Side Effects of Lidocaine Mercer Island WA

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.

Consejo Counseling and Referral Servs
(206) 461-4880
3808 South Angeline Street
Seattle, WA
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Substance abuse treatment
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Outpatient
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Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
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Thunderbird Treatment Center
(206) 722-7152
9236 Renton Avenue South
Seattle, WA
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Substance abuse treatment
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Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
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Persons with co-occurring mental and substance abuse disorders, Women, Men
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Catholic Community Services
(206) 328-5097
100 23rd Avenue South
Seattle, WA
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Substance abuse treatment
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Outpatient
Special Programs/Groups
DUI/DWI offenders
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Spanish

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Eastside Addiction Professionals
(425) 462-8558
1450 114th Avenue SE
Bellevue, WA
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Substance abuse
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Outpatient
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Adolescents, Men

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THS Central Youth and Family Services
(206) 322-7676x200
1901 Martin Luther King Jr Way South
Seattle, WA
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Substance abuse treatment
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Outpatient
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Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

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Therapeutic Health Services
(206) 723-1980
5802 Rainier Avenue South
Seattle, WA
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Outpatient
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Women, DUI/DWI offenders
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ASL or other assistance for hearing impaired, Amharic

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Recovery Centers of King County
(206) 325-5000
1701 18th Avenue South
Seattle, WA
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Substance abuse treatment, Detoxification, Halfway house, Buprenorphine Services
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Residential short-term treatment (30 days or less)
Special Programs/Groups
Women, Men

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Bridge Way Treatment Services
(425) 283-5315
1800 112th Avenue NE
Bellevue, WA
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Substance abuse
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Outpatient
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Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients
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ASL or other assistance for hearing impaired

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Renton Clinic A Member of CRC
(425) 687-7082
2838 Sunset Boulevard NE
Renton, WA
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Substance abuse treatment, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women

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Seattle Indian Health Board
(206) 834-4029
2212 South Jackson Street
Seattle, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, 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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