Side Effects of Lidocaine Wahiawa HI

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.

YMCA Outreach Services
(808) 848-2494
1515 California Avenue
Wahiawa, HI
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Adolescents
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Army Substance Abuse Program (ASAP)
(808) 433-8700
Building 673
Schofield Barracks, HI
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Women, DUI/DWI offenders
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YMCA of Honolulu
(808) 848-2494
94-455 Farrington Highway
Waipahu, HI
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Adolescents
Language Services
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Alcoholic Rehab Services of Hawaii Inc
(808) 671-6900
94-216 Farrington Highway
Waipahu, HI
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Types of Care
Outpatient
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DUI/DWI offenders, Criminal justice clients

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YMCA Outreach Services
(808) 637-9713
67-160 Farrington Highway
Waialua, HI
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Wahiawa Middle School
(808) 848-2494
275 Rose Street
Wahiawa, HI
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Adolescents
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Hina Mauka/Teen Care
(808) 627-7747x2347
95-1200 Meheula Parkway
Mililani, HI
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Hina Mauka/Teen Care
(808) 453-6035
2100 Hookiekie Street
Pearl City, HI
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Adolescents

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YMCA Outreach Services
(808) 848-2494
94-1211 Farrington Highway
Waipahu, HI
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Substance abuse
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Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

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Big Island Substance Abuse Council
(808) 696-6775
85-638 Farrington Highway
Waianae, HI
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Substance abuse
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Pregnant/postpartum women, DUI/DWI offenders

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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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