Street
Bangor, ME
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Substance abuse
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Outpatient
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DUI/DWI offenders

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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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