Side Effects of Lidocaine Dover NH

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.

Southeastern New Hampshire Services
(603) 749-3981x201
272 County Farm Road
Dover, NH
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Substance abuse , Halfway house
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Outpatient
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DUI/DWI offenders

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Southeastern New Hampshire Services
(603) 749-3981x204
1 Wakefield Street
Rochester, NH
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Substance abuse
Types of Care
Outpatient

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Merrimack River Medical Services
(603) 436-0448
177 Shatuck Way
Newington, NH
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Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
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Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women, Women

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Southeastern New Hampshire Services
(603) 749-3981x204
24 Front Street
Exeter, NH
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Substance abuse
Types of Care
Outpatient

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CSI at Springvale Square
(207) 324-1550
474 Main Street
Springvale, ME
Hotline
(888) 568-1112
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Substance abuse , Buprenorphine Services
Types of Care
Outpatient
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Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

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Merrimack River Medical Associates
(603) 953-0077
200 Route 108
Somersworth, NH
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Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
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Outpatient
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Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
Spanish

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Counseling Services Inc
(207) 282-1500
453 U.S. Route 1
Kittery, ME
Hotline
(888) 568-1112
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Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, DUI/DWI offenders, Criminal justice clients

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York Hospital
(207) 351-2118
15 Hospital Drive
York, ME
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Substance abuse
Types of Care
Outpatient
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Adolescents, Women
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ASL or other assistance for hearing impaired

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Odyssey Adolescent Therapeutic Center
(603) 926-6702x1167
30 Winnacunnet Road
Hampton, NH
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

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Silverman and Associates Inc
(603) 329-6440
2 Village Green Road
Hampstead, NH
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Seniors/older adults, Men

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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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