Side Effects of Lidocaine Pittsfield 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.

Berkshire Medical Center/Hillcrest
(413) 442-1400x9137
165 Tor Court
Pittsfield, MA
Hotline
(413) 442-1400
Services Provided
Substance abuse , Detoxification, Halfway house, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Children''s Hosp Martha Eliot Hlth Ctr
(617) 971-2204
75 Bickford Street
Jamaica Plain, MA
Services Provided
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

Data Provided by:
North Shore Counseling Center
(978) 922-2280
23 Broadway
Beverly, MA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Clinton Hospital
(978) 368-3732
201 Highland Street
Clinton, MA
Services Provided
Detoxification
Types of Care
Hospital inpatient
Language Services
ASL or other assistance for hearing impaired, Portugese, Spanish

Data Provided by:
North Suffolk Mental Hlth Association
(617) 569-6050
408 Meridian Street
East Boston, MA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Women, Men, Criminal justice clients

Data Provided by:
Brien Center
(413) 499-0412
333 East Street
Pittsfield, MA
Hotline
(413) 499-0412
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Bridge Over Troubled Waters Inc
(617) 423-9575
47 West Street
Boston, MA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women

Data Provided by:
Spectrum Health Systems Inc
(781) 331-3709
861 Main Street
Weymouth, MA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men

Data Provided by:
Post ATS Step Down Services
(781) 331-3709x114
861 Main Street
Weymouth, MA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Men

Data Provided by:
The Dimock Center
(617) 442-8800x1333
50 Dimock Street
Roxbury, MA
Hotline
(617) 442-8800x1315
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Men
Language Services
ASL or other assistance for hearing impaired, Creole, French, Spanish

Data Provided by:
Data Provided by:

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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