Baclofen is a
drug for many diseases for all ages, but it is hazardous in patients with
renal failure. This article talks about a case of
baclofen overdose in a child with
renal failure. A 6-year-old boy admitted to the emergency department with a
loss of consciousness,
hypotonia, and areflexia following administration of 20 mg
baclofen (1mg/kg/daily) in total dose for his voiding dysfunction. His laboratory tests showed advanced
renal failure. After withholding the medication and supportive
therapy, he recovered completely after two days. After arousal, he complained of
insomnia, strange sensations on the skin, intentional
tremors, and
ataxia. He left the hospital in good condition in three days. Renal function control before
baclofen administration is mandatory especially in high-risk groups. A total dose of 1mg/kg lead to
encephalopathy in children with advanced
renal failure, with subtle persistent complaints persist are often overlooked for a while.