Side Effects of Lidocaine Nashville TN

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.

Middle Tennessee Treatment Center
(615) 321-2575x104
2410 Charlotte Avenue
Nashville, TN
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Substance abuse , Methadone Maintenance, Buprenorphine Services
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Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, DUI/DWI offenders
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Metro Health Department
(615) 862-7900
526 8th Avenue South
Nashville, TN
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(615) 340-2172
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Substance abuse
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Outpatient, Partial hospitalization/day treatment
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Women, Men

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Meharry Medical College
(615) 327-6255
1005 Dr David B Todd Jr Boulevard
Nashville, TN
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Substance abuse , Detoxification
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Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Residential beds for clients' children, DUI/DWI offenders

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Samaritan Recovery Community Inc
(615) 244-4802
319 South 4th Street
Nashville, TN
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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Cumberland Heights
(615) 353-4305
145 Thompson Lane
Nashville, TN
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(800) 646-9998
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Substance abuse
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Outpatient
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Adolescents
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ASL or other assistance for hearing impaired, Spanish

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Parthenon Pavilion CMC
(615) 342-1400
2401 Parman Place
Nashville, TN
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Substance abuse , Detoxification, Buprenorphine Services
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Hospital inpatient
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Persons with co-occurring mental and substance abuse disorders
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Vanderbilt Addiction Center
(615) 327-7000
1601 23rd Avenue South
Nashville, TN
Hotline
(615) 327-7000
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Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women
Language Services
ASL or other assistance for hearing impaired

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Bradford Health Services
(800) 677-8209
621 Mainstream Drive
Nashville, TN
Hotline
(800) 677-8209
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Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents

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Cumberland Heights
(615) 352-1757
8283 River Road
Nashville, TN
Hotline
(800) 646-9998
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Adolescents, Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

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Renewal House Inc
(615) 255-5222x108
3410 Clarksville Highway
Nashville, TN
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Residential beds for clients' children
Language Services
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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