A Case of Phenibut Withdrawal Management and Detoxification Using Baclofen in the Outpatient Setting

Phenibut, a GABAB receptor agonist, has surged in popularity due to its nootropic and anxiolytic effects. Despite not being FDA approved, it is accessible online due to its marketing as a dietary supplement, leading to unregulated distribution. Increasing reports have highlighted the risks of addict...

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Main Authors: Emma DiFiore, Julie Pittman
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2024/8824770
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author Emma DiFiore
Julie Pittman
author_facet Emma DiFiore
Julie Pittman
author_sort Emma DiFiore
collection DOAJ
description Phenibut, a GABAB receptor agonist, has surged in popularity due to its nootropic and anxiolytic effects. Despite not being FDA approved, it is accessible online due to its marketing as a dietary supplement, leading to unregulated distribution. Increasing reports have highlighted the risks of addiction and severe withdrawal symptoms associated with phenibut use. This case report explores the management of phenibut withdrawal in an outpatient setting using a baclofen taper. The slow taper was complicated by various withdrawal symptoms, and the patient was ultimately stabilized on lorazepam, baclofen, gabapentin, and clonidine after 5-months time. This case is unique, as it also highlights challenges in tapering off baclofen following phenibut detoxification. The study underscores the need for further research on the pharmacological management of phenibut withdrawal, emphasizing the importance of raising awareness about phenibut’s dangers and associated clinical presentations.
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spelling doaj-art-ba0ac60fabfd4d548af912b0c685701e2025-02-03T01:30:21ZengWileyCase Reports in Psychiatry2090-68382024-01-01202410.1155/2024/8824770A Case of Phenibut Withdrawal Management and Detoxification Using Baclofen in the Outpatient SettingEmma DiFiore0Julie Pittman1Anne Burnett Marion School of MedicineAnne Burnett Marion School of MedicinePhenibut, a GABAB receptor agonist, has surged in popularity due to its nootropic and anxiolytic effects. Despite not being FDA approved, it is accessible online due to its marketing as a dietary supplement, leading to unregulated distribution. Increasing reports have highlighted the risks of addiction and severe withdrawal symptoms associated with phenibut use. This case report explores the management of phenibut withdrawal in an outpatient setting using a baclofen taper. The slow taper was complicated by various withdrawal symptoms, and the patient was ultimately stabilized on lorazepam, baclofen, gabapentin, and clonidine after 5-months time. This case is unique, as it also highlights challenges in tapering off baclofen following phenibut detoxification. The study underscores the need for further research on the pharmacological management of phenibut withdrawal, emphasizing the importance of raising awareness about phenibut’s dangers and associated clinical presentations.http://dx.doi.org/10.1155/2024/8824770
spellingShingle Emma DiFiore
Julie Pittman
A Case of Phenibut Withdrawal Management and Detoxification Using Baclofen in the Outpatient Setting
Case Reports in Psychiatry
title A Case of Phenibut Withdrawal Management and Detoxification Using Baclofen in the Outpatient Setting
title_full A Case of Phenibut Withdrawal Management and Detoxification Using Baclofen in the Outpatient Setting
title_fullStr A Case of Phenibut Withdrawal Management and Detoxification Using Baclofen in the Outpatient Setting
title_full_unstemmed A Case of Phenibut Withdrawal Management and Detoxification Using Baclofen in the Outpatient Setting
title_short A Case of Phenibut Withdrawal Management and Detoxification Using Baclofen in the Outpatient Setting
title_sort case of phenibut withdrawal management and detoxification using baclofen in the outpatient setting
url http://dx.doi.org/10.1155/2024/8824770
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