Side Effects of Lidocaine District Heights MD

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.

Alcohol and Drug Recovery (ADR)
(301) 735-6071
7610 Pennsylvania Avenue
Forestville, MD
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Comprehensive Treatment Services Inc
(301) 324-3757
8900 Edgeworth Drive
Capitol Heights, MD
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The Better Way Program
(202) 396-4290
4601 Sheriff Road NE
Washington, DC
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Substance abuse , Detoxification
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Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, Criminal justice clients

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Prince Georges County Health Dept
(301) 583-5920
3003 Hospital Drive
Cheverly, MD
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Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Criminal justice clients
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Good Hope Institute
(202) 610-1886
1320 Good Hope Road SE
Washington, DC
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Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
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Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders

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Children and Parents Program
(301) 324-2872
501 Hampton Park Boulevard
Capitol Heights, MD
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Substance abuse
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Persons with co-occurring mental and substance abuse disorders, Women

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Renaissance Treatment Center
(301) 925-2255
525 Eastern Avenue
Capitol Heights, MD
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Substance abuse
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Adolescents, Women, Men, DUI/DWI offenders, Criminal justice clients

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Malcolm Grow Medical Center Addiction
(240) 857-7186
79 MDOS/SGOHA
Andrews AFB, MD
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Gaudenzia Inc
(301) 324-1201x102
337 Brightseat Road
Landover, MD
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Substance abuse
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Outpatient
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DUI/DWI offenders, Criminal justice clients

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Family and Medical Counseling Service
(202) 889-7900
2041 Martin Luther King Avenue SE
Washington, DC
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Substance abuse
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Outpatient
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Persons with HIV/AIDS, DUI/DWI offenders, Criminal justice clients
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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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