Hi Karilann

Baclofen takes time to build up therapeutic levels. In my patients (all anxiety-related alcoholism, but often with marked limb hypertonia) we gradually build up their Baclofen dose to controlling levels, and then slowly reduce it to maintenance levels. At times of greater stress they can take additional Baclofen PRN, but I never recommend that they only take it 'as and when' with no maintenance dose inbetween. In my experience with this group of patients, such 'ad hoc' Baclofen has never worked.

Hope this helps.