Hi Anon,
I have got on great with it.
Has your BiL’s heart attack been directly connected to his withdrawal from Baclofen, or is there a possibility it was complete coincidence?
I know you are not supposed to stop suddenly, especially from higher doses, as it can cause hallucinations, or possibly even convulsions - although I have not previously read of heart-attack as being a likely risk.
Did your BiL withdraw properly, by weaning off, or just suddenly stop? You would also have to take into account whether he had existing risk factors for a heart attack. If he was a high-risk candidate anyway, the Baclofen withdrawal might not have had anything to do with it.
I would have thought the risk of heart attack from a sensible, controlled withdrawal from Baclofen would be really very low indeed.
I think the biggest reason people don’t get on with it is that some find it causes tiredness and muscular weakness, and can contribute to falls. I have never found this, personally. My walking is much, much better with Baclofen than without, and pain is reduced too. I think I’d be in a very sorry state if I was ever forced to stop.
Most people start on a very low dose, so withdrawal should not be a problem, if you don’t get on with it. The risk of withdrawal complications increases with the dose you were on, so not usually an issue for beginners on the lowest starting dose. Withdrawal can still be managed by weaning, even if you later progressed to a high dose, but for some reason needed to stop.
I wouldn’t let your BiL’s experience put you off having a try. It may have been a very, very rare complication, or even unconnected.
All drugs - even over-the-counter ones - have a few reports of rare but serious side-effects. If you reject the Baclofen, you will probably still need to consider an alternative at some stage, and that too will have a small number of serious incidents associated with it. No drug is guaranteed 100% safe in all circumstances, but most risks are very small, and have to be weighed against the benefits.
Tina