Side Effects of Lidocaine Norfolk VA

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.

Norfolk Community Services Board
(757) 664-6670
7460 Tidewater Drive
Norfolk, VA
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Substance abuse , Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
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Dept of Behavioral Healthcare Service
(757) 393-8896
505 Washington Street
Portsmouth, VA
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(757) 391-8990
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Substance abuse , Detoxification, Methadone Maintenance
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Mental Health Substance Abuse Division
(757) 385-0850
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Virginia Beach, VA
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(757) 437-6150
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Substance abuse
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Adolescents, Persons with co-occurring mental and substance abuse disorders

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Tidewater Psychotherapy Services
(757) 497-3670
256 North Witchduck Road
Virginia Beach, VA
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Adolescents, DUI/DWI offenders
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New Bridges
(757) 455-8283
3500 Virginia Beach Boulevard
Virginia Beach, VA
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Substance abuse
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Naval Medical Center Portsmouth
(757) 444-1105x315
1683 Gilbert Street
Norfolk, VA
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Substance abuse
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Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
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Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

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T W Neumann and Associates
(757) 393-9611
720 Rodman Avenue
Portsmouth, VA
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Substance abuse
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Adult Outpatient Services Pembroke 6
(757) 385-6088
297 Independence Boulevard
Virginia Beach, VA
Hotline
(757) 437-6150
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women
Language Services
ASL or other assistance for hearing impaired, Spanish

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Recovery For The City International
(757) 575-0952
3419 Virginia Beach Blvd
Virginia Beach, VA
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Substance abuse
Types of Care
Outpatient
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Adolescents, Women, Men, Criminal justice clients

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Atlantic Psychiatric Services
(757) 468-0550
780 Lynnhaven Parkway
Virginia Beach, VA
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Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients

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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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