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For the infusion form, any baclofen still in the pump should be removed.
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Eleven patients who developed coma secondary to overdose had their treatment temporarily suspended, but all were subsequently re-started and were not, therefore, con- sidered to be true discontinuations.
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Rapid, accurate diagnosis and treatment in an emergency-room or intensive-care setting are important in order to prevent the potentially life-threatening central nervous system and systemic effects of intrathecal baclofen withdrawal.
After 1 to 3 months of treatment when patients had reached their maximal tolerated dosage, the results showed decrease in motor tone and the deep tendon reflex of the affected lower extremities but there was no statistical difference in the spasm frequency.
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Comparison of 198 patients who used intrathecal baclofen (ITB) and 315 who used oral medications showed that those who used ITB had lower levels of spasticity, less leg stiffness, less pain, and fewer spasms.
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Spinal cord injury, multiple sclerosis, cerebral palsy and some hereditary conditions may cause spasticity.
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Manual dexterity and strength also do not improve by reducing muscle tone, which means that treatment of spasticity may not lead to an improvement in function.
They are chemically the same and since the active ingredient is identical they have the same medical effect as brand drugs.
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Amiesen and other pro-Baclofen researchers are right, this may explain why alcoholism makes people behave as if they are crazy.
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Finally, the surgical implantation of an intrathecal baclofen pump has been shown to benefit those with particularly severe spasticity.
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Though the study failed to demonstrate benefit from the drug, baclofen was well tolerated with no significant reported adverse events.
Each vial or syringe is intended for SINGLE USE ONLY.
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Use caution with history of autonomic dysreflexia; presence of nociceptive stimuli or abrupt baclofen withdrawal may cause an autonomic dysreflexia episode.
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Rehabilitation approaches mostly focus on inhibiting or modulating the spasticity and include prolonged stretching and ROM exercises, inhibitory strategies such as casting or splinting, and the use of electrical stimulation such as subthreshold sensory stimulation and transcutaneous nerve stimulation (TENS).
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