Side Effects of Lidocaine Newton Center MA

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.

Bournewood Hospital
(617) 469-0300x309
300 South Street
Chestnut Hill, MA
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Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
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Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
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Riverside Outpatient Center
(617) 969-4925
64 Eldredge Street
Newton, MA
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(800) 529-5077
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Substance abuse , Buprenorphine Services
Types of Care
Outpatient
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Persons with co-occurring mental and substance abuse disorders

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Victory Programs Inc
(617) 522-2936
170 Morton Street
Jamaica Plain, MA
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Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
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Persons with HIV/AIDS
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Portugese, Spanish

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Sullivan House
(617) 524-4416
65 Glen Road
Jamaica Plain, MA
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Substance abuse , Halfway house
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Residential long-term treatment (more than 30 days)
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Gays and Lesbians, Seniors/older adults, Men

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Substance Abuse Treatment Program
(617) 232-9500x232
150 South Huntington Avenue
Boston, MA
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Substance abuse , Halfway house, Buprenorphine Services
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Residential long-term treatment (more than 30 days), Outpatient

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Catholic Charities
(617) 332-9905
295 Adams Street (Rear)
Newton, MA
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Substance abuse , Buprenorphine Services
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Residential long-term treatment (more than 30 days)
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

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Roxbury Comp Comm Health Center Inc
(617) 541-3670x221
170 Morton Street
Jamaica Plain, MA
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Substance abuse , Methadone Maintenance
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Outpatient
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Creole, French, Spanish

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Children''s Hosp Martha Eliot Hlth Ctr
(617) 971-2204
75 Bickford Street
Jamaica Plain, MA
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Criminal justice clients

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Arbour Substance Abuse Trt Program
(617) 522-4400x204
49 Robinwood Avenue
Jamaica Plain, MA
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Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Spanish

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Faulkner Hospital
(617) 983-7711
1153 Centre Street
Jamaica Plain, MA
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Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
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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