Side Effects of Lidocaine Birdsboro PA

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.

Center for Mental Healthcare
(610) 988-8070
201 East Main Street
Birdsboro, PA
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Substance abuse
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New Directions Treatment Services
(610) 478-0646
20-22 North 6th Avenue
Reading, PA
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Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
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Center for Mental Health
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6th and Spruce Street
West Reading, PA
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Substance abuse
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Family Guidance Center INC
(610) 685-4410
Berkshire Towers
Reading, PA
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Substance abuse
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Outpatient
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Persons with co-occurring mental and substance abuse disorders
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Conewago Wernersville
(610) 685-3733
Wernersville State Hospital Building
Wernersville, PA
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Substance abuse , Detoxification
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Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
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Women, Men
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Spanish

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Hogar Crea of Reading
(610) 372-8410
302 South 5th Street
Reading, PA
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Substance abuse
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Residential long-term treatment (more than 30 days)
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Persons with HIV/AIDS
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Jeter Counseling Services
(610) 376-6065
517 Reading Avenue
West Reading, PA
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DUI/DWI offenders
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Reading Hospital and Medical Center
(610) 988-4870
838 Penn Street
Reading, PA
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Outpatient
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Persons with co-occurring mental and substance abuse disorders, Women

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Caron Treatment Centers
(800) 678-2332
Galen Hill Road
Wernersville, PA
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Substance abuse , Detoxification, Buprenorphine Services
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Residential short-term treatment (30 days or less)
Special Programs/Groups
Women, Men

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Malvern Institute
(610) 970-5000
1566 Medical Drive
Pottstown, PA
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Substance abuse
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Outpatient

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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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