Correct- sort of. It is not a fine line, but a moderate line. We call that the Therapeutic Margin. Baclofen has a pretty good T Margin. As you have learned, too much of any drug will cause issues, so use only as much as you must. Hope that helps, Dr M _____
From: Monty [mailto:aa999...@yahoo.com] Sent: Tuesday, August 31, 2010 10:08 PM To: Dr. Bo Machado; quadriplegic Subject: Re: [QUAD-L] Pain Pump but there is a level of toxicity with baclofen what happened to me after too much of it! So there is a fine line in between spasms and pain relief? _____ From: Dr. Bo Machado <d...@hf-rc.com> To: Dadsw Angel <dadswan...@yahoo.com>; ladyno...@aol.com; quad-list@eskimo.com; tmic-l...@eskimo.com Sent: Tue, August 31, 2010 7:42:54 PM Subject: RE: [QUAD-L] Pain Pump Replacing the pump for baclofen is a much better plan than for pain meds (narcotics). Baclofen does not cause any toletance that I am aware of, and will help you with far less side effects. In Him, Dr M _____ From: Dadsw Angel [mailto:dadswan...@yahoo.com] Sent: Tuesday, August 31, 2010 6:44 PM To: ladyno...@aol.com; quad-list@eskimo.com; tmic-l...@eskimo.com Subject: Re: [QUAD-L] Pain Pump I have a bachoflen pump. I have pain med/bachoflen in it. Last yr i had too remove it for three wks because of a infection from the site. My doc said I could get it back in anytime. I was in a hurry because I had severe with drawels without it in. _____ From: "ladyno...@aol.com" <ladyno...@aol.com> To: quad-list@eskimo.com; tmic-l...@eskimo.com Sent: Mon, August 30, 2010 1:02:06 AM Subject: [QUAD-L] Pain Pump I had a baclofen pump removed last September 11, due to complications with it. At the time of removal, I was told that I could not have it put back in. But what I did not know at the time, was that I could get pain medicine put directly into the pump also. Now I'm considering having the pump put back in just for the pain medicine. My question is, has anyone ever had the pump removed and reinstalled? I would normally be concerned about them fooling around with my spinal cord, but I'm already a quadriplegic, completely paralyzed on the right side and minimal, nonfunctional, use on the left side. My only concern would be that they would something affect my brain. Naomi.