Side Effects of Lidocaine Olney MD

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.

Montgomery General Hospital
(301) 774-8800
18101 Prince Philip Drive
Olney, MD
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(301) 774-8888
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Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults

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Avery Road Treatment Center
(301) 762-5613
14703 Avery Road
Rockville, MD
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Substance abuse , Detoxification, Buprenorphine Services
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Residential short-term treatment (30 days or less)
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Persons with co-occurring mental and substance abuse disorders
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ASL or other assistance for hearing impaired, French, Hebrew, Spanish

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Avery Road Combined Care
(301) 279-8828x106
14701 Avery Road
Rockville, MD
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Substance abuse
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Residential long-term treatment (more than 30 days), Outpatient
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Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Women, Men, Criminal justice clients
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Spanish

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Family Health Center
(301) 963-7222
16220 South Frederick Avenue
Gaithersburg, MD
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(301) 963-7222
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Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Portugese, Spanish

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Circle Treatment Center PC
(301) 258-2626
424 North Frederick Avenue
Gaithersburg, MD
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Metro Counseling Services Inc
(301) 670-6161
15719 Crabbs Branch Way
Rockville, MD
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Avery House
(301) 762-4651
14705 Avery Road
Rockville, MD
Services Provided
Substance abuse , Halfway house
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
Language Services
Spanish

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Hannahs Aftercare and Rehab Center
(301) 384-1615
1201 Millgrove Road
Silver Spring, MD
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Seniors/older adults, Women, Residential beds for clients' children

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Montgomery County Dept Health/Human
(240) 777-1680
751 Twinbrook Parkway
Rockville, MD
Services Provided
Substance abuse , Methadone Maintenance, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

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Kolmac Clinic
(301) 330-7696
15932 Shady Grove Road
Gaithersburg, MD
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient

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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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