Side Effects of Lidocaine Westwood NJ

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.

Gerald Opthof
(201) 263-0202
192 3rd Avenue
Westwood, NJ
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Substance abuse
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Care Plus New Jersey Inc
(201) 265-8200
610 Valley Health Plaza
Paramus, NJ
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Substance abuse , Buprenorphine Services
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Outpatient
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DUI/DWI offenders

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Spring House/Female Halfway House
(201) 261-3582x224
230 East Ridgewood Avenue
Paramus, NJ
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Substance abuse , Halfway house
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Residential long-term treatment (more than 30 days)
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Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Women, Criminal justice clients
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Russell E Blaisdell
(845) 359-8500
Rockland Psychiatric Center Campus
Orangeburg, NY
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Substance abuse , Buprenorphine Services
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Hospital inpatient
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DUI/DWI offenders

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Touchstone Hall
(201) 784-6490
35 D Piermont Road
Rockleigh, NJ
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Substance abuse
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Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
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Adolescents, DUI/DWI offenders
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Spanish

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Professional Counseling Associates
(201) 265-0679
370 Kinderkamack Road
Oradell, NJ
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Substance abuse
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Outpatient
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Women, DUI/DWI offenders

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Gary Rosenbluth
(201) 612-6890
24 South Maple Avenue
Ridgewood, NJ
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Substance abuse , Detoxification
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Outpatient
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Evergreen Treatment Center
(201) 967-4188
230 East Ridgewood Avenue
Paramus, NJ
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Substance abuse , Detoxification, Buprenorphine Services
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Hospital inpatient, Outpatient
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ASL or other assistance for hearing impaired

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Bryan Granelli PhD
(201) 445-4310
112 Prospect Street
Ridgewood, NJ
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Substance abuse
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Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

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High Focus Centers
(201) 291-0055
40 Eisenhower Drive
Paramus, NJ
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Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

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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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