Side Effects of Lidocaine Ronkonkoma NY

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.

Community Counseling Services of
(631) 471-3122
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Ronkonkoma, NY
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Phoenix Houses of Long Island
(631) 471-5666
153A Lake Shore Road
Lake Ronkonkoma, NY
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From the Ashes, Inc. CD OP
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300 Motor Parkway
Hauppauge, NY
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YMCA of Long Island
(631) 580-7777
2545 Middle Country Road
Centereach, NY
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Phoenix House
(631) 471-5666x5531
153 Lake Shore Road
Ronkonkoma, NY
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Counseling Mediation/Forensic Services
(631) 218-0968
30 Floyd Run
Bohemia, NY
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Suffolk County Hauppauge
(631) 853-7373
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(631) 853-6410
725 Veterans Memorial Highway
Hauppauge, NY
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Substance abuse , Methadone Maintenance
Types of Care
Outpatient

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Employee Assistance Resource Servs Inc
(631) 361-6960
278 East Main Street
Smithtown, NY
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Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
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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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