Side Effects of Lidocaine Greenwich CT

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.

Recovery Program at Greenwich Hospital
(203) 863-4673
5 Perryridge Road
Greenwich, CT
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Substance abuse , Detoxification, Buprenorphine Services
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Hospital inpatient, Outpatient
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Renaissance Project Inc/Port Chester
(914) 939-2700
132 Pearl Street
Port Chester, NY
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Substance abuse
Types of Care
Outpatient
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Spanish

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Liberation Programs Inc
(203) 356-1980
115 Main Street
Stamford, CT
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Substance abuse
Types of Care
Outpatient
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Adolescents
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Spanish

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NY Presbyterian Hosp Westchester Div
(914) 682-9100
21 Bloomingdale Road
White Plains, NY
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Substance abuse , Buprenorphine Services
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Hospital inpatient
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Persons with co-occurring mental and substance abuse disorders
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ASL or other assistance for hearing impaired, Spanish

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Saint Vincents of Westchester
(914) 925-5261
275 North Street
Harrison, NY
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Substance abuse
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Hospital inpatient, Partial hospitalization/day treatment
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Adolescents, Persons with co-occurring mental and substance abuse disorders
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Liberation Programs
(203) 869-1349
55 Old Field Point Road
Greenwich, CT
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Substance abuse
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Outpatient
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Adolescents, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients
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Viewpoint Recovery Program
(203) 356-1053
104-106 Richmond Hill Avenue
Stamford, CT
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Substance abuse
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Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)

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Connecticut Renaissance Inc
(203) 854-2915x3004
141 Franklin Street
Stamford, CT
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
Russian, Spanish

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White Plains Hospital Center
(914) 681-2800
Davis Avenue and East Post Road
White Plains, NY
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired, French, Igbo, Spanish

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Saint Vincents Catholic Medical Ctrs
(914) 967-6500
275 North Street
Harrison, NY
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Halfway house

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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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