i have a baclofen pump to deal with severe spasticity. unchecked, it gets excruciating. like for you, i'm sure, in order for the oral meds to work (which they often don't) i have to take so much my brain can't function. after 6 months, i think the pump is adjusted as well as it can be, but when it gets hot or cold, or if i am especially tired, stressed, etc., i still have to take oral baclofen. my conclusion? nothing is perfect, and after a certain point, i just have to cope. (i realize this is a very old thread, but maybe it's still active.)
be kind whenever possible.
it is always possible.