Lioresal Intrathecal

The recommended dose of the injectable form of Lioresal Intrathecal (Baclofen) is based on individual needs. Injectable Lioresal Intrathecal (Baclofen) should only be injected intrathecally (into the fluid space around the spinal cord). Some people will have a special pump implanted under their skin to deliver Lioresal Intrathecal (Baclofen) to the spinal cord on a continuous basis.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.

With long-term use, intrathecal Lioresal Intrathecal (Baclofen) may become less effective and require higher doses to obtain the same effect as before. If Lioresal Intrathecal (Baclofen) appears to be less effective, contact your doctor as soon as possible.

It is important that Lioresal Intrathecal (Baclofen) be given exactly as prescribed by your doctor. It is very important to keep your appointments to have the pump refilled, otherwise spasms may recur.

Store Lioresal Intrathecal (Baclofen) at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

0.05 mg/mL
Each mL of clear, colourless solution contains Lioresal Intrathecal (Baclofen) 0.05 mg for intrathecal administration. Nonmedicinal ingredients: sodium chloride and water for injection.

0.5 mg/mL
Each mL of clear, colourless solution contains Lioresal Intrathecal (Baclofen) 0.5 mg for intrathecal administration. Nonmedicinal ingredients: sodium chloride and water for injection.

2 mg/mL
Each mL of clear, colourless solution contains Lioresal Intrathecal (Baclofen) 2 mg for intrathecal administration. Nonmedicinal ingredients: sodium chloride and water for injection.

Do not take Lioresal Intrathecal (Baclofen) if you are allergic to Lioresal Intrathecal (Baclofen) or any ingredients of the medication

There may be an interaction between Lioresal Intrathecal (Baclofen) and any of the following:

• alcohol
• antihistamines (e.g., cetirizine, doxylamine, Diphenhydramine, Hydroxyzine, Loratadine)
• antipsychotics (e.g., Chlorpromazine, Clozapine, Haloperidol, Olanzapine, Quetiapine, Risperidone)
• antidiabetes medications (e.g., Glyburide, insulin)
• azelastine
• barbiturates (e.g., butalbital, Phenobarbital)
• benzodiazepines (e.g., Alprazolam, Diazepam, Lorazepam)
• brimonidine
• Buspirone
• chloral hydrate
• Dimenhydrinate
• efavirenz
• Entacapone
• general anesthetics (medications used to put people to sleep for surgery)
• Guanfacine
• magnesium sulfate
• medications used to treat high blood pressure
• Mirtazapine
• monoamine oxidase inhibitors (M.O.S. e.g., Moclobemide, Phenelzine, Rasagiline, Selegiline, Tranylcypromine)
• other muscle relaxants (e.g., Cyclobenzaprine, methocarbamol, orphenadrine)
• Nabilone
• narcotic pain relievers (e.g., Codeine, Fentanyl, Morphine, Oxycodone)
• Pramipexole
• Ropinirole
• Rotigotine
• scopolamine
• seizure medications (e.g., Carbamazepine, Clobazam, Levetiracetam, phenobarbital, Phenytoin, primidone, Topiramate, Valproic acid)
• selective serotonin reuptake inhibitors (SSRIs; e.g., Citalopram, Fluoxetine, Paroxetine, Sertraline)
• Tapentadol
• thalidomide
• Tramadol
• tricyclic antidepressants (e.g., Amitriptyline, Imipramine)
• Zolpidem
• Zopiclone

If you are taking any medications containing this drug, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Lioresal Intrathecal (Baclofen). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription) and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or illegal drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Lioresal Intrathecal (Baclofen).

Drowsiness/reduced alertness: Lioresal Intrathecal (Baclofen) may affect the mental or physical abilities needed to drive or operate machinery. Avoid driving, operating machinery, or performing other hazardous tasks until you have determined how Lioresal Intrathecal (Baclofen) affects you.

Kidney function: Kidney Disease or reduced kidney function may cause Lioresal Intrathecal (Baclofen) to build up in the body, causing side effects. This occurs because Lioresal Intrathecal (Baclofen) is primarily removed from the body by the kidneys. If you have reduced kidney function or kidney disease, discuss with your doctor how Lioresal Intrathecal (Baclofen) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Lioresal Intrathecal (Baclofen), and whether any special monitoring is needed.

Medical conditions: Certain medical conditions may make it more likely for you to experience serious side effects. People with certain types of bladder problems, stomach ulcers, breathing problems, and seniors with cerebrovascular problems (disorder of the blood vessels supplying the brain) should discuss with their doctor how Lioresal Intrathecal (Baclofen) may affect their medical condition, how their medical condition may affect the dosing and effectiveness of Lioresal Intrathecal (Baclofen), and whether any special monitoring is needed.

Mental health: Lioresal Intrathecal (Baclofen) may cause symptoms of psychosis or Schizophrenia to get worse for people who have mental health problems. If you experience symptoms such as hallucinations, mania (feeling unusually over-excited or uninhibited), or delusional thinking, or notice them in a family member who is taking Lioresal Intrathecal (Baclofen), contact your doctor as soon as possible.

Seizures: Lioresal Intrathecal (Baclofen) may cause a loss of seizure control, causing seizures to occur more often. If you have a history of Epilepsy or medical conditions that increase your risk of seizures, discuss with your doctor how Lioresal Intrathecal (Baclofen) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Lioresal Intrathecal (Baclofen), and whether any special monitoring is needed.

Withdrawal effects: If Lioresal Intrathecal (Baclofen) is suddenly stopped after regular use, withdrawal symptoms may occur, including:

• anxiety with racing heart and sweating
• confusion
• hallucinations (seeing and hearing things that aren't there)
• Insomnia (difficulty sleeping)
• involuntary movements
• psychotic, manic, or paranoid states
• seizures
• worsening of spasticity (loss of control of muscles)

Except when serious side effects occur, the dose should be reduced slowly when stopping the medication (over a period of approximately 1 to 2 weeks).

Pregnancy: The safe use of Lioresal Intrathecal (Baclofen) during pregnancy has not been established. Lioresal Intrathecal (Baclofen) crosses the placental barrier and may affect the developing baby. Babies born to women who have taken Lioresal Intrathecal (Baclofen) during pregnancy may experience withdrawal symptoms after birth. If you are or may become pregnant, speak to your doctor. Lioresal Intrathecal (Baclofen) should be taken during pregnancy only when the potential benefits outweigh the possible risks.

Breast-feeding: Lioresal Intrathecal (Baclofen) passes into breast milk. If you are a breast-feeding mother and are taking Lioresal Intrathecal (Baclofen), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safe use of Lioresal Intrathecal (Baclofen) by children under the age of 12 years has not been established and is not recommended.

Seniors: People over the age of 65 are more likely to experience side effects of taking Lioresal Intrathecal (Baclofen). Doses for seniors should generally be lower and increased more slowly than for other adults.