Violation

A patient suddenly becomes pale and sweaty after an injection of 4ml of lidocaine 2% with epinephrine 1:100,000. The radial pulse is slow and steady. The respiration is slow. The blood pressure is 80/60. What is the most probable diagnosis?

Incipient syncope

An allergic reaction to the local anesthetic

A toxic reaction to epinephrine

A toxic reaction to lidocaine

Please describe the matter of abuse