Side Effects of Lidocaine Bowie 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.

Gaudenzia Inc
(301) 324-1201x102
337 Brightseat Road
Landover, MD
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

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Ferry Point Inc
(410) 674-8500
8379 Piney Orchard Parkway
Odenton, MD
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Substance abuse
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Outpatient
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Adolescents, Seniors/older adults, DUI/DWI offenders, Criminal justice clients
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Children and Parents Program
(301) 324-2872
501 Hampton Park Boulevard
Capitol Heights, MD
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women

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Comprehensive Treatment Services Inc
(301) 324-3757
8900 Edgeworth Drive
Capitol Heights, MD
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
French

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Second Genesis Inc
(301) 621-9013
107 Circle Drive
Crownsville, MD
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Women, Men

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Prince Georges County Health Dept
(301) 583-5920
3003 Hospital Drive
Cheverly, MD
Services Provided
Substance abuse , Methadone Maintenance
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Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Criminal justice clients
Language Services
Korean, Spanish, Vietnamese

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Kimbrough Ambulatory Care Center
(301) 677-8538
2481 Llewellyn Avenue
Fort George G Meade, MD
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient

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Renaissance Treatment Center
(301) 925-2255
525 Eastern Avenue
Capitol Heights, MD
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders, Criminal justice clients

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Recovery Network
(301) 345-1919
6201 Greenbelt Road
College Park, MD
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Chrysalis House
(410) 974-6829
1570 Crownsville Road
Crownsville, MD
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
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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