Side Effects of Lidocaine Dundalk 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.

Wise Treatment Center
(410) 477-3267
8801 Wise Avenue
Dundalk, MD
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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, DUI/DWI offenders

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Johns Hopkins University at JHBMC
(410) 550-1686
5510 Nathan Shock Drive
Baltimore, MD
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Outpatient
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EPOCH Counseling Center
(410) 284-3070
1107 North Point Boulevard
Dundalk, MD
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Substance abuse
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Adolescents, Women, Men, DUI/DWI offenders, Criminal justice clients

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Mountain Manor Treatment Center
(410) 276-0153
3243 Eastern Avenue
Baltimore, MD
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(800) 537-3422x2
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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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Alternatives to Dependency
(410) 391-8240
532 Eastern Boulevard
Baltimore, MD
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Substance abuse
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Outpatient
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Adolescents, DUI/DWI offenders
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Spanish

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BD Health Services
(410) 477-0744
3955 Old North Point Boulevard
Baltimore, MD
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Substance abuse , Methadone Maintenance
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Outpatient

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Addiction Treatment Services
(410) 550-0004
5200 Eastern Avenue
Baltimore, MD
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Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
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Outpatient
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Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women
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Johns Hopkins Bayview Medical Center
(410) 550-2995
4940 Eastern Avenue
Baltimore, MD
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Substance abuse
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Outpatient
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Persons with co-occurring mental and substance abuse disorders

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MBA Southeast Baltimore County
(410) 486-2500
8860 Citation Road
Baltimore, MD
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women

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S and S Counseling Service
(410) 574-1850
618 Eastern Boulevard
Baltimore, MD
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Substance abuse
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Outpatient
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Men, 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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