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Comparative efficacy and safety of skeletal muscle relaxants for spasticity and musculoskeletal conditions: a systematic review

Comparative efficacy and safety of skeletal muscle relaxants for spasticity and musculoskeletal conditions: a systematic review

Senior citizens already suffer from decreased fitness levels and reduced motor skills on a daily basis. With muscle relaxer side effects such as drowsiness, dizziness, and confusion, the chances of older patients getting into an accident increase dramatically. Most muscle relaxers work not by stopping what causes the pain, but by controlling the inhibition and excitation levels of motor neurons in the affected muscles. Muscle relaxers work by mimicking the action of naturally-occurring substances in the body, though exactly how they do so remains a challenge for researchers. Despite their name, muscle relaxants do not work on the muscles, but rather on the brain. When determining which muscle relaxer is the strongest, you’re actually determining which has the strongest impact on your brain.

  • They also relieve spasticity due to cerebral palsy, multiple sclerosis, spinal cord injury, or stroke.
  • The hardest (and most frequently) hit areas are the arms, hand, ribs, abdomen, thighs, calves, and foot arches.
  • A medication used since the late 1970s, cyclobenzaprine helps treat muscle spasms that suddenly arise.
  • Cause of death was opined to be complications from circulatory shock due to acute overdose of metaxalone [35A].

A relaxed state can be addictive for people accustomed to pain. Weaning away from muscle relaxers, or any narcotic, after a prolonged bout of addiction presents a different set of problems due to withdrawal symptoms. It’s a schedule IV drug (meaning it’s a controlled substance) that is prone to abuse.

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Both Skelaxin and Flexeril interact with tramadol (and other opioids)—there is an increased risk of serotonin syndrome as well as additive CNS depression. Flexeril is structurally similar to tricyclic antidepressants (such as amitriptyline and nortriptyline). Because of this, there is an increased risk of seizures when taken with tramadol.

The recommended dosage for people over 12 years old is 800 mg three to four times a day. If someone requires diazepam injections, the doctor may prescribe an initial intravenous (IV) dose of 5–10 mg and another dose 3–4 hours later. Benzodiazepines block certain chemicals in the brain, and nonbenzodiazepines act on both the brain and spinal cord. By Anne Asher, CPT
Anne Asher, ACE-certified personal trainer, health coach, and orthopedic exercise specialist, is a back and neck pain expert.

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This treatment helps sufferers of migraine, cluster headaches, and trigeminal neuralgia. Complex Regional Pain Syndrome (CRPS), is a very painful condition that prevents people from carrying out normal activities. It stems as an effect from a major traumatic situation, a severe body infection, or a result of surgery gone wrong. A dorsal root ganglion treatment can help reduce the pain and improve quality of life for sufferers.

That’s why people often wonder which muscle relaxer is the strongest. The drug comparisons information provided does not cover every potential use, warning, drug interaction, side effect, or adverse or allergic reaction. RxList.com assumes no responsibility for any healthcare administered to a person based on the information found on this site. It is intended what muscle relaxer is better than flexeril for general informational purposes and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. If you think you may have a medical emergency, immediately call your physician or dial 911.

Medical

Following therapeutic use, the effects of carisoprodol begin within 30min and last for up to 4–6 h. Meprobamate has a much longer duration of effect and drug accumulation may occur during chronic therapy. Unwanted effects are common with both drugs and include dizziness, drowsiness, disorientation, unsteadiness, slurred speech, ataxia, and tremor. In higher doses, patients may experience intoxication or drunken behavior, loss of balance and coordination, weakness, agitation, disorientation to place and time, and sleep disturbances. In abuse or overdose, patients may be consistently sedated and even become comatose. Overdose symptoms can include shallow breathing, clammy skin, weak and rapid pulse, paradoxical insomnia, convulsions, severe respiratory depression, and possibly death.

There are risks involved in taking prescription or OTC muscle relaxers. Consult a doctor or pharmacist first and follow the instructions closely. Muscle relaxers help relieve muscle pain and spasms, but they can cause side effects. The best option depends on the injury or underlying condition and factors such as the person’s age and current medications. These drugs can help with conditions that cause spasms, such as cerebral palsy or multiple sclerosis (MS), as well as spinal cord injuries. Also, doctors and pharmacists may warn against using certain medications or consuming alcohol with muscle relaxers, as the interactions can be dangerous.

Flexeril vs Skelaxin drug interactions

After these two, the doctor may prescribe a muscle relaxant instead. Moving forward, this article will focus on the first group, spasmolytics. Also known as centrally acting muscle relaxants, they work on the central nervous system (CNS) when reducing the transmission of pain signals. Hence, the term “centrally acting,” even if the definition is no longer completely accurate. Take this medication by mouth with or without food as directed by your doctor.

Muscle relaxers (also called muscle relaxants) are prescription medications that affect muscle function. Healthcare providers prescribe them to treat several symptoms, such as muscle spasms, spasticity and musculoskeletal pain. While the FDA has approved the generic form of this medication. These may be symptoms of a serious condition called serotonin syndrome.