Side Effects of Lidocaine Baltimore MD

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.

Druid Heights Trt and Counseling Ctr
(410) 669-0475
2009 Druid Hill Avenue
Baltimore, MD
Services Provided
Substance abuse , Detoxification, Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men

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A Step Forward Inc
(410) 462-6001
800 North Fulton Avenue
Baltimore, MD
Hotline
(410) 225-3111
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Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

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Penn North Neighborhood Center
(410) 728-2080
2410 Pennsylvania Avenue
Baltimore, MD
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men

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Recovery Network
(410) 576-9191x22
201 North Charles Street
Baltimore, MD
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, DUI/DWI offenders, Criminal justice clients

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Treatment Resources for Youth (TRY)
(410) 366-2123
2517 North Charles Street
Baltimore, MD
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients

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Bright Hope House Inc
(410) 235-7076
1611 Baker Street
Baltimore, MD
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Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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Martha''s Place
(410) 728-8402
1928 Pennsylvania Avenue
Baltimore, MD
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Women

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Chance Center
(410) 752-3500x123
301 North Gay Street
Baltimore, MD
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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University of Maryland
(410) 837-3313
630 West Fayette Street
Baltimore, MD
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Seniors/older adults, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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Weisman Kaplan House
(410) 467-5291
2521-2523 Maryland Avenue
Baltimore, MD
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men
Language Services
ASL or other assistance for hearing impaired

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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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