Skeletal muscle relaxants are widely used see more treating musculoskeletal conditions. However, evidence of their effectiveness consists methocarbamol generic for soma of studies with poor methodologic design. In addition, these drugs have not been proven to be superior to acetaminophen or methocarbamol generic for soma anti-inflammatory drugs for low back pain.
Systematic reviews and meta-analyses support using skeletal muscle relaxants for short-term relief methocarbamol generic for acute low back pain when nonsteroidal anti-inflammatory soma or acetaminophen are not effective or tolerated. Comparison studies have not shown one skeletal muscle relaxant to be superior to another.
Cyclobenzaprine is the most heavily studied and methocarbamol generic for been shown to be effective for various musculoskeletal conditions. The sedative properties of tizanidine and cyclobenzaprine may benefit soma with insomnia caused by severe muscle spasms.
Methocarbamol and metaxalone are methocarbamol generic for soma sedating, although for soma evidence is limited. Adverse effects, particularly dizziness methocarbamol generic drowsiness, are consistently reported with all skeletal muscle relaxants. The potential adverse effects methocarbamol generic for soma be communicated clearly to the patient.
Because of limited comparable effectiveness data, choice of agent should be based on side-effect profile, patient preference, abuse methocarbamol generic for soma, and possible drug interactions.
Skeletal muscle relaxants are often prescribed for musculoskeletal conditions including low back pain, neck pain, fibromyalgia, tension headaches, and myofascial pain syndrome. The goals of treatment include managing muscle pain and improving functional status methocarbamol generic for soma the patient can return to work or resume previous activities.
Skeletal muscle relaxants are not considered first-line methocarbamol generic for soma for musculoskeletal conditions. Methocarbamol generic for soma muscle relaxants may be used as adjunctive therapy for acute low back pain.
Antispasmodic agents should be used short-term two weeks for acute low back pain. There is no clear evidence that one skeletal muscle relaxant methocarbamol generic for soma superior to another for musculoskeletal spasms. Choice of skeletal muscle relaxant should be based for soma individual drug characteristics and patient methocarbamol generic for soma. For information about the SORT evidence rating system, see https: Skeletal muscle relaxants are divided into two categories: Rather, an antispasmodic agent may be more appropriate Table 1.
Methocarbamol generic for soma, drowsiness, headache For soma idiosyncratic reactions mental status changes, transient quadriplegia, and temporary loss of vision after first for soma may require hospitalization Allergy-type reactions may occur after the first to fourth dose; may be mild e.
Clindamycin 800 mg rx692 or psychological dependence methocarbamol generic for soma occur; withdrawal symptoms may occur with discontinuation Possible respiratory depression when combined with benzodiazepines, barbiturates, methocarbamol generic for soma or its derivatives, or other muscle relaxants Contraindicated in acute intermittent porphyria FDA pregnancy category C.
Methocarbamol generic for soma Parafon Forte 2. Dizziness, drowsiness Red for soma orange urine GI irritation and rare GI bleeding Hepatoxicity rare ; discontinue with elevated liver function test. Avoid use in patients with hepatic impairment Possible respiratory methocarbamol generic for soma when combined with benzodiazepines, barbiturates, codeine methocarbamol generic for soma its derivatives, or other muscle relaxants FDA pregnancy category C.
Anticholinergic effect drowsiness, dry mouth, urinary retention, increased intraocular pressure Rare but serious for soma effects are arrhythmias, seizures, myocardial infarction. Seizures reported with concomitant use of tramadol Ultram ; read more should be avoided in patients with medical conditions that may induce seizures.
Contraindicated in patients with arrhythmias, recent myocardial infarction, read more congestive heart failure. Dizziness, drowsiness, confusion Abuse potential. Long methocarbamol generic for half-life; avoid in older patients and in patients with hepatic impairment.
Drowsiness, dizziness, headache, nervousness Leukopenia or hemolytic anemia rare Liver function test elevation rare Nausea, vomiting, and diarrhea rare Paradoxical muscle cramps. Use with caution in patients with liver failure Possible respiratory depression when combined with benzodiazepines, barbiturates, codeine or its derivatives, methocarbamol generic for soma other muscle relaxants Less dizziness and drowsiness than other skeletal muscle relaxants FDA for soma category C.
Black, brown, or green urine possible Mental status methocarbamol generic for soma Possible exacerbation of methocarbamol generic for soma gravis symptoms.
Possible respiratory depression when combined with benzodiazepines, barbiturates, codeine or its derivatives, or other muscle relaxants FDA pregnancy category C; reports of fetal abnormalities.
Anticholinergic effect drowsiness, dry mouth, urinary retention, increased intraocular pressure Aplastic anemia rare GI irritation Confusion, tachycardia, hypersensitivity reaction with high doses. Decreases celexa mg reviews value of phenothiazines e.
Tizanidine Zanaflex 89. Dose-related hypotension, sedation, and dry mouth Hepatotoxicity; monitor liver function tests at baseline and one, three, and six /generic-crestor-40-mg-teva-rosuvastatin.html Withdrawal and rebound hypertension methocarbamol generic for soma occur in patients discontinuing therapy after receiving high doses for long period of time; tapering is recommended.
The table contains only selected highlights about these medications.
All of these drugs may cause increased drowsiness with central nervous system depressants. Caution is advised when prescribing skeletal muscle relaxants methocarbamol generic for soma older patients. Estimated cost to the pharmacist based on average wholesale prices rounded to the nearest dollar in Red Methocarbamol generic for soma.
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