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    #31
    The latest research on baclofen

    Chi;1089617 wrote: Greg back to what you said about comparing bac to benzo's..... I too wonder about that. I have long been familiar with xanax, and I have noticed similarities. I personally think bac is a great alternative especially for addicts, but it does make me worry a bit about tapering and withdrawal. Maybe "worry" is not the right word, I just want to be fully informed. I've tapered from xanax.... didn't like the experience, but it was worth it considering what I was going through at the time. After that I still had to keep xanax on hand (and continue to this day) to stop a panic attack if one came up... I am glad to report I have seen a huge reduction in panic attack symptoms since being on baclofen. Very interesting indeed, especially considering how the FDA treats benzo's vs baclofen.
    Baclofen definitely shares some properties with benzodiazepines. Withdrawal after being on it every day and suddenly stopping or cutting way back is one. It seems to differ by causing a fair amount of insomnia when the dosage soon before bedtime gets high, and it's also not useful in epilepsy (unlike benzos). I have found low doses useful against anxiety, and possibly against alcohol cravings, even though I didn't keep going with high dose treatment.

    I do remain very interested in high-dose bac for alcoholism. It seems to offer something that no other existing treatment option offers, and being able to start it while still drinking would seem to make it an easier option for many alcoholics than having to fully detoxify then start out on some treatment while staying 100-percent AF. I admit I was alarmed when I first heard about the effective doses, e.g. 200, 300, or even more mg. per day versus 80-100 mg recommended daily maximum. Also alarming was the combining of alcohol with a drug that has depressant/sedative properties. However people here say they have done both things, with a low number of reported problems compared to what would probably happen if people tried mixing large doses of benzodiazepines with their normal alcohol intake.

    I should add that my above comments aren't just personal theorizing, rather they were also worries my addiction specialist expressed when I first talked about baclofen. He jumped to the conclusion it was the same as a benzo, due to it being a "GABA agonist" (he didn't take into account the GABA-A and GABA-B issue). He said he thought it was addictive, due to having heard about withdrawals from it and the GABA thing, whereas the reported lack of psychological dependence on baclofen seems to make it different to benzodiazepines.

    P.S. I also recently tapered off Xanax and found some problems doing it, but overall the experience was bearable...insomnia became the worst symptom but everyone is different. I also keep some handy but only if needed for an emergency, and I hope to keep away from it as much as possible. It did help with sleep to begin with but tolerance started to render it ineffective for that purpose. Switching between it and something different like a sedating antihistamine could possibly help with that.

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      #32
      The latest research on baclofen

      Otter;1089991 wrote: :H:H:H:H:H

      OMG! Not him again going on about his wife!

      I posted on this blog the day after I first saw Ameisen on TV. Got into a nasty argument with some guy called DuWayne. What a laugh. How things have moved on since 2009. I found the TSM forum and then MWO a couple of months later and the rest is history. Interesting to look back and now to think that our GP prescribes Baclofen etc. etc.

      Getting to the point. I think too much is made of Baclofen as being a "cure". It is what you make of it. I am on a low dose myself although I sometimes go up to 50 mg or so a day. I used to drink every day and through the night for insomnia. I reduced slowly over a few years. I wish I had had Baclofen then because it made me a nervous wreck. All of my nervous/anxiety problems have now gone. I do find that my mind is slower to react and I am more forgetful.

      I am starting to think that Baclofen could be used to treat "anger". I get angry thinking about stuff that is going on and then I take some Baclofen and my whole mood shifts. Instead of feeling defeated and wanting to get back at someone, I start to feel positive about the situation and look at ways of just handling it without getting worked up. I find an approach and then feel good that I can fight back, not get upset and probably win. Just like exchanges on this foruml. You see people make comments that might bother you and then you just say why bother getting upset. Doesn't add to anything and there are better things to do with one's time. Very pleasant stuff really.

      And, I don't drink anymore. Had some beer on the beach in the summer and just wondered why I bothered. I have developed a taste for cold water and ice cold Coke. I think Bac returns your brain to the state it was in as a child when you would have a sip of beer and wonder why anyone would want to drink it. I just wonder about the memory thing. I have to keep the dose down but cannot with the stress I am under at the moment so it is a bit of a worry.
      I went back and read the comments to see yours, lol, that is cool Otter to look back and see how far you have come

      I'm sorry you are going through so much stress right now, I say use the baclofen as you see fit, Dr. A was very forthcoming in that he used it to treat both his alcoholism and his chronic anxiety and panic attacks. It truly is a "sleeper" wonder drug, although I suspect since OA's book and the success of many that big Pharma has already taken a huge interest.

      As for the memory thing, I have similar concerns. I have a class I need to take this summer for work and I have wondered if I should back down on baclofen at that time as I need to have a good memory to get through the class! Then I remember what my mind was like with the constant hangovers, as if that didn't screw with my cognitive functioning! lol

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        #33
        The latest research on baclofen

        Greg;1090133 wrote: Baclofen definitely shares some properties with benzodiazepines. Withdrawal after being on it every day and suddenly stopping or cutting way back is one. It seems to differ by causing a fair amount of insomnia when the dosage soon before bedtime gets high, and it's also not useful in epilepsy (unlike benzos). I have found low doses useful against anxiety, and possibly against alcohol cravings, even though I didn't keep going with high dose treatment.

        I do remain very interested in high-dose bac for alcoholism. It seems to offer something that no other existing treatment option offers, and being able to start it while still drinking would seem to make it an easier option for many alcoholics than having to fully detoxify then start out on some treatment while staying 100-percent AF. I admit I was alarmed when I first heard about the effective doses, e.g. 200, 300, or even more mg. per day versus 80-100 mg recommended daily maximum. Also alarming was the combining of alcohol with a drug that has depressant/sedative properties. However people here say they have done both things, with a low number of reported problems compared to what would probably happen if people tried mixing large doses of benzodiazepines with their normal alcohol intake.

        I should add that my above comments aren't just personal theorizing, rather they were also worries my addiction specialist expressed when I first talked about baclofen. He jumped to the conclusion it was the same as a benzo, due to it being a "GABA agonist" (he didn't take into account the GABA-A and GABA-B issue). He said he thought it was addictive, due to having heard about withdrawals from it and the GABA thing, whereas the reported lack of psychological dependence on baclofen seems to make it different to benzodiazepines.

        P.S. I also recently tapered off Xanax and found some problems doing it, but overall the experience was bearable...insomnia became the worst symptom but everyone is different. I also keep some handy but only if needed for an emergency, and I hope to keep away from it as much as possible. It did help with sleep to begin with but tolerance started to render it ineffective for that purpose. Switching between it and something different like a sedating antihistamine could possibly help with that.
        Greg the xanax taper sucks. I did it many years ago and I still remember. The rebound anxiety is very difficult. Something that helped me then and might help you is to switch to a benzo with a longer half life at the end... my doc switched me to klonopin. It really helped with the rebound and ending the physical dependence.

        Don't worry the memory of the taper will keep you from using it habitually again, but keep it for an emergency or to stop a panic attack in progress. It is the best drug in an acute situation, imo.

        Like you I remain optimistic with baclofen. Even with the bezo like withdrawal it's still a very safe drug compared to the other benzo drugs as you pointed out. IIRC the bac taper is much quicker and so is withdrawal, if it comes to that.

        Comment


          #34
          The latest research on baclofen

          Thanks Chi. I actually came off Xanax by using diazepam/Valium and tapering off that, due to it being a far smoother longer-acting drug. None of the up and down levels in the system like with the shorter-acting benzos such as Xanax. Here in Australia Valium is the one used most commonly for both alcohol and benzo withdrawal, although clonazepam-Klonopin (called Rivotril here) is available. My addiction doctor was in favour of the Valium idea, although my usual doctor doesn't know much about medications and poo-hooed the suggestion of using Valium instead of Xanax. Unbelievably he said that Valium was more dangerous than Xanax and told the addiction guy it was more likely to lead me to "hard stuff"!! This is why I think it's important for people to try and have a doctor who specialises in addiction or possibly psychiatry when medication issues arise.

          Comment


            #35
            The latest research on baclofen

            Otter - regarding the memory effect that baclofen has: At some doses, I was hopeless. Walking into rooms and wondering what I had gone there for happened several times a day. I remember posting on it a few times. Absentmindedness to that degree would have made daily functioning extremely difficult, but luckily it is a dose dependent SE. I know you only take a little and mostly for the anxiolytic properties, but perhaps try changing the amount you take, even taking more, and you may see this SE disappearing.

            Regarding baclofen as a cure for alcoholism is potentially a mistake, I think (My mind continually vacillates on this point though, so don't quote me). It does however, put such a weapon in the alcoholics arsenal as to be the next best thing. My perspective of alcohol has changed completely, and it is entirely due to baclofen. Sobriety is a simple, desirable state of being now. Before, it was just an intermission to be endured between sessions.

            Comment


              #36
              The latest research on baclofen

              Bleep, I may try that, although I would need to get a higher prescription. I have tried using very small doses of 2.5 mg every few hours. The problem is all the crap we have been through has put me in a difficult spot at work. I have Baclofen on my mind and in my brain. I think what I am experiencing is that the Baclofen stops me from acting on my anxiety and I don't have the fear response and run away. I can see things positively. But, it doesn't make the thoughts go away. The problems are still there and they preoccupy me because they are so nasty. I find myself thinking about the problems and not the job, but not feeling physically stressed, if that makes sense.

              I would say Baclofen corrects a chemical deficiency. Although maybe it is a "cure". Maybe Ameisen is reducing so one day he can come off it altogether and say it cured him and it is not just a maintenance drug!

              I also wonder whether it can make a permanent change. Maybe all that overactivity in the brain as shown in the video imaging eventually goes away. And maybe once you get rid of the drink and the anxiety and learn to live without it, you develop new patterns of thought and behaviour which take root and you just don't go back and you become like those alcoholics who do just give up without any treatment or AA.

              Hmmm....
              BACLOFENISTA

              baclofenuk.com

              http://www.theendofmyaddiction.org





              Olivier Ameisen

              In addiction, suppression of symptoms should suppress the disease altogether since addiction is, as he observed, a "symptom-driven disease". Of all "anticraving medications used in animals, only one - baclofen - has the unique property of suppressing the motivation to consume cocaine, heroin, alcohol, nicotine and d-amphetamine"

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