Side Effects of Lidocaine Hilo HI

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.

Big Island Substance Abuse Council
(808) 969-9994
16-565 Keaau Pahoa Road
Keaau, HI
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Substance abuse
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Outpatient
Special Programs/Groups
Adolescents

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Lokahi Treatment Centers
(808) 969-9292
400 Hualani Street
Hilo, HI
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Substance abuse , Detoxification
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Outpatient, Partial hospitalization/day treatment
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Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients

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Big Island Substance Abuse Council
(808) 969-9994
200 West Puainako Street
Hilo, HI
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Substance abuse
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Outpatient
Special Programs/Groups
Adolescents

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Big Island Substance Abuse Council
(808) 969-9994
27-330 Old Mamalahoa Highway
Papaikou, HI
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Outpatient
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Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Criminal justice clients

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Big Island Substance Abuse Council
(808) 884-5302
55-1046 Kainoa Road
Hawi, HI
Hotline
(800) 753-6879
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Residential long-term treatment (more than 30 days)
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Hui Ho''ola
(808) 982-9555
15-1926 Puakalo/30th Street
Keaau, HI
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Substance abuse
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Outpatient
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Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, DUI/DWI offenders

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Ku Aloha Ola Mau Inc
(808) 961-6822x15
900 Leilani Street
Hilo, HI
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Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
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Outpatient
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Persons with HIV/AIDS, Pregnant/postpartum women, Criminal justice clients
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ASL or other assistance for hearing impaired

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Big Island Substance Abuse Council
(808) 935-4927
15-3038 Puna Road
Pahoa, HI
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Substance abuse
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Outpatient
Special Programs/Groups
Adolescents

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Po''Ailani Inc
(808) 261-8741
74 Kihapai Street
Kailua, HI
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Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

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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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