HomeOral Surgery Where does the breakdown of lidocaine (amino amide type) occur.. Kidneys Where does the breakdown of lidocaine (amino amide type) occur? A. Kidneys B. Liver C. Amide-liver D. Ester-plasma + liver. Facebook Twitter Share:Where does the breakdown of lidocaine (amino amide type) occur.. Kidneys Facebook Twitter WhatsApp Pinterest LinkedIn Reddit Tumblr Telegram Email