Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/20/2025

Baclofen Side Effects in Alcohol Use Disorders

Serious Side Effects and Special Considerations

  • Impaired mentation is a significant concern, particularly in patients with advanced liver disease or hepatic encephalopathy, according to the American Association for the Study of Liver Diseases 1, 2
  • Baclofen is the only AUD pharmacotherapy tested in a randomized controlled trial specifically in patients with alcoholic cirrhosis, as noted by the American Association for the Study of Liver Diseases 1, 2

Dosing and Monitoring

  • Standard dosing for alcohol use disorders ranges from 30-60 mg/day, as recommended by the American Association for the Study of Liver Diseases 1
  • Careful monitoring is required when initiating baclofen, particularly in patients with advanced liver disease, according to the American Association for the Study of Liver Diseases 1, 2