Literature DB >> 28042369

Oral Baclofen Withdrawal Resulting in Progressive Weakness and Sedation Requiring Intensive Care Admission.

Bret D Alvis1, Christopher M Sobey2.   

Abstract

Baclofen is a common medication used as a muscle relaxant and antispasmodic. Baclofen-withdrawal syndrome has many symptoms such as sedation, somnolence, and weakness but can include psychological symptoms. We present a 62-year-old female whose oral baclofen was not continued at a skilled nursing facility after discharge following inpatient surgery that led to the development of altered mental status and respiratory insufficiency necessitating intensive care unit admission. Abrupt cessation of baclofen, no matter the mode of administration to the patient, can lead to baclofen-withdrawal syndrome.

Entities:  

Keywords:  baclofen; oral baclofen; pain; ventilation sedation; withdrawal

Year:  2016        PMID: 28042369      PMCID: PMC5167087          DOI: 10.1177/1941874416637404

Source DB:  PubMed          Journal:  Neurohospitalist        ISSN: 1941-8744


  7 in total

Review 1.  Death after acute withdrawal of intrathecal baclofen: case report and literature review.

Authors:  L B Green; V S Nelson
Journal:  Arch Phys Med Rehabil       Date:  1999-12       Impact factor: 3.966

Review 2.  Delirium associated with baclofen withdrawal: a review of common presentations and management strategies.

Authors:  Raphael J Leo; Daniel Baer
Journal:  Psychosomatics       Date:  2005 Nov-Dec       Impact factor: 2.386

Review 3.  Intrathecal baclofen withdrawal: a case report and review of the literature.

Authors:  Tord D Alden; Richard A Lytle; T S Park; Michael J Noetzel; Jeffrey G Ojemann
Journal:  Childs Nerv Syst       Date:  2002-07-23       Impact factor: 1.475

Review 4.  Abrupt withdrawal from intrathecal baclofen: recognition and management of a potentially life-threatening syndrome.

Authors:  Robert J Coffey; Terence S Edgar; Gerard E Francisco; Virginia Graziani; Jay M Meythaler; Patrick M Ridgely; Saud A Sadiq; Michael S Turner
Journal:  Arch Phys Med Rehabil       Date:  2002-06       Impact factor: 3.966

5.  Baclofen withdrawal following removal of an intrathecal baclofen pump despite oral baclofen replacement.

Authors:  Michael I Greenberg; Robert G Hendrickson
Journal:  J Toxicol Clin Toxicol       Date:  2003

Review 6.  A benefit-risk assessment of baclofen in severe spinal spasticity.

Authors:  Alessandro Dario; Giustino Tomei
Journal:  Drug Saf       Date:  2004       Impact factor: 5.606

7.  Intrathecal baclofen withdrawal syndrome- a life-threatening complication of baclofen pump: a case report.

Authors:  Imran Mohammed; Asif Hussain
Journal:  BMC Clin Pharmacol       Date:  2004-08-09
  7 in total
  4 in total

1.  Transient alteration of consciousness in spinal cord injury secondary to Baclofen use: a case report.

Authors:  Thomas John Pisano; Jessica Ace; Beverly Hon
Journal:  Spinal Cord Ser Cases       Date:  2022-05-21

2.  Estimating the National Population of Hospitalized Chronic Baclofen Users: A Cross-Sectional Analysis of a Commercial Claims Database.

Authors:  Natalie Schmitz; Margaret Artz; Karen Walsh; Sandeep Gaudana; James Cloyd; John Schrogie; Robert Kriel
Journal:  Drugs Real World Outcomes       Date:  2022-03-31

3.  Severe Case of Oral Baclofen Withdrawal Resulting in Mechanical Ventilation.

Authors:  Resha Khanal; Sharad Oli; Janet Chan Gomez; Sahar Tahir; Binita Bhandari; Saketram Komanduri
Journal:  J Investig Med High Impact Case Rep       Date:  2022 Jan-Dec

Review 4.  Baclofen therapeutics, toxicity, and withdrawal: A narrative review.

Authors:  Jia W Romito; Emily R Turner; John A Rosener; Landon Coldiron; Ashutosh Udipi; Linsey Nohrn; Jacob Tausiani; Bryan T Romito
Journal:  SAGE Open Med       Date:  2021-06-03
  4 in total

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