Side Effects of Lidocaine Blue Bell 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.

Livengrin Counseling Center
(215) 540-8301
220 Commerce Drive
Fort Washington, PA
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Substance abuse
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Outpatient
Special Programs/Groups
DUI/DWI offenders

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Horsham Clinic
(215) 643-7800
722 East Butler Pike
Ambler, PA
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Substance abuse , Detoxification
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Hospital inpatient
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Persons with co-occurring mental and substance abuse disorders
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Central Montgomery MH/MR Center
(610) 279-9270
1201 Dekalb Street
Norristown, PA
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Substance abuse
Types of Care
Outpatient
Language Services
Spanish

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Northwestern Human Services of
(215) 368-2022
400 North Broad Street
Lansdale, PA
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
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ASL or other assistance for hearing impaired

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Community Service Foundation Inc
(215) 348-8881
801 West 2nd Street
Lansdale, PA
Services Provided
Substance abuse
Types of Care
Partial hospitalization/day treatment

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UHS Keystone Center
(215) 542-4825
722 East Butler Pike
Ambler, PA
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Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

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Valley Forge Medical Center
(610) 539-8500
1033 West Germantown Pike
Norristown, PA
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Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
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Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
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Persons with HIV/AIDS, Women, Men
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Family House
(610) 278-0700
901 Dekalb Street
Norristown, PA
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Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Residential beds for clients' children

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Malvern Institute
(610) 265-4509
100 Ross Road
King Of Prussia, PA
Services Provided
Substance abuse
Types of Care
Outpatient

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Interim House Inc
(215) 849-4606
333 West Upsal Street
Philadelphia, PA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
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, Gays and Lesbians, Pregnant/postpartum women, Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

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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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