Cyclobenzaprine: Uses, Interactions, Mechanism of Action DrugBank Online
Eight double-blind controlled clinical studies wereperformed in 642 patients comparing FLEXERIL 10 mg, diazepam, andplacebo. Muscle spasm, local pain and tenderness, limitation of motion, andrestriction in activities of daily living were evaluated. In three of thesestudies there heroin addiction and facts was a significantly greater improvement with FLEXERIL than withdiazepam, while in the other studies the improvement following both treatmentswas comparable. In case of acute cyclobenzaprine overdose, emergency medicine physicians and triage nurses should stabilize the patient.
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- Cyclobenzaprine is a tricyclic amine salt that works in the central nervous system (CNS) as a depressant that reduces muscle hyperactivity.
- Always discuss possible side effects with a healthcare professional who knows your medical history.
- Cyclobenzaprine may also be used for purposes not listed in this medication guide.
- Tonix does not undertake an obligation to update or revise any forward-looking statement.
Tonix’s CNS portfolio includes TNX-1300 (cocaine esterase), a biologic designed to treat cocaine intoxication that has Breakthrough Therapy designation. Tonix also has product candidates in development in the areas of rare disease and infectious disease. Tonix Medicines, our commercial subsidiary, markets Zembrace® SymTouch® (sumatriptan injection) 3 mg and Tosymra® (sumatriptan nasal spray) 10 mg for the treatment of acute migraine with or without aura in adults. Flexeril is used together with rest and physical therapy to treat skeletal muscle conditions such as pain, injury, or spasms. Primary endpointsfor both trials were determined by patient-generated data and included globalimpression of change, medication helpfulness, and relief from startingbackache. Each endpoint consisted of a score on a 5-point rating scale (from 0or worst outcome to 4 or best outcome).
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The way they are administered, their slightly different yet unique mechanisms of action, and the conditions they treat set them apart from more traditional LDL-lowering therapies, such as statins. Along with its needed effects, cyclobenzaprine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Using Flexeril with other drugs that make you drowsy can worsen this effect. Flexeril is usually taken once daily for only 2 or 3 weeks. Follow all directions on your prescription label and read all medication guides or instruction sheets.
Symptoms of overdose
All patients suspected of an overdose with cyclobenzaprine hydrochloride should receive gastrointestinal decontamination. This should include large volume gastric lavage followed by activated charcoal. If consciousness is impaired, the airway should be secured prior to lavage and emesis is contraindicated. It is not known is marijuana addictive whether this drug is excreted in human milk. 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.
This medicine is a orange, oblong, capsule imprinted with “logo and Cephalon” and “15 mg”. Since overdosage is often deliberate, patients mayattempt suicide by other means during the recovery phase. Safety and effectiveness of FLEXERIL in pediatricpatients below 15 years of age have not been established.
Call your doctor or local poison control center if you think you’ve taken too much of this drug. Call 911 or go to the nearest emergency room immediately if your symptoms are severe. Cyclobenzaprine oral tablet can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well. Cyclobenzaprine may be used as part of combination therapy.
Based on individual patient response, the dose may beincreased to 10 mg three times a day. Use of FLEXERIL for periods longer than twoor three weeks is not recommended. Of note, 1 study demonstrated significant improvement in choosing an alcohol rehab treatment program pain scores with treatment; however, no significant differences were seen compared to placebo Alencar 2014. AUC increased ~2.4-fold in elderly males and ~1.2-fold in elderly females with immediate-release cyclobenzaprine.
Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Ask your pharmacist any questions you have about refilling your prescription.
Muscle spasm, local pain and tenderness, limitation of motion, and restriction in activities of daily living were evaluated. In three of these studies there was a significantly greater improvement with cyclobenzaprine than with diazepam, while in the other studies the improvement following both treatments was comparable. In light of these findings, therapy with cyclobenzaprine hydrochloride tablets in the elderly should be initiated with a 5 mg dose and titrated slowly upward. Cyclobenzaprine caused slight to moderate increase in heart rate in animals.
Your condition will not improve any faster, and your risk of side effects will increase. In a pharmacokinetic study of sixteen subjects withhepatic impairment (15 mild, 1 moderate per Child-Pugh score), both AUC and Cmaxwere approximately double the values seen in the healthy control group. Basedon the findings, FLEXERIL should be used with caution in subjects with mildhepatic impairment starting with the 5 mg dose and titrating slowly upward.
Do not use Flexeril if you have taken an MAO inhibitor in the past 14 days. Take this medication by mouth with or without food as directed by your doctor, usually once daily. Doing so can release all of the drug at once, increasing the risk of side effects.
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. To do so may increase the chance of serious side effects. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed.
Acute recovery phase of myocardial infarction, andpatients with arrhythmias, heart block or conduction disturbances, or congestive heart failure. Other potential effects of overdosage include any of thesymptoms listed under ADVERSE REACTIONS. It is not known whether this drug is excreted in humanmilk. Because cyclobenzaprine is closely related to the tricyclicantidepressants, some of which are known to be excreted in human milk, caution shouldbe exercised when FLEXERIL is administered to a nursing woman. Less frequent dosing should be considered for hepaticallyimpaired or elderly patients (see PRECAUTIONS, Impaired HepaticFunction, and Use in the Elderly).