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    #31
    Baclofen Dosage 'Poll'

    JWHIII;791182 wrote:
    Virgil,

    If your doctor will only prescribe you 100 mgs. per day, I urge you to seek out a second doctor. It's detrimental that you reach a threshold dose to ensure that you meet your objective. At least, this is what I've found in my own experience (as did Dr. Ameisen).

    Baclofen can be ordered fairly easily through internet pharmaceutical companies. But I wouldn't rely on these sources for long term care. I found this out the hard way... twice. Customs has a way of holding onto your package for inspection a little too long sometimes. In my last case, months.

    I ran out twice while undergoing this treatment on my own. The anxiety and insomnia quickly returned and I was back to drinking within a day. My disease picked up where it had left off with a vengeance, and I was worse off than I was before. That's when I sought out and obtained a prescription.

    If your intent is to supplement your "legitimate" regimen in order to attain your "switch" dose, I say go for it. Just make sure your prescribed daily dosage is high enough for a "maintenance" dose. Otherwise, making "the climb" would be all for naught.

    Personally, I wouldn't go with much less than 110-120 mgs. a day. I've been in contact with another I met in an article discussion on this subject, and their maintenance dose is also 120 mgs. daily. If you've read Dr. Ameisen's book or case report, his daily maintenance dose is also 120 mgs.

    It sounds like the laws are different there than they are here in the States. There are no set limitations on the dosage here that I know of. That's determined at the discretion of the physician. I'm sorry to hear this is the case for you. Before ordering online, are you sure you couldn't obtain a second "discreet" prescription from another doctor?

    If you're fairly certain this is not an option, then I say go for the internet purchase. Just be sure to purchase well in advance and also in bulk. I always purchased 3000 mgs. per order. It was the cheapest source I could find ($.25/10 mg. capsule).

    I actually kept a log from the first day I started taking Baclofen. I rated each day by anxiety and craving levels, and noted other observations along the way. I stayed at 190 mgs. for three days, then tapered the dose until I reached my maintenance dose.

    As long as you have an earnest desire to quit drinking (and obviously you do), I guarantee that Baclofen will work for you. But you have to reach your threshold or "ceiling" (switch) dose before complete suppression of craving and preoccupation will occur.

    I wish you well in your endeavors. You'll have to keep us posted on your progress!

    Take care.
    Hi JWHIII,

    Thanks for the feedback.

    Sadly, all attempts at finding a second doctor have been unsuccessful. As regards customs delaying any deliveries, I'm not sure that that would be a problem in my case. I say that cautiously as I haven't ordered any online as yet. Today, that will change. But I will be buying baclofen from Inhouse Pharmacy here in the UK.

    With reference to your statement that "There are no set limitations on the dosage here that I know of. That's determined at the discretion of the physician", I think
    that may also be the case in the UK. However, it is clear that some doctors choose to stay within the BNF guidelines.

    I will certainly keep everyone informed of my progress.

    V.
    "Love's the only engine of survival"

    Leonard Cohen

    Comment


      #32
      Baclofen Dosage 'Poll'

      Virgil;791290 wrote: Hi JWHIII,

      Thanks for the feedback.

      Sadly, all attempts at finding a second doctor have been unsuccessful. As regards customs delaying any deliveries, I'm not sure that that would be a problem in my case. I say that cautiously as I haven't ordered any online as yet. Today, that will change. But I will be buying baclofen from Inhouse Pharmacy here in the UK.

      With reference to your statement that "There are no set limitations on the dosage here that I know of. That's determined at the discretion of the physician", I think that may also be the case in the UK. However, it is clear that some doctors choose to stay within the BNF guidelines.

      I will certainly keep everyone informed of my progress.

      V.
      Go for the FedEx door-to-door delivery option if you don't mind the additional expense. I buy 400 x 10mg at a time, and the delivery is an extra US$40. Takes 5 working days to arrive (even over the x-mas period).
      I'll do whatever it takes
      AF 21/08/2009

      Comment


        #33
        Baclofen Dosage 'Poll'

        Oh, I almost forgot: JWH, great post and welcome to MWO
        I'll do whatever it takes
        AF 21/08/2009

        Comment


          #34
          Baclofen Dosage 'Poll'

          Thank you all for the welcome, much appreciated! It's comforting to be among others who know and understand where I'm coming from in all this. I plan to post my story soon.

          I really haven't had the opportunity to correspond with too many others who also have experience with Baclofen, so I do find the success rates on such lower doses fascinating.

          I mean, I noticed the variance earlier in the thread, but hadn't before considered how lower doses could still prove to be substantial depending on the individual. Every one's different.

          I hope I didn't sound patronizing or condescending at all in my last post. For all I know Virgil, your current script of 100 mgs. per day may just prove to be sufficient as your maintenance dose. If it does, how perfect that would be! I guess I was just concerned about your daily allowance.

          The first time I tapered down from my threshold dose, I decided to see just how low I could take the dosage and still retain indifference to alcohol. I figured that if say, 80 mgs. was still sufficient for suppression of cravings and preoccupation, that would help to stretch my rations.

          But I was in cognitive behavioral therapy at the time, and on the day I was going to taper my dose down to 100 mgs., I happened to have an appointment with my therapist. He strongly suggested that if it was working well at 120 mgs., I should remain there rather than to jeopardize it.

          I've heeded his concern ever since and have even found it necessary to take an additional 20 mgs. during times of stress to maintain complete indifference. This hasn't happened very often, but when it has, it's relieving to know that I have the extra mgs. at my disposal.

          One thing I forgot to add in my last post was how to go about determining one's threshold dose mathematically, utilizing the formula I mentioned (2.5 mgs. per kg. or 2.2 lbs.). I went right down the middle with 2.5 mgs. as 1 mg. seemed too low while 5 mg. seemed too high.

          Divide your weight by 2.2 and then multiply that figure by 2.5. This is your approximate threshold dose.

          So in my case, I weigh 165 lbs. 165 divided by 2.2 equals 75. 75 times 2.5 equals 187.5 (190 mgs.)

          If I had equated this with only 1 mg., the "threshold" dose would've been much too low (75 mgs.). If I had gone with 5 mgs., the threshold dose would've been way too high (375 mgs.)

          I had actually found the switch point at a slightly lower dose, but wanted to follow the therapy standard to the letter so as to ensure the success I had so hoped for. I guess I regarded it as important as finishing a prescription of antibiotics. I once quit taking antibiotics after having felt better, only to have the infection return. I wanted to be certain in allowing Baclofen to correct neurotransmission.

          I hope I haven't digressed from the topic of this thread, that being a poll. I know of only one other who takes Baclofen whom I've had correspondence with via e-mail. I'll invite them to view this thread and hopefully they'll join in and add their poll information as well. Time will tell.

          I'm glad to have found this group.

          Take care,
          John

          Comment


            #35
            Baclofen Dosage 'Poll'

            JWHIII;792550 wrote: I'm glad to have found this group.
            Hi John,

            I'm pleased that you found us! Your posts are thought-provoking and you're rapidly becoming a much-valued member of MWO. :welcome:

            Good on ya!

            V.

            P.S. I'm also relatively new here.
            "Love's the only engine of survival"

            Leonard Cohen

            Comment


              #36
              Baclofen Dosage 'Poll'

              tiptronic_ct;791328 wrote: Go for the FedEx door-to-door delivery option if you don't mind the additional expense. I buy 400 x 10mg at a time, and the delivery is an extra US$40. Takes 5 working days to arrive (even over the x-mas period).
              Hi tiptronic,

              I ordered my baclofen from Inhouse Pharmacy a couple of days ago. I couldn't find the FedEx option when ordering but I've just seen in a separate thread where you said To ask for FedEx delivery, just request it at the bottom of the page on which you complete your order, in the "Comments" box. I'll know next time.

              BTW, my current baclofen dosage is now 120 mg per day.

              V.
              "Love's the only engine of survival"

              Leonard Cohen

              Comment


                #37
                Baclofen Dosage 'Poll'

                Virgil;792884 wrote: Hi tiptronic,

                I ordered my baclofen from Inhouse Pharmacy a couple of days ago. I couldn't find the FedEx option when ordering but I've just seen in a separate thread where you said To ask for FedEx delivery, just request it at the bottom of the page on which you complete your order, in the "Comments" box. I'll know next time.

                BTW, my current baclofen dosage is now 120 mg per day.

                V.
                The 120mg is good news, IMHO

                When requesting the FedEx option, also remember to ask for a further discount since they no longer have to pay postage (which is included in their meds price). That way, I get a $5.00 discount. Not a huge sum, but something, at least
                I'll do whatever it takes
                AF 21/08/2009

                Comment


                  #38
                  Baclofen Dosage 'Poll'

                  JWHIII;792550 wrote:
                  I'm glad to have found this group.

                  Take care,
                  John
                  The feeling is mutual
                  I'll do whatever it takes
                  AF 21/08/2009

                  Comment


                    #39
                    Baclofen Dosage 'Poll'

                    JWHIII;792550 wrote: I know of only one other who takes Baclofen whom I've had correspondence with via e-mail. I'll invite them to view this thread and hopefully they'll join in and add their poll information as well. Time will tell.
                    John,

                    Yes, it would be good if your friend were to join MWO and add his poll information. The more data, the better!

                    V.
                    "Love's the only engine of survival"

                    Leonard Cohen

                    Comment


                      #40
                      Baclofen Dosage 'Poll'

                      I weigh 105 pounds.. im 5'4... what would my baflocen dosage "switch" approximately be?

                      Comment


                        #41
                        Baclofen Dosage 'Poll'

                        I also wanted to mention that the Rx you get from your local Pharmacy can be stronger than what you get overseas. Many people on this site that got the Rx from their Dr have stated that their Baclofen seems much stronger than what that had received from overseas. You might want to take that into account when calculating. My switch was a little higher than what was recommended.

                        Time your recommended switch would be 120.

                        Comment


                          #42
                          Baclofen Dosage 'Poll'

                          hi

                          Thanks shelby-how are you doing with the baflocen?

                          Comment


                            #43
                            Baclofen Dosage 'Poll'

                            Virgil great to see ya!

                            Hi Virgil, just wanted to say hi and so good to see you posting often. Had not seen you for ages on the TSM site - but I guess as you're giving Bac a try this is the best place to post. Now I can stop worrying about you!!!

                            Keep going! I have a good feeling about you and Bac - all my best wishes - you've had such a frustrating time!!

                            BGH in Canada

                            Comment


                              #44
                              Baclofen Dosage 'Poll'

                              shelbysmiles;793864 wrote: I also wanted to mention that the Rx you get from your local Pharmacy can be stronger than what you get overseas. Many people on this site that got the Rx from their Dr have stated that their Baclofen seems much stronger than what that had received from overseas. You might want to take that into account when calculating. My switch was a little higher than what was recommended.

                              Time your recommended switch would be 120.
                              Hi shelbysmiles,

                              I'm interested in what you say about baclofen from doctors being more potent than that from overseas. Having read a lot of threads on MWO, I was under the (wrong?) impression that there was little difference between the different sources of baclofen. Furthermore, I would have thought that some of the baclofen being prescribed by doctors is actually supplied from overseas. I'll look into this further.

                              I don't entirely understand your comment "Time your recommended switch would be 120". When I hear the word "switch" in context with baclofen, I equate that word with the dosage at which people become indifferent towards alcohol. But, clearly I have not got to that stage. Perhaps I'm just being a bit thick! For my benefit, would you mind explaining what you meant by your comment? Apologies in advance!

                              Thanks.

                              V.
                              "Love's the only engine of survival"

                              Leonard Cohen

                              Comment


                                #45
                                Baclofen Dosage 'Poll'

                                BGH;794106 wrote: Hi Virgil, just wanted to say hi and so good to see you posting often. Had not seen you for ages on the TSM site - but I guess as you're giving Bac a try this is the best place to post. Now I can stop worrying about you!!!

                                Keep going! I have a good feeling about you and Bac - all my best wishes - you've had such a frustrating time!!

                                BGH in Canada
                                Hi BGH,

                                Good to see you on MWO. This is my new home and I have been made to feel very welcome here - a big 'thank you' to everyone!

                                Sorry if I was causing you any worry. I certainly had no intention of doing that.

                                Yes, as you know, I had no success with TSM but I am very
                                hopeful about baclofen.

                                Best wishes.

                                V.
                                "Love's the only engine of survival"

                                Leonard Cohen

                                Comment

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