Side Effects of Lidocaine Kihei 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.

Malama Na Makua A Keiki
(808) 877-7117
388 Ano Street
Kahului, HI
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Residential beds for clients' children

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State of Hawaii Judiciary
(808) 599-3700
850 Richards Street
Honolulu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, French, Ilocano, Japanese, Malay, Tagalog

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Big Island Substance Abuse Council
(808) 935-4927
95-5545 Mamalahoa Highway
Naalehu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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Alcoholic Rehab Services of Hawaii Inc
(808) 421-4200x283
4361 Salt Lake Boulevard
Honolulu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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Comprehensive Health and Attitude
(808) 528-0550
173 South Kukui Street
Honolulu, HI
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Men
Language Services
Chinese, German, Tagalog

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Aloha House Inc
(808) 579-9584
4593 Ike Drive
Makawao, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

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Big Island Substance Abuse Council
(808) 969-9994
96-3150 Pikake Street
Pahala, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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YMCA Outreach Services
(808) 637-9713
67-160 Farrington Highway
Waialua, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

Data Provided by:
Hina Mauka/Teen Care
(808) 266-7874
42-471 Kalanianaole Highway
Kailua, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
YMCA Outreach Services
(808) 848-2494
1120 Nehoa Street
Honolulu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

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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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