Side Effects of Lidocaine Lewistown 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.

Clear Concepts Counseling
(717) 242-3070
24 North Main Street
Lewistown, PA
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Substance abuse
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Adolescents, Men, DUI/DWI offenders, Criminal justice clients
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Centre Counseling Associates
(814) 861-2055
103 East Beaver Avenue
State College, PA
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Substance abuse
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Adams Hanover Counseling Services Inc
(717) 456-5578
5 Pendyrus Street
Delta, PA
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(717) 632-4900
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Substance abuse
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Outpatient

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Greenbriar Treatment Center
(724) 339-7180
601 6th Street
New Kensington, PA
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Substance abuse
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Outpatient, Partial hospitalization/day treatment

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Center for Mental Healthcare
(610) 988-8070
201 East Main Street
Birdsboro, PA
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Substance abuse
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Outpatient

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Clear Concepts Counseling
(717) 436-9634
Rural Route 4
Mifflintown, PA
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Substance abuse
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Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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Counseling Alternatives Group
(814) 231-0940
444 East College Avenue
State College, PA
Hotline
(814) 235-4658
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Substance abuse
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Outpatient
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Adolescents, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

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Achievement Through Counseling and Trt
(215) 236-0100
1745 North 4th Street
Philadelphia, PA
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Substance abuse , Methadone Maintenance
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Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
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ASL or other assistance for hearing impaired, Spanish

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Girard Medical Center
(215) 787-2000x2079
8th and Girard Avenue
Philadelphia, PA
Hotline
(215) 787-2000
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
Spanish

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Twin Lakes Center for
(814) 623-1133
130 West Penn Street
Bedford, PA
Hotline
(800) 452-0218
Services Provided
Substance abuse
Types of Care
Outpatient
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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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