Side Effects of Lidocaine Kahului HI

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.

Malama Na Makua A Keiki
(808) 877-7117
388 Ano Street
Kahului, HI
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Residential beds for clients' children

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Naval Health Clinic
(808) 471-9002x450
480 Central Avenue
Pearl Harbor, HI
Services Provided
Substance abuse
Types of Care
Outpatient

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YMCA Outreach Services
(808) 848-2494
1335 Kalihi Street
Honolulu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

Data Provided by:
Po`ailani Inc
(808) 263-3500
75-5759 Kuakini Highway
Kailua Kona, HI
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Italian

Data Provided by:
Ohana Makamae Inc
(808) 248-8538
39 Keanini Street
Hana, HI
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, DUI/DWI offenders, Criminal justice clients
Language Services
German, Hawaiian, Spanish

Data Provided by:
Aloha House Inc
(808) 579-9584
4593 Ike Drive
Makawao, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Ku Aloha Ola Mau
(808) 538-0704
1130 North Nimitz Highway
Honolulu, HI
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
YMCA Outreach Services
(808) 848-2494
98-1276 Ulune Street
Aiea, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

Data Provided by:
Queens Medical Center
(808) 547-4352
1374 Nuuanu Avenue
Honolulu, HI
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

Data Provided by:
YMCA of Honolulu
(808) 848-2494
91-5335 Kapolei Parkway
Kapolei, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

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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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