Side Effects of Lidocaine Kutztown PA

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.

Reading Hospital and Medical Center
(610) 988-8070
Kutztown University
Kutztown, PA
Services Provided
Substance abuse
Types of Care
Outpatient

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RAFT Recovering Adolescents and
(610) 366-8341
5347 Hamilton Boulevard
Wescosville, PA
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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Hogar Crea of Reading
(610) 372-8410
302 South 5th Street
Reading, PA
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Substance abuse
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Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS
Language Services
Spanish

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Reading Hospital and Medical Center
(610) 988-4870
838 Penn Street
Reading, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women

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Center for Mental Health
(610) 988-8070
6th and Spruce Street
West Reading, PA
Services Provided
Substance abuse
Types of Care
Outpatient

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White Deer Run of Blue Mountain
(877) 756-4023
8284 Leaser Road
Kempton, PA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)

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Family Guidance Center INC
(610) 685-4410
Berkshire Towers
Reading, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish

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Mitchell Clinic
(610) 965-6418x100
555 Harrison Street
Emmaus, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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Jeanetter Egan
(610) 965-3635
860 Broad Street
Emmaus, PA
Services Provided
Substance abuse
Types of Care
Outpatient

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Jeter Counseling Services
(610) 376-6065
517 Reading Avenue
West Reading, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
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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