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Baclofen

Published: July 26, 2026Updated: August 24, 2026

Baclofen is a muscle relaxant medication primarily used to treat muscle spasticity caused by conditions such as multiple sclerosis, spinal cord injuries, or other neurological disorders. It works by acting on the central nervous system to reduce the frequency and severity of muscle spasms and stiffness. This medication is typically prescribed when physical therapy alone is insufficient to manage spasticity symptoms.

Quick summary

Baclofen is a prescription muscle relaxant used to treat spasticity from MS, spinal cord injuries, and other neurological conditions.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
M03BX01
RxNorm
1292
Generic
Baclofen
Class
atc-m03
Brands
Gablofen, Lioresal, Ozobax, Lyvispah, Fleqsuvy
Availability
rx
Lactation
unknown
Routes
oral
Forms
injection, prefilled syringe, solution, tablet, suspension
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
20mg three times daily
Maximum
consult physician
Frequency
every 8 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
10mg three times daily
Maximum
consult physician
Frequency
every 8 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
5mg three times daily
Maximum
consult physician
Frequency
every 8 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity - doses above 2-3 grams are potentially life-threatening
Chronic overdose: High-dose chronic use (typically above 80-100 mg/day) can lead to tolerance, dependence, and severe withdrawal syndrome upon abrupt discontinuation
Immediate actions
Ensure airway, breathing, and circulation. Consider gastric lavage within 1-2 hours of ingestion. Administer activated charcoal. Provide respiratory support as needed.
Antidote
No specific antidote exists for baclofen overdose(N/A - treatment is supportive)
Poison Control: 1-800-222-1222

Special Populations

7 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if benefits outweigh risks to fetus

Monitor

regular prenatal monitoring and fetal ultrasound

Use with caution and monitor for adverse effects.

⚠

pregnancy

second third trimester
caution
FDA Category
C
Dose Adjustment

reduce dose if needed

Key Recommendations

monitor closely and discontinue if adverse effects occur

Monitor

fetal growth monitoring and regular check-ups

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

monitor infant for excessive drowsiness and respiratory depression

Monitor

observe infant for sedation, feeding difficulties, and respiratory status

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly
caution
FDA Category
C
Dose Adjustment

start with lower dose

Key Recommendations

increase dose slowly and monitor for adverse effects

Monitor

monitor for excessive sedation, dizziness, and falls

Use with caution and monitor for adverse effects.

⚠

pediatric_age

under 12 years
caution
FDA Category
C
Dose Adjustment

weight-based dosing required

Key Recommendations

not recommended for children under 12 years orally; intrathecal form for ages 4-16

Monitor

monitor for seizures and respiratory depression

Use with caution and monitor for adverse effects.

✗

renal_impairment

severe renal impairment
unsafe
FDA Category
C
Dose Adjustment

significant dose reduction required

Key Recommendations

avoid use in severe renal impairment or reduce dose by at least 50%

Monitor

frequent monitoring of renal function and drug accumulation

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

hepatic_impairment

moderate hepatic impairment
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

monitor liver function tests and adjust dose if needed

Monitor

regular liver function monitoring

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:1974

FDA approval information for Baclofen

drug_classWHO
2023

Drug class

Value:Muscle relaxant (GABA-B receptor agonist)

Drug class information

usageMedical guidelines
2023

Primary indication

Value:Treatment of muscle spasticity

Primary therapeutic use

mechanismPharmacological databases
2023

Mechanism of action

Value:GABA-B receptor agonist

Pharmacological mechanism

Baclofen is used to treat muscle spasticity associated with multiple sclerosis, spinal cord injuries, cerebral palsy, and other conditions affecting the central nervous system. It may also be prescribed for severe hiccups and certain types of muscle pain.

Baclofen acts as a GABA-B receptor agonist in the spinal cord and brain. It inhibits the release of excitatory neurotransmitters, which helps reduce the transmission of signals that cause muscle contraction, thereby decreasing muscle spasticity and stiffness.

Common side effects include drowsiness, dizziness, and weakness. Baclofen should not be stopped abruptly, as this can cause withdrawal symptoms including seizures and hallucinations. Alcohol should be avoided while taking this medication as it can increase drowsiness. Patients should follow their healthcare provider's instructions carefully regarding dosing and discontinuation.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy