Cyclobenzaprine in the Treatment of Low Back Pain
However, these medications aren’t the first-line therapy for the treatment of pain or spasms. They’re alternative therapy after first- or second-line flexeril for inflammation therapies haven’t worked. This is due to the adverse side effects of antispasmodics, including addiction potential for some types of the medication.
These drugs have the potential to decrease tension and spasm within a sore muscle, which may reduce pain. Talk to your healthcare provider in-depth about your medical history to determine the safest medication for relieving your muscle spasm and pain. Ultram is an opioid pain medicine that can put you at risk for overdose and death.
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Spasticity is a disruption in muscle movement patterns that causes certain muscles to contract all at once when you try to move or even at rest. It’s usually caused by damage to nerve pathways within your brain or spinal cord that control movement and stretch reflexes. Cyclobenzaprine (Flexeril) has also been linked to misuse and abuse. Your doctor might first suggest you try an over-the-counter medicine like acetaminophen (Tylenol) or ibuprofen (Advil) to treat your pain. But if those don’t work, or you can’t take them because you have another issue like liver problems or ulcers, you may need to try a muscle relaxant. Selected from data included with permission and copyrighted by First Databank, Inc.
Even if you take your dose correctly as prescribed you are at risk for opioid addiction, abuse, and misuse that can lead to death. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson Micromedex (updated 3 Sep 2023), Cerner Multum™ (updated 28 Aug 2023), ASHP (updated 10 Aug 2023) and others. 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.
What happens if I miss a dose?
It blocks the pathways of neurotransmitters that signal pain and diminishes the sensations of pain. It is also much more addictive than conventional painkillers or Over-the-counter (OTC) Non-Steroidal Anti-inflammatory Drugs (NSAIDs) available in the market that are pain relievers in action. Your healthcare provider and/or pharmacist will give you specific instructions on how to take the medication.
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Elderly patients seem to tolerate cyclobenzaprine less and may develop hallucinations as well as significant anticholinergic side effects, such as sedation. The use of significant lower dosing schedules in elderly patients may be prudent. You should have regular appointments with your healthcare provider when taking a muscle relaxant to assess how well it’s working. If you feel that you’re dependent on carisoprodol or diazepam or your prescribed dosage isn’t helping to manage your symptoms, don’t take more than your recommended dosage. Healthcare providers mainly prescribe antispastic muscle relaxers to treat spasticity. Almost all cases of addiction and abuse are due to the drug carisoprodol (Soma), which is considered a schedule IV controlled substance.
Muscle Relaxers
It is important to note that diabetics should not use oral steroids since the medication increases blood sugar. Steroids should also not be taken by patients with an active infection (e.g. sinus infection, urinary tract infection) because they can make the infection worse. Muscle relaxants are not really a class of drugs, but rather a group of different drugs that each has an overall sedative effect on the body. These drugs do not act directly on the muscles; rather they act centrally (in the brain) and are more of a total body relaxant. If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
- Long-term usage could mask the underlying cause of the pain (1).
- Inadequate blinding has been believed to be responsible for bias in previous trials suggesting benefit from ascorbic acid55 and zinc56 for the common cold.
- As management of overdose is complex and changing, it is recommended that the physician contact a poison control center for current information on treatment.
Always discuss your medical history with your healthcare provider to determine which medication is safest for you to take. Be aware of possible adverse effects and contraindications related to your personal history. Discuss dosing and delivery options with your healthcare provider to minimize risks.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Do not use Flexeril if you have taken an MAO inhibitor in the past 14 days. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.
Although not all of these side effects may occur, if they do occur they may need medical attention. For temporary relief, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections.
