Side Effects of Lidocaine Milton MA

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.

Transitions
(617) 534-9150
201 River Street
Mattapan, MA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
Spanish

Data Provided by:
HRDI
(617) 265-2830
26-28 Thane Street
Dorchester, MA
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, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients
Language Services
Spanish

Data Provided by:
HRDI
(617) 427-1588
167 Centre Street
Roxbury, MA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Men, Criminal justice clients

Data Provided by:
Dimock Community Health Center
(617) 442-8800x1392
41 Dimock Street
Roxbury, MA
Services Provided
Substance abuse , Detoxification, Methadone Detoxification
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women, Men
Language Services
ASL or other assistance for hearing impaired, Creole, French, Spanish

Data Provided by:
First Hispanic Academy
(617) 265-5852
22 Algonquin Street
Dorchester, MA
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient, Partial hospitalization/day treatment
Language Services
Spanish

Data Provided by:
Entre Familia
(617) 534-7968
209 River Street
mattapan, MA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients
Language Services
Portugese, Spanish

Data Provided by:
Codman Square Health Center
(617) 825-9660x8142
637 Washington Street
Dorchester, MA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS

Data Provided by:
Roxbury Comp Comm Health Center Inc
(617) 442-7400x430
435 Warren Street
Roxbury, MA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Language Services
Creole, Portugese, Spanish

Data Provided by:
Casa Esperanza Inc
(617) 445-7411
291 Eustis Street
Roxbury, MA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Men
Language Services
Spanish

Data Provided by:
HRDI First Women''s Circle Program
(617) 442-2755
26-28 Thane Street
Dorchester, MA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women

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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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