In overdose situation:
Cardiovascular: Hypotension, cardiovascular collapse, tachycardia, atrial and
ventricular arrhythmias, edema
Central nervous system: slurred speech, CNS depression, agitation, confusion,
seizures, coma
Dermatologic: White, red, or brown skin discoloration
Gastrointestinal: Nausea, vomiting, oral burns GI ulceration, GI bleeding
Genitourinary: Urine discoloration (green)
Hematologic: Hemorrhage
Local: Irritation, burns
Renal: Nephritis
Respiratory: Bronchospasm/wheezing, coughing, dyspnea, pneumonia, pulmonary
When used for spinal neurolysis/motor point blocks: 1% to 10%:
Cardiovascular: Dysrhythmias
Central nervous system: Headache, hyperesthesia, dysesthesia
Gastrointestinal: Bowel incontinence
Genitourinary: Urinary incontinence
Local: Tissue necrosis, pain at injection site
Neuromuscular & skeletal: Motor weakness, nerve damage
Respiratory: Pleural irritation