Side Effects of Lidocaine Rutland VT

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.

Rutland Mental Health Services
(802) 747-3588x203
135 Granger Street
Rutland, VT
Hotline
(802) 775-1000
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Men, DUI/DWI offenders

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McGee House
(802) 773-5124
30 Washington Street
Rutland, VT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)

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Baart Behavioral Health Services
(802) 223-2003
300 Granger Road
Berlin, VT
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient
Special Programs/Groups
Pregnant/postpartum women

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Healthcare and Rehabilitation Services
(802) 463-3947
1 Hospital Court
Bellows Falls, VT
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

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Recovery House Inc
(802) 775-3476
35 Washington Street
Rutland, VT
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

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Recovery House Inc
(802) 446-2640
98 Church Street
Wallingford, VT
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Women, Men
Language Services
ASL or other assistance for hearing impaired

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Tri-County Substance Abuse Services
(802) 334-5246
55 Seymour Lane
Newport, VT
Hotline
(802) 334-5246
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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Clara Martin Center
(802) 295-1311
39 Fogg Farm Road
Wilder, VT
Hotline
(800) 639-6360
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
BAART Behavioral Health Services
(802) 748-6166
445 Portland Street
Saint Johnsbury, VT
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient

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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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