Discharge instructions for a client receiving baclofen should include which guidance?

Discharge instructions for a client receiving baclofen should include which guidance?

• A. Begin vigorous exercise immediately after dosing
• B. Increase caffeine intake
• C. Discontinue after two weeks
• D. Avoid the use of alcohol.

Answer: (D)

Avoiding alcohol is essential when taking baclofen because this medication is a central nervous system depressant and alcohol intensifies those effects. The combination can lead to excessive drowsiness, dizziness, impaired coordination, and a higher risk of falls or respiratory issues, which is why guidance focuses on not drinking alcohol while on baclofen. Other options aren’t appropriate discharge instructions: starting vigorous exercise immediately after dosing can worsen dizziness and increase injury risk, so activity timing should be discussed with a clinician. Increasing caffeine intake isn’t a required precaution and doesn’t address the main interaction with baclofen. Stopping the medication after two weeks isn’t standard practice; abrupt discontinuation can cause withdrawal symptoms like rebound spasticity, so any stopping should be tapered under medical guidance.

Avoiding alcohol is essential when taking baclofen because this medication is a central nervous system depressant and alcohol intensifies those effects. The combination can lead to excessive drowsiness, dizziness, impaired coordination, and a higher risk of falls or respiratory issues, which is why guidance focuses on not drinking alcohol while on baclofen. Other options aren’t appropriate discharge instructions: starting vigorous exercise immediately after dosing can worsen dizziness and increase injury risk, so activity timing should be discussed with a clinician. Increasing caffeine intake isn’t a required precaution and doesn’t address the main interaction with baclofen. Stopping the medication after two weeks isn’t standard practice; abrupt discontinuation can cause withdrawal symptoms like rebound spasticity, so any stopping should be tapered under medical guidance.