Re: Cocaine, , Lidocaine, and mag

["Harleydog" <harleydog@sport.rr.com>]

If I recall...

Cocaine and lidocaine both lower the threshold for seizures.  Also,
lidocaine may potentiate cocaine-induced arrhythmias.

But, some of my references still recommend lidocaine as one (of many)
first-line options for cocaine-induced ventricular arrhythmias.

Interesting side note (for you biochemists):  cocaine's chemical structure
is actually more similar to atropine than to lidocaine...


Laramie Dixey, RN, NREMT-P
Flight Nurse - Life Air Rescue
Project Outreach
Shreveport, LA



----- Original Message -----
From: "Robert Cole" <EMCOLERS@adaweb.net>
To: <flightmed@flightweb.com>
Sent: Wednesday, April 03, 2002 3:29 PM
Subject: Cocaine, , Lidocaine, and mag


>
> OK, I think I know the answer to this but I want a second (give or take a
> hundred) opinion...
> Why is mag instead of lidocaine indicated as first line anti-arrhythmic
for
> arrhythmias (ventricular )in the setting of cocaine...(along with other
TX)
> Robert S. "Steve" Cole
> Paramedic, CCEMTP
> Education Department
> Ada County Paramedics
> 208-375-7079
> emcolers@adaweb.net
>
> "...A mind stretched with new ideas never regains its former shape"



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