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http://www.mywayout.org/community/f20/baclofen-withdrawl-syndrome-42956.html

BabyGotBac

Greenlighter
Joined
Mar 16, 2010
Messages
25
I'm persona non grata at the My Way Out forum. Really, they hate me. Maybe correctly so, since I was always questioning.

Even so, here's a poor soul wondering how in the hell he will get off Baclofen which is being touted as the new "wonder drug" for drunks.

Any idea's? No one has ever seemed to answer my question, what in the hell does downregulating Gaba-B receptors do to the brain? Does anybody know?

The annoying one....
 
Wow, that happened faster than I expected.

A few weeks ago when the article about that french doctor came out, the first thing that came to mind is the fact that baclofen is just as addictive as benzodiazepines, which themselves can be used to "treat" alcoholism by swapping one addiction for another.

And just like benzos, the best way to get off baclofen is to taper down as gradually as possible. One possible alternative is to use use Phenibut - a legal and easy to find analogue of baclofen than also acts on GABA-B but much weaker in its subjective effects. Mind you, Phenibut itself produces a withdrawal syndrome, so its use should be sparingly. Taking L-Theanine supplements can also help.

But yeah, I feel sorry for those who fell for the baclofen scam.
 
Thank you Jamshyd!. Do I have your approval to copy and paste your reply on the My Way Out forum (even though they hate me!)

I really fear for those who will follow this protocol.

Don't you think using benzo's will really be "safer" than this crap, given that it is a known quantity as Baclofen in extreme doses is not?

For the record, I took it (Baclofen) in small doses (20 mgs.) and have never been sicker in my life. Honestly. I had a multitude of side effects.

Anyway, let me know if I can copy your reply.

I think these folks need a dose of reality.
 
Benzos are most definitely NOT safer than baclofen! They do the same thing baclofen does, PLUS having major action at GABA-A sites.

Btw, refering your question about GABA-B receptor up-regulation, there is really no clear-cut answer as to what GABA-B receptors do in the first place, besides that they seem to be involved in reduction of overall electric brain activity and muscle-relaxation. What happens with GABA-B tolerance can best be described by what you see as the symptoms of withdrawals.

Please do feel free to c/p (although try to keep the font colour consistent, hehe :D).

BL is primarily a Harm Reduction message board, so yes if we could indirectly spread HR, then by all means.
 
O.K. I will honor your answer. But, will you think about going to the "My Way Out" web site and talking to these people, just as a "public service' if you will?

I've asked folks on this site one other time to do this, because honestly, I think there is going to be a whole host of people with MAJOR addiction problems resulting from this whole "baclofen thing."

I mean, we are people who have suffered enough. Maybe if someone more educated than myself can expain this, they will be helping a multitude of people.

I suspect Jamshyd, you are one of those people who might be able to talk some sense to a bunch of lost addicts who do not want to hear the truth.
 
GABA-B related withdrawal is a pretty nasty syndrome, i've seen it with GHB and its virtually as acute as benzodiazapine withdrawal. It is a little different in nature, more "physical", but anxiety is a large component as well. Phenibut will substitute for baclofen. The withdrawal from the GABA-B drugs seems to be somewhat shorter than benzo withdrawal, but can be quite acute and does pose a potentially higher seziure risk.

Take the smallest amount of phenibut to alleviate withdrawal, and titrate down slowly. This is really the only answer.
 
Not that I think any of this will stop one person from following this road. Honestly, I was attacked for even questioning the wisdom of using Baclofen in place of alcohol.

All I know, in my limited experience, baclofen is some nasty shit.

And we are desperate people who will hang onto anything.
 
Last edited:
Neogresic and Jamshy (damn, why didn't you guys have easier names!)

You are going to be copied and pasted onto "My Way Out."
 
EIther your replies will be ignored, or there will be a vicious response.

Just my experience so far....
 
No one has ever seemed to answer my question, what in the hell does downregulating Gaba-B receptors do to the brain?

You may be asking the wrong question.

As far as I can tell, this (from Cyproheptadine for intrathecal baclofen withdrawal) is just theory, but it definitely merits more study:

NSFW:
Interestingly, ITB withdrawal syndrome shares some characteristics
with serotonergic syndromes,18-20 such as are seen in
overdoses of selective serotonin reuptake inhibitors (SSRIs) or
the popular drug of abuse 3,4-methelenedioxymethamphetamine
(MDMA, or Ecstasy) (see table 1). Serotonin syndromes
are often confused with NMS.18-20 It is reasonable, therefore, to
consider whether serotonin antagonists may be useful in the
management of ITB withdrawal syndrome. We present a series
of 4 cases in which the potent serotonin antagonist cyproheptadine
was used with apparent benefits in the management of
acute ITB withdrawal.

. . .

We postulate that GABA, via GABAB receptors, inhibits the
release of serotonin at the level of the brainstem. There may be
accommodation of the serotonergic pathway to this long-term
inhibition. When this inhibition is abruptly removed, the system
may swing toward excessive release of serotonin, resulting
in a “serotonin syndrome.”

The clinical findings reported above are consistent with
GABA having a role in the inhibition of serotonin release. In
humans, the interaction of serotonin and GABA has never been
described in the neurologic literature, but recently there has
been a description of the interaction of serotonin and GABA
pathways in mammals.29 Initially, this could contribute to the
commonly seen reduction in spastic hypertonia after the initiation
of ITB therapy. Accommodation would be consistent
with the generally increasing dosages of ITB required for the
first 12 to 18 months after the initiation of therapy,1-8 and the
acute ITB withdrawal syndrome tends to be more severe for
those who have been treated with ITB for several years.
In 2 patients (see table 3; patients 1, 2) who were conscious,
cyproheptadine provided immediate relief from the pruritic
symptoms associated with acute ITB withdrawal. In 1 patient
(see table 3, patient 1) there was a dramatic drop in fever, pulse,
temperature, and pruritic symptoms, which again became elevated
1 hour before the dose was due and dropped 1 hour later
consistently over a 2-day dosing period. There was a reduction
in tone noted in all 4 patients approximately 1 hour after the
first dose of cyproheptadine. This is consistent with other
studies27,28 that indicate that cyproheptadine was associated
with a decrease in spastic hypertonia. In 2 patients (see table 3;
patients 1, 4) there was a significant reduction in the fever of
central origin. Despite concerted efforts, patient 4 sustained
severe brain injury from complications of this severe case of
ITB withdrawal and probable sepsis, and subsequently died.

ITB = intrathecal baclofen, which is often comparable to extremely-high-dose oral baclofen. Give the full article a read.
 
Not the same thing. Plus, the same question still applies....

what in the heck does down-regulating Gaba-B receptors do to the brain? I mean honestly, can you give an answer?

Not being a bitch, just really curious....
 
^baclofen withdrawal and baclofen withdrawal are the same thing

But you misunderstand me. The OP in the thread you link to was looking for "advice on how to deal whith baclofen withdrawls." Inpatient treatment of this type of withdrawal usually involves either baclofen or diazepam (depending on the circumstances). The Birmingham doctors added a nuance to the detoxification by co-administering a potent serotonin antagonist.

I'm essentially saying that if discontinuation of a GABAergic provokes serotonin syndrome, there's every reason to treat the serotonin syndrome as well. The same would apply to slow tapers of GABAergics.

It takes time for GPCRs to upregulate to baseline (weeks or months). GABA-B is a GPCR. It's possible that a serotonin antagonist will make those weeks or months more bearable.
 
babygotback: please feel free to copy mine there. I just looked at that thread and it seems you have not yet.

For the guy who claimed that baclofen is "not addictive", has he ever wondered why the bottle he got from the pharmacy tells him to never stop taking baclofen abruptly (assuming his pharmacist is responsible)? I'll try to dig up some studies on baclofen withdrawal though I doubt I'll find many - it is simply very well known and accepted as fact by the medical community.

And YES, baclofen WILL make you crave/need less alcohol - just as Rohypnol (roofies) will.

Baclofen WILL make the withdrawal symptoms less severe - just like rohypnol.

In fact, Rohypnol has stronger action on GABA-B than Baclofen, with action on GABA-A added for fun.

Indeed - Rohypnol does everything baclofen does better than baclofen. So why aren't you roofying yourself out of your alcohol addiction? Hint: it has nothing to do with rape.

---

Feel free to copy and paste this. The font-colour thing was just a joke btw :).
 
I'm glad to see this being discussed for many a reason, but primarily my personal experience, which, i must caution, happens to fall under the devils advocate approach;) And believe me, i wanted to find as much fault as possible as this screamed stupidity to me. But i've been suprised :\....
ok, some background. .
I've been putting myself thru the GHB ringer for about 12 years, but mostly off, as i quickly progressed to 24/7 use back in 1998 when it was still being touted as addiction free and suffered some pretty severe withdrawals as a result. So, i thought I wisely learned my lesson and stayed away. But, due to events beyond my control (;)), i spent some years in prison recently and the whole experience was so awful that upon my release I found my appetite for drugs had shifted a bit...suddenly those drugs (opiates, GABAergics, etc) I had routinely despised as a member of the psychedelic community were all of a sudden *so comforting* and provided the best relief from my sometimes crippling anxiety. It didnt take too long for me to find way back to GHB/GBL and needless to say I quickly found myself re-addicted to it (in a matter of days, even after an almost ten year break) and was immediately looking for a way out. Around this time I was at my local bookstore and they had a display set up for a new book, "the end of my addiction", by dr, olivier ameisen. The title and cover image made me laugh...it had a man in a lab coat with the baclofen molecule superimposed as a head. I wasn't yet familiar with baclofen but as a chemist I quickly recognized what was basically a phenibut molecule with a chloro group attached and this made sense to me, but also pretty hilarious when accompanied by "the end of my addiction":D I had recently detoxed from GHB/GBL with a high dose tapered regimen of phenibut (3 grams to zero over 7 days) and it was painless enough that I didnt quite learn my lesson and continued to fuck around. Some words on phenibut...while it does have pronounced effects on GABA-B (which makes the withdrawal from GHB *so much easier*) it also was obvious to me that it had a much broader course of action, especially at higher doses. If this is due to the broad spectrum inhibitory effect of GABA-B on other neurotransmitters or that phenethylamine group , I dont know. But anyway, i bought the book, and was immediately skeptical, especially since he glossed over the periods when he decided to come off the baclofen. I emailed him and he told me that when he came off the baclofen he would do a quick taper over the course of ten days, usually from a dose of 80-180 mg daily to zero, and that this process, save for some anxiety and insomnia, was relatively painless (?!), especially compared to detoxing from alcohol. He was still firm in that in his opinion it made a great "maintenance" drug, due to its minimal side effects compared to GABA-A agonists and alcohol. After a few pubmed searches that also alluded to its efficacy in treating other addictions i skeptically asked my doctor about it. He was only vauguely familiar with baclofens use in these situations but agreed to let me try it out, off label of course. I stopped using GHB and found that around 60-80 mg daily freed me from a huge GHB intake without really any side effects, and especially not the pleasure seeking side effects of benzodiazepines and even phenibut, which puzzled me. I took for it about a month and then tapered off over ten days, and by jove, it was a lot less painful than I anticipated. I opted to stand corrected and humbly take this good fortune, per se. Flash forward a few months....I was at the tail end of a 6 month trip to India and had developed an addiction to tramadol and benzodiazepines and remembered my experience with baclofen and the pubmed papers detailing its use in treatment with other addictions. I re-instated my baclofen regimen and it made what would have been an awful withdrawal virtually bearable. I never noticed any sort of high from baclofen, nor did I crave it. I tapered off again after two months and was spared the brunt of what would have been a loooong benzo withdrawal. I had some rebound anxiety and insomnia but nothing compared to what I would have been in for. I was, am still puzzled. My running theory is that it feels baclofen has a much "cleaner" course of action than of course GHB (GHB receptors and all), alcohol (duh), benzodiazepines (GABA-A, and the weird balance of GABA-A and GABA-B) and, most perplexingly, phenibut. That chloro group is just to enhance its ability to cross the BBB....so why does phenibut provide so much more of a high and such terrible withdrawal? I understand peoples experiences vary tremendously with baclofen but I put this down to the extreme plasticity of GABA-B and its crazy quick up and down regulation and peoples unique variability in terms of the addictive power of GABA-B agonists (see: shambles and GBL, and many others;). So, in summary, my initial knee jerk response was challenged, and looking for feedback of any sort. Sorry for the long winded post...
 
**for anyone interested in baclofen withdrawal please read this thread**
http://www.bluelight.ru/vb/showthread.php?t=501228&highlight=baclofen

a) Definately taper! crucial, the now famous dr highlights himself he tapers up and down accordingly but never stops abrutly

b) PREGABALIN - expensive but works wonders at slowing down brain activity for a withdrawal episode (yes yes I hear you all shouting swapping one addiction for another but going from baclofen - pregabalin to nothing is much more bearable)

c) NEVER take PHENIBUT - that is if your baclofen dosing/addiction is already HIGH - phenibut is pointless, basically baclofen is extremely potent, so much so that an equivalent dose of phenibut leaves your kidneys, stomach and whole body screaming out until you end up vomiting and feeling sick and inevitably going in to a baclofen + phenibut withdrawal syndrome. It's pharmacology is more mirky as well, baclofen is such a potent selective GABA-B, phenibut can't help feeling is different.


Finally on a more ADD side note: :\

Anyone know anything about analogues? Always wondered what a bromine rather than clorine might do. Yes flourine will probably create a more phenibut type drug but bromine?? Desperatly interested. Anyone have any analogue research links?
 
babygotback: please feel free to copy mine there. I just looked at that thread and it seems you have not yet.

For the guy who claimed that baclofen is "not addictive", has he ever wondered why the bottle he got from the pharmacy tells him to never stop taking baclofen abruptly (assuming his pharmacist is responsible)? I'll try to dig up some studies on baclofen withdrawal though I doubt I'll find many - it is simply very well known and accepted as fact by the medical community.

And YES, baclofen WILL make you crave/need less alcohol - just as Rohypnol (roofies) will.

Baclofen WILL make the withdrawal symptoms less severe - just like rohypnol.

In fact, Rohypnol has stronger action on GABA-B than Baclofen, with action on GABA-A added for fun.

Indeed - Rohypnol does everything baclofen does better than baclofen. So why aren't you roofying yourself out of your alcohol addiction? Hint: it has nothing to do with rape.

---

Feel free to copy and paste this. The font-colour thing was just a joke btw :).

I copied and pasted you. Thanks whoever you are. You are dispelling many myths.
 
I thank you "smarties" for putting up with we drunkards.

But if you understand what we cost society. insurance etc. you'll understand why we MUST solve this problem

Plus, we are people who have been overlooked for so long. I mean really, the $25 billion-dollar-a year addiction industry didn't arise in a vacuum.

They know they have a captive audience.
 
^ Glad to be of help :). I'll check out your thread(s?) and see if there is anything constructive I can add.
c) NEVER take PHENIBUT - that is if your baclofen dosing/addiction is already HIGH - phenibut is pointless, basically baclofen is extremely potent, so much so that an equivalent dose of phenibut leaves your kidneys, stomach and whole body screaming out until you end up vomiting and feeling sick and inevitably going in to a baclofen + phenibut withdrawal syndrome. It's pharmacology is more mirky as well, baclofen is such a potent selective GABA-B, phenibut can't help feeling is different.
That is a good point... I never thought of potency - I figure its because I never used baclofen, or phenibut for any prolonged period of time (and anyway, I cannot get anything from either ever since my GHB addiction, which seems to have resulted in permanent damage). But yeah, I never thought about potency, thanks for bringing this up.

And I agree that Pregabalin is probably good help for Baclofen w/d, it definitely did help me with my GHB addiction.
 
While I just luuurve the vigour with which you've tackled this baby(gotbac), I think it's a little rich for some hardcore alcoholics to be concerned about receptor deregulation resulting from a relatively benign pharmaceutical intervention (you should have thought about that when you picked up the bottle!) This seems to be, to me, just another case of that retarded strain of chemp-hobia I'm all to used to hearing (it's just not natural! maaaan!)

Funnily enough: I finally brought myself last week to attend one of my neuro lectures to hear the prof talk about habits & habit forming stimuli. After the lecture I approached the prof to quiz her on a number of points she made, somehow she mentioned baclofen & I told her how it's extremely effective in subsiding my own desire to fall into bad habits (whilst concurrently toking on the imaginary joint I held).

So on a personal, anecdotal level, I revere baclofen for its propensity to disable such impulses, leaving me with my own better judgement.

More anecdotal shit: having worked in pharmacy for years and years, I know scores of people who have tried both benzos and baclofen. No prize for guessing who comes out worse off.


Stuff supported by studies:
- Little tolerance accumulated
- Just as effective than diazepam
- No detrimental effect on sleep
Gaillard JM (May-Jun 1977). "Comparison of two muscle relaxant drugs on human sleep: diazepam and parachlorophenylgaba". Acta Psychiatr Belg 77 (3): 410–25. PMID 200069.


I wouldn't advocate it permanently (having some regard for intra-noggin homeostasis) , but everything I hear about it validates its use as a temporary solution to sober up.
 
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