Side Effects of Lidocaine Keene NH

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.

Phoenix House
(603) 358-4041x6471
106 Roxbury Street
Keene, NH
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Substance abuse , Detoxification, Halfway house, Buprenorphine Services
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Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
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Monadnock Family Services
(603) 357-4400
64 Main Street
Keene, NH
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Substance abuse
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Phoenix House of New England
(603) 563-8501x4551
3 Pierce Road
Dublin, NH
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Substance abuse
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Residential long-term treatment (more than 30 days)
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Women, Men

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Brattleboro Retreat
(802) 258-3705
Anna Marsh Lane
Brattleboro, VT
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Substance abuse , Buprenorphine Services
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Outpatient
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ASL or other assistance for hearing impaired

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Southeastern New Hampshire Services
(603) 749-3981x204
1 Wakefield Street
Rochester, NH
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Substance abuse
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Outpatient

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Cheshire Medical Center
(603) 354-6670
580 Court Street
Keene, NH
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Detoxification
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Hospital inpatient

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Metro Treatment of New Hampshire LP
(603) 358-0070
1076 West Swanzey Road
West Swanzey, NH
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Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
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Outpatient

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Phoenix Houses of New England
(603) 563-8107x4570
3 Pierce Road
Dublin, NH
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Substance abuse
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Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

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Tri County Community Action Prog Inc
(603) 752-8033
361 School Street
Berlin, NH
Hotline
(603) 752-8033
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Detoxification
Types of Care
Residential short-term treatment (30 days or less)

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NH Div Alcohol/Drug Abuse Prevention
(603) 668-2971
15-17 Brook Street
Manchester, NH
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Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men

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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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