Product image of Lioresal (Baclofen) supplied by GNH India

Lioresal

Active Ingredient:
Baclofen
Origin:
EU

Lioresal (Baclofen)

Baclofen, the active ingredient in Lioresal, is a muscle relaxant presented as a intrathecal solution for intrathecal use. It treats spasticity associated with multiple sclerosis, spinal cord injury and cerebral palsy.
GNH India supplies Lioresal as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Novartis Pharma S.A.S.

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Indications & Clinical Uses

  • Baclofen, administered as Lioresal, is used to manage spasticity in neurological conditions.
  • Multiple sclerosis: reduces muscle tone and improves mobility in patients with spasticity.
  • Spinal cord injury: alleviates involuntary muscle contractions and facilitates rehabilitation.
  • Cerebral palsy: diminishes spastic muscle activity to aid functional movement.

How It Works

  • Baclofen acts as an agonist at GABA_B receptors in the spinal cord, inhibiting the release of excitatory neurotransmitters such as glutamate and substance P. This neuronal inhibition decreases the firing of motor neurons, leading to reduced muscle tone and attenuation of spasticity in affected patients.

Side Effects

Baclofen may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Drowsiness: feeling unusually sleepy or fatigued.
  • Dizziness: light‑headed sensation or loss of balance.
  • Nausea: upset stomach or urge to vomit.
  • Weakness: reduced muscle strength or fatigue.

Serious or Rare Side Effects

  • Respiratory depression: slowed or shallow breathing requiring medical attention.
  • Seizures: convulsive episodes that may occur abruptly.
  • Severe hypotension: marked drop in blood pressure leading to fainting.

Precautions & Warnings

  • When prescribing or handling Lioresal, several precautions should be observed to ensure patient safety and product integrity.
  • Renal impairment: adjust therapy and monitor renal function closely.
  • Hepatic dysfunction: use with caution and assess liver enzymes regularly.
  • Concomitant CNS depressants: avoid additive sedation and respiratory effects.
  • Sudden discontinuation: taper gradually to prevent withdrawal symptoms.
  • Pregnancy and lactation: use only if potential benefit justifies potential risk, as safety data are limited.
  • Store at ambient temperature: keep below 25 °C, protect from light and moisture in original container.

Avoid Interactions

Baclofen can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Opioids: combined use may cause profound respiratory depression.
  • Benzodiazepines: increased risk of excessive sedation and CNS depression.

Moderate Interactions (Monitor Closely)

  • Antihypertensives: may enhance hypotensive effects.
  • Anticonvulsants: potential alteration of seizure threshold.
  • Alcohol: can intensify drowsiness and dizziness.

Frequently Asked Questions

Lioresal is the brand name for an intrathecal baclofen solution used to treat severe spasticity associated with multiple sclerosis, spinal cord injury and cerebral palsy. It is administered directly into the spinal fluid to relax overly active muscles and improve functional mobility.

Baclofen in Lioresal binds to GABA_B receptors in the spinal cord, which reduces the release of excitatory neurotransmitters. This inhibition dampens the activity of motor neurons, leading to a decrease in muscle tone and the relief of spastic muscle contractions.

The dose of Lioresal is individualized. A qualified prescriber determines the appropriate concentration and infusion rate based on the patient’s clinical condition, response to therapy and safety considerations. Dosing is adjusted during titration and maintenance phases under medical supervision.

Safety data for intrathecal baclofen in pregnancy and lactation are limited. It should be used only if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Physicians should discuss the uncertainties with the patient before initiating therapy.

To request Lioresal, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

Intrathecal baclofen (Lioresal) delivers the drug directly to the spinal fluid, achieving higher local concentrations with lower systemic exposure compared with oral baclofen. This often results in greater spasticity control and fewer systemic side effects, especially in patients who do not respond adequately to oral therapy.

Lioresal should be stored at ambient temperature, preferably below 25 °C, protected from light and moisture. Keep the solution in its original sealed container until use, and avoid freezing or shaking the vial to maintain product integrity.

Lioresal is administered via an implanted intrathecal pump that delivers a continuous infusion of baclofen into the cerebrospinal fluid. The pump is surgically placed under the skin, and dosing is programmed by a healthcare professional based on the patient’s therapeutic response.

The most serious risks include respiratory depression, severe hypotension and the possibility of seizures, especially if the infusion is abruptly stopped. Patients should be monitored closely for signs of respiratory compromise, sudden loss of muscle tone or any neurologic changes.

Lioresal is contraindicated in patients with known hypersensitivity to baclofen or any component of the formulation. It should also be avoided in individuals with uncontrolled severe respiratory disorders, acute urinary retention, or those who cannot be monitored for potential withdrawal if the pump fails.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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