Side Effects of Lidocaine Front Royal VA

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.

Northwestern Community Services Board
(540) 636-2931
209 West Criser Road
Front Royal, VA
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(540) 635-4357
Services Provided
Substance abuse
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Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women
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ASL or other assistance for hearing impaired

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Council on Alcoholism
(540) 662-8877
512 South Braddock Street
Winchester, VA
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Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

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Valley Community Services Board
(540) 887-3200
85 Sangers Lane
Staunton, VA
Hotline
(540) 885-0866
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Outpatient, Partial hospitalization/day treatment
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Adolescents, Persons with co-occurring mental and substance abuse disorders
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Vanguard Services Unlimited
(703) 841-0660
521 Quincy Street
Arlington, VA
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Substance abuse , Buprenorphine Services
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Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
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Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Men, DUI/DWI offenders, Criminal justice clients

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Passages
(276) 632-5685
817 Starling Avenue
Martinsville, VA
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Substance abuse , Halfway house
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Residential long-term treatment (more than 30 days), Outpatient
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Men

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Bridging the Gaps Inc
(540) 535-1111
423 West Cork Street
Winchester, VA
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Substance abuse
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Outpatient, Partial hospitalization/day treatment

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Northwestern Community Services Board
(540) 459-5180
441 North Main Street
Woodstock, VA
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(540) 459-4271
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Substance abuse , Detoxification
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Western Tidewater Mental Health Center
(757) 925-2222
135 South Saratoga Street
Suffolk, VA
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Substance abuse
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Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Women, DUI/DWI offenders
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Serenity Home Inc/Substance Abuse ICF
(540) 371-3059
514 Wolfe Street
Fredericksburg, VA
Services Provided
Substance abuse , 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
Spanish

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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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