Table 1.
A timeline of the related events of this patient
| Time point | Events |
| Five weeks prior to ED presentation | Had been taking approximately 6 g of phenibut |
| One week prior to ED presentation | Stopped taking phenibut in an effort to wean off the medication |
| Six days prior to ED presentation | Experienced insomnia, anxiety and palpitations of a six-day duration |
| Two days prior to ED presentation | Increased anxiety and palpitations |
| Ten hours prior to ED presentation | Took one phenibut tablet |
| ED presentation | Felt anxiety and palpitations
The poison control toxicological team recommended the oral administration of 10 mg of baclofen in the ED. They further recommended continuing phenibut at 500 mg/d for one week, and then complete cessation of phenibut. They recommended baclofen 10 mg every 8 h as needed for anxiety |
Three days post ED discharge telephone
follow-up | Felt much improved and was compliant with the baclofen as needed |
| Ten days post ED discharge telephone follow-up | Had not experienced any symptoms for 3 d and was able to stop baclofen over the last two days prior to the follow-up call |
), Alan Lucerna2, Robin Lahr1
