Withdrawal of baclofen may cause acute confusion in elderly patients

doi:10.1136/bmj.323.7317.870/b

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F O'Rourke (fintyo@yahoo.co.uk), specialist registrar,
R Steinberg, senior house officer,
P Ghosh, consultant,
S Khan, consultant

Department of Elderly Care Medicine, Lister Hospital, Stevenage, Hertfordshire SG1 4AB

EDITOR—Ratnayaka et al have reported neonatal convulsions after withdrawal of baclofen.1 To their piece we add our own experience of the difficulties of withdrawing baclofen at the opposite extreme of life.

An 82 year old man with left ventricular dysfunction and gout was admitted for deteriorating renal function. On admission he was taking lisinopril and frusemide, which were reduced; naproxen, which was stopped; allopurinol; and baclofen 20 mg …