Side Effects of Lidocaine Gardner MA

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.

North Central Human Services
(978) 632-9400
31 Lake Street
Gardner, MA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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LUK Crisis Center Inc
(978) 345-0685
545 Westminster Street
Fitchburg, MA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
McLean Center at Fernside
(800) 906-9531
162 Mountain Road
Princeton, MA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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Franklin Medical Center
(978) 544-6507
35 Congress Street
Orange, MA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men

Data Provided by:
Wayside Youth/Family Support Network
(508) 478-6888
10 Asylum Street
Milford, MA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, DUI/DWI offenders, Criminal justice clients
Language Services
Portugese, Spanish

Data Provided by:
GAAMHA Inc
(978) 632-4574
171 Graham Street
Gardner, MA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Language Services
French, Spanish

Data Provided by:
Spectrum Health Systems Inc
(978) 343-2433
76 Summer Street
Fitchburg, MA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, DUI/DWI offenders, Criminal justice clients
Language Services
Russian, Spanish

Data Provided by:
Integrated Treatment Unit
(508) 886-4746
60 Miles Road
Rutland, MA
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, Gays and Lesbians

Data Provided by:
Clinton Hospital
(978) 368-3732
201 Highland Street
Clinton, MA
Services Provided
Detoxification
Types of Care
Hospital inpatient
Language Services
ASL or other assistance for hearing impaired, Portugese, Spanish

Data Provided by:
Victory Programs Inc
(617) 262-5032x15
566 Massachusetts Avenue
Boston, MA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Creole, Portugese, Spanish

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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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