Side Effects of Lidocaine Butler 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.

Irene Stacy CMHC
(724) 287-0791
112 Hillvue Drive
Butler, PA
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Substance abuse
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Adolescents, Persons with co-occurring mental and substance abuse disorders

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Veterans Affairs Medical Center
(724) 477-5033
325 New Castle Road
Butler, PA
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Substance abuse , Detoxification, Halfway house, Buprenorphine Services
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Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Men

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Ellen O''Brien Gaiser Addiction Center
(724) 287-8205
165 Old Plank Road
Butler, PA
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Substance abuse
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Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
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Persons with co-occurring mental and substance abuse disorders

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Gateway North Hills
(724) 776-4844
1659 Route 228
Cranberry Township, PA
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Substance abuse
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Outpatient, Partial hospitalization/day treatment
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Adolescents
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Butler Regional Recovery Program
(724) 226-7065
1301 Carlisle Street
Natrona Heights, PA
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Substance abuse
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Outpatient
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DUI/DWI offenders

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Foundations Medical Services LLC
(724) 431-2006
124 Hollywood Drive
Butler, PA
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Butler Regional Recovery Program
(724) 284-4357
911 East Brady Street
Butler, PA
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Substance abuse , Detoxification, Buprenorphine Services
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Hospital inpatient, Outpatient, Partial hospitalization/day treatment
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ASL or other assistance for hearing impaired

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Ellen O''Brien Gaiser Addiction Center
(724) 285-2293
325 New Castle Road
Butler, PA
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Substance abuse
Types of Care
Outpatient

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Discovery House
(724) 779-2010
301 Smith Drive
Cranberry Township, PA
Hotline
(724) 779-2010
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Substance abuse , Methadone Maintenance
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Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women, Women

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Teen Challenge of Western Pennsylvania
(724) 265-4100
220 Challenge Lane
Rural Ridge, PA
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Residential long-term treatment (more than 30 days)
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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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