In a message dated 3/14/2006 1:56:09 PM Central Standard Time, 
[log in to unmask] writes: 
> Baclofen itself doesn't negatively impact intellect, although depending
> on the degree of spasticity and/or dystonia a person has, and the dosage
> of oral Baclofen required to control that spasticity/dystonia, it can
> cause lethargy/drowsiness.  That's why Janet and her neurologist decided
> to go with the pump, because it makes it possible to introduce the drug
> directly into the spinal fluid, where it acts directly, without nearly
> as many side effects. =20
> 
Kendall,
I have to disagree with you here.  Ryan took oral Baclofen for a short time, 
and he complained very pitifully: "I can't think."
My understanding of the pump is that the dosage of Baclofen administered into 
the spine can be reduced to a minuscule quantity, compared to the oral 
medication, with much greater positive effects because the medicine goes straight 
where it is needed without having to cross the blood-brain barrier.
I'm so glad to hear this is working out well for Janet!
Continued success,
Wanda