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J Clin Psychopharmacol. 2012 Apr;32(2):266-8. doi: 10.1097/JCP.0b013e31824929b2.

High-dose baclofen for treatment-resistant alcohol dependence.

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Department of Addiction Medicine, St Vincent's Hospital, Melbourne, Australia.


Alcohol dependence is associated with a wide array of physical and psychiatric complications and is a major cause of morbidity and mortality worldwide. Recent randomized trials of baclofen, with a total daily dose 30 mg administered in 3 divided doses, have supported its efficacy in reducing craving and promoting abstinence from alcohol. Individual case studies support a possible increased effect at higher doses for treatment-resistant patients. Here, we report on 4 alcohol-dependent patients resistant to standard treatments who responded to higher doses of baclofen ranging from 75 to 125 mg daily. Further research into the use of high-dose baclofen for treatment-resistant alcohol dependence is warranted.

[Indexed for MEDLINE]

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