Lidocard
Lidocard is a medicine used to treat irregular heartbeats, especially fast heart rhythms originating from the ventricles, in emergency situations.
Form
injektio-/infuusioneste, liuos
Strength
20 mg/ml
Active Ingredient
Lidocaine hydrochloride monohydrate
Manufacturer
Orion Corporation
How to Use
Dosage
Initial dose: 50-100 mg (1 mg/kg) intravenously. If needed, 1-2 additional doses of 50-100 mg can be given every 5-10 minutes.
Method
This medicine is given as an injection or a continuous infusion directly into your vein by a doctor or nurse.
Important
A maximum of 200-300 mg can be given within one hour during continuous infusion, typically 2-4 mg per minute.
Possible Side Effects
COMMON
- •Dizziness
- •Tingling and prickling sensation
- •Drowsiness
RARE
- •Severe allergic reactions, such as swelling of the face, lips, tongue, or throat, difficulty swallowing, sudden swelling of hands, feet, and ankles, breathing difficulties, severe itchy skin (rash), fever, and decreased blood pressure.
- •Confusion or disorientation
- •Vision problems
- •Unconsciousness, convulsions, tremor
- •Ringing in the ears (tinnitus)
- •Slow heart rate and low blood pressure, which can lead to cardiac arrest
- •Heart rhythm disorders (arrhythmias)
- •Respiratory depression (slow or shallow breathing)
- •Bluish skin in newborns (methemoglobinemia)
Important Warnings
- Do not use if you are allergic to lidocaine, similar medicines (amide-type local anesthetics), or any other ingredients in this medicine.
- Do not use if you have certain severe heart rhythm problems (2nd or 3rd degree AV block) or severe heart failure with a very slow heartbeat (under 60 beats per minute).
- Tell your doctor if you are elderly or in poor general health.
- Tell your doctor if you have other heart problems, such as a slow or irregular heartbeat, low blood pressure, or heart failure.
- Tell your doctor if you have liver or kidney problems.
Show 3 more warnings
- Tell your doctor if you have breathing difficulties, low oxygen levels, or low blood potassium.
- Tell your doctor if you have epilepsy, a rare blood pigment disorder (porphyria), or an infection at the injection site.
- Tell your doctor if you are taking other heart rhythm medicines or if the patient is a newborn.