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Pump implantation: Patients should be infection free prior to pump implantation because the presence of infection may increase the risk of lioresal instructions intrathecal baclofen dystonia intrathecal baclofen in the treatment of surgical complications .
lioresal adverse effects lioresal tbl intrathecal baclofen pump insertion lioresal gewichtszunahme Moreover, a systemic infection may complicate attempts to adjust the dose .
Patient monitoring: Following surgical implantation of the pump, particularly during the initial phases of pump use, and on each occasion lioresal that the dosing rate of the pump and/or the concentration of baclofen in the reservoir is adjusted, the patient should be monitored closely until it is certain that the patient’s response to the infusion is acceptable and stable .
, lioresal catheter kink or dislodgement) . Pump adjustment and titration: In most patients, it will be necessary to increase the dose gradually lioresal over time to maintain effectiveness; a sudden requirement for substantial dose escalation typically indicates a catheter complication (i .
Reservoir Filling: Reservoir refilling must be performed by fully trained and qualified personnel following the directions provided by the baclofen pump uses lioresal halbwertszeit intrathecal baclofen and morphine lioresal entzug lioresal pump manufacturer .
Refill intervals should be carefully calculated to prevent depletion of the reservoir, as this would result in lioresal the return of severe spasticity and possibly symptoms of withdrawal .
Depending on individual daily dose requirements and the flow rate of lioresal price zamjena za lioresal intrathecal baclofen and spasticity baclofen other uses lioresal the pump, refill intervals generally vary between one and three months .

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