Side Effects of Lidocaine Wailuku 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.

Malama Na Makua A Keiki
(808) 877-7117
388 Ano Street
Kahului, HI
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Residential beds for clients' children

Data Provided by:
YMCA of Honolulu
(808) 848-2494
94-455 Farrington Highway
Waipahu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

Data Provided by:
Big Island Substance Abuse Council
(808) 327-4300x460
74-5000 Puohulihuli Street
Kailua Kona, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Hina Mauka/Teen Care
(808) 235-9172
46-155 Kamehameha Highway
Kaneohe, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Alcoholic Rehab Services of Hawaii Inc
(808) 236-2600
45-845 Po'okela Street
Kaneohe, HI
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients

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Aloha House Inc
(808) 579-9584
4593 Ike Drive
Makawao, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Big Island Substance Abuse Council
(808) 935-4927
15-3038 Puna Road
Pahoa, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
YMCA Outreach Services
(808) 848-2494
94-1211 Farrington Highway
Waipahu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

Data Provided by:
Ku Aloha Ola Mau Inc
(808) 961-6822x15
900 Leilani Street
Hilo, HI
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Queens Medical Center
(808) 547-4352
1374 Nuuanu Avenue
Honolulu, HI
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, 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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