Side Effects of Lidocaine Laconia NH

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.

Horizons Counseling Center
(603) 524-8005
25 Country Club Road
Gilford, NH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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Odyssey Family Center
(603) 783-7017
367 Shaker Road
Canterbury, NH
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients

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Cheshire Medical Center
(603) 354-6670
580 Court Street
Keene, NH
Services Provided
Detoxification
Types of Care
Hospital inpatient

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Concord Hospital
(603) 225-2711x4516
250 Pleasant Street
Concord, NH
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders

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Metro Treatment of New Hampshire LP
(603) 622-5005
5 Driving Park Road
Manchester, NH
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient

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Lakes Region General Hospital
(603) 527-2908
80 Highland Street
Laconia, NH
Services Provided
Substance abuse
Types of Care
Outpatient

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Child and Family Services
(603) 518-4304
99 Hanover Street
Manchester, NH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

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Healthy Steps Program
(603) 883-1626x7166
10 Prospect Street
Nashua, NH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women
Language Services
ASL or other assistance for hearing impaired

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Merrimack River Medical
(603) 595-3399
323 Derry Road
Hudson, NH
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Men
Language Services
Spanish

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West Central Services
(603) 448-1101
20 West Park Street
Lebanon, NH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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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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