Muscle Relaxants | Georgia Pain and Wellness Center.Healthy Outlook: A Look at Medication Options for Back Pain - Contra Costa Health Services
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A common statement by a patient suffering from back pain. So what kinds of medicines are used to treat back pain? By far the safest medicine is Tylenol or its generic equivalent. For many patients, Tylenol can relieve back pain. It should not be taken with alcohol, and can cause kidney damage in the elderly or if taken for years on a regular basis.
A second type of medication doctors prescribe for back pain are the NSAIDs or non-steroidal anti-inflammatory drugs. The NSAIDs can reduce inflammation and pain, without most of the serious side effects of steroids, even if taken for many years. NSAIDs can have side effects, including stomach irritation, and stomach bleeding. They can raise blood pressure, and can damage the kidneys, especially after prolonged use. Steroids such as prednisone are the strongest anti-inflammatory drugs available.
Some doctors prescribe a short course for acute injuries usually for less than two weeks with excellent benefit. Ask your doctor about this. The next type of medication used for back pain are the muscle relaxants. These include Robaxin, Baclofen, Flexeril cyclobenzaprine and Soma.
Although called "muscle relaxants," not all these medications have been shown to relax muscles in humans. In most cases, their mechanism of action for helping pain in unknown. Many patients find them quite helpful, however.
Patients often benefit from a high initial dose of Robaxin grams per daybut after two to three days, the dose can be reduced to about 4 grams per day. Robaxin generally has few side effects, and some patients find it quite effective. Baclofen is approved for the muscle spasticity associated with multiple sclerosis, but can also be used to treat back pain. Baclofen is often taken in low doses initially. Then the dose is gradually increased until the maximum safe dose is reached or side effects prevent further increases.
It can raise blood sugar in diabetics, and should be stopped by gradually decreasing the dose over a week or two. Flexeril is only recommended for the first three weeks of back pain, but some patients seem to benefit from it on a long-term regular basis. It can cause drowsiness, and should be used with caution by those with heart disease, especially irregular heart rhythms or abnormal EKGs.
Soma seems to be quite effective in helping back pain, but because it is habit-forming, many doctors are reluctant to use it, especially long-term. After ingested, Soma is converted by the liver into a tranquilizer called meprobamate. Soma may work mostly as a sedative or tranquilizer. The next type of medications commonly ordered to treat back pain are the narcotics. In order of increasing potency, these include codeine, hydrocodone vicodinoxycodone percocet, oxycontinmorphine, hydromorphone dilaudidmethadone, and fentanyl durgesic.
It is commonly known that these medicines can be habit-forming and even addicting, especially if taken for long periods. Despite this, many patients benefit from them for either short- or long-term use. Daniels practices family medicine at the Pittsburg and Concord Health Centers. Health Topics Services Health Coverage. Published by Contra Costa Times. Stephen J. Daniels "DR.
It's really hurting. We will discuss narcotic treatment in detail in future Healthy Outlook columns.
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Drug interactions are reported among people who take Prednisone and Cyclobenzaprine hydrochloride. Common interactions include infusion related reaction among females and insomnia among males. The phase IV clinical study analyzes what interactions people who take Prednisone and Cyclobenzaprine hydrochloride have. It is created by eHealthMe based on reports of people who take Prednisone and Cyclobenzaprine hydrochloride from the FDA, and is updated regularly.
You can use the study as a second opinion to make health care decisions. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. Prednisone has active ingredients of prednisone. It is often used in rheumatoid arthritis. Cyclobenzaprine hydrochloride has active ingredients of cyclobenzaprine hydrochloride.
It is often used in muscle spasms. Click here to view. You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood. The study uses data from the FDA. It is based on prednisone and cyclobenzaprine hydrochloride the active ingredients of Prednisone and Cyclobenzaprine hydrochloride, respectively , and Prednisone and Cyclobenzaprine hydrochloride the brand names.
Other drugs that have the same active ingredients e. Dosage of drugs is not considered in the study. Patients in the study may take other drugs besides Prednisone and Cyclobenzaprine hydrochloride.
With medical big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5, more each day. Our analysis results are available to researchers, health care professionals, patients testimonials , and software developers open API. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways.
Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. All rights reserved. Use of this site constitutes acceptance of eHealthMe. Toggle navigation eHealth Me. Home Analysis Prednisone Cyclobenzaprine-hydrochloride. Prednisone and Cyclobenzaprine hydrochloride drug interactions - a phase IV clinical study of FDA data Summary: Drug interactions are reported among people who take Prednisone and Cyclobenzaprine hydrochloride.
What is Prednisone? What is Cyclobenzaprine hydrochloride? Some reports may have incomplete information. Who is eHealthMe?
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A second type of medication doctors prescribe for back pain are the NSAIDs or non-steroidal anti-inflammatory drugs. The NSAIDs can reduce inflammation and pain, without most of the serious side effects of steroids, even if taken for many years.
NSAIDs can have side effects, including stomach irritation, and stomach bleeding. They can raise blood pressure, and can damage the kidneys, especially after prolonged use. Steroids such as prednisone are the strongest anti-inflammatory drugs available. Some doctors prescribe a short course for acute injuries usually for less than two weeks with excellent benefit.
Ask your doctor about this. The next type of medication used for back pain are the muscle relaxants. These include Robaxin, Baclofen, Flexeril cyclobenzaprine and Soma. Although called "muscle relaxants," not all these medications have been shown to relax muscles in humans. In most cases, their mechanism of action for helping pain in unknown. Many patients find them quite helpful, however.
Patients often benefit from a high initial dose of Robaxin grams per day , but after two to three days, the dose can be reduced to about 4 grams per day.
Oral steroids come in many forms, but are usually ordered as a Medrol Dose Pack in which patients starts with a high dose for initial low back pain relief and then taper down to a lower dose over five or six days.
When used on a short-term basis, there are generally few complications associated with oral steroids. There are, however, a number of potential complications associated with long-term usage of oral steroids.
Adverse side effects can include weight gain, stomach ulcers, osteoporosis, the collapse of the hip joint, as well as other complications. It is important to note that diabetics should not use oral steroids since the medication increases blood sugar.
Steroids should also not be taken by patients with an active infection e. Soma is typically prescribed on a short-term basis and may be habit-forming, especially if used in conjunction with alcohol or other drugs that have a sedative effect.
Prednisone has active ingredients of prednisone. It is often used in rheumatoid arthritis. Cyclobenzaprine hydrochloride has active ingredients of cyclobenzaprine hydrochloride. It is often used in muscle spasms. Click here to view. You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood.
The study uses data from the FDA. It is based on prednisone and cyclobenzaprine hydrochloride the active ingredients of Prednisone and Cyclobenzaprine hydrochloride, respectively , and Prednisone and Cyclobenzaprine hydrochloride the brand names. Other drugs that have the same active ingredients e. Dosage of drugs is not considered in the study. Patients in the study may take other drugs besides Prednisone and Cyclobenzaprine hydrochloride.
With medical big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials.
Muscle relaxants are not really a class of drugs, but rather a group of different drugs that each has an overall sedative effect on the body. These drugs do not act directly on the muscles; rather they act centrally in the brain and are more of a total body relaxant. Typically, muscle relaxants are prescribed early in a course of back pain, on a short-term basis, to relieve low back pain associated with muscle spasms. There are several types of muscle relaxant medications that are commonly used to treat low back pain.
Oral steroids, a non-narcotic type of prescription medication, are very powerful anti-inflammatory medications that are sometimes effective treatment for low back pain. Like narcotics agents, oral steroids are intended for use for short periods of time one to two weeks.
Oral steroids come in many forms, but are usually ordered as a Medrol Dose Pack in which patients starts with a high dose for initial low back pain relief and then taper down to a lower dose over five or six days. When used on a short-term basis, there are generally few complications associated with oral steroids. There are, however, a number of potential complications associated with long-term usage of oral steroids. Adverse side effects can include weight gain, stomach ulcers, osteoporosis, the collapse of the hip joint, as well as other complications.
It is important to note that diabetics should not use oral steroids since the medication increases blood sugar. Steroids should also not be taken by patients with an active infection e. Soma is typically prescribed on a short-term basis and may be habit-forming, especially if used in conjunction with alcohol or other drugs that have a sedative effect. Cyclobenzaprine Flexeril. This medication can be used on a longer-term basis and actually has a chemical structure related to some antidepressant medications, although it is not an antidepressant.
Usually, it is prescribed as 10mg every six hours as needed to relieve low back pain associated with muscle spasm, or it can also be prescribed as 10mg at night as needed to help with difficulty sleeping. Flexeril can impair mental and physical function and may lead to urinary retention in males with large prostates. Diazepam Valium. Valium is usually limited to one to two weeks of use, and the typical dosage is mg every six hours as needed to relieve low back pain associated with muscle spasm.
Because of its habit-forming potential, and because it changes sleep cycles and makes it very difficult to sleep after stopping the drug, Valium should not be used long term. Patients should also note that Valium is a depressant and can worsen depression associated with chronic pain. Share this post:. Yes No.
No interactions were found between cyclobenzaprine and MethylPREDNISolone Dose Pack. However, this does not necessarily mean no interactions exist. Steroids such as prednisone are the strongest anti-inflammatory These include Robaxin, Baclofen, Flexeril (cyclobenzaprine) and Soma. Flexeril can impair mental and physical function and may lead to urinary retention in Oral steroids, a non-narcotic type of prescription medication. Steroids such as prednisone are the strongest anti-inflammatory These include Robaxin, Baclofen, Flexeril (cyclobenzaprine) and Soma. WebMD provides information about common drug or vitamin interactions for Cyclobenzaprine HCL. Call your doctor for medical advice about side effects. Advertising and sponsorship policy Advertising and sponsorship opportunities. Drug interactions are reported among people who take Prednisone and Cyclobenzaprine hydrochloride. The use of the eHealthMe site and its content is at your own risk.Drug information provided by: IBM Micromedex. Cyclobenzaprine is used to help relax certain muscles in your body. It helps relieve pain, stiffness, and discomfort caused by strains, sprains, or injuries to your muscles. However, this medicine does not take the place of rest, exercise or physical therapy, or other treatment that your doctor may recommend for your medical problem.
Cyclobenzaprine acts on the central nervous system CNS to produce its muscle relaxant effects. Its actions on the CNS may also cause some of this medicine's side effects. In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make.
For this medicine, the following should be considered:. Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals.
For non-prescription products, read the label or package ingredients carefully. Appropriate studies have not been performed on the relationship of age to the effects of cyclobenzaprine extended-release capsules in the pediatric population. Safety and efficacy have not been established. Because of the possibility of higher blood levels in the elderly as compared to younger adults, use of cyclobenzaprine extended-release capsules is not recommended in the elderly.
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur.
In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur.
Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. The presence of other medical problems may affect the use of this medicine.
Make sure you tell your doctor if you have any other medical problems, especially:. Take this medicine only as directed by your doctor. Do not take more of it and do not take it more often than your doctor ordered.
To do so may increase the chance of serious side effects. Swallow the extended-release capsule whole. If you cannot swallow the capsule whole, you may open the capsule and sprinkle the contents over one tablespoon of applesauce.
Swallow the mixture right away without chewing. Rinse the mouth to make sure all of the medicine have been swallowed. Do not save any of the mixture to use later. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine.
Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Keep from freezing. It is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. If your condition does not improve within 2 or 3 weeks, or if it becomes worse, check with your doctor. Check with your doctor right away if you have anxiety, restlessness, a fast heartbeat, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, or see or hear things that are not there.
These may be symptoms of a serious condition called serotonin syndrome. Your risk may be higher if you also take certain other medicines that affect serotonin levels in your body. This medicine will add to the effects of alcohol and other CNS depressants medicines that slow down the nervous system, possibly causing drowsiness. Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds, sedatives, tranquilizers, or sleeping medicine, prescription pain medicine or narcotics, medicine for seizures or barbiturates, other muscle relaxants, or anesthetics, including some dental anesthetics.
Check with your doctor before taking any of the above while you are using this medicine. This medicine may cause some people to have blurred vision or to become drowsy, dizzy, or less alert than they are normally.
Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert and able to see well. Cyclobenzaprine may cause dryness of the mouth.
For temporary relief, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections. Along with its needed effects, a medicine may cause some unwanted effects.
Although not all of these side effects may occur, if they do occur they may need medical attention. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:.
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. All rights reserved. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.
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