Prescription Muscle Relaxers List
84
Muscle Relaxers - An Important Category
Muscle relaxers, AKA "skeletal muscle relaxants", make up an important category of prescription medication useful for the relief of muscle pain and muscle spasm. Muscle relaxers are not available without a prescription in the U.S. For those who must bear the challenges of chronic pain, multiple sclerosis, or spinal injury, prescription muscle relaxers are often the medications which allow them to enjoy a reasonable quality of life. They are often used for short term relief of back or neck spasm or stiffness. Sometimes finding the appropriate prescription muscle relaxer can be challenging. As with many medications, what works well for one person may not work well for another.
In this article I intend to list and discuss briefly all of the currently available prescription muscle relaxers. I will provide you with the appropriate adult dosages, side-effects, and any relevant links to more helpful information. Hopefully this will provide you with the resource you need to discuss prescription muscle relaxers with your doctor. For convenience I have arranged them alphabetically by their generic name, and I will list the currently available brand names underneath. Note: although every drug has a "generic name" this does not mean or imply that it has a generic "available".
PRESCRIPTION MUSCLE RELAXERS:
BACLOFEN
Brand Name(s): Lioresal (Brand name is not currently available, but the generic is still available)
Generic Available? Yes
Adult Dosage: 10mg - 20mg given three to four times daily.
Side Effects: Drowsiness, confusion, dizziness and fatigue. Seizures and hallucinations have been observed with overdosage or abrupt discontinuation of therapy.
Discussion: Originally approved by the FDA in 1977. Interestingly, baclofen has also been studied for its benefits to assist in supressing alcohol addiction.
For More Information:
Baclofen Prescribing Information
MUSCLE RELAXERS MUST BE PRESCRIBED BY A DOCTOR IN THE U.S.
Some Helpful Products for Back or Neck Pain
 | Amazon Price: $25.85 List Price: $45.00 |
 | Amazon Price: $33.99 List Price: $34.95 |
 | Amazon Price: $19.99 List Price: $47.39 |
CARISOPRODOL
Brand Name(s):Soma, Soma Compound (carisoprodol + aspirin), Soma compound with codeine (carisoprodol, aspirin, and codeine)
Generic Available? YES
Adult Dosage: 250mg - 350mg three times daily and at bedtime
Side Effects: Drowsiness and dizziness.
Discussion: This prescription muscle relaxer was approved by the FDA back in 1959, carisoprodol has been used for decades for treating muscle spasm and stiffness. One of the metabolites of carisoprodol is a drug called "meprobamate" which is a controlled substance indicated for anxiety (though rarely used today). Some reports of dependence and withdrawal have been noted, and may be due to this metabolite. The combination with aspirin and/or codeine is used to treat pain as well as spasm. Do not use if allergic to aspirin or codeine.
For more information:
CHLORZOXAZONE
Brand Names(s): Parafon Forte DSC, Lorzone
Generic Available? Yes
Adult Dosage: 250mg - 750mg three to four times daily. Use with extreme caution in the elderly.
Side Effects: Drowsiness and dizziness. Stop immediately if a skin rash developes. Do not use if there is a history of liver or kidney disease. Do not use with alcohol.
Discussion: Approved by the FDA in 1987. Mechanism of action is not fully understood, but may be due, at least in part, to the sedative properties it possesses.
For more information:
CLICK HERE FOR FULL PRESCRIBING INFORMATION ON PARAFON FORTE DSC
CYCLOBENZAPRINE
Brand Name(s):Flexeril, Flexmid, Amrix
Generic Available?Yes, but not for Flexmid
Adult Dosage:5-10mg three times daily. Amrix is an extended release formulation dosed once daily (it comes in 15mg & 30mg capsules).
Side Effects: Drowsiness, dizziness and dry mouth. It should generally not be taken with tricyclic antidepressants (eg Elavil), SSRI's, MAO inhibitors (eg Parnate), other drugs that effect the heart rhythm nor mixed with alcohol.
WARNING: A serious and sometimes fatal side-effect known as "Serotonin Syndrome" can occur when cyclobenzaprine is combined with other medications known to increase serotonin. Make sure your prescriber and pharmacist know all the medications, including OTC drugs, that you are taking.
Discussion: First approved by the FDA in 1977. Very widely used and prescribed. Dosages above 30mg per day are not recommended.
For more information:
- Flexeril Prescribing Information
- Amrix Prescribing Information
- Flexmid Prescribing Information
- FREE Amrix sample coupons
DANTROLENE
Brand Name(s): Dantrium
Generic Available: Yes
Adult Dosage: Start with 25mg once daily. Slowly titrate upwards, may increase to a maximum of 100mg four times daily.
Side Effects: Drowsiness, dizziness, weakness, diarrhea, difficulty swallowing and nausea. Liver toxicity has occured at higher dosages.
Discussion: Approved by the FDA in 1974. Dantrium works differently than most other muscle relaxants. It acts directly upon the muscle cells by interfering with the movement of Calcium ions and thereby relaxing the muscle.
For More Information:
DIAZEPAM
Brand Name: Valium
Generic Available? YES
Adult Dosage:For the treatment of skeletal muscle spasms, the usual adult dosage is from 2mg to 10mg and given 3 to 4 times daily. This dosage would be lower in elderly patients.
Side Effects:Typical side effects with Diazepam would include drowsiness, dizziness, fatigue and muscle weakness. Less frequent, but possible, would be things like blurred vision, urinary retention, confusion, depression or slurred speech.
Discussion:Diazepam belongs to a family of medications known as "benzodiazepines." They have some potential for abuse and/or dependence, and is therefore considered a "controlled substance" (schedule 4) by the DEA. By the way, do you know what was the #1 best selling prescription drug in the U.S. from 1969 until 1982? Yes, you guessed: Diazepam
Skelaxin
METAXALONE
Brand Name: Skelaxin 800mg
Generic Availble? YES - A generic is now available for Skelaxin!
Adult Dosage: 800mg three to four times daily. Maximum daily dose is 3200mg.
Side Effects: Nausea, vomiting, drowsiness, dizziness, headache, and anxiety.
Discussion: Originally approved by the FDA in 1962. Most of the effectiveness of Skelaxin is likely due to its sedative properties.
For More Information:
METHOCARBAMOL
Brand Name(s): Robaxin
Generic Available? Yes
Adult Dosage: 1.5 Grams (3 500mg tablets) four times daily without regard to meals. May increase up to 2 grams (4 tablets) four times daily when appropriate.
Side Effects: Drowsiness, dizziness, blurred vision, headache, fever and nausea.
Discussion: Originally approved by the FDA in 1957. Interestingly methocarbamal is structurally similar to the over-the-counter mucus reducer known as Guaifenesin, and guaifenesin is one of its metabolites. Sorry, that doesn't mean that Mucinex can be used as a muscle relaxant.
Norflex
ORPHENADRINE
Brand Name(s): Norflex
Generic Available? Yes
Adult Dosage: 100mg twice daily (morning and evening)
Side Effects: Dry mouth, blurry vision, constipation, drowsiness, headache and nausea.
Discussion: Initial FDA approval was in 1959. It is structurally similar to the antihistamine "diphenhydramine" (AKA Benadryl)! Sorry, it won't help with your sneezing though.
For More Information:
Did the information in this article help you? If so, would you be willing to "like" it (for FACEBOOK -see above).
Doing so helps me to spread this information further to others who may also benefit from it.
Thank you!!
Zanaflex Capsule
TIZANADINE
Brand Name(s): Zanaflex
Generic Available? Yes, but only the tablets. The Zanaflex capsules (2mg, 4mg and 6mg) are not available generically.
Adult Dosage: 2mg to 4mg every 6 to 8 hours (maximum of 3 doses daily). Maximum daily dosage is 24mg.
Side Effects: Weakness, drowsiness, dry mouth, and dizziness.
Discussion: Approved by the FDA in 1996. Tizanadine has a rapid onset of action, within 1-2 hours, and the effect begins to taper off after about 6 hours. Avoid using while taking the antibiotic Cipro or the antidpressant medication fluvoxamine. The capsules can be opened and sprinkled on soft food for easier swallowing if necessary.
For More Information:
vote upvote downsharePrintflag
- Useful (40)
- Funny (4)
- Awesome (8)
- Beautiful (2)
- Interesting (4)
CommentsLoading...
I remember some talk about that back in 1999. At that point I believe Merck still owned the rights to Flexeril. They sold it off to ALZA who was acquired by Johnson and Johnson and it is now distributed by McNeil...
Follow all that??? Its crazy. Once a drug goes off patent it is like a game of hot potato. This also suggests that it is unlikely to hit the OTC market, probably due to safetly issues related to potential overdose, etc.
Thanks for the question!!!
I found this page while googling about trying to figure out if Benadryl was somehow related to muscle relaxation. I took benadryl-d for sinus blockage and when I woke up, the muscle pain I've had in my upper back for a couple of years was gone! This article states that it is structurally similar to Norflex. At least I know I'm not imagining things! Since I can't take a decongestant long term, I've started taking 2 regular benadryls at bedtime. With this, I feel great in the morning, but can feel my muscles starting to tighten up and burn by evening. Is there any problem with doing this long term?
Hi Paula,
Glad to be of some help. Taking Benadryl long-term is fine. Of course, the bigger question is about the cause of the pain and if this pain has been evaluated by a physician. If so, and Benadryl helps, then an adult can safely take the recommended dose every day (assuming you have no other medical conditions for which Benadryl would be contraindicated).
Sincerely,
Jason
Are there any muscle relaxants that DO NOT induce, affect, inhibit
liver function, Cytochrome p450, enzyme CYP2C19, etc., etc.?
If so, what are the names of these muscle relaxant medications?
If not, are there any muscle relaxants that affect the liver the least?
I prefer taking a muscle relaxant that does not affect the liver at all
or at most very minimally.
Thanks!
Hi Art,
Baclofen is metabolized by the liver to a much lesser degree than many of the other muscle relaxants (about 15% of the baclofen dose is metabolized by the liver). The rest is excreted in the urine unchanged.
Best wishes,
Jason
Hi Jason,
Thanks for letting me know about the Baclofen.
I take Soma for muscle spasms. It works fine but I'm concerned that it
might possibly affect my liver, especially long-term. I'm a cautious medication
user. I'm supposed to take it every day but would rather not if I can help it.
In your professional opinion, if one has take a muscle relaxant on a regular basis
for a chronic pain/muscle condition would you say that Baclofen is the "safest" one
of all? There are so many muscle relaxants out there to choose from. I only want
the safest one or none at all.
Art,
Good questions. The "safety" depends somewhat upon your own medical history and condition, which your doctor is in the best position to evaluate. Liver function can be easily monitored, and if concerns arise, medication can be changed. When used appropriately in moderate doses under medical supervision, Soma is very safe. There are studies which raise concerns about dependance with Soma. This is a separate issue. Baclofen is not necessarily safer, just less metabolized by the liver.
Get several opinions from trusted doctors, especially if this is going to be a long term treatment.
Best wishes,
Jason
Hi Jason,
thanks for this article I found it while trying to find out about muscle relaxing meds that may be less hard on the liver. I was diagnosed with N.A.S.H just over a year and a half ago with some fibrosis but it is very little and have ( through a combo of meds, diet and exercise ) been able to get my Liver levels closer to " normal".
Though the exercise is limited due to neck/shoulder/back pain , I have nerve root compression at or near about C-5 anyway my pain is ...well bearable with the meds I'm taking as well as therapy but I had been having a lot of trouble sleeping and it was mostly due to the pain...well my pain dr gave me Zanaflex 4 mg take 3xs daily as needed for extra pain relief and the nurse said it could be taken with or without food, but if I took without food it would increase drowsiness and help me sleep well not knowing exactly how it would effect me personally I took with food the first night about 30 min before bedtime and I sleep the whole night didn't wake up once and I felt incredible, so I thought boy we must be on to something :) well about 4 days later ( and I was only taking w/ food and at bedtime because if I am that sleepy w/ food couldn't imagine w/o, anyway I started feeling nauseated and vomitted and was weak and eventually got to sleep and didn't take the Zanaflex the following couple of nights just in case but a friend became sick in those few days so I assumed it was something going around and resumed taking it as I had been, only a few days later I'd say 4 or 5 I took it and went to bed and had chills/cold sweats and then with the chills I'd cover up but that was way to hot and it was kinda scary I felt really weak and it was difficult not to panic , but after I lay there a bit I was able to get up and go in the other room where my mother was sleeping and woke her telling her what was going on and so then I got settled and slept the rest of the night but I've been quite nervous about taking it again. It works like it should best I've tried, however I don't know if it's an allergy or perhaps the levls are building ,almost like my liver isn't processing it well enough and almost too much med. Anyway not trying to ramble all night, but have you heard of anything like that? Could it build up because of my liver issues? thanks so much for the article and also for your time ( yes I've tried calling my pain dr but he's away on vacation :)
Hi CC,
Sorry about your experience. Sadly I cannot give specific medical advice as to your condition and therapy with Zanaflex. Your symptoms, of course, could be due to many things. The medication can cause the symptoms you describe. And with your condition it is advisable to keep a close eye on liver function. Your doctor may suggest a smaller dose, or an alternative therapy. Let him/her make that decision with you. If your doctor is away, use the on-call service or your general practitioner as a medical resource.
A local pharmacist may also be in a good position to offer some help. For those with no such access, I have at times suggested my own services, which I advertise here:
http://managemymeds.weebly.com/index.html
But hopefully with the help of your doctor and local professionals you will find a treatment that works for you.
Blessings,
Jason
Jason, thank you so much for the advice knowing that the meds CAN cause the symptoms is enough info for now, I'm going to hold off on it until I can talk with my dr. Thanks so much again I realize you can't comment specifically, no problem. I was wondering if the symptoms COULD be caused, I have been all over the internet and you are the first "light" to shine upon the issue. I'm bookmarking that link however in case I or someone I know may need it in the future. Also thanks for such a speedy reply.
Blessings to you
> CC
hi, can anyone tell me if there is a muscle relaxer that works like soma? Ive been on soma for 6 months and it works great, but now my insurance wont pay for soma. I am trying to find one that is equivelant to soma. If anyone can please help me with this question? Thank You, Lynn
Hi Lynn,
Soma is available generically as carisoprodol. Most plans cover this, and if not, it is relatively innexpensive. Is it the brand name you have been taking? If so, try the generic. Otherwise, generic Flexeril is often a good alternative. Soma is somewhat unique. No other muscle relaxer has exactly the same properties. Hope that helps.
-Jason
For two years i have been suffering from right shoulder pains. Can't barely do heavy work or lift my right arm not even at 90 degree angle. My back been hurting. There are times I can't get up from the bed cause it feels like my back is about to give out. Various time xrays were taken and doctors don't find anything. Yet the pain are worse. Therapy made my right shoulder worse. I was prescribed muscle relaxer to take three times a day with meals. Guess what? It didn't help? What do I do now?
Sandy,
I am so very sorry for your pain and the lack of success so far in treating it. As a pharmacist, the best advice I can give you right now is to seek more opinions from different doctors who specialize in that type of pain. I know it seems hopeless. But I have had many, many patients share with me that they "finally found someone who knew what was wrong."
Also, there are always new Muscle relaxants and pain relievers coming out. Find a doctor who is willing to try different ones. Keep a journal and record the results carefully. Also keep a daily pain journal. Finally, on days that the pain is not so bad, find some "visible" way to record this day on your calender. It will encourage you when you have a stretch of bad days.
Sincerely,
Jason
I also found this site through google as I was searching for the best prescription muscle relaxer. I have gone trhough few, mainly including the 10mg flexeril and it didn't help much with neck and back pains as well as headaches.
I would like to know the best of the best muscle relaxer, and then the best choice in my position of associated muscle problems. Thank you very much
Hi Alex,
It is a good question you ask. But a hard one. The simple answer is: the best muscle relaxer is the one that works for you. Unfortunately...that just takes some time to try them. Typically Flexeril, which you tried, is the best to start with. How one person responds does not necessarily indicate how someone else will. So when friends and family say things like "this one works...but that one doesn't" you have to take such advice with a grain of salt.
Hope you find the "best" one soon!!
Sincerely,
Jason
Are the side effects listed with these medications nearly universal or fairly rare? Can any of these medications be taken just in the evening if the side effects are fairly common?
Hi AcheyShoulder,
The side effects listed are the more common ones, but many people will not experience them at all. Some occur 15-20% of the time, which really isn't rare, but still only about 1 in 5 people. And yes, any of them can be taken in the evening to reduce symptoms of drowsiness, etc. However, some need to be dosed more than once daily for maximum effectiveness. Amrix only needs to be dosed once daily.
Best wishes,
Jason
Hi and thanks for being available! I have fibromyalgia. Several years ago we found a routine that helps me continue working (I am a massage therapist) which includes trazadone for sleep, naproxyn for pain relief and flexeril at night for muscle spasms. Unfortunately, lately it seems the flexeril isn't quite doing the trick anymore. Is it possible to build up a tolerance to this medication? Would you advise I talk to my doctor (appointment is next week) about increasing the dose (this is a little frightening to me, as I am afraid it could interfere with my sleep patterns, which are already touchy) or would you advise switching to a different medication? I do intend to speak with the doctor about it, but would like to be informed with another opinion before going in.
Thanks in advance!
Hi Kelli,
I'm glad you have an appointment. I hope they can provide you with some advice for improvement. The dose of Flexeril can't go over 10mg for a single dose, taken up to 3 times daily. One option, although more expensive than generic flexeril, would be Amrix. Amrix, as mentioned above, is the same ingredient in a time release formulation. If you only take Flexeril at night, you may need to talk about adding a mid-day dose if possible. Your body doesn't build up "tolerance" per se, but diseases progress and change, and thus the need to change medications sometimes arises. Zanaflex may be worth trying, but that will be something to discuss with your MD. Best wishes,
Jason
Hi Jason,
I recently had breast augmentation and unfortunately I am one of a small percentage who experiences longer that usual recovery time. I had it done submuscular and my muscles are in a constant spasm over the implant. This actually feels like my ribs are being crushed and I have difficulty breathing. I went to the ER - no blod clots. My doctor just prescribed me Soma and I experienced bad side effects. (dizziness, extreme drowsiness, nausea, and restless leg, which I have worked so hard to combat!) I called and asked if they could prescribe me with something that had less side effects and they have now prescribed me with Flexeril. I haven't tried it yet as I'll pick it up on the way home tonight. The listed side effects above seem to be the same as Soma and that worries me. Is there an OTC medicine that I can try that might be worth a shot? By the way, my surgery was three weeks ago and I am still in a lot of pain and extreme discomfort. Greatly appreciate your thoughts!
Hi Dee,
So sorry about the trouble you are having with pain and muscle spasms after your procedure. Unfortunately there is not an OTC muscle relaxer in the U.S. All muscle relaxers can have similar side effects, but sometimes one will work better for a person than another. I would recommend starting with the lowest possible dose of Flexeril and see how you respond. I assume they are giving you something for pain. Just be aware, as you probably know, it is normal to get very drowsy from muscle relaxers, especially if taken in combination with many pain relievers. I hope the healing speeds up a bit. Best wishes. Let me know how things turn out.
Blessings,
Jason
Hi Jason,
Thanks for your input above, I greatly appreciate it. Turns out that all my pain is being caused from my nerves being stretched. So everything I thought was muscle related was mostly caused from my nerves reacting negatively. Although the muscles still need some healing as well. I figured that out when I wasn't getting any relief from any of the muscle relaxers. Now, eight days later, my pain is subsiding. Still working through the discomfort, but so happy that I can see the light at the end of the tunnel now. A little further away than I'd like, but it's there! So with many deep breaths, again I just wanted to pop back on to thank you for taking the time to respond to my concerns! Blessings.
Dee,
Glad they are getting to the real problem, and that some "light" is approaching, however slowly. Hang in there.
Sincerely,
Jason
Jason,
I am so glad that you have this site. I stumbled across it by accident while researching muscle relaxants. I have been searching for a muscle relaxant for some time without success. I am hoping that you can help.
Before getting directly into muscle relaxants, I wanted to give a bit of background about my condition. I was diagnosed with fibromyalgia about 18 years ago at the age of 22. My main symptom at that time was facial tightness. Please note it is actually facial tightness, not a headache. In other words, it feels as if the muscles in the top of my head are being pulled down and the muscles in the front of my face are being pulled to the back of my head.
Unfortunately, this sense of muscle tightness spread throughout my body. It enveloped my chest and stomach and legs. Needless to say, I have had a number of tests mri, ct, blood etc. and fortunately, nothing came back positive. Unfortunately, I can’t find anything that helps.
Now to the muscle relaxants. About 10 years ago I started taking benadryl for allergy reasons. I noticed that the muscle tightness in my face started to subside a bit. Then, one day, a miracle happened. After taking a 25 mg benadryl prior to bedtime to avoid drowsiness during the day, all my muscles relaxed. The muscle relaxation started at the crown of my head and worked its way down my body to my feet. My muscles felt sore as if I had just had a very hard workout. However, I had no more tightness. Needless to say, I was ecstatic! The following morning, I had the tightness again. However, that night I took the benadryl again and I experienced the same sense of relief. Unfortunately, that was the last time I experienced the relief. I then started to have side effects from benadryl. My blood pressure would drop and I would become very shaky. Plus, I no longer experienced any muscle relaxation. I tried various amounts from 6.25 mg to 12.5 mg to 25 mg to 50 mg.
O.K., now for my question. What is it in the benadryl which caused the muscle relaxation? I have tried a number of muscle relaxants flexeral, zanaflex, and skelaxin none of which caused muscle relaxation. They just made me tired. I noticed that norflex has a similar structure to benadryl. This I have not yet tried. I would like to try it. However, I am so curious, what is the mechanism of action in benadryl that causes muscle relaxation? Why did it seem to work so well on the face? What other medications have the same mechanism of action as benadryl?
As an aside, I was going to take dantrium. However, after reading the side effects for this medicine, I was very concerned. I am extremely sensitive to medicines and I was worried about the possible negative effects on the liver. What are your thoughts and experiences with this medicine?
Please forgive me for this long and detailed e-mail. However, I have been dealing with this condition for a very long time and I have not found any real relief. If you can shed some light and offer some suggestions about how to get my muscles to relax, I would be so appreciative. Thank you in advance for taking the time to read and respond to this e-mail. I very much look forward to your response.
Michael
Hi Michael,
Your question is a good one. I wish there was a clear answer. As with it's cousin, orphenadrine, there has not been a clearly defined mechanism. It may be related to it's analgesic properties, or its anticholinergic properties, but the fact is we just don't know.
I would certainly think that Orphenadrine would be worth a try. Also, I would think it would be worth trying another antihistamine from the same "family" as Benadryl. Benadryl belongs to an antihistamine family known as Ethanolamines. Other antihistamines in this family include "clemastine" (Tavist) and doxylamine (Unisom - a sleep aid). Consider trying one of these. You can find them in your pharmacy.
Best wishes!!
Jason
Jason,
Thanks for the quick answer and the useful information. I will try one or both of the listed meds. Thanks again.
Michael
I have been prescribed "CYCLOBENZAPRINE" but, the pill itself looks nothing like what you have pictured in the article mentioned above? It is a very small round pill that bears a mark of DAN on one side and on the other has the # 5658. Can you let me know what this is?
Thank you,
Steve
Hi Steve,
What you have is a generic form of Flexeril (ie cyclobenzaprine). There are many generics, and each will look different. Yours is correct. You can find a pill image here: http://www.drugs.com/imprints.php?action=search&im
Best wishes,
Jason
I'm currently looking into a problem that has arrised with my neck and shoulder area.I'm finding that for no reason at all my neck and shoulders won't relax and i frequently catch myself crunched up in the neck and shoulder area.If i lie down it settles most of the time.Im also experiencing a clenching of my jaw which happens pretty much all day and even when i'm sleeping.I wake up in the morning and my jaw is killing me.I've stopped drinking coffee and it hasn't made a difference.About 6 years ago i injured my neck doing repetitive work and and was told i had a rhye neck which means instead of there being a natural curve in an x-ray of my neck it was actually straight which stopped me from moving my neck up or down and side to side.I had exstensive physio and chiro work done and have had a chiropractic pillow ever since.I never took muslce relaxants and am very curious as to whether taking pills would fix the problem.Are these muscle relaxants addictive?And would it just mask serious problems.Too many questions and i'm sorry for babbling on for a bit(: I hope you have some advice to help me out and look forward to hearing from you.
Hi Kym,
Not sure if what you are describing is "wry neck" which is also known as torticollis. If so, I would think muscle relaxers may be something you want to talk to your doctor about. They have been used for this condition, as well as other medications (Botox for example). They are not considered "addictive" in the traditional sense, although carisoprodol has an addictive metabolite (see above). If you have been properly diagnosed then the concern is not really about "masking" problems but rather treating symptoms. I have heard good things about upper cervical chiropractic doctors. They may be worth looking into. Best wishes.
Jason
In 2007m I had a double lumbar fusion, I am so much better today, doing quite well. My only problem is sometimes I get tense muscles by doing, well whatever I did. When this happens, My nerve acts up, and I get that pain going down the back of my legs. The doctor who did my surgery lives in another state. I have seen my regular MD, he sain he would put me on a muscle relaxant for a longer term. He gave me samples of zanaflex, but they did not help. The two I have used in the past is baclofen and skelaxin, which worked well. My doctor told me to let him know what i would like him to prescribe. Which muscle relaxant is best for longer periods of time and safest?
What a great question Vicki! The simple answer is...whichever one works best for you! But aside from that, I would lean toward Baclofen because it is approved for long term use, and being a generic...it is likely to be less expensive in the long run. Best wishes!
Great HUB and very informative. I myself have prescribe some of these, but where I work we don't have a very wide variety of to chose from. Thanks I learned something.
Thanks Majidsiko! Wonderful thing that information like this can help others all around the world! Take care!
I have used almost all the muscle relaxants on this site. I have had fibromyalgia for over ten years and it has been so dibilitating that I am disabled. I have built up tolerance to muscle relaxants and pain meds. I have to go back and forth on these meds so that when I can't get any pain or spasm contro anymore I am switched back to a muscle relaxant and pain med I have taken in the past. Iam starting to get tolerance for both Zanaflex and Tramado. I am supposed to be in six mg zanaflex but my pharmacy doesn't carry it. I would rather be on the higher dose. I have a maxium of six a day and this is not working anymore. I take four mg and with the six mg it was also six maxium. I take fifty mg Tramado with eight pills maxium.I would really like to stop the roller coaster of back and forth on pills. Right now my meds are not working well with my spasms. Is there anything other then these meds that can be taken. i don't bevileve I have ever used Datrolene,Methocabamol,or Norflex unless they were generic. Can i mention these to my doctor because she said that I have tried everything but it seems i haven't. I would just like to be pain free. I can't sleep or funtion right now because of my flare. I need help.
Hi Erinn,
I'm very sorry that you are struggling right now with your medications and with spasms. If Zanaflex is not working, I would suggest you inquire with your doctor about those which you have not tried yet. Let them know you have done some research, that you know that they may not work, but you would like to just give them a try. Hint: Doctors are far more receptive when we don't say things like "why have you never even offered me these?" Not that you would do that. Additionally, there are other medications now being used for fibromyalgia. I don't know if you have tried these. Things like Lyrica or Cymbalta or Savella. These are NOT muscle relaxants, but have sometimes been found useful. Best wishes!
Hello,
How are you? I am glad I found your page. I suffered a head on and T-bone collision back in September of 2009 and unfortunately got hit again two months later. I have been in extreme pain since then. I have been to the chiropractor for almost 60 visits. I have taken up to eight Flexeril a day when initially I started off with two and got drowzy. It got to the point where I was taking around 8 Flexeril a day and 3 Tramadol to stay functional. I pop them in my mouth as if they were candy. Then I switched to Soma. I started taking one three times a day as prescribed. However, I am not getting any relief from it either. I take it in combination with Tramadol, and now have to take it in combination with Loratab, which nothing is making me sleepy anymore. I take one and a half Soma, three times a day now. My doctor has put me on isometh for my headaches, but I have to take two of those along with two Soma to be able to sleep through my headache. Additionally, my pain keeps alternating between the migraine and the three herniated disc they found in my low back. Can you help me by telling me if Flextra, Skelaxin, or Zanaflex will help me? I am only 21 years old. I do not want to be in pain any longer. I am worried I am starting to form an adddiction to these muscle relaxers. I wake up every morning with neck to shoulder in pain, rating on a scale of one to ten, always a ten. Same with my low back.Thank you.
mnguyen10,
Hello. Thanks for reading and commenting. You obviously have some serious and chronic pain challenges. I'm very sorry. Unfortunately it is really not possible to predict if any of the medications you mention will definitely help you. That said, it is probably worth talking to your doctor about them and giving them a try. Of course, you may also need to consider other options, talk with other specialists, and consider other medical approaches. I don't know what value, if any, there may be in a surgical approach. I have had friends with back/neck pain get significant relief from visiting an "Upper Cervical" chiropractic doctor. These are specialists within their field and may help you. Talk with others, share stories, and don't give up. Best wishes.
Jason
Have tried Soma before when I hurt my back but it is very strong, can become addictive.
edguider,
Yes, it is very strong and should be used cautiously. Some people do find they become dependant on it, even though it is not technically classified as a controlled substance. Thanks for commenting!!
Hello, thank you for this site. Ihave been looking at sites for awhile now. Foe the past 2 mo. I have been getting very dizzy and th Dr. can not seem to find out what was wrong. I finnaly got a DR. to look at sending me to a cyropracter, I was thinking I might have a pinched nerve. I would only get dizzy if I was up. I finnaly saw the cyo Doc and he comfurmend my muscles and nerves were mad. He moved things around and nw I have muscle spasams and alot of lower back pain. I have always had a problem with my back. So my question is is there a muscle relaxer that will not make you dizzy? My husband had flexeril and it worked great.
Hi Lisa,
Good question. Unfortunately all muscle relaxers MAY cause drowsiness or dizziness. However, individual side-effects will vary from person to person. You may need to work with your doctor to find the best one for you. Best wishes!
I am being treated for a number of neck and lower back issues. I recently started Cymbalta, so I had to stop the Flexeril. Any recommendation of a relaxer to take with Cymbalta?
Hi Carol,
It is not unusual to stop medications like Flexeril when starting Cymbalta. This allows the doctor and yourself to assess how well the medication is working, and also limits some potential side effects. In time, however, it may be possible to start the Flexeril again if needed, with your doctor's authorization of course. There are no specific drug interactions I am aware of between Cymbalta and the muscle relaxers, other than the added drowsiness/dizziness. Best wishes.
Thanks! I just got s SEVERE possibilty about interactions from my pharmacy website, but the only muscle relaxer it stated that for was Flexeril - so I paniced. My doctor changed me over to Zanaflex now.
This was the report:
The following drug-drug interactions are found:
Duloxetine ( Cymbalta | Cymbalta®) and Cyclobenzaprine ( Amrix® | Fexmid™ | Flexeril®)
Severity: High
Do not take both Cyclobenzaprine and Serotonin norepinephrine reuptake inhibitors such as duloxetine (Cymbalta®) without talking with your health care professional. If your health care professional wants you to take both drugs, immediately report any unusual effects such as sweating, nausea, confusion, palpitations, or tremors.
Yes, Flexeril has the potential to increase serotonin levels, as does Cymbalta. Together they could cause something known as serotonin syndrome. This would be rare, but given the possibility, another muscle relaxer should be tried first.
i was in an almost head on t-bone accident in december of 09. I had whip lash from hell. I do not have insurance. The flexeril seems to do th job for me and keeps me for a couple months and then my middle back flares up. Two weeks ago I went to the doc and he gave me, vicodin, ultram, soma dn flexeril. He gave me the flexeril in case I could not afford the soma. I have used up all my flexeril and it made my back feel better for awhile...I finally got the money for the soma and it does NOTHING for me. It's like a horse tranq! No muscle releif. Just watery eyed sleepyness. I have a 2 yr old mind you. Unfortunately the doc gave me a refill on the soma and not the flexeril. I just called the nurse and left a message to this effect. I would like to shelve the Soma and just get a refill on the flexeril...I sure hope they give me one! I have read tons of wonderful things about soma online and how people get addicted. I don't see how anyone could get addicted to such a horrible drug in my opinion! I can function on flexeril with no problem and wake up in the morning bounding out of bed. I took a soma last night and could barely stand up straight this morning!
Hi Liz,
Your situation is not uncommon. Often what works well for one patient does absolutely nothing for someone else. Since Flexeril is non-addictive, many doctors are willing to prescribe it long-term, so I hope you get the refills you need. Take care!
I am about to take Flexeril for muscle spasms - I also have a minor Type 1 AV block - should I be worried since contraindication for Flexeril is heart rythm abnormalities?
Hi David,
Contraindications for cyclobenzaprine (Flexeril) include "arrhythmias, heart block or conduction disturbances" (from the manufacturer). I would check with your cardiologist or MD before using it. Good question. Thanks.
Hi David. Can cyclobenzaprine cause nightmares? My. MD wants me to take a muscle relaxer for facial muscles due to my jaw clenching. I wear a mouth guard but still have issues. I also take paxil for nerve pain. Thanks for your advice.
Hi Wierddreams,
Yes. The prescribing information for cyclobenzaprine does mention that in less than 1% of patients, "abnormal thinking or dreaming" has been reported. That is a small percentage and therefore hard to make a strong case...but it appears possible. Combinations of cyclobenzaprine with paxil also carry a small risk for something called "serotonin syndrom."
Love your comments. I have degenerative disc disease, about 10 yrs now, which causes neck & shoulder pain & stiffness along with lumbar & hip pain. I work out on the ellyptical & do yoga daily which help keep me flexible but don't cure the pain or help me sleep. After many different chiropractors, anesthesiologists, physical therapists a neurologist, & many of the common meds, I tried a new therapy called Prolotherapy. I have had one treatment which involved over 400 shots of dextrose under sedation & follow up with daily use of a formulary Vitamin D3 cream. One treatment did not help so I am now using Lyrica. The prolotherapy doc (who has published several articles about this treatment) said it would take several treatments to desensitize my nerves but I am skeptical about paying out of pocket for more treatments when one did nothing. Do you have any suggestions?
Hi Karen,
I'm sorry to hear about your pain. Sounds like you have explored a number of options. I suspect prolotherapy will be expensive, and it is a matter of debate whether this treatment will provide long term help. Giving the Lyrica some more time might be worth while. Other pain meds could also be tried, and there are new ones coming onto the market all the time. I have also heard good things about "upper cervical" chiropractic therapy, which is different than the usual chiropratic treatments. Mostly, I would want to see at least 2-3 pain/back speciailists and get their suggestions and perspectives. Sometimes a different doctor will notice something or suggest something that another one may have missed. Keep up the exercise and yoga. Hope you find some answers. Sincerely,
Jason
Thank you for your site- hoping you can help.
I have an inured c5,6,7 pinched nerve which
causes a lot of pain deep in my right shoulder,
constant upper back muscle spasms and four
dislocated ribs. The strange thing is that I have
no reason for the injury... It started slowly and
has progressed to the point of seeing an ortho.
I'm on gabapentin 600mg 3x/day, tramadol jcp
50mg 1-2 tabs 4x/day and now Valium 2mg
2 tabs 3x/day after no luck with flexeril for pain
soma helped with pain but made me angry!
Valium helping attitude but barely helping spasms.
Can you recommend something I haven't
tried that will also help with the anxiety of
the constant pain? Thank you!!
Hi Lisa,
I am very sorry for your pain. Unfortunately your problem clearly needs more than a pharmacist to recommend a good muscle relaxer. I assume your ortho has a plan for you, and if so you should stick with it. Try to keep a pain journal and use this to help discuss your pain with your doctor. Gabapentin may take some time to kick in, if not, Lyrica is sometimes an alternative approach. You do not mention any anti-inflammatories, which may be something to talk to your MD about (eg ibuprofen, naproxen, indomethacin). There are other muscle relaxants mentioned in this article that could be tried. A chiropracter may be able to help with the dislocated ribs, but as I said before, you need to follow the plan that is in place. Best wishes.
I have been on muscle relaxers since I was 16, and I am now 28. I original injured my spine when I was 16, but did not have a spinal fusion until 23. I have two types of pain, one from the spinal injury itself, and muscle spams. The former pain is until control through different types of pain medication. However, I have always had bad experiences with muscle relaxers, and have taken everyone that is listed above. Some of my experiences range from blackouts, vomiting, constipation, to severe headaches. However, when I stop the medications the symptons cease within a few hours or a few days.
I have tried marijuana, and it helps with my muscle spasms more than any other medication I have ever taken. I am actually able to sleep instead of being awake all night with a giant knot in my back for hours on need. It does not effect my work (I have a B.S. in Accounting and Finance graduated Magna Cum Laude, and a M.S. in Taxation). I live in New Jersey, and the medical marijuana laws go into effect 1/1/11. However, I am in pain management, and I am not sure if my doctor will allow me to use it for medical purposes.
Are there any other muscle relaxers out there, and if not what should I do?
Hi Help Needed,
There are other medications used for spasms that I have not dealt with here. Valium for example, or Botox injections. These fall outside the "traditional" class, but are none the less valid alternatives worth consideration. I trust your information on marijuana, although I thought that the medical marijauana laws in NJ started this year, 6 months after approval in January. But I could be wrong. You will need to find a doctor who will document your medical use of course, and that may involve asking around. I would think your pain clinic should give you some direction. If not, check with the board of medicine or pharmacy in your state. Best wishes.
i was taken zanaflex for my condition. I am now on bacloflen(if i am stating this correctly) i was diagnosed with fibromalgia and I am in pain every day. Is this a good medication. The zanaflex have me nightmares. thanks
Hi Shelly,
Finding the right muscle relaxer is often a matter of trial and error. There is no "one size fits all" when it comes to medicine. I have had many patients who have been helped by baclofen. For more information on some medications for fibromyalgia, see my article here: http://hubpages.com/hub/PRESCRIPTIONS-FOR-FIBROMYA
Have Facet Arthropathy with degenerative disc,am taking a combination of pain killers with Facet shots, chiropractic care, electro stim, ultra sound. Would muscle relaxants help also? If so which one would work best?
Hi Honey,
As far as I know they have not been routinely using muscle relaxers for Facet. Anti-inflammatories and other pain relievers tend to be the primary medication choices. Your specialist may have more current information though. Best wishes.
One of the problems that my conditions is causing is tighten in my neck and shoulder which causes severe headachec, one of my doctors prescribled Skelaxin, but it is not covered by my insurance, so now I am looking for an alterative that is.
Thanks again,
Honey
I am an RN researching this topic for the wife of one of my patients. I just wanted to post how much i loved this article and the availablility of the pharmacist to answer questions. I learned just as much from the comments as I did from the article. Thank you!
Jessica,
Glad you enjoyed the article, and thank you for the kind words. It is a pleasure to be able to use my training and interests to be of some help to others.
Sincerely,
Jason
Can you take benadryl and baclofen together? I take Baclofen for relief of grinding my teeth at night and have sinus drip going on right now.
Thanks
Hi Susi,
Baclofen and benadryl may be used together, in normal doses, for an otherwise healthy person with no allergy to either. However...the combination will likely result in MORE sedation and drowsiness than you would otherwise expect...so it is critical that you don't do anything afterwards that would require concentration or coordination (driving for example). A non-drowsy antihistamine, like Claritin, may be a better choice.
was going to run something by. Im currently experiencing severe muscle spasms in my middle to upper back causing severe pain the kind when you walk in the door you just have to lay down in the floor and strech for several minutes before the pain ever subsides a little bit. I have also had bad head aches with these as well. I drive all day. about twelve hours a day at a time. I have been to the doctor and he precribed me skelaxin which made me drowsey so i stopped taking it. He then gave me some zanaflex which had the same effect it worked on a little pain relief for about 45 mins then the pain was back two fold. he then gave me something that wouldnt make me as drowsey He gave me robaxin it seems to help some what with the spasms. But the shooting pain is still there. I just want to know if there is an over the counter medicine or somethin that can knock out the pain for the long twelve hour days. Please help so maybe i could make a suggestion. Thanks.
Hi Jared,
Assuming you have no medications or other conditions that would interfere with it, Aleve (naproxen) lasts about 8-12 hours. It is an NSAID (like ibuprofen/Motrin) for inflammation and pain. Should be taken with food. Best wishes!
Can Parafon Forte cause you to hallucinate and have nightmares?
Hi Kimberly,
Hallucinations and nigthtmares are not common with this drug. They are not listed as one of the side effects noted by the manufacturer. However...everyone is different. If it becomes a consistent problem, talk to your MD about switching to something else. Sorry I couldn't be more specific and helpful. It is a good question.
I was curious if a person's weight would affect the recommended dosage for different muscle relaxants. I'm concerned that the usual "starter" dosage may not be effective enough for me. I have been on Soma 350mg for over three years, only taking 1/2 to 1 PRN. My new doctor does not like to prescribe this medication due to the potential addictive properties. I have an appointment to discuss my options with him, but I am satisfied with Soma. I was also curious if there is another medication similar to Soma without the addictive properties. It has taken me almost ten months to use almost one bottle (60 pills); so I'm obviously not addicted. I'm concerned about being prescribed something different and it not being as effective or as long-lasting merely because of my doctor's personal concerns that have nothing to do with me individually. I have suffered from TMJ and muscle spasms in my back for years. I also use the Soma to help with pain and cramps during my monthly period. Any advice you can give would be greatly appreciated.
Thanks!
Hi Haley,
Soma is somewhat unique, so there is really not another medication just like it. If I were you, I would bring in your refill records from the pharmacy (any pharmacy can print these out) to show the doctor how infrequently you use this. I imagine he won't be too concerned about addiction if you only use 1 prescription in 10 months. Clearly you only use it sparingly. So my advice is to have these records with you. Share with your doctor how this medication helps, and how you would prefer to still use it if possible. Of course, if he has some free samples of something else...then there is no harm in trying something. But I hope it goes well.
HOPE YOU CAN HELP. I had a inner ear infection about 2 years ago. I have seen many doctors about have dizzy spills all the time since then. They have put be on different medicine but they all have side affects (dizzyness). Right now I'am on meczline at night before bed and diazepam. Is there a medicine that I can take during the day without the side effect of dizzyness.
Yvonne,
Unfortunately most of the medicines to treat dizziness can cause a sort of drowsy/dizzy side effect themselves. But individual results vary, so it is worth trying a few different products. An over-the-counter prodcut called "Bonine" is sometimes effective. By prescription they make a little patch that goes behind your ear called "Trans-Derm Scop." This last one is usually used for motion sickness on a boat. Both may cause drowsiness/dizziness. You should check with your doctor before trying either. Another option is to just try a lower dose on the meclizine. Best wishes!
Hello,
Out of curiosity, do you know if any of the muscle relaxers listed can be helpful for migraines? I've been dealing with them for about 15 years and nothing really works. I have valium, and percocet that I can take (not together of course, and as infrequently as possible). Neither works very well. Any information would be helpful. Thanks!
Hi Jen,
Although not officially "approved" for the treatment of migraines, some muscle relaxers have been used to help relieve migraine pain. Zanaflex (tizanadine) has been studied for this indication. Results, thus far, have been mixed (meaning it has helped some, but not others). It may be worth talking to your physician about. I have an article here on Hubpages about migraine medications, including some info on the recently approved "Botox" for migraine. Hope that helps. Best wishes!
I have neck and shoulder pain and migraine. Had 20 exrays and 2 mris about 3 weeks ago, I have this pain for over 10 years, am about to give up. Been taking soma for about 8 years, imtrix,alot of hot showers.
Jeanne,
Thank you so much for sharing, and I am very sorry for your pain. Please don't give up. There may be other options if you keep looking.
Very sincerely,
Jason
Thank you for the article, lots of great information. I was recently told that Soma is about to be named as a controlled substance or taken off the market entirely. Could any of this be true?
Thanks!
Hi Cheri,
That has been discussed for many years, though nothing has changed yet. Soma is probably somewhat addictive, due to an active metabolite which I mention in the article above. I haven't heard recent news about this, but one never knows. Making it a controlled substance might be wise. I hope they do not remove it though.
Thanks!
Hello and thanks for this wonderful article :)
I am unable to lie down during the day due to bile reflux caused by the removal of my gallbladder. (We're working on this problem.) I'm kind of a mess and I've just turned 21. In my lumbar spine I have two herniated discs and degenerative disc disease due to many years of athletics. I cannot take Flexeril because all I want to do is lie down and sleep. Impossible because of my stomach, and no good with me trying to go to school. I tried Skelaxin which did not make me sleepy, but it made me very nauseous. Could you recommend another muscle relaxer that wouldn't knock me out?
Thanks :)
Angela,
So glad you found the information useful. I wish there was an obvious muscle relaxer to recommend that wouldn't cause drowsiness. Unfortunately, they all can, and the differences tend to depend on the patient more than anything. A drug that makes me very drowsy may not do so to you. So it is pretty much a "trial and error" approach. Ask your doctor for his/her next recommendation, and then start with the very lowest possible dose...and slowly work up to the recommended dosage. That sometimes helps. Best wishes!
Good info here. Thank you. I had a fusion in my neck last year, which bothers my neck and shoulder sometimes, but that sharp pain down the back of my arm is gone. Good! I started having low back, hip, leg pain last December. Went for all the usual treatments with no luck. Had a discectomy the end of April. Scar tissue built up which now presses on the nerve. Sharp pain is not very frequent, but I have a horrible aching in my lower back, going down my leg and into my foot most the time. It bothers me alot to sit for even short periods of time. I have been taking hydrocodone for most of the year. I take 2- 7.5/325 and it pretty much takes care of my pain. To make a long story a little shorter, I am going back to see my surgeon. I had read on some forums of people with back problems taking muscle relaxers, so that is how I got here, with a search. My question after all that. I know it is not good to be taking Hydrocodone for so long. Is a muscle relaxer better to take if it works? I was wondering if I should ask my surgeon about trying a muscle relaxer to see if it might work.
Hi Donna,
A muscle relaxer may help, but I do not tend to think it will provide the pain relief you get from the hydrocodone. Long-term use of the pain killer is not typically dangerous, in that dose, as long as you limit other risks (alcohol use, other tylenol products). If you could get similar results, then it might be worth the try. Talk to your doctor and see what he/she thinks. Best wishes!
I was recently prescribed baclofen and I am now running a 101 fever. Is this possible?
Hi Dawn,
Fever and/or infection would be a very unlikely side effect from baclofen. We never say never. But more likely it is due to something else. However, as with any fever, treat it appropriately and contact your doctor if it continues, worsens, or you have any other conditions that makes a fever more dangerous. Hope you are feeling better soon.
Hello, I am having so many troubles trying to find medications to help me, and the doctors seem to be at a dead end at the moment. I have had chronic back pain, now with degenerative discs in my c-spine as well as my lumbar spine. (I was an EMT injured on the job) I also have lymes disease, and now they are talking about fibromyalgia. My dilemma is that I am allergic to NSAIDS. I have been on tizanidine, flexeril, parafon forte, robaxin, lyrica, I have done lidocaine injections, lidocaine patches... I can't find a muscle relaxer that helps. I have severe tremors and spasms, I have recorded these and it looks like I am having convulsions. I have had nerve studies done, they say that everything appears to be normal, and then they say that it is impossible for it to show normal when clearly I have symptoms. I currently take Morphine 45mg x4day, Hydrocodone 10mgx2 x4day, and I am still not having any relief... Can you recommend any other medications that I can take to my doctor to see if we can try them? Thanks so much!
EMTinPain
hrtswithddynhvn,
So sorry about your pain. As you know, you have a challenging case with the pain and the allergy too. It would be impossible to know what is most appropriate for you simply by email, but I can recommend that you don't give up, and see as many specialists as you can to get a variety of opinions. Valium (diazepam) is sometimes useful for muscle spasms, though it can cause a lot of drowsiness. Botox is another thought. You didn't mention carisoprodol, which is sometimes helpful. Cymbalta is being used for fibromyalgia now, which may be another option. Please don't give up, and let us know how things are going. Best wishes!
For completeness sake, I would have included meds like diazepam, since that is (arguably) the most powerful muscle relaxant there is; after all, we use it in during epileptic seizures. You mention it is "sometimes" useful for muscle spasms - in fact, it is extremely useful. Yes, it's limited by being a controlled substance, but I would simply add that information here. You mention that it's usefulness is limited by it being sedating, however, many of the other listed here are as well, notably, cyclobenzabrine.
Jennifer,
You are quite right, and I appreciate this. I intend to add a monograph about Valium to the list.
Jason
I forgot to add that I otherwise found this list very useful. Thank-you for compiling it, and for your generosity in sharing it. I have bookmarked it and posted it as a useful link to other physicians at my clinic.
I have thigh pain that makes it hard for me to get out of the car or out of a chair, the muscle'seizes' upwards so to speak and I can't even figure how to pivot from my initial standing up or straighten up, it takes a good minute to get upright and start walking, I take at night 5 mg of Klonopin and I am beginning to think I need a muscle relaxer to help me , because I sit all day at my job and drive alot and this is what effects me the most. I have had an excellent chiroprator help me but I can't afford to keep going. What should I try first? Soma?
I have been taking Bacelofen orally and through a baclofen pump for 7 years . It is not working any more. I have SPMS. I am looking for a new muscle relaxer that will help and that also can go into pump. Is there anything?
Hi..I have been having an isolated case of severe back pain and spasms that have rendered me useless the past few days--including not being able to work. So I went to see my PA today and she prescribed Flexeril and Meloxicam (an anti- inflammatory)after ruling out any hidden causes.. But since I got home and was ready to take them I decided to check if they were ok with the meds I am on--and to my surprise (or horror rather) they both are extremely contraindicated with my meds. One being Selegiline (Eldepryl)--which is an MAOI--I am on 20 mg daily of this-- the other thing i am on is Warfarin for an artificial heart valve I had replaced last March. The anti inflammatory definitley did not go well with this. So i'm kind of surprised and discouraged--surprised that my PA and the Pharmacist would let me take that combo--and just discouraged because there are so many things contraindicated with Selegiline. Are there any muscle relaxants that would be better suited to my particular circumstances? I have been laid up for 3 days now and really need to get back to work! Thanks for any feed back you can give..Sincerely, Jeannie
Is it possible for your muscles to become "addicted" to a relaxant? I was given the generic for Flexeril. I am to take it 2x a day as needed (muscular back pain). I find that when I don't take them I get really painful spasms (charlie horse) in my leg and feet and back and this wasn't a problem before. I don't know if I should stop taking them all together adn see if it all stops or keep taking them to avoid the pain. So frustrating.
Hi Confused,
Flexeril is not "addictive" in the traditional sense of that word. But it seems possible that your leg muscles are responding to the absence of this drug by cramping. Possibly a time-released version would work better, like Amrix. But that is more expensive. Drink extra fluid, particularly things like Gatorade (helps with muscle cramps).
Is any one of these comparable to Soma?
CHLORZOXAZONE+PCM IS GOOD MUSCLE RELAXANT&SAFER THAN OTHERS.
Back in the 80's after returning from overseas with a leg injury, The Dr's gave me Orphenadrine to help with the spasms. Well it didn't help with my legs but pretty much erased the spasms in my chest.I'm sure you know how The vetrans hospital changes Dr's around as well as the meds,Well they took me off the orphenadrine and put me on Flexoral,which does nothing for me. Now when I say chest spasm they rush me to Cardiology. My heart is fine, Is there a possible reason that they shy away from Orphenadrine?
Hi Adam,
My guess...and it is only a guess..is that many doctors are just not familiar with it today. It is an older drug. Flexeril is more familiar. You could give this link to your MD for prescribing info: http://www.globalphar.com/products/orphenadrine_ci
I would like to know the difference between METHOCARBAMOL 750MG(ROBAXIN),CYCLOBENZAPRINE 10MG(FLEXERIL) AND AMRIX 15MG.I HAVE A HEAD INJURY.CONTUSTION TO THE FACE,NECK,HEAD.
Hi Jemeca,
The article describes each of the products you name. Flexeril and Amrix are the same ingredient, but Amrix is time-released. Methocarbamal is an older muscle relaxer and must be taken more frequently.
Thanks,
Jason
I have RA, and Ankalosing Spondalitis since i was 10, im now 23. I do not have insurance anymore because tricare cuts off at 21. and i am currently in school for phlebotomy so untill i graduate i have no insurance.. i have had neck pain for a few weeks now and its getting to the point to where i cant even move my head to the right.. i was wondering what muscle relaxer is best for that but at the same time really cheap since i do not have insurance and cant find a job untill i graduate in mid june.. any suggestions?
Hi Derek,
Well, the good news is that most of them are available generically and are pretty cheap. The bad news is that they tend to cause drowsiness and that may interfere with your school, driving and studying. But I would talk to your doctor about Flexeril first. Best wishes!
Hi! Thanx for this wonderful site! ok i know you are not an MD. but any info would be appreciated. back in 2001 I was going to raves and did extasy. it left me with acne and scars and for some reason my face muscles are always tight(specially after doing x) and i notice that when i am stressed or when i take certain meds(or weed) seems like my cheeks seem to tighten up and makes me look like if i did x, eventhough i havent since 2003. now when i tried taking anti depressants(zoloft, etc) i noticed and other people noticed that my scars and face would clear up. but when i stoped taking antidepresants, my scars seem to come back. i stoped because they make me anxious and feel toxic inside so i could never go past the 4 weeks all the numerous times i tried different ssri's. i also noticed that when taking benzos like chlordiazepoxide people also tell me how my scars clear up????!!!! i dont like taking those meds cus they start to mess with my emotions and then have to deal with withdrawls. my question: i was wondering why the zoloft and benzos help with my scars, seems to be from stress?? so i was considering that mayb its because when im stressed my facial muscles tighten and cause the scars from stress. i dont want to take antidpressnt or benzos. but was wondering if mayb muscle relaxants might help instead. or if there is other meds that i should consider. or mayb some of the chemicals in the benzos/SSRIs are responsible for clearing up my scars please help, thanx for any info you provide
yea my problem is when ever i want to run or jog or even walk fast my hip and my feet start to hurt.i do not know why but u think u can tell me what kind of medicine i can take so when i jog,run,or speed walk that does not happen. any help will so.thank you
Hi Frank,
I think you may be on to something with the anti-depressants and stress/scars issue. What about trying a very low dose anti-depressant? Like Zoloft 25mg, maybe even just 1/2 tablet daily. Check with your doctor. I am not sure that the muscle relaxers would help with that issue. I could find no literature to support it. Best wishes!
Hi Danny,
Well, step 1 is always to get a good diagnosis. This will mean starting with your primary care doctor. Many things can cause what you describe. So, I suggest you start there, and then discuss appropriate medications and/or treatment. Best wishes!
First, Thank you so much for taking the time to create this site, and for donating so much of your time researching and replying to our questions!!
I have a problem that MANY people are beginning to experience and so far ( that I have found) no one has done research relating to my problem.
I had Gastric Bypass Surgery and am no longer able to take any NSAISs due to bleeding ulcers which are very common to bypass pts. I have extensive chronic back injuries due to nursing, car accidents, and synovial cysts attached to my lumbar spine. I have a pain management DR., a Surgeon, a Neurologist, and an Orthopedist. With the gastric bypass patients medications do not absorb the way they do in "normal patients". I have a fentanyl patch which works well, but due to the malabsorbtion any oral meds go through my system many times before they give any relief. As a result I have to take meds much more often than ordinary people. I have asked every MD I see if anyone is doing studies on gastric bypass patients, I have asked MDs if they would like to create a study for people in my situation. I have volunteered to be pt "x" and hospitalized so they can monitor me, give me meds and run tox screens to see what my drug levels are, as well as my ability to function normally on the meds. I am no longer able to work because of the pain, ( I did take NSAIDS when the pain was so severe I could not stand it, and it relieved the pain, but I was rewarded with 2 units of blood, and an EGD for that little stunt). Do ou know
(Continued) Do you know of any studies, or would you be interested in conducting a study on patients with gastric bypass or other malabsorption issues?
I have (through trial and error) found that if I take smaller doses more frequently it helps a bit more, but I know that long term use of any narcotic or muscle relaxer leads to the need for higher doses.
(Sorry for the Novella, when I started I thought it would be much shorter)
Hi...Can Soma 350mg be taken in the AM and Zanaflex 4mg be taken in the PM? Is it safe? My common sense is telling me they can not be taken both at the same time but perhaps one in the am and one in the pm.
Thanks
Hi Cindy,
Your common sense is right on. Don't take them together. As far as taking 1 in the am and 1 in the pm, that would be fine, although typically you would be using just 1 or the other. But if that is how they are being prescribed, then it is fine.
Best wishes!
I had a motorcycle wreck and now I don't have full use of my right arm. The muscle in my neck and part of my pectoral muscle are always tight. what would be a good muscle relaxer for me?
Hi Kevin,
The first step is a physical exam by an MD. After that, if appropriate, many doctors will start with Flexeril. But that depends a lot on any other meds you might be taking, other conditions, etc. Definitely chat with your doctor about it. Best wishes.
Hi there! I'm a migraine sufferer who has probably tried everything. My Dr.has recently put me on Carisoprodol 350mg tablets 2x a day.It's very strong, so I can only take 1 tablet before bed. It's been about three weeks and I think it's actually helping with the frequency and severity of the migraines. After reading your page, I'm concerned with becoming dependent. Is this a typical med for migraine prevention? Thank you!
Hi Karin,
Carisoprodol may help with headaches, but it is not a typical "prevention" drug. Migraines are a chronic condition, and you may need to be on some sort of preventive medicine for life, so I wouldn't worry too much about the dependence. Just stick with the dosing your MD recommends. Best wishes!
I just started taking carisopodol for muscle spasms on 8/24/11, i noticed while tring to go to sleep that i was very restless, I flopped around in bed for the better part of an hour and a half,I was not able to find that "comfort zone,"I just felt extremely strange, my legs were constantly moving, and achy.i took it again tonight about 30 minutes before i went to bed, same results. I saw that it can cause drowsyness, but as for me it has had adverse affect, better call the Dr in the morning
Marty,
Yes, it sounds like this medication is not agreeing with you. Thankfully there are alternatives, and I hope you find one that works for you. Best wishes!
I have been taking Robaxin or the generic for about a year for chronic back pain (Slipped disc). I just lost my insurance and found a pharmacy in Canada where I can get the medication in a 3 month supply at the cost I pay for a 1 month supply here. I have a 1 month supply prescription here. However Canada does not require a prescription for Robaxin. Is it legal for me to buy it? I do not want to do anything ilegal, I would just like to save some money. Thanks
Hi Rose,
I am not aware of any case where a person was charged with illegal activity for purchasing prescription medications for themselves from Canada. There may be safety concerns, but that is another issue. Best wishes!
I have a question regarding the side effects of Soma.
I have acetabular dysplasia in both hips and for a few years did not have ins. This resulted in labral tears, cysts and now arthritis. I will have to have surgery... but for now, after years of my walking being affected, it has affected my back etc. Anyways, to the point. My dr. has prescribed me flexeril which I hate because it makes my mouth horribly dry and so then was prescribed Soma. The soma makes me very tired and lucid feeling. I am only 34 yrs old. I work 80 hrs a week. Can you suggest a muscle relaxer that will not make me feel like I'm being inhibited? I want to remain active and working, just in less pain.
Thank you,
Shannon
Hi Sharon,
I'm so sorry for your pain and the frustration with the meds. All muscle relaxers can cause some degree of sedation and drowsiness. Some more than others. And every patient responds differently. Some people do better with Skelaxin. Also, if dry mouth was the complaint with Flexeril, then maybe you could just try to treat the dry mouth with things like lozenges, hard candy or saliva substitues. I hope you find something that helps. Best wishes!
Thanks for the fast response. I will talk to my Dr. about maybe trying the Skelaxin. I just know that the Soma seems way too strong!
Thanks again,
Shannon
I havwe taken soma and vicodin for 11 years, not the health matter has been successfully operated on, it's hard and painfull to quit soma too fast, I had hopes that within a weak it would work, I Am now curled up in a ball, swaeting, sick from both sides and still have stiches in abdomine from surgery. Flex, skel and a few others burned my belly, but looking back, thta would have been better then a holidat weekend and cold turkey! Not fun today and getting a bit scarey. Soma doesn't seem to be strong, but is regarding dependecy! Wish you the bestShannon.
At one time I had severe pain in my leg.
Every time I streched, it felt like my leg
was on fire. I wrapped my leg in an Ace bandage,
and started streching exercises. After a while
the pain stopped, and it never came back.
I learned the importance of staying limber,proper
nutrition is also important. I hope this helps.
Robert,
Thanks for sharing! Good advice for sure.
Jason
I heard of neck pain new jersey from a friend of mine who was going through the same thing as me. Everything is more difficult when you constantly have pain on your mind. Clear your mind and give them a visit, it’ll change your life.
Hello,I came across this site and would like to ask if you had any suggestions on what muscle relaxer would fit me best. I have Fibromylgia/Chronic Pain and I take the following meds as follows:Gabapentin=300mg one cap every 4 hrs...Oxycodone=1-2 TABS BY MOUTH every 4-6 hrs as needed not to exceed 8,Metoprolol Tart(high bp)100mg, 1 tab by mouth twice daily,Savella(Fibro) 50mg x 2 daily,Temazepam(sleep)30mg 1 at bedtime,Levothyroxin 175mcg 1 daily,Folic Acid 2mg daily,Omeprazole 20mg 1 daily. Could you tell me what could/may be a good muscle relaxer that fits me? I have tryed Fexeral 2 different time's and couldn't take it because of dizziness and felt like it made me short of breath, along with feeling sick to the tummy.And tryed Skelaxin and only tryed for a short time due to feeling sick tot he tummy. I dont know if I gave it enough time,since it was only for about 3-4days. Please if you could recommed any, I would be so greatful. I will then run it by my doctor and see also.I hate taking all the meds,but if I don't I will regret it exspecially the Pain med oxycodone I HATE TAKING IT!!! Thank You so much!!
JM Stulir,
You may want to talk to your doctor about Dantrolene. It is an older drug, with a different mechanism. I'm afraid any of these may cause dizziness or upset stomach. Tell your md you want to start with the lowest possible dose.
Best wishes!
i have none stop chest tightness that wraps all the way around to the left side of my back for two years all after a picc line inserted please help tried flexral didn't help
HI Jason
I believe there was a muscle relaxer taken off the market about 5 years ago, and wondered if that was celebrex or another? It worked great for me. I was given celebrex recently to aid in some discomfort under my right rib cage for pain.It seems to help, though I do get dizzy. I would love to know the other product that was taken off the market, and if is back on the market.
Many thanks
RR
Hi dede,
Best advice I can give you is to seek additional evaluations by other doctors. Start with your general practioner, and get some advice on others to see.
If they think a muscle relaxer is appropriate, then maybe talk to the doctor about baclofen or Skelaxin.
Best wishes,
Jason
RR,
You may be referring to Vioxx, which was withdrawn in 2004. Neither Vioxx nor Celebrex are technically muscle relaxers. Other than that, I cannot recall. Hope that helps. Vioxx, by the way, is still no longer available.
Just an FYI...a doctor that I worked for knew of studies regarding patients with elevated histamine responses. Those patients were found to have higher pain levels and found that antihistamines with other medications helped them greatly.
I found this page researching different types of muscle relaxants to try and get my Dr. to try something new. My Dr. diagnosed me with spinal stenosis and told me that I have 7 bulging discs from my lower disc up. I currently am being perscribed Endocet 10/325mg 4-6 hours and 750mg Robaxin (methocarbamol) four times daily. My pain at times is still near unbearable. I don't always take the Robaxin as prescribed due to both meds taken at the same time causing me to not function properly. I realize that it is supposed to be taken more often than I take it (once or twice daily depending on my pain level) and know that is likely the reason why I'm still hurting. I was wondering with my situation and chronic and high pain level what would be one of the best muscle relaxants to take along with the Endocet to relieve my pain better and possibly still function well?
Hi Jerry232,
I'm afraid all muscle relaxers will cause some drowsiness, but patients react differently to each one. So you may want to ask the doctor about an alternative. If you aren't on anything that would interact, Flexeril (generic) is a good choice for many.
Best wishes
Never take a fluoroquinolone antibiotic or you will be on ALL OF THESE for THE REST OF YOUR MORTAL LIFE. peace!
I am 2 years out from back surgery and most days are good. I take 1 tramadol and a meloxicam in the morning. Some nights when my back is very tight I will take a Flexeril (generic). But the interaction checker says there is a high interaction. Is interaction less likely when taken hours apart? Thank you.
Hi DJ,
Yes, there are some serious risks taking Flexeril and Tramadol. Spreading them out doesn't help much because Flexeril stays in your system too long. Half life is about 20 hours (meaning: after 20 hours, only half is out of your system). Personally I would switch to a different muscle relaxer. Talk with your MD. Best wishes.
I have a question about neorelax. If I'm not mistaken it is a muscle relaxant. My friend started taking it after he had a huge accident and he suffered from back pain and a small fracture. His doctor advised it to him.
Hs took the medication for almost 3 months but has stopped now. It has been a year and his pain hasn't subsided completely. Also, he feels that his digestive system has gone down the hill. I was just wondering if this has anything to do with drug or are there other underlying causes to it. Could you also tell me any other obvious effects it might cause. How long do they last for generally and what is the cure (if any).
Thank you so much.
Hi,
Re: Neorelax, that is a version of cyclobenzaprine (Flexeril) but not marketed in the U.S. The information supplied above for Flexeril would be the same for Neorelax. He should see a specialist about his digestive system, though it is not likely from the Neorelax. This drug stays in the system for several days, that is all. Best wishes.
Just wanted to put this out there. If you have to take a muscle relaxer, try to stick with most of the others, and not the SOMA. Although it works wonderful for most, it is a very addicting drug, and yes, it does cause migraine or severe headaches when you stop taking it, but you can get past the headaches eventually. Just saying... I wanted to let folks know about this peticular drug. Even tho it works great at the moment does not mean it is good for long term.
My doctor just changed my meds for my back spasms to metaxalone from flexaril. Is one better then the other?
Hi tina,
They are similar, though metaxalone may be a bit more sedating to some people. There are some drug interactions with Flexeril that might make metaxalone a better choice. Let us know how it works out for you.
Hello, I was wondering if you would know the next step in my spasm relief. I've been on flexeril, then methocarbamol, and now on tizanidine. My problem is that I was on the first two for roughly five years each and I've been on the tizanidine for 18 months now and I'm already starting to have major spasms again. Please help me figure out the next progression that I could ask my Dr to check into.
Hi Daniel,
Seems like you have several options here. You could go back and try Fexeril again. You could try yet another muscle relaxant like Skelaxin. Or you could talk to a specialist about other options that may be available beyond medicine.
I started taking cyclobenzaprine (1,10mg) pill before bed for semi severe bruxism. (which I still don't think is the problem) I've had a constant headache for 7 straight months. Wake up with one and it usually goes away throughout the day, but comes back in the evening. This pill, for the most part, helps with the headaches. But it gave me GERD like symptoms. Also, it felt like chest pressure, at times. Sometimes it felt like I had something stuck in my throat. I stopped taking the pill and it went away. Went back to my neurologist, and he said take it after dinner, that should do the trick. (I was taking it on an empty stomach before bed) So now I'm two days in with this pill again, and I think I'm getting that chest pressure all over again. I looked up the side effects to this but very rarely does this happen! Usually, people get sleepy and dry mouth....which I do get. I can deal with those, but the GERD/chest pressure sucks! Have u heard of these side effects with this? Do you think I should try flexeril instead? Or what other muscle relaxers are good for bruxism? My neuro also suggested skelaxin, but that's way too expensive. ($200) Unbelievable... I take a pill to get rid of one thing at it brings another! Sigh... Thanks in advance for any advice given. God bless....
Gatorr4life,
The GERD/chest pain are related. The cyclobenzaprine is causing irritation to the stomach lining. The meal idea was a good suggestion, but what you really need is the time-released version of cyclobenzaprine called Amrix. It comes in generic too. This should help. Best wishes.
I take ciprofloxacin 500 mg 2 times a day ...can i take 1 cyclobenzaprine 10 mg before bed?
Thanks for the advice! I decided (before reading ur post) that I'm going to go with the generic skelaxin. I found out it's not $200, that's 2 months worth. It's actually $110. I also found out my insurance will help pay for this (I was under the impression they wouldn't) Yes, it's still pretty expensive, but I'm going to try it anyway. Having a headache every single day is TERRIBLE! I'm going to keep in mind what you suggested though. In case the generic skelaxin doesn't work. Again, thanks so much for the advice! Very much appreciated.
melissa,
Yes, thats okay.
Hi, I suffer from upper severe back muscle spasms, cant sleep at night or can't lay flat and sometimes it affects sitting and standing i have been using cyclobenzaprine and all it does is make me sleep and drowsy afterward.i also had a recent lower back injury to lower right quadrant of back and now having spasms there to, what can i do about this pain?
Hi justgail,
You really need to set up an appointment with your doctor for the sole purpose of discussing treatment options. Ask about your options. Begin to visit online discussion boards and make a list of the different things people have tried. What you are doing right now is a part of that process. You could try switching to a different muscle relaxer, like Soma or Zanaflex or methocarbamol. Sometimes that helps. Have you considered physical therapy? Just some thoughts...
quick question: can i take plaquenil, cymbalta and benadryl together?
Hi need sleep,
Those are fine together. May cause some extra drowsiness.
Hi Jason,
Trying to find the correct muscle relaxant to ease my symptoms. I have read with interest your comments on Soma but unfortunately it was withdrawn in 2007 in Europe, I live in the UK. Diazepam does help but daytime drowsiness is a problem and doctors over here don't like prescribing it. I have Fibromyalgia, Arthritis in the Cervical spine & DDD Lumbar spine, also low testosterone and Osteopenia. For the past couple of weeks I have tried a supplement called Somadrol, which has helped with the tension in the muscles and does help with sleep with no drowsiness the next day. I am trying to learn more about the ingredients of this supplement but although I have emailed the company, EST nutrition, they do not respond. The only downside at present is it upsets my IBS, mainly constipation. I am concerned if I take this supplement long term that the risks will outweigh the benefits. Can you comment on the list of ingredients below.
Regards
John
Vitamin B3 (as Niacinamide) 20.5mg
Vitamin B6 (as Pyridoxine HCL) 27.5mg
Zinc (as Zinc Orotate) 50mg
Somadrol Exclusive Blend: 1842mg
4-amino-3-phenylbutyric acid (Phenibut)
L-Glycine
L-Leucine
Longan Fruit Extract (Dragon Eye)
Mucuna Pruriens Herb Extract 60%
L-Aspartic Acid
L-Glutamine
L-Lysine
L-Ornithine HCl
Colostrum
L-Tryptophan
Passion Flower Extract (3.4% Vitexin)
Pituitary Powder
L-Carnosine
Pterostilbene
Valerian Root Extract (0.8%)
5-HTP (Griffonia Seed Extract)
Ingredients:
Stearic Acid, Di Calcium Phosphate, Microcrystalline Cellulose, Croscarmellose Sodium, Magnesium Stearate, Silicon Dioxide, Hydroxypropyl Methycellulose, Polyethylene Glycol, Titanium Dioxide, Talc, Peppermint Flavor.
Contains: Milk Ingredients
Hi John,
I'm afraid I can't comment on the whole list. Basically it is a mix of B vitamins, amino acids and a few herbal products. Valerian has been called "nature's valium." But that is a bit of a stretch I think.
does chlorzoxazone 500mg work like a 350mg soma
Liz,
At appropriate dosages they would have similar effectiveness.
Really enjoyed reading another one of your very interesting hubs. Gee when I think about everytime my daughter goes to the ER and they give her pills like these "just because", I am smh. She is a CNA in a nursing home and always having injuries. And everytime she always has a reaction to the meds.
Do you find baclofen, in general, to be a "strong" muscle relaxer. I take Soma, and yes it's by far the most effective one with least side effects but tolerance builds so quickly even being on it for a month. Flexeril has so many side effects I could write a novel on them, and is just too sedating for the day. Skelaxin and robaxin cause stomach upset and I already have a sensitive stomach. Valium in the long run is just not worth the future withdrawal. Zanaflex is too sedating for day use. Orphenadrine is not strong enough and too many side effects. So basically my last option is baclofen, or deal with the zanaflex until I hopefully get used to the sedation if that doesn't work. I hear really great things about baclofen's effectiveness and how it does not lose effectiveness for a long time, and how it does not cause stomach upset usually. My main concern is does it generally cause constipation? Also, how bad is withdrawal do you feel? One of the reasons I want to stop Soma now is because I don't want to go through any withdrawal symptoms.
Hi,
Found this page while doing Google research about muscle relaxers.
I am being treated for Fibromyalgia (diagnosed by a specialist at Women's College Hospital in Toronto Ontario Canada), Degenerative Disk Disease, Arthritis in my spine, and an L5/S1 disk issue that is constantly putting severe pressure on nerves in my lower back and causing no end of varying levels of pain but no less than a 6 on the 1-10 scale and most days it is 7 or higher. My doctor and I have been through many cocktails trying to find something to help with the Fibro and so far only Cymbalta has helped but the side effects were so awful I had to discontinue use and of course it did nothing for my back. I have been supplementing my Fibro meds all along with Robax Platinum for my back. It helps but it is expensive and I have discovered that I can get something called Methoxisal-C 1/2 on my drug plan for just my $7 co-pay. That being said my question is: Is there another muscle relaxant that would be basically the next step up from Methocarbamol that won't have sedation properties that will knock me out so bad that I can't function and also is there any synergy between the Methocarbamol and the Codeine in that med that boosts the efficacy of either one?
Thanks tons for any help you can offer.
@natethegreat,
Baclofen is slightly different in a way that I didn't really get into in this article. It also typically has the highest percent of sedation/drowsiness. Flexeril has the lowest, but obviously not for everyone. You may need to just go with a bedtime dose.
@themacguy, Flexeril would be a pretty typical choice, unless you have other contraindications.
I was diagnosed with Rotoscoliosis while in the military, and they have prescribed every muscle relaxer under the sun to manage the pain. Needless to say nothing really works, at best they just knock me out and I am sleep so I don't feel it. A friend of mine told me that I might think about Tramadol, does this have any chance of helping with the pain without rendering me unconsious?
Thanks for any help you can give.
Lindy,
Sorry for your pain. I have written an article on Tramadol here: http://pharmacist.hubpages.com/_23senc5gosc4o/hub/
Tramadol can cause drowsiness, and some people don't tolerate it well. There are also some drug interactions. It is certainly worth talking to the doctor about. It must not be mixed with Flexeril. NSAIDs may also be an option.
i came across this columm, after have googling muscle relaxants to see what other muscle relaxers are out there besides the 3 ive had tried over the past few years. in the past ive tried, soma, and flexeril. soma did nothing, flexeril seemd to help, but give me diarrhea. now im prescribed methocarbamol, 750mg. a brief low-down of me, im a fairly healthy 32-yr old male. i am and have been experiencing muscle tighness between both of my shoulder blades, seemingly on a big muscle, possibly the rhomboids on both sides of shoulders, inner shoulder blade region....ive tried rolling tennis ball against wall, or even 2 tennis balls in a sock and rolling, but they slip out when attempting to roll and apply the right amt of pressure needed to try to relieve this tightness that causes unbearalbe pain. i just got back from a massage therapy appt and having had her tell me that my muscles in this region are worst shes felt during all of years of massage and suggesting that there might be an underlying problem has me concerned. my primary care doc, says she doesnt know where to send me as she has tried to send me to an ortho dr, and they said they dont treat muscko-skeletal disorders and referred me back to my primary dr who is now not sure what do. One common denominator, whether im rolling a tennis ball in this region or having my therapist massage me, is a "popping" noise and feeling that consists of several pops while massaging this area...seems like it pops as she is massaging the strands or when i roll ball over it, is this normal?? and any advice on what kind of doc i should seek, or what testing that can be done, mri?? would be extremely appreciated...thank you, sleepless in pittsburgh.
matt88pgh,
So sorry for your pain. You are doing the right thing to ask about seeing another professional. Your best approach is to reach out locally to all of your connections and ask for recommendations. Back pain is pretty common, and it is likely you have in your circle of friends some people who have found someone they like. Use Facebook to reach out to local connections. Or Linkedin. Other "local" focussed sites are also out there. Best wishes!
Hi, ok I've been in pain for the last 9 yrs, had neck fusion c5-6 5yrs ago, left shoulder rotator cuff repair 2x 5 yrs ago, lower back fusion 1yr ago, accident last year, sjogrens and rheumatoid arth, been on tyl #4 for 8 yrs 1 ev 4 hrs, soma for 4yrs 3x day, morphine 1 yr 2 a day, amatriptaline 2 yrs at bedtime.
My pain is at most times unbearable to say the least.
My dr has now added cymbalta, afraid to take it for the interaction with codein and soma.
What's your opinion. On taking all those meds and cymbalta, also with all my alements and extreme pain what regiment would you say would work. Tns for all of your info
Cymbalta may be worth a try. Drowsiness may be more pronounced due to your other medications. Otherwise it is safe. Do not use tramadol or Flexeril while taking Cymbalta (those are sometimes prescribed for patients with pain - that is why I mention it). Sorry for your struggles. Keep looking for help, talk to others with similar pain and don't give up hope. Blessings!
Thanks for the advice, I took cymbalta Yesterday for the first time and I couldn't eat all day definately no feeling for food. Then I tried to eat a sandwich for dinner and emediately got nauseated and sick.??? Insight tnx
alwaysinpain,
sorry about your reaction to cymbalta. Sometimes that improves after a few days if you can hang in there.
Glad to have found this site.. I have been taking 350 mg. of Soma every 6 hrs. since 3/2011 for muscle spasms and pain along with hydrocodone 10/325.. A week ago I went to the ER due to waking in the early morning with pain and preasure in upper stomach area, up under my ribs that went into chest and right arm.. long story short the ER doc there said that I had prolonged QT intervals and that I may also have a hiatal hernia. He told me I should stop the Soma because it is known to cause or aggravate prolonged QT intervals and this is a life threatening condition.. He said it is possible that the Soma caused this. I also have Mitral valve prolapse and combined with the Prolonged QT intervals makes it worse. He told me to call my Spine doc, I did and am waiting to hear back from him. He also said that I should speak to a pharmacist about the Soma.. My question is that can Soma do this and if I can not take the Soma anylonger then is there another medication I can take that can help me as good as soma did without affecting my heart??? For me, the Soma was a life saver, it helped me get through each day, without taking the Soma I have alot of pain and spasms. taking the hydrocodone alone does not help. I suffer with 6 herniated disk in my neck that are touching the root nerves and a herniated disk in L-5 S-1, along with serve arthritis in spine and most of my joints.. it is horrible to feel this way.. thanks
Eib,
Definitely avoid Zanaflex. Consider talking with your MD about Skelaxin. I am not aware of any QT issues with Skelaxin.
I had bypass surgery and after two months I tried golfing and I think I pulled a muscle in my chest, it feels like when I take a deep breath it hurts and feels like my lung is touching my upper rib cage, I talked to a golf pro and he told me is was a muscle pull, what muscle relaxants do you think will help me? thank you, Ron.
Ron,
First you really need to get an evaluation by a physician who can consider all possible causes, particularly with your recent surgery. IF there are no other obvious issues, and IF it is okay with your other medications (ask your own doctor or pharmacist), then the first approach will probably be to use an NSAID like ibuprofen or naproxen, rather than a muscle relaxer. Best wishes!
I have an addiction to Soma, Percocet, Ambien and Xanax. I also have residual pain from chest, neck and shoulder surgeries. I need a muscle relaxer to help alleviate the problems I'm experiencing. Any recommendations considering my addiction?
Hi Liz,
I'm not sure if you mean you are currently taking the meds you mention. Are you trying to get off of them? Shoot me an email if you want,give me a few more details. Best wishes!
My husband is 58, has Advanced Parkinsons Disease and Lewy Body Dementia. He has been put on Baclofen for spasms and Morphine for pain. When he spits out his baclofen, should he get more morphine for the pain because his spasms return temporarily. I just want to keep him as pain free and comfortable as possible until the end which is near now. Thank you!
Hi Barbara,
My heart goes out to you in your situation. I know how hard this is. You raise a good question. This is one you will really have to discuss with his doctor and/or your hospice coordinator. They may agree to your approach, but they will need to be sure the morphine prescription is written in such a way as to allow for these extra doses. Best wishes.
I am 86 yrs old and I wake up early morning 4 am with Leg Cramps. Would Flexeril or Benadryl help?
Josy,
Leg cramps can be painful and troublesome. If this is something new, you should get a doctor to evaluate it also. Flexeril would be very sedating, and is not typically used for cramps. Benadryl would help with sleep, but probably not cramps. Check out my article specifically on Leg Cramps here: http://pharmacist.hubpages.com/hub/TREATING-LEG-CR
Hope that helps you sir.
what type of doctor should I see about muscle relaxers, I'm tired of taking pain killers
Chris,
Always best to start with your General Practioner. Let them recommend the specialist if needed. Best wishes!
k because I had a tumor removed from my spinal cord and had a drop foot because of it so I was in a wheel chair for a year and had to relearn how to walk so I have severe nerve damage to my left leg and back and am in horrible pain all day everyday for the past 5 years and the 30mg oxycodone is causing me more problems than helping, do u think soma or flexiril is a better solution?
Chris,
So sorry about this. Flexeril is often a good choice, as long as no other drug interactions are a concern. Definitely discuss the muscle relaxer options with your doctor. Best wishes.
***NOTICE TO ALL MY READERS***
Your comments and questions have helped make this article a valuable resource to MANY patients! Thank you.
Would you be willing to post a link to this article, even for just 1 hour, on your Facebook page (there is a "like" link at the tope that will do this automatically) or in a discussion forum that you visit?
Doing so would greatly increase the number of pain patients I can reach and try to help.
Very sincerely,
Jason
Hi Jason. I have a question. I'm a chronic pain sufferer. I've had Migraines all my life and for the past 7 years or so, I’ve begun having neck and lower back problems and most recently fibromyalgia. So, to start , I should probably give you a bit more history. I've tried all the so-called migraine medicines out there. I gave myself the Imitrex shots for years. The problem with those was if I didn't catch the headache fast enough, I would get a super intense migraine. So I asked my dr. for something I could take for when my migraine med didn't work (which was about 50-60% of the time). He prescribed me Darvocet & eventually ended up sending me to a place called Head Pain and Neurological Institute in Ann Arbor, MI where I learned a great deal about migraines. I ended up taking taking Migraine Excedrine as my first line of attack, and Darvocet for 2nd and Topomax daily as a preventative. That plan worked well for me for years. Then came the back problems. I've been going to a different dr for spine pain management, and he had me use Darvocet for break thru back pain as well since I was already on that for migraines. THEN, the FDA pulled Darvocet and here comes my question: Can you recommend a replacement for me for Darvocet? I've been working with my NP and haven’t found a good one yet. I am taking Ultram & Lyrica daily for the back pain & Vicodin for breakthrough back pain. That’s all fine. But Vicodin doesn't completely replace Darvocet for me. I can't take it past 6pm or it will keep me up half the night & it doesn't work very well on a migraine. The other medicines I've tried that I haven't liked: Vicodin - keeps me awake, Oxymorphone - I felt that this put me in la-la land+headache-y, Percocet - keeps me awake, also headache-y although worked very well on the pain, Nucynta - not that great on the pain, expensive (no generic available!). Any suggestions?
i am currently on soma for muscle spasms and klonopin for anxiety disorder would it be better on my body as well as cheaper if i switched to valium for both of these conditions as i heard it can be used for anxiety and muscle spasms?
KatLover,
Obviously you have tried a lot and seen several experts. I don't presume to have any secret answers that are going to make everything right. I wish I did. Unfortunately, as you know, Darvocet was a unique drug with no real similar alternatives. Tylenol with Codeine might be the closest, but it isn't exact.
I know of people who have felt ketorolac helped their migraines, when taken early. It is an NSAID, but very strong, and must be used sparingly. It is available orally as a tablet. Migranal is another approach for migraines, and it is different than the Imitrex family. Another thought is Fioricet.
I hope you keep looking for answers and don't give up.
Best wishes,
Jason
Steve,
Typically Valium isn't a great choice any more for anxiety. It is too sedating, and some of its metabolites have a half-life of up to 100 hours (i.e. it takes a long time to get this out of your system). If your current combination is working, stick with it. Thanks!
Hi I wanted to ask if there was a muscle relaxer that don't make me sleepy like the flexeril. And if the was a better take. I have a lumbosacral back strain and had a concussion.
Hi Ashlie,
Unfortunately all muscle relaxers might cause drowsiness. Flexeril works well for many people. Maybe talk to the doctor about reducing the dose or trying a different one.
Hello Jason, I take gabapentin 300mg twice a day and tizanadine 2-4mg at bedtime and 1x10cyclobenzaprine. I sleep like a baby for about 7HR.I had fusion from c3-c6 and I'am in constant pain. my neuro took me off hydrocodone and started me on these,I know I'am not supposed to take tizanadine and flexril together but this is when i get the most relief, is this ok to do. Thanks
Hi Scott,
Well, I try not to give specific medical advice (keeps me out of trouble!). Although there are no well recognized clinical studies that advocate using 2 muscle relaxers, there may be situations when this is useful. It is definitely a decision that you need to make with your prescriber. Those 2 drugs do not "interact" although the potential for added sedation and the dangers that may impose must be considered. Best wishes.
Great article. My husband has been taking Zanaflex for two years now and he has terrible, terrible hallucinations. I've tried to get him to ask his doctor for something else and, after a particularly bad trip (for lack of a better term), he's finally agreed. (He has a fusion at L5/S1 and is fused from C5 to C6 and suffers severe anxiety and depression so his muscles are always rock hard.) He's on a fentanyl patch and is being weaned off Dilauded. He also is on Wellbutrin, Zoloft, and Xanax. In light of all the medication he's on, do you think one muscle relaxer is better than another?
Thanks!
Leetaann,
I would definitely avoid Flexeril, due to the risks associated with serotonin syndrome when mixed with other serotonergic drugs. Skelaxin helps a lot of people. Should make an appointment to discuss these issues with his MD. Best wishes.
Thanks so much for the quick response. He's seeing his pain management doc tomorrow. I was thinking Flexeril wouldn't be the best bet. Thank you for confirming that!
I have moderate to sometimes severe TMJ disorder and sleep-related bruxism. I usually wake up with a headache and muscle tightness in my jaw. I was wondering what would work best as a night time relaxant? I have tried Flexeril which does not work. I also was recently diagnosed with Celiac's disease, so until I heal (could take up to a year), I can't absorb medications very well. What relaxant and dosage would you suggest?
Hi Nicole,
I am not aware of any good studies that indicate a muscle relaxer for bruxism. I would definitely recommend seeing a specialist if you can. Sorry I don't have more info on that. Best wishes.
I've read several questions about muscle relaxer's and I have not seem one for my 6year old levator ani pain. I have had many trigger point injections with no help. I'M wondering if you can give me any info on kidney damage that would be caused by muscle relaxers for people over the age of 65.
Hi Barbara,
Not enirely sure I understand your question. Most muscle relaxers are eliminated via the kidneys, and therefore we would typically give lower doses to someone with kidney problems. At normal doses, they do not cause kidney damage to people with healthy kidneys.
Is it ok to take 1/2 of a 5mg flexeril in the morning and a 100mg of gabapentin at bedtime?
Freida,
If these are both prescribed by your doctor and being used to treat your condition, then yes, that is okay. Check with your local pharmacist to make sure they do not interact with anything else you are taking.
I have been on soma for at least 6 or 7 yrs. i have now been put on Baclofen. is one better than the other. have had spinal surgery 3 times neck surgery twice. I have spasms so bad that i wake my husband up jerking in my sleep. Sometimes I wake up myself. i am scared I am going to have withdrawel problems from the soma. Thank you....
proudnana,
One is not necessarily better than the other, but they do work a little differently. Some doctors are moving away from Soma due to the fact that it is now considered a "controlled substance." Depending on the dose, you may notice some withdrawal, but not necessarily. If the baclofen works, it may be a better long-term choice. Best wishes.
can using a controlled substance over a long period of time cause Dysphoria( such as soma)? Thank you
proudnana,
I don't know of any studies proving a correlation. However, prolonged pain and discomfort would certainly contribute to dysphoria over time.
my dr. will no longer write a presc. for soma. It is not on Kaiser formulary even tho they allowed me to use it and pay full price for entire year. I have tried flexerol (makes me nauseated), and zaniflex (way too strong and naseating), baclofen (no results) I can't recall the names or how many nerve blockers or builders I have tried with no results but many side effects. I also have taken robaxen and all it does is make my ears hum when i take a dosage high enough to work. The cocktail that was prescribed to me by the pain management clinic worked and i have not had to increase the dosage given for 4 years. Unless i have a flare. what are some alternatives to try with the same results as soma. i don't experience any withdrawls when running out. This medication works so well for me and I just don't understand why such aversion to it as i am obviously addicted to the other meds. Help
Hello,
I have had brain/spine surgery and lower back surgery and have been on Zoloft,Hydrocodone, and Valium(10mg) for many years. My lower back spasms have become more debilitating with increasing leg pain and spasms.
My pain mgmt. doctor changed the Valium to Baclofen 10mg. TID. I know the half life of Valium can be very long.
Is it safe to immediately discontinue the Valium and begin the Baclofen or is a taper safer.
Thank you so much!
Hi Karen,
If the only reason you can't get Soma is due to the fact it is not on the formulary, you should be able to get the prescription filled at a non-Kaiser pharmacy. You would, of course, have to pay for it yourself. Alternatively you could elect to see a non-kaiser doctor and pay for those visits too. If these are not options, then you may need to begin to go through the list and try the others. Amrix is a time-released version of Flexeril, and may cause less nausea. Best wishes.
Leann,
You will have to discuss the exact plan with your physician. I like to see people take the "taper" approach with Valium, especially with higher doses, to prevent withdrawal symptoms.
Hi I am a 25 year old first year medical student and I have recently been experiencing extreme pain and tightness in my neck and shoulders. I know it is probably related to the fact that I am very stressed and constantly sitting at a computer studying. I was wondering if there was a particular anti inflammatory that you have heard that has worked for similar types of pain. I have tried every OTC in the planet along with OTC pain patches and it provides little relief. It has gotten to the point that it is interfering with my studies. I have tried flexeril and it works ok but makes me drowsy. I was also on Skelaxin and that seemed to help, but as soon as I stopped, the pain came back and i am unsure if that drug is save to be on long term. Finally, I even tried Lidoderm pain patches, which work okay, but it is hard to walk around with the patch on my neck all day. If there is any advice about a medication that you feel might help relieve serious neck/shoulder pain without knocking me out, I would really appreciate the advice. Does meloxicam work well for this? Is it safe to be on long term? My doctor is open to trying almost anything but I don't know what direction to go in. Please help! Thank you!
Hi Jenny,
First - Be sure your computer is set up properly. Screen should be at eye level and forearms should be straight (horizontal) when typing. If you use a laptop, you should raise it up and use an external keyboard for typing so your arms are positioned correctly. Second - Try heat/ice therapy. Third - Consider buying a curved, memory foam pillow for sleeping that supports your neck well. I love mine. Finally - have you given Ibuprofen a good try? By that I mean using it regularly (with food) for several days to give it a chance to work. These are just a few thoughts. Hope you get some relief.
Hello
I have Fibromyalgia and was just prescribed Flexeril 10 mg at night. The next day I noticed a big difference with a reduction in pain. My concerns are these: I also take 20 mg. of Lexapro. Should I be worried about Serotonin Syndrome? Also, since taking this I've had some strange things happening to my eyes, for example extreme dryness and blurred vision. It has been so nice not to have all of this pain and I would hate to stop taking it but those concerns can o erride my decision. Your assistance would be greatly appreciated.
Cathy,
I definitely recommend you make this decision with your prescriber. Your dose of both medications is on the low side, but I would contact your physician. Risks and benefits need to be considered.
Hi, I had a bad TMJ surgery 20 years ago and developed fibromyalgia. I am well managed with no pain, except for muscle spasms from jaw being in an incorrect position (I wear a dental splint for that now). My doc has had me on Baclofen 15 mgs 3 times per day for the muscle spasms. I am free of pain as long as I stay on this dosage. If I even drop 5 mgs from one dose, by the third day, in fetal position with muscle spasms all over my body. Problem is, now doc says I have to go off the Baclofen because I will develop memory loss. I have not been able to find this on the internet. I would really like to continue to take it as I am pain free, so what can I tell my doc? Can you tell me about the long term effects of Baclofen please?
Hi I'm glad I found this site. I suffer from chronic muscle tightness in my back and hips. I do Pt massage and pilates in a effort to imp roe my life. In the mean time I have bouts of severe muscle tension. I have been prescribed flexeral and Valium but even breaking them down to a quarter at a time still just puts me out. Is there any muscle relaxer that is known as very mild? Like one that most people would not want because it is not strong enuff? I'm very sensitive to these type of drugs. I just need something that works and I can function on. I'm beyond the help of ibuprofen unfortunately. Thank you
Lisa,
My advice would be to ask your doctor to monitor you for memory loss, while continuing the baclofen. A short memory evaluation can be conducted in the office. That seems like a reasonable request. See what he/she says. Best wishes.
Jon,
All muscle relaxers can cause drowsiness unfortunately. With regular use, your body may adjust to the drowsiness and not be so affected. Taking it at bedtime is another option. Flexeril comes in a 5mg tablet, which can be slit or even quartered. Best wishes.
Thank you ,is Robaxin milder than flex?
Hi Jon,
One is not really "milder" than the other. With muscle relaxers there is a lot of patient variability, so a person really needs to work with their doctor to find one that both works...and doesn't cause bothersome side effects. It is worth talking to your MD about.
Hi
Ive read some concerns on here and sympathize to those who need help, and would like to say to those whom are not sure about soma, i have your truth like the nice pleasent helpful pharmacist. Ive taken soma not the one with narcotic, for well over thirteen years and took it as prescribed. to the "T" It was my only help of sleep and pain free from my body that after working all day half the night hated me. but work is part of life and i couldnt imagine not. well where im from soma has became a street drug, as well as anything stupidity brings to irnorant minds, now I am told I cant ask for it due to it being taken out of my area. I came off my soma i didnt have much problems in doing so, was taking 4bid daily. however pain and inflammation and sleep no longer are in my life, Im trying not to judge those who have left me here over a need to be "high" or wtever. But I wish you knew that someday, truly this is sincere, someday you will know real pain and there will be nothinng left for you. you have no idea what you are doing to your body and when you will need help, it wont be there and even if it is.. your tolerence will be so high it wont help. not even a bath will comfort you amazingly bath salts is a street drug!!! GOD SAVE OUR KIDS. the real problem.. parents have forgot how to raise kids if you have to ask how, go ask your grandma. and thank you pharmacist for keeping it real.. and caring.. very few left. soma is techinaclly not harmful people are..
BTW, I am a mother so my comments come from experience, my son is my world. and he turned seventeen this past Christmas, he is a good young man, no not a saint.. but his mistakes in life have never fell on deaf ears, nor has he ever had a need to "try pills or dangerous fun" why? because he watched his mother as he was by my side working know the true meaning of work and the satisfaction of true fun. my hope is if this website can reach our adults and kids, maybe then they can be taught by a pharmacist who is willing to hear and not judge.. so words out hopefully it will spread as fast as things that are hurting everyone. there has to be more.. otherwise there will always be less.
My wife & I aere on holiday in Florida and she is in absolute agony with back pain (coccyx muscle spasm) it is heart rendering to see her in so much pain.Is there any over the counter drug that would alleviate the pain
Hello Pat,
Welcome to the U.S. although I am sorry to hear of your wife's pain. You may need to take her to a local clinic to have them prescribe something stronger. In the mean time, and assuming she can take this, ibuprofen is a good start. Also, maybe a heating pad alternating with ice. Best wishes. Cheers!
imadork 3 years ago
I think I remember hearing awhile ago that Flexeril 5mg was going to be released OTC. What happened with that?