Side Effects of Lidocaine Cheney WA

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.

Camas Institute Behavioral Health Serv
(509) 456-0799x4179
934 South Garfield Road
Airway Heights, WA
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Substance abuse
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Isabella House
(509) 624-1244x23
2308 West 3rd Avenue
Spokane, WA
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Substance abuse treatment
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Residential long-term treatment (more than 30 days)
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Pregnant/postpartum women

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Stepps/YFA Connections
(509) 532-2000
22 South Thor Street
Spokane, WA
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Substance abuse treatment
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Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women
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ASL or other assistance for hearing impaired

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Gateway Counseling Services
(509) 532-8855
140 South Arthur Street
Spokane, WA
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Substance abuse treatment
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Women, Men, DUI/DWI offenders
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ASL or other assistance for hearing impaired

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Northeast Washington
(509) 326-7740
1224 North Ash Street
Spokane, WA
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Substance abuse treatment
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Outpatient
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Adolescents, DUI/DWI offenders, Criminal justice clients

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Spokane Addiction Recovery Centers
(509) 624-3251
1509 West 8th Avenue
Spokane, WA
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Substance abuse treatment
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Residential long-term treatment (more than 30 days)

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Sun Ray Court
(509) 456-5465
518 South Browne Street
Spokane, WA
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(206) 722-3700
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Substance abuse treatment, Halfway house
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Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
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Men
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ASL or other assistance for hearing impaired

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Native Project
(509) 325-5502
1803 West Maxwell Avenue
Spokane, WA
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Substance abuse treatment
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Outpatient
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Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Lakota, Salish, Spanish

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Daybreak Youth Services
(509) 444-7033
960 East 3rd Avenue
Spokane, WA
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Substance abuse treatment
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Outpatient
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Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Russian, Spanish

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Spokane Public Schools - District 81
(509) 354-6336
200 North Bernard Street
Spokane, WA
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Substance abuse treatment
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Outpatient
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Adolescents

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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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