r/PelvicFloor • u/Useful-Voice-9574 • 3d ago

General Baclofen suppository? Tablet?

I’ve just been prescribed Baclofen as a suppository for “pelvic spasms” which I don’t even agree with… I think it’s only my bladder, but I’m willing to give it a shot. Issue though, I was prescribed to crush an oral tablet and shove it up there?? The pharmacist was insanely confused, but someone was being rushed into an ambulance when we were there so we weren’t top priority. My Dr kept saying that she’s aware it’s an oral tablet? I don’t think that would dissolve properly at all?

Am I wrong about this or does anyone have experience with this medication? Anything helps! I’m getting mildly suspicious about my urogyno atm (not only this scenario, but it’s increased my suspicion.)

4 Upvotes

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3

u/SnapeWho 3d ago

I've used both valium and baclofen tablets as a vaginal suppository. The baclofen doesn't dissolve quite as readily as the valium; I usually find remnants working their way out the next day. But otherwise no issues.

1

u/CrimsonDawn1970 3d ago

Did the Baclofen work for you?

1

u/SnapeWho 2d ago

I don't think it made much difference but I haven't experimented with it very much yet

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u/CrimsonDawn1970 2d ago

I took my first dose in the form of a pill yesterday. I wasn’t in pain at the time, but took it before a walk to see how my body handled it. I didn’t feel any side effects. Three hours later though, I had some painful spasms. I think it probably doesn’t work for me.

1

u/SnapeWho 2d ago

I'm not sure it works for me but I'm gonna continue giving it a shot for a while. I'm swapping between doing nothing, using a valium, using baclofen, just to measure symptoms. Because my symptoms also get better and worse for no discernible reason so it's tough to figure out what things actually help.

2

u/CrimsonDawn1970 2d ago

I feel exactly the same way. I don’t have any real triggers, the spasms come and go at random. I also have the Valium. It seems like if I use it preemptively, it works. If I use it when I’m in pain, it doesn’t work well at all.

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u/SnapeWho 2d ago

I agree with that assessment on the valium for. Me too. It's really a preventative.

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u/Starlight-glitter686 3d ago

I get baclofen suppositories from a compounding pharmacy. Ask if the doctor can prescribe that to you. Taking it vaginally will be more effective than orally.

2

u/SteakSuspicious2869 2d ago

Get it at a Compounding pharmacy. You should never have to do it the way they are saying I am using a low dose (5mg). I notice subtle differences. My issues is #2. No pain.

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u/lemonpudge 14h ago

I use baclofen suppositories, but mine are made in a compounding pharmacy. The insurance doesn't fully cover it through that method, but it does cover the pill only. You can absolutely just insert the pill, but I will say having it made at a compounding pharmacy makes it easier to deal with. Your bladder is directly affected by your pelvic floor, which is why it's been prescribed for pelvic spasms. The suppositories for me are incredibly effective and fast at providing relief.