Affiliated Oral Uptake of Lidocaine Suicidal Initiative: A Case Report

Lidocaine is an agent commonly used in our country as a local anesthetic and antiarrhythmic, and is administered by both topical and parenteral routes. A few reports on the accidental or suicidal use of parenteral to oral exposures which resulted in death. have also been reported in the literature, A forty-two year old male patient admitted to the emergency department was reported by the relatives to have taken the contents of a 20 jetokain bulb (lidocaine hydrochloride + epinephrine) orally. When the general condition was good, he was conscious, alert and sufficiently cooperative There were no significant pathological findings in the physical examination and vital signs were stable. Relatives reported previous psychiatric problems and that there had been similar attempts. The patient was admitted to the emergency observation unit for further evaluation and follow-up. Hemodynamic follow-up did not develop a problem, and no significant finding in the laboratory tests of patient was observed 24 hours after the consultation and he was discharged from the psychiatric clinic. The intake of oral bioavailability of lidocaine is quite low, although it should be kept in mind that it is potentially fatal, especially in the case of exposure to high doses. Patients who undergo a routine protocol of oral drug intoxication should be kept under observation for an adequate period.