Baclofen-Induced Encephalopathy in End Stage Renal Disease

Baclofen is a highly used centrally acting GABA agonist that continues to be an effective therapy for spasticity and chronic hiccups. The renally dependent excretion determines the circulating concentrations and guides effective dosing to decrease adverse reactions. Caution should be considered in a...

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Main Authors: Andrew Meillier, Cara Heller, Shyam Patel
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2015/203936
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author Andrew Meillier
Cara Heller
Shyam Patel
author_facet Andrew Meillier
Cara Heller
Shyam Patel
author_sort Andrew Meillier
collection DOAJ
description Baclofen is a highly used centrally acting GABA agonist that continues to be an effective therapy for spasticity and chronic hiccups. The renally dependent excretion determines the circulating concentrations and guides effective dosing to decrease adverse reactions. Caution should be considered in administering baclofen to patients with decreased renal function. We present a patient with end stage renal disease on hemodialysis with recent baclofen ingestion who presented with toxic encephalopathy that was resolved with additional dialysis sessions.
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spelling doaj-art-a3c3f71dc4cf4431a278dd01cb4569ea2025-08-20T02:20:21ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/203936203936Baclofen-Induced Encephalopathy in End Stage Renal DiseaseAndrew Meillier0Cara Heller1Shyam Patel2Department of Medicine, Temple University Hospital, Philadelphia, PA, USADepartment of Medicine, Temple University Hospital, Philadelphia, PA, USADepartment of Medicine, Temple University Hospital, Philadelphia, PA, USABaclofen is a highly used centrally acting GABA agonist that continues to be an effective therapy for spasticity and chronic hiccups. The renally dependent excretion determines the circulating concentrations and guides effective dosing to decrease adverse reactions. Caution should be considered in administering baclofen to patients with decreased renal function. We present a patient with end stage renal disease on hemodialysis with recent baclofen ingestion who presented with toxic encephalopathy that was resolved with additional dialysis sessions.http://dx.doi.org/10.1155/2015/203936
spellingShingle Andrew Meillier
Cara Heller
Shyam Patel
Baclofen-Induced Encephalopathy in End Stage Renal Disease
Case Reports in Medicine
title Baclofen-Induced Encephalopathy in End Stage Renal Disease
title_full Baclofen-Induced Encephalopathy in End Stage Renal Disease
title_fullStr Baclofen-Induced Encephalopathy in End Stage Renal Disease
title_full_unstemmed Baclofen-Induced Encephalopathy in End Stage Renal Disease
title_short Baclofen-Induced Encephalopathy in End Stage Renal Disease
title_sort baclofen induced encephalopathy in end stage renal disease
url http://dx.doi.org/10.1155/2015/203936
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AT caraheller baclofeninducedencephalopathyinendstagerenaldisease
AT shyampatel baclofeninducedencephalopathyinendstagerenaldisease