Side Effects of Lidocaine Gaithersburg 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.

Family Health Center
(301) 963-7222
16220 South Frederick Avenue
Gaithersburg, MD
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(301) 963-7222
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Substance abuse , Detoxification
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Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
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Circle Treatment Center PC
(301) 258-2626
424 North Frederick Avenue
Gaithersburg, MD
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Substance abuse
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Outpatient
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DUI/DWI offenders

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Thomas Comprehensive Counseling
(301) 258-7771
19586 Club House Road
Gaithersburg, 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, Persons with HIV/AIDS, DUI/DWI offenders, Criminal justice clients

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Step Ahead Program of KHI Services
(240) 686-0707
19530 Doctors Drive
Germantown, MD
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Substance abuse
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Outpatient
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Adolescents, DUI/DWI offenders

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New Beginnings at Potomac Valley
(301) 762-0700x49
1235 Potomac Valley Road
Rockville, 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, Seniors/older adults

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Kolmac Clinic
(301) 330-7696
15932 Shady Grove Road
Gaithersburg, MD
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Substance abuse , Buprenorphine Services
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Outpatient

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MRB Counseling Services Inc
(301) 527-0854
317 East Diamond Avenue
Gaithersburg, MD
Hotline
(301) 512-0663
Services Provided
Substance abuse
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Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

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Thomas Comprehensive Counseling Servs
(301) 258-7771
19586 Montgomery Village
Gaithersburg, MD
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Substance abuse
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Outpatient
Special Programs/Groups
DUI/DWI offenders

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Metro Counseling Services Inc
(301) 670-6161
15719 Crabbs Branch Way
Rockville, MD
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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OACES Corporation
(301) 762-1383
416 Hungerford Drive
Rockville, MD
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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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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