Cyclobenzaprine Flexeril Side Effects & Interactions

If these side effects become severe or cause problems in your everyday life, the National Institutes of Health (NIH) recommends contacting your doctor. Cyclobenzaprine is often prescribed to people who have acute back injuries, including when people report having muscle spasms or significant tightness in their back, or when the back feels like it’s locked, she explained. Cyclobenzaprine is not designed for long-term use, and patients should follow the regimen provided by their physician, said Dr. Kiran Patel, pain management specialist at Lenox Hill Hospital. “It’s a muscle relaxant that can help with a muscle spam or the sensation of tightness,” Patel told Live Science. A sensitivity analysis was also performed to assess the effects of study quality, year of publication, duration of treatment, type of back pain, and whether Merck, Sharpe and Dohme sponsored the study. We also explored the effect of dropping individual studies from our meta-analysis, also without significant effect on our summary OR.

Yes, cyclobenzaprine can make you very sleepy and this side effect may get worse with higher doses. Drowsiness is the most commonly reported side effect in studies, occurring in up to 38% (38 out of 100) of people. Avoid or limit the use of alcohol or other sedating medicines while being treated with cyclobenzaprine. Also avoid driving, operating machinery, or other hazardous activities until you know how cyclobenzaprine affects you. The incidence of drowsiness, the most frequent adverse reaction, was similar with both drugs.

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Also, remember to take your wallet and other objects out of your back pockets when you sit down. It is necessary to take each dose of this medication on time. If you forget a dose, contact your doctor or pharmacist as soon as possible to arrange for a new dosing schedule. Some medicines can interact with cyclobenzaprine and cause a serious condition called serotonin syndrome. Ask your doctor before making any changes in how or when you take your medications.

This content provided is for information purposes only and is neither intended to be relied upon nor to be a substitute for professional medical advice, diagnosis or treatment. And when oral medications do not work for sciatica, there is the option of getting a steroid injection into the back. Steroids work to decrease inflammation and irritation when injected into the the nerve root. While initially helpful, keep in mind that the effect of injections can wear off within one to two months. Muscle relaxants can act on the central nervous system or on the peripheral nervous system, depending on the cause of the muscle spasm.

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I take it for muscle cramps due to orthopedic surgery that left me unable to stretch some of my muscles adequately. Other antispasmodic agents include carisoprodol, metaxalone, methocarbamol, orphenadrine, and chlorzoxazone (1). No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

Generic methocarbamol is around $6.25 for 30 tablets of the 500mg dose with a BuzzRx drug discount card. Brand name Robaxin is approximately $95 for 30 tablets of the 750mg dose with a BuzzRx savings card. Generic cyclobenzaprine may be under $0.50 for 30 tablets of the 10mg dose through the BuzzRx discount flexeril tablets program. Also, methocarbamol and cyclobenzaprine are not recommended in pregnant women, elderly adults, and young children. However, since it is related to the tricyclic antidepressants, some of which are excreted in breast milk, caution is advised in using this medication in women who are breastfeeding.

What is the difference between cyclobenzaprine and methocarbamol?

If your dose is different, do not change it unless your doctor tells you to do so. Cyclobenzaprine caused slight to moderate increase in heart rate in animals. As management of overdose is complex and changing, it is recommended that the physician contact a poison control center for current information on treatment. At oral doses of up to 10 times the human dose, cyclobenzaprine did not adversely affect the reproductive performance or fertility of male or female rats. Cyclobenzaprine did not demonstrate mutagenic activity in the male mouse at dose levels of up to 20 times the human dose. In the higher dose groups this microscopic change was seen after 26 weeks and even earlier in rats which died prior to 26 weeks; at lower doses, the change was not seen until after 26 weeks.

  • Initiation should begin with a 5 mg dose and slowly increased, under the careful eye of a doctor.
  • They then provided their recommendations based on safe and effective dosing.
  • I have been suffering from chronically tense jaw muscles due to a severe flare up of my TMJ disease.
  • As management of overdose is complex and changing, it is recommended that the physician contact a poison control center for current information on treatment.
  • Based on individual patient response, the dose may be increased to 10 mg three times a day.

If you cannot swallow the capsule whole, you may open the capsule and sprinkle the contents over one tablespoon of applesauce. Rinse the mouth to make sure all of the medicine have been swallowed. Do not take more of it and do not take it more often than your doctor ordered. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Acute recovery phase of myocardial infarction, and patients with arrhythmias, heart block or conduction disturbances, or congestive heart failure. Since overdosage is often deliberate, patients may attempt suicide by other means during the recovery phase.

If consciousness is impaired, the airway should be secured prior to lavage and emesis is contraindicated. In order to protect against the rare but potentially critical manifestations described above, obtain an ECG and immediately initiate cardiac monitoring. Protect the patient’s airway, establish an intravenous line and initiate gastric decontamination. Observation with cardiac monitoring and observation for signs of CNS or respiratory depression, hypotension, cardiac dysrhythmias and/or conduction blocks, and seizures is necessary. If signs of toxicity occur at any time during this period, extended monitoring is required.

Tizanidine (Zanaflex) and baclofen (Lioresal) may reduce pain from muscle spasms. People with liver disease should avoid tizanidine, and those with kidney disease should take baclofen in lower doses. Also, avoid the drugs carisoprodol (Soma), chlorzoxazone (generic only), cyclobenzaprine (Amrix), metaxalone (Metaxall), methocarbamol (Robaxin), and orphena-drine (generic only) because of their risk for drowsiness and falls.