Table 1.
Treatment schedule
| Time in treatment | Baclofen (mg/day) | Phenibut (g/day) | Kratom (g/day) | Comments |
|---|---|---|---|---|
| First assessment | – | 8 | 18 | Beginning of treatment |
| Visit 1 (1 week) | 15 | 7.5 | 18 | Tried to reduce the dose of phenibut down to 6 g/day, but felt very aggressive and irritable |
| Visit 2 (2 weeks) | 20 | 5 | – | Reduced the daily dose of phenibut down to 5 g/day. Stopped using kratom |
| Visit 3 (3 weeks) | 30 | 5 | – | Could not further reduce the dose of phenibut |
| Visit 4 (4 weeks) | 45 | 2.5 | – | Reduced the dose of phenibut to 2.5 g/day, but felt that decrease was too fast |
| Visit 5 (5 weeks) | 45 | 2.5 | – | Adjusted to current doses of baclofen and phenibut |
| Visit 6 (7 weeks) | 60 | 1 | – | Reduced the dose of phenibut down to 1 g/day |
| Visit 7 (9 weeks) | 60 | – | – | Completely stopped using phenibut, has a lot of cravings, mostly for alcohol |
| Visit 8 (12 weeks) | 50 | – | – | Reduced the dose of baclofen and started experiencing mood swings, tension and anxiety. Prescribed citalopram 20 mg/day |
| Visit 9 (14 weeks) | 40 | – | – | Gradual reduction of baclofen dose, no anxiety or mood changes |
| Visit 10 (17 weeks) | 30 | – | – | Gradual reduction of baclofen dose, no anxiety or mood changes |
| Visit 11 (20 weeks) | 20 | – | – | Gradual reduction of baclofen dose, no anxiety or mood changes |
| Visit 12 (24 weeks) | – | – | – | Gradual reduction of baclofen dose, no anxiety or mood changes |