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Flexeril instructions
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Generic Name: Cyclobenzaprine
Brand Name: Flexeril
The following product information is not intended to replace the physician's
or manufacturer's instructions.
Flexeril common medical uses:
Flexeril is a skeletal muscle relaxant. This medicine is used with rest,
physical therapy, and other measures to relax muscles and relieve pain
and discomfort caused by strains, sprains, and other muscle injuries.
It relieves muscle spasms of local origin but is not effective in spasms
which originate from diseases in the brain or spinal cord. Flexeril works
on nerves in the spinal cord to dull nerve impulses or signals to the
muscles. Dulling these nerve impulses will help relieve muscle spasms.
How to use Flexeril:
Flexeril comes as a 10 mg tablet to take by mouth. It usually is taken
two to four times a day (or 20-40 mg each day in divided doses). Do not
exceed 60 mg daily. Do not take this drug for more than 3 weeks without
talking to your doctor. Do not take more or less medication than prescribed
and follow your doctor's instructions carefully.
Flexeril possible side effects:
Side effects are usually mild and consist of drowsiness, dryness of the
mouth, and dizziness. If any of these side effects persist or worsen,
contact your doctor.
If you experience any of the following unlikely but serious symptoms,
call your doctor immediately:
- severe skin rash
- swelling of the face or tongue
- difficulty breathing or swallowing
- irregular heart rate
- chest pain
- fever
- seizures.
If you stop taking this medication suddenly, you may experience some
withdrawal effects.
Flexeril precaution:
Before taking Flexeril, tell your doctor and pharmacist if you are allergic
to Flexeril or any other drugs. Tell your doctor if you have an overactive
thyroid gland, heart disease, glaucoma, or difficulty urinating. Inform
your doctor if you are pregnant or breast-feeding before taking Flexeril.
Flexeril may cause dizziness or drowsiness, so use caution when driving,
operating machinery, or performing other hazardous activities. If you
experience dizziness or drowsiness, avoid these activities. Remember that
alcohol may increase drowsiness and dizziness while you are taking Flexeril.
Flexeril - CONTRA-INDICATIONS:
Serious, potentially fatal reactions may occur if you take Flexeril with
an antidepressant drug known as an MAO inhibitor (such as Nardil, Parnate)
or if it has been less than 2 weeks since you last took an MAO inhibitor.
You should closely follow your doctor's advice regarding discontinuation
of MAO inhibitors before taking Flexeril.
Drug interactions:
The best way to avoid harmful interactions is to tell your doctor and
pharmacist what prescription and nonprescription drugs you are taking
or have taken within the last 2 weeks. Flexeril may interact with antidepressants
of both the monoamine oxidase inhibitor class (MAOI9s) and tricyclic antidepressants
such as amitriptyline and imipramine. If taken with those drugs, a sudden
increase in fever with convulsions may occur.
Many drugs can increase drowsiness associated with cyclobenzaprine:
- antihistamines (brompheniramine (Dimetane, Bromfed, others)
- chlorpheniramine (Chlor-Trimeton, Teldrin, others)
- azatadine (Optimine), clemastine (Tavist), and others)
- narcotics (pain killers) (meperidine (Demerol), morphine (MS Contin,
MSIR, others), propoxyphene (Darvon, Darvocet), hydrocodone (Lorcet,
Vicodin), oxycodone (Percocet, Percodan), fentanyl (Duragesic), and
codeine (Fiorinal, Fioricet, Tylenol #3))
- sedatives (phenobarbital (Solfoton, Luminal), amobarbital (Amytal),
and secobarbital (Seconal))
- phenothiazines (chlorpromazine (Thorazine), fluphenazine (Prolixin),
mesoridazine (Serentil), perphenazine (Trilafon), prochlorperazine (Compazine),
thioridazine (Mellaril), and trifluoperazine (Stelazine))
- antidepressants (doxepin (Sinequan), nortriptyline (Pamelor), fluoxetine
(Prozac), paroxetine (Paxil), sertraline (Zoloft), phenelzine (Nardil),
and tranylcypromine (Parnate))
- high blood pressure drugs.
Overdose:
If overdose is suspected, contact your local poison control center or
emergency room immediately. Symptoms of a Flexeril overdose may include
unusual dizziness, drowsiness, low blood pressure (weakness, fainting,
confusion), nausea, vomiting, fast or irregular heartbeat.
Missed Dose:
Take the missed dose as soon as you remember. However, if it is almost
time for your next dose, skip the missed dose and take only your next
regularly scheduled dose. Do not take a double dose to make up for the
missed one.
Storage:
Store this medication at room temperature and away from excess heat and
moisture (not in the bathroom). Keep this and all medications out of the
reach of children.
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