Side Effects of Lidocaine Catonsville 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.

Counseling Resource Associates
(410) 788-4360
6423 Frederick Road
Baltimore, MD
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Substance abuse
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Men, DUI/DWI offenders, Criminal justice clients

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Whitestone Treatment Center
(410) 265-5415
6709 Whitestone Road
Baltimore, MD
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Substance abuse , Detoxification
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Baltimore Cares Inc
(410) 233-3111
2300 Garrison Boulevard
Baltimore, MD
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Substance abuse , Detoxification
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Persons with co-occurring mental and substance abuse disorders

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Tuerk House
(410) 947-1125
730 Ashburton Street
Baltimore, MD
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Substance abuse , Detoxification
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Residential short-term treatment (30 days or less), Outpatient
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University of Maryland
(410) 542-2145
3939 Reisterstown Road
Baltimore, MD
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
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Outpatient
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Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders

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EPOCH Counseling Center
(410) 744-5937
800 Ingleside Avenue
Catonsville, MD
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Substance abuse , Buprenorphine Services
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Outpatient
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Adolescents, Women, Men, DUI/DWI offenders

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Hawkes Counseling Services
(410) 298-8046
3313 Royal Fern Way
Windsor Mill, MD
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(401) 298-8046
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Substance abuse
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Outpatient
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DUI/DWI offenders

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Sinai Hospital
(410) 601-5355
2401 West Belvedere Avenue
Baltimore, MD
Services Provided
Substance abuse , Methadone Maintenance, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
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Adapt Cares
(410) 383-4996
3101 Towanda Avenue
Baltimore, MD
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Women, Men

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I Can''t We Can
(410) 728-4491
2816 West North Avenue
Baltimore, MD
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
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Men

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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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