Baclofen Toxicity in Dogs

Main Article Content

Vanmathi Arulselvam
Devadharshini Kamalakannan
Abiramy Prabavathy Arumugam
Vijayalakshmi Padmanadan

Abstract

Introduction: Baclofen is a centrally-acting skeletal muscle relaxant used to control spasticity and pain in humans. In an overdose situation, the onset of clinical signs, such as vocalization, vomiting, ataxia, disorientation, salivation, coma, weakness, recumbency, and seizures, is usually noticed.


Case report: The first case was a two-month-old female Spitz pup weighing 5 kg, which was brought to the Small Animal Medicine unit of Veterinary Clinical Complex (VCC), Rajiv Gandhi Institute of Veterinary Education and Research (RIVER), Puducherry, India, with a history of vomiting, vocalization, and restlessness for the past hour. After recording the history, it was revealed that the dog had accidentally consumed four Baclofen tablets (10 mg each). The animal was immediately treated with fluids, activated charcoal, and Kaolin mixed with water (orally). The gradual reduction in clinical signs was noticed by the lower of 12 hours, and a dramatic improvement was noticed the day after, and the pup recovered completely. The second case was a six-month-old male Labrador dog weighing 20 kg, which was brought to the Small Animal Medicine unit of VCC, RIVER, Puducherry, India, with a history of vocalization, restlessness, and salivation for the past two hours. After considering the history, it was revealed that the dog had accidentally ingested eight Baclofen tablets of 10 mg. The animal was immediately treated with fluids (Injection) Atropine sulfate and activated charcoal mixed with water (orally). The gradual reduction of clinical signs was noticed in less than 12 hours, dramatic improvement was noticed the next day, and the dog recovered completely.


Conclusion: Timely diagnosis and proper management of the toxicity with drugs can eliminate the clinical signs, and fluid therapy can help the animal’s recovery.

Article Details

How to Cite
Arulselvam, V., Kamalakannan, D., Ramajothi, A., Prabavathy Arumugam, A., & Padmanadan, V. (2022). Baclofen Toxicity in Dogs . Small Animal Advances, 1(2), 27–29. https://doi.org/10.58803/saa.v1i2.6
Section
Case Report

References

Osweiler GD, Hovda LR, Brutlag AG, Lee JA. Blackwell’s Five-Minute Veterinary Consult Clinical Companion: Small Animal Toxicology. 1st ed. Germany: Wiley; c 2011. p. 142-147. Available at: https://www.wiley.com/learn/5mvc/pdf/blackwells-five-minute-veterinary-consult-clinical-companion.pdf

Torre, D. M. Labato M. A., Rossi T., Foley C., O'Tolle T.E... Treatment of a dog with severe baclofen intoxication using haemodialysis and mechanical ventilation. J. Vet. Emerg. Crit. Care, 2008, 18:312–318. DOI: https://doi.org/10.1111/j.1476-4431.2008.00310.x

Fox CM, Daly ML. Successful treatment of severe baclofen toxicosis initially refractory to conventional treatment. Clin Case Rep. 2016 ;5(1):44-50. DOI: https://doi.org/10.1002/ccr3.736.

BSAVA Small Animal Formulary Part A: Canine and Feline. Edition10, 2020. Available at: https://www.bsavalibrary.com/content/ formulary/canine-and-feline

Tina Wismer. Baclofen overdose in dogs. Veterinary Medicine. United States: Veterinary Medicine Publishing Company; c 2004. p. 406. Available at: https://www.aspcapro.org/sites/default/files/g-toxbrief_0504.pdf

Romito JW, Turner ER, Rosener JA, Coldiron L, Udipi A, Nohrn L, Tausiani J, et al. Baclofen therapeutics, toxicity, and withdrawal: a narrative review. SAGE open medicine. 2021 Jun; 9: 20503121211022197. DOI: https://doi.org/10.1177/20503121211022197

Campbell A, Chapman M. Handbook of Poisoning in Dogs and Cats. 1st ed. United Kingdom: Wiley; c 2000. p. 74-76. Available at: https://www.wiley.com/en-us/Handbook+of+Poisoning+in+Dogs+and+Cats-p-9780632050291

Ko JC, Fox SM, Mandsager RE. Effects of preemptive atropine administration on incidence of medetomidine -induced bradycardia in dogs. Journal of the American Veterinary Medical Association. 2001 Jan 1; 218(1): 52-58. DOI: https://doi.org/10.2460/javma.2001.218.52

Diuretics- Pharmacology. MSD Veterinary Manual; 2015 Nov [cited on 5th December 2022]. Available at: https://www.msdvetmanual.com/ pharmacology/systemic-pharmacotherapeutics-of-the-cardiovascular-system/diuretics

Most read articles by the same author(s)