Lidocaine Infusion for Chronic Pain
Intravenous infusion of lidocaine for chronic pain is considered investigational and is not covered except under the provisions of WAC 296-20-02850 (When may the department cover controversial, obsolete, investigational or experimental treatment?).
There is insufficient high quality evidence to demonstrate that intravenous infusion of lidocaine is safe and effective for managing chronic pain or that its use for this indication is curative/rehabilitative. Supportive evidence is limited, primarily, to short-term pain improvement in selected neuropathic pain conditions.
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- Wilderman I, Pugacheva O, Perelman VS, Wansbrough MCT, Voznyak Y, Zolnierczyk L. Repeated Intravenous Lidocaine Infusions for Patients with Fibromyalgia: Higher Doses of Lidocaine Have a Stronger and Longer-Lasting Effect on Pain Reduction. Pain Med. 2019 Oct 16:pnz251.
- Yousefshahi F, Predescu O, Francisco Asenjo J. The Efficacy of Systemic Lidocaine in the Management of Chronic Pain: A Literature Review. Anesth Pain Med. 2017 Apr 22;7(3):e44732.