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Medical Conditions
Generic Lioresal is used to treat or prevent the following medical conditions or diceases:Cerebral Spasticity, Hiccups, Muscle Spasm, Trigeminal Neuralgia
Generic Lioresal Information
Introduction
Lioresal is a prescription medication that contains the active compound baclofen, classified within the pain‑relief group of drugs. In Hong Kong, it is primarily prescribed to manage spasticity associated with neurological disorders such as multiple sclerosis, spinal cord injury, and cerebral palsy. Baclofen exerts its therapeutic effect by acting on the central nervous system to reduce muscle tone and alleviate painful muscle stiffness. Although its principal indication is spasticity, clinicians also use baclofen for certain types of chronic pain and, off‑label, for alcohol‑withdrawal symptoms when other treatments are unsuitable.
What is Lioresal?
Lioresal is a oral formulation of baclofen, a muscle‑relaxant and antispastic agent developed in the 196s. The product is marketed by several manufacturers worldwide, including Mylan (now part of Viatris) and other licensed pharmaceutical companies. Baclofen is the sole active ingredient; excipients may vary by supplier but typically include common tablet binders and fillers.
Lioresal is the generic version of the original brand name Baclofen tablets sold under various trade names such as Gablofen, Lacrim, and Baclodine in different regions. Our online pharmacy provides this generic alternative as a cost‑effective treatment option for patients in Hong Kong who require baclofen therapy.
How Lioresal Works
Baclofen is a structural analogue of the inhibitory neurotransmitter γ‑aminobutyric acid (GABA). It selectively binds to GABA_B receptors located on pre‑synaptic nerve terminals in the spinal cord and brainstem. Activation of these metabotropic receptors reduces the release of excitatory neurotransmitters (e.g., glutamate, aspartate) and diminishes calcium influx into neurons. The net result is a decreased excitatory drive to motor neurons, leading to reduced muscle spindle activity and lower muscle tone.
Clinical onset of baclofen’s antispastic effect typically occurs within 30–60 minutes after oral administration, with peak plasma concentrations reached in 1–2 hours. The drug’s elimination half‑life ranges from 2.5 to 4 hours, necessitating multiple daily doses to maintain stable plasma levels. Renal excretion accounts for the majority of clearance; therefore, dose adjustments may be required in patients with impaired kidney function.
Conditions Treated with Lioresal
- Spasticity secondary to multiple sclerosis (MS). Approximately 70 % of individuals with MS develop spasticity at some stage, contributing to pain, gait disturbance, and reduced quality of life. Baclofen is endorsed by the Hong Kong Hospital Authority as a first‑line oral antispastic medication for MS‑related muscle stiffness.
- Spasticity following spinal cord injury (SCI). Traumatic or non‑traumatic SCI often results in hypertonic muscle activity below the level of injury. Baclofen’s central action mitigates involuntary muscle contractions, facilitating rehabilitation and positioning.
- Cerebral palsy‑related spasticity. In pediatric and adult patients with cerebral palsy, baclofen helps improve range of motion and ease caregiver‑assisted transfers.
- Chronic neuropathic pain with a muscular component. Some clinicians prescribe baclofen as an adjunct to neuropathic analgesics when muscle tension exacerbates pain syndromes.
- Off‑label: Alcohol‑withdrawal management. Small clinical series have reported that baclofen reduces cravings and withdrawal severity, but it remains an off‑label use pending larger randomized trials.
Who is Lioresal For?
- Adults with clinically significant spasticity caused by MS, SCI, cerebral palsy, or other central nervous system lesions who have not responded adequately to physical therapy alone.
- Patients requiring a centrally acting muscle relaxant when peripheral agents (e.g., tizanidine, dantrolene) are contraindicated due to hepatic impairment or drug‑interaction concerns.
- Individuals with chronic pain where muscle hypertonicity contributes to symptom burden, provided that a thorough pain assessment confirms a spastic component.
- Patients with stable renal function (creatinine clearance ≥ 30 mL/min) because baclofen is primarily renally cleared; dose reduction is advised for lower clearances.
Contra‑indications include known hypersensitivity to baclofen, severe renal failure (creatinine clearance < 30 mL/min), and concurrent use of other GABAergic agents (e.g., gabapentin, benzodiazepines) at high doses without medical supervision. Pregnant or breastfeeding women should use baclofen only if the potential benefit outweighs the risk, as safety data are limited.
Risks, Side Effects, and Interactions
Common
- Drowsiness or sedation
- Dizziness or light‑headedness
- Weakness or decreased muscle strength
- Nausea and mild gastrointestinal upset
- Headache
Rare
- Insomnia or vivid dreams
- Dry mouth or dysgeusia (altered taste)
- Constipation or abdominal cramps
- Skin rash, pruritus, or mild urticaria
Serious
- Severe hypotension or syncope, especially when combined with other antihypertensive agents
- Respiratory depression, particularly in patients with pre‑existing pulmonary disease or when baclofen is abruptly discontinued after high‑dose therapy
- Seizures (rebound hyperexcitability) after sudden cessation; tapering is essential to avoid withdrawal phenomena
- Allergic reactions such as angioedema or anaphylaxis (extremely rare)
Drug‑Drug Interactions
- Central nervous system depressants (benzodiazepines, opioids, antipsychotics) may potentiate sedation and respiratory depression.
- Antihypertensive medications (ACE inhibitors, beta‑blockers) can increase the risk of orthostatic hypotension.
- CYP450 substrates are generally not affected, as baclofen undergoes minimal hepatic metabolism; however, concurrent use of agents that alter renal clearance (e.g., NSAIDs causing renal vasoconstriction) may raise baclofen plasma levels.
- Alcohol intensifies baclofen’s sedative properties and should be avoided or limited.
Patients should disclose all prescribed, over‑the‑counter, and herbal products to their healthcare provider before initiating Lioresal.
Practical Use: Dosing, Missed Dose, Overdose
- Initial dose: 5 mg taken orally three times daily (t.i.d.).
- Titration: Increase by 5 mg per dose every 3–4 days, as tolerated, to a typical maintenance range of 20–60 mg per day divided into three doses. Some patients may require up to 80 mg/day, but doses above this have not been shown to improve spasticity and increase adverse events.
- Maximum recommended dose: 80 mg per day (t.i.d.).
Missed dose: If a scheduled dose is forgotten and the next dose is more than 4 hours away, take the missed dose. If the upcoming dose is within 4 hours, skip the missed dose and resume the regular schedule. Do not double‑dose to compensate.
Overdose: Symptoms may include profound drowsiness, respiratory depression, hypotension, and seizures. Immediate medical attention is essential. Supportive care—airway protection, intravenous fluids, and monitoring of vital signs—is the mainstay of treatment; there is no specific antidote.
Precautions:
- Take Lioresal with or without food; a full glass of water aids absorption.
- Avoid operating heavy machinery or driving until the individual response to the medication is known.
- Alcohol should be limited, as it can exacerbate central nervous system depression.
- In patients with renal impairment, reduce the starting dose to 2.5 mg t.i.d. and titrate cautiously.
Buying Lioresal from Our Online Pharmacy
Lioresal can be purchased safely from our online pharmacy in Hong Kong. We specialize in providing verified, internationally sourced generic baclofen at prices close to the manufacturer’s cost, making long‑term treatment more affordable for patients.
- Affordable pricing: Our bulk‑ordering model reduces markup, delivering a cost‑effective alternative to local brand‑name versions.
- Verified quality: All products are sourced from licensed overseas wholesalers that comply with Good Manufacturing Practice (GMP) standards; each batch undergoes independent quality testing before dispatch.
- Guaranteed delivery: Discreet, reliable shipping options include express delivery within 7 days for most locations and regular airmail (approximately 3 weeks) for bulk orders.
- Online‑only access: For medications that are not readily stocked in Hong Kong pharmacies, our broker service connects you with reputable international suppliers while respecting patient privacy through secure packaging and confidential handling.
Patients seeking a reliable, cost‑effective supply of baclofen can rely on our platform to bridge gaps in local availability and insurance coverage.
FAQ
-
Is Lioresal available in both tablet and liquid formulations?
Lioresal is marketed primarily as oral tablets ranging from 5 mg to 20 mg per tablet. A pediatric liquid formulation exists in some regions, but it is not widely distributed in Hong Kong; patients requiring dose adjustments should consult their physician for suitable alternatives. -
What should I do if I travel abroad with Lioresal?
Carry the medication in its original packaging with a copy of the prescription (if possible) and a doctor’s letter confirming medical necessity. Verify the destination country’s import regulations for narcotic‑controlled substances; baclofen is generally classified as a prescription‑only medication and is permitted for personal use in most jurisdictions. -
Does food affect the absorption of Lioresal?
Food may modestly delay the time to peak plasma concentration but does not significantly alter overall bioavailability. Patients can take Lioresal with meals if gastrointestinal upset occurs, or on an empty stomach if they prefer a quicker onset. -
Are there any known differences between baclofen tablets manufactured in Europe versus the United States?
The active ingredient, baclofen, is identical across regions. However, inactive excipients such as lactose, magnesium stearate, or colorants may differ due to local formulation standards. Patients with specific allergies should review the ingredient list provided by the supplier. -
Can Lioresal be detected in standard drug‑screening tests?
Routine workplace drug screens do not include baclofen. Specialized assays can detect baclofen in blood or urine, but such testing is uncommon and usually ordered only in forensic or clinical poisoning investigations. -
What are the storage requirements for Lioresal in Hong Kong’s humid climate?
Store tablets at temperature between 15 °C and 30 °C (59 °F–86 °F) in a dry place, away from direct sunlight and moisture. Use a sealed container or original blister pack to protect against humidity. Do not refrigerate the medication. -
How long can I keep an opened bottle of Lioresal before it expires?
Once the bottle is opened, the tablets remain stable for the duration of the printed expiration date, provided they are kept in their original, tightly sealed container and stored properly. Discard any tablets that become discolored, crumbly, or emit an unusual odor. -
Is baclofen safe for patients with liver disease?
Since baclofen undergoes minimal hepatic metabolism, it is generally considered safe for patients with mild to moderate liver impairment. Nonetheless, clinicians should monitor for increased sedation if other liver‑metabolized drugs are co‑prescribed. -
Why is baclofen sometimes prescribed off‑label for alcohol‑withdrawal symptoms?
Baclofen’s GABA_B agonist activity can reduce cravings and dampen the hyperexcitability of the central nervous system during alcohol withdrawal. Small clinical trials have shown promising results, but larger, definitive studies are still required; therefore, its use remains off‑label. -
Can I split a 20 mg tablet to achieve a lower dose?
Baclofen tablets are not scored, and splitting them may result in uneven dosing. If a lower dose is required, it is preferable to use a lower‑strength tablet (e.g., 5 mg) rather than divide a higher‑strength tablet. -
What are the legal considerations for importing Lioresal for personal use in Hong Kong?
Hong Kong permits the import of a three‑month supply of prescription medicines for personal use, provided the patient holds a valid prescription from a registered practitioner. Our online pharmacy assists with documentation to ensure compliance with customs regulations.
Glossary
- GABA_B Receptor
- A metabotropic receptor for the neurotransmitter γ‑aminobutyric acid that, when activated, inhibits neuronal activity by reducing calcium influx and decreasing excitatory neurotransmitter release.
- Spasticity
- A condition characterized by increased muscle tone and involuntary muscle contractions, often resulting from damage to the central nervous system pathways that regulate movement.
- Renal Clearance
- The volume of plasma from which a drug is completely removed by the kidneys per unit time; a key factor influencing dosing adjustments in patients with kidney impairment.
- Titration
- The gradual adjustment of a medication’s dose to achieve optimal therapeutic effect while minimizing adverse reactions, typically performed under medical supervision.
⚠️ Disclaimer
The information provided about Lioresal is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Lioresal for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Alternative names or trademarks of Generic Lioresal
Lioresal may be marketed under different names in various countries.
All of them contain Baclofen as main ingredient.
Some of them are the following:
Baclofen, Baclodox, Baclo, Clofen, Stelax, Nu-baclo, Pacifen, Onelaxant-r, Fenisal, Liobac, Lyflex, Kemstro
Information about ordering Generic Lioresal in online pharmacy asia
Please note that this medicine is a generic version of Lioresal.One can buy Generic Lioresal online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to baclofen and fully familiar with medication Lioresal;
- No paper instructions about side effect warnings or usage directions are sent with Generic Lioresal medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.
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