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GENERIC NAME: LIDOCAINE - INJECTION (LIE-doh-cane)

BRAND NAME(S): Xylocaine

Medication Uses | Other Uses | How To Use | Side Effects | Precautions | Drug Interactions | Overdose | Notes | Missed Dose | Storage

USES: This medication is used to treat irregular heartbeats (arrhythmias).

OTHER USES: This drug may also be used for resistant seizure treatment.

HOW TO USE: This medication is generally given by vein (IV). It may also be given in a large muscle (IM - in the shoulder usually) for one or two doses if necessary. Generally 50-100mg is given first IV, then repeated if necessary. This dosing is followed by continuous IV therapy (1-4 mg per minute typically). Doses may need to be reduced in people with heart failure or liver problems.

SIDE EFFECTS: Pain at the site of injection might occur. If this persists or worsens, notify your doctor. Unlikely but report promptly: drowsiness, dizziness, confusion, shakiness, mental changes, ringing in the ears, visual changes, nausea, tingling or numbness, slurred speech, muscle twitching, unusually slow heartbeat, seizures. Notify your doctor immediately if an allergic reaction occurs. Symptoms include: difficulty breathing, skin rash, itching, swelling. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before using this drug, tell your doctor your medical history, including: allergies (especially drug allergies), heart problems, liver disease, severe lung problems. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This drug is excreted into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all nonprescription and prescription medication you may use, especially of: cimetidine, other drugs used for irregular heartbeats (arrhythmias) such as phenytoin, procainamide, quinidine, propranolol. Do not start or stop any medicine without doctor or pharmacist approval.




Report Problems to the Food and Drug Administration

 

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.


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lidocaine-injection, Xylocaine

What causes an arrhythmia?

Arrhythmias may be caused by many different factors, including:

  • Coronary artery disease
  • Electrolyte imbalances in your blood (such as sodium or potassium).
  • Changes in your heart muscle.
  • Injury from a heart attack
  • Healing process after heart surgery.

Irregular heart rhythms can also occur in "normal, healthy" hearts.

What are the types of arrhythmias?

  • Premature atrial contractions. These are early extra beats that originate in the atria (upper chambers of the heart). They are harmless and do not require treatment.
  • Premature ventricular contractions (PVCs). These are among the most common arrhythmias and occur in people with and without heart disease. This is the skipped heartbeat we all occasionally experience. In some people, it can be related to stress, too much caffeine or nicotine, or too...

Read the Arrhythmia (Irregular Heartbeat) article »



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