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Ugeskrift for laeger · May 2011
Case Reports[Venovenous hemodiafiltration for patient with baclofen intoxication].
- Simon Uhl Nielsen, Tejs Jansen, Sys Stybe Johansen, Kristian Linnet, Peter Gregersen, and Lotte Christine Groth Høgberg.
- Anæstesiafdelingen, Bispebjerg Hospital, Denmark. simonuhl@hotmail.com
- Ugeskr. Laeg. 2011 May 30;173(22):1578-9.
AbstractTwice a young man was admitted to hospital upon having taken baclofen overdoses by intention. The ingested dose was 1,850 mg at the first episode and up to 2,500 mg at the second. In both cases the patient had severe overdose symptoms and scored 4-5 on the Glascow Coma Scale and was admitted to intensive care. Continuous venovenous hemodiafiltration (CVVHDF) was initiated. The elimination pharmacokinetics and toxicokinetics for baclofen is not fully known. During the second submission a shorter elimination half-life time was observed and it might be due to either compartmental distribution of baclofen, or more likely caused by an advantageous effect of the CVVHDF.
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