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Correspondence
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Volume 329:890-891 September 16, 1993 Number 12
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Lidocaine for Severe Hiccups

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To the Editor: The pharmacologic approaches to the treatment of severe hiccups include the use of chlorpromazine, carbamazepine, nifedipine, baclofen, metoclopramide, haloperidol, ketamine, and phenytoin, each of which has potentially serious side effects1,2. Pretreatment with intravenous lidocaine (1 mg per kilogram of body weight) diminishes hiccups that are associated with the induction of anesthesia with methohexital3.

We report the use of intravenous lidocaine to treat incapacitating hiccups. A 45-year-old man was hospitalized with fever and pulmonary infiltrate. Two days after bronchoscopy, intense, nearly continuous hiccups developed, associated with nausea, chest pain, dizziness, and fatigue. Oral medications were contraindicated . . . [Full Text of this Article]

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