I was only ever put on 1/2 - 1 x 10mg Baclofen as a starting dose, and told I could raise it after a few days, if everything was OK, as it’s considered a very low dose. I’m now on 6 x 10mg a day, + 5mg valium, + codeine, paracetamol and/or ibuprofen as needed - all up to maximum dose - though I rarely take that many painkilers, unless I’ve “done my back”, which is so painful I’m scared to move - but only indirectly a consequence of MS (actually an injury, but due to weak muscles).
Recently, even all that lot is starting not to work.
Don’t think I’ll be allowed to raise the Baclofen, because my last neuro (though not this one so much) was not happy I was already on 60! And I myself am worried about “where do we go from here?” if I’m already pushing max doses, and I might have 40 years left still to live with this thing!
But I wouldn’t worry at all about being on - or asking to be on - more than 10mg.
Ordinarily, they start with the lowest dose that just might help. If it does, well and good. If not, you usually get the all-clear to move up.