Baclofen,
β-(4-chlorophenyl)-γ-aminobutyric acid, holds
a unique position in neuroscience, remaining the only U.S. Food and
Drug Administration (FDA) approved GABAB agonist. While
intended to be a more brain penetrant, i.e, ability to cross the blood-brain
barrier (BBB), version of GABA (γ-aminobutyric acid) for the
potential treatment of epilepsy, baclofen’s highly efficacious
muscle relaxant properties led to its approval, as a racemate, for
the treatment of spasticity. Interestingly, baclofen received FDA
approval before its receptor, GABAB, was discovered and
its exact mechanism of action was known. In recent times, baclofen
has a myriad of off-label uses, with the treatment for alcohol abuse
and drug addiction garnering a great deal of attention. This Review
aims to capture the >60 year legacy of baclofen by walking through
the history, pharmacology, synthesis, drug metabolism, routes of administration,
and societal impact of this Classic in chemical neuroscience.