This raises your risk of side effects. Your doctor may start you on a lowered dose or a different dosing schedule. This can help keep levels of this drug from building up too much in your body. For people with liver problems: If your liver problems are mild, your doctor may start you on a lowered dose or a different dosing schedule. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. Always speak with your doctor or pharmacist about dosages that are right for you.
Cyclobenzaprine oral tablet is used for short-term treatment. You may have more muscle spasms or pain. For this drug to work well, a certain amount needs to be in your body at all times.
If you take too much: You could have dangerous levels of the drug in your body. Symptoms of an overdose of this drug can include:. If your symptoms are severe, call or go to the nearest emergency room right away. What to do if you miss a dose: Take your dose as soon as you remember. But if you remember just a few hours before your next scheduled dose, take only one dose. Never try to catch up by taking two doses at once.
This could result in dangerous side effects. How to tell if the drug is working: You should have less muscle pain and stiffness. As with all medications, the costs of cyclobenzaprine can vary.
To find current prices for your area, check out GoodRx. A prescription for this medication is refillable. You should not need a new prescription for this medication to be refilled.
Your doctor will write the number of refills authorized on your prescription. If you have liver problems, you doctor may do a blood test to monitor how well your liver is working while you take this drug. Many insurance companies require a prior authorization for this drug. This means your doctor will need to get approval from your insurance company before your insurance company will pay for the prescription. There are other drugs available to treat your condition. Some may be better suited for you than others.
Talk to your doctor about other drug options that may work for you. If you have an allergic reaction, call your doctor or local poison control center right away. If your symptoms are severe, call or go to the nearest emergency room. Scientific evidence and medical consensus indicate that back pain must be treated first with pain-relieving medications, such as acetaminophen and non-steroidal anti-inflammatory drugs NSAIDs.
If these treatments fail, doctors may prescribe skeletal muscle relaxants for a short duration. The use of these drugs may also be considered controversial by some physicians. While treating acute musculoskeletal back pain, a short course of muscle relaxants may be more effective when used as an adjunctive treatment in the first 3 weeks.
They may also be used when back pain causes disturbed sleep for their sedative effect. These drugs exert their muscle-relaxing effects by inhibiting nerve signals in the brain and spinal cord and may help break the pain-spasm-pain cycle, where pain causes your muscles to spasm as a protective response, and those spasms, in turn, cause more pain. Skeletal muscle relaxants may cause the functions of your central nervous system CNS to slow down, leading to CNS depression. As a result, the drowsiness and gait disturbances caused by muscle relaxants may pose a risk of falls and subsequent injury, especially in the elderly population.
Skeletal muscle relaxants are drugs that were approved years ago for short-term treatment of muscle spasms and back pain, and are used today, without good evidence, to treat chronic pain and other conditions. Recommendations generally limit the use of these drugs to a maximum of three weeks, since they have not been shown to work for muscle spasms beyond that duration, and they can cause serious side effects including falls, fractures, vehicle crashes, abuse, dependence, and overdose.
Due to these risks, muscle relaxants should be avoided altogether in elderly patients, according to guidelines from the American Geriatrics Society. Despite these concerns, Leonard and his colleagues hypothesized that the growing opioid epidemic may have led clinicians to prescribe muscle relaxants as an alternative to opioids for long-term pain management.
To measure national trends in muscle relaxant prescribing, the researchers analyzed publicly-available — data from the National Ambulatory Medical Care Survey. The researchers examined the total number of visits per year, and stratified counts by the muscle relaxant agent, whether the drug was newly prescribed or continued therapy, as well as the race, ethnicity, and sex of the patient, and the region of the visit.
From to , the number of office visits resulting in new muscle relaxant prescriptions remained stable at approximately 6 million per year, while office visits for continued muscle relaxant drug therapy tripled — from 8. Muscle relaxants are generally used for a few days and up to 3 weeks, but are sometimes prescribed for chronic back pain or neck pain. To minimize risk, the doctor should be informed of any history of seizures, liver disease, and any other medical conditions or concerns.
Women should inform their doctors if they are pregnant, plan to become pregnant, or are breast-feeding. See Alcohol Avoidance.
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