Side Effects of Lidocaine Manhattan NY

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.

Carnegie Hill Institute Inc
(212) 289-7166
116 East 92nd Street
New York, NY
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Substance abuse , Methadone Maintenance
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Saint Lukes/Roosevelt Hospital Center
(212) 523-1897
1000 10th Avenue
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Bridge Inc/OASAS Program
(212) 663-3000x401
248 West 108th Street
New York, NY
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Substance abuse , Detoxification
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Addicts Rehabilitation Center Fund Inc
(212) 427-6960x22
1881 Park Avenue
New York, NY
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(212) 427-6960
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Substance abuse
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Residential long-term treatment (more than 30 days)
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Gracie Square Hospital Inc
(212) 988-4400
420 East 76th Street
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Substance abuse , Detoxification, Methadone Detoxification, Buprenorphine Services
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ARTC Manhattan
(212) 348-5650
2195 3rd Avenue
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Greenhope Services for Women Inc
(212) 369-5100
448 East 119th Street
New York, NY
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Substance abuse
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Beth Israel Medical Center
(212) 247-7180
721 9th Avenue
New York, NY
Hotline
(212) 420-2059
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Substance abuse , Detoxification, Methadone Maintenance
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Outpatient
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Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, Criminal justice clients
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Harlem East Life Plan (HELP)
(212) 876-2300x107
2369 2nd Avenue
New York, NY
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Substance abuse , Methadone Detoxification
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Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, DUI/DWI offenders
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Upper Manhattan Mental Health Center
(212) 348-4660
2009 3rd Avenue
New York, NY
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Substance abuse , Halfway house
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Residential long-term treatment (more than 30 days)
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Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
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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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