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One of my friend addicted with alcohol and BZD dependence and substance-induced depressive disorder (ICD-10) was taking 80 mg per day of diazepam. Diazepam was tapered and stopped over 4 weeks. Baclofen was started at 20 mg/day and was increased to 40 mg/day over 1 week. She was also treated with Mirtazapine 20 mg/day for Benzo depression. She reported significant reduction in craving and withdrawal symptoms over the next 3 weeks. Her depression remitted within 2 month after starting treatment and she continues to remain abstinent from benzo for almost a year. All patients tolerated baclofen well and did not report any side effects on clinical evaluation. Do you taking the baclofen by yourself or prescribed by your doctor?
Recovering from any kind of addiction takes time but fortunately you did it. Addiction is the dependence of a drug in excess. Everyone has a potential for developing
addictions, and it starts when they take fun as a habit because these habits result in addiction. Many addicts that come to rehab centers have family backgrounds where there is no one with
drinking problems which means the habit can’t be inherited. Anyone can develop the addiction, and it has to be treated. Medically, “addiction” itself is a one-word definition, which refers to a state of mind of a human, which wants something for a normal 'day-to-day' functioning, and without which the mind is restless and remains to be so, till the particular substance is administered into the system.
Hi Pamela, I find your post incorrect. Why do you state that the max dosage of Baclofen totals 80 mg/day? Please stick to official publications, such as: https://baclofentreatment.com/wp-content/uploads/2017/11/A_prescription_guide_for_baclofen_in_Alcohol_Use_Disorder-For_use_by_physicians_and_patients.pdf
I myself am on 150 mg/day (and successfully reached abstinence and my state of complete indifference from alcohol).
Side effects occur during titration. Whenever you increase, you may encounter side effects. When they get too heavy, simply go back to your previous dosage and wait a week or two before increasing again. Always increase gently, no more than 10mg per three days. It may even work better for you to increase with only 5mg and wait three days before you increase again. The motto is: increase slowly, decrease slowly.
I personally do not need my doctor to increase or decrease my dosage. I simply read the official documentation and listen to my body, like most people do.
Maximum dosage of baclofen - A total of 80 mg per day taken in four divided doses of 20 mg each.
You are almost near to the maximum doses and thus you suffer from the side effects of this med. You need to lower the doses gradually but after consulting with your doctor. Are you be able to consult with your doctor over phone? Don't decrease the doses frequently.
Sorry to read about your trouble.
Are you taking baclofen 3 times a day, with 4-6 hour intervals? My French doctor told me that the sole purpose of the first 2 doses, is to minimise side effects. It is the last dosis that counts.
My craving typically starts around 1700, hence my last most important dose is at 16:00.
Counting backwards, the initial 2 doses are at 12:00 and 08:00
Also, when at 70mg you want to do 20, 20, 30. You don't want to take 10, 10, 50.
I'm sorry that baclofen isn't working for you. Please read @terryk's thread about safely tapering down:
As a general rule, reducing by 10 mgs/week is the best idea to avoid withdrawal symptoms.