Side Effects of Lidocaine Lewiston ME

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.

Central Main Family Counseling PA
(207) 777-3399
300 Pine Street
Lewiston, ME
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Substance abuse
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Outpatient
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Adolescents, Women, Men, DUI/DWI offenders

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Sweetser Affiliate
(207) 837-7603
444 Main Street
Lewiston, ME
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Adolescents, DUI/DWI offenders
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Facing Change PA
(207) 784-0922
4 Park Street
Lewiston, ME
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(888) 568-1112
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Substance abuse
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Outpatient
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DUI/DWI offenders
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Tri County Mental Health Services
(800) 787-1155
1155 Lisbon Street
Lewiston, ME
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Substance abuse
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Outpatient
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ASL or other assistance for hearing impaired

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Central Maine Counseling Services Inc
(207) 782-3386
276 Main Street
Lewiston, ME
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Substance abuse
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Outpatient
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DUI/DWI offenders
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Community Clinical Counseling
(207) 782-9551
393 Sabattus Street
Lewiston, ME
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Substance abuse
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Outpatient
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DUI/DWI offenders
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ASL or other assistance for hearing impaired

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Saint Mary''s Regional Medical Center
(207) 777-8700
100 Campus Avenue
Lewiston, ME
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(888) 568-1112
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Substance abuse , Buprenorphine Services
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Hospital inpatient, Outpatient, Partial hospitalization/day treatment
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Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men
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ASL or other assistance for hearing impaired, French, Micmac, Somali

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Tibby York LADC
(207) 783-4268
11 Lisbon Street
Lewiston, ME
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Substance abuse
Types of Care
Outpatient
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Women, DUI/DWI offenders

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Transitions Counseling Inc
(888) 773-8886
571 Sabattus Street
Lewiston, ME
Services Provided
Substance abuse
Types of Care
Outpatient

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Catholic Charities Maine
(207) 784-2901x7884
24 Dunn Street
Auburn, ME
Services Provided
Substance abuse , Halfway house, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
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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