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

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. Appropriate studies have not been performed on the relationship of age to the effects of baclofen tablets in the pediatric population. 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.

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Antispastic drugs work at the spinal cord or on specific muscles to reduce muscle tone and involuntary movement. As the name suggests, they treat spasticity, https://flexeril.live a muscle’s resistance to movement that’s dependent on the speed of movement. Spasticity commonly results from injury to the central nervous system.

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Even if prescribed, use only for two to three weeks as prolonged use has no evidence of showing effectiveness. That means the effects of doses of Lioresal medication on pregnant women have not been studied yet. The drug is found in breast milk in traces of lactating mothers taking it orally. There isn’t any information available about Gablofen pregnancy effects when the drug is taken intrathecally. Whether the mother is taking Baclofen or Flexeril, she must do so after discussing it with the doctor in charge of treatment. A Flexeril overdose occurs when taken in more significant amounts than its prescribed level of 30 mg per day.

Shoulder and Neck Pain

Additional potential side effects of this drug include low blood pressure, swelling, shortness of breath, and insomnia among many other reported adverse effects (2). These side effects are most common with oral baclofen and less common with intrathecal baclofen because the drug is injected directly into the fluid surrounding the brain and spinal cord (11). Conservative treatment, such as physical therapy, exercise, and nonsteroidal anti-inflammatory drugs (NSAIDs), should always be the first line of treatment for muscle spasm and related pain.

Always talk to your healthcare professional about your medical history to determine which medications are safest for you. Any medication’s apparent benefits should always outweigh the potential hazards. For people with spasticity, the usual starting dose of oral baclofen is 5 mg three times daily. Depending on the reaction, the amount can be increased by 5 mg every three days, up to a maximum of 80 mg/day in divided doses (Ghose, K., Holmes, K.M. and Matthewson, K., 1980).

The Relative Efficacy of Seven Skeletal Muscle Relaxants. An Analysis of Data From Randomized Studies

It also helps with pain relief and muscle movement (Ghose, K., Holmes, K.M. and Matthewson, K., 1980). Although antispastics and antispasmodics are both types of skeletal muscle relaxants, they have specific and different uses. In addition, some of these medications treat conditions not related to muscle function. For example, providers sometimes prescribe diazepam to treat anxiety and seizures. Both drugs belong to skeletal muscle relaxants, and both of them aim to give relief from muscle spasms. Still, Gablofen acts primarily on the spinal cord, and Flexeril acts centrally, causing muscle relaxation.

  • The amount of medicine that you take depends on the strength of the medicine.
  • This medicine comes with a patient information and instructions leaflet.
  • However, for acute muscle pain and relief of spasms, Flexeril remains the primary medication.
  • Comparison studies have not shown one skeletal muscle relaxant to be superior to another.
  • Antispastic drugs work at the spinal cord or on specific muscles to reduce muscle tone and involuntary movement.

It is important for the pharmacist to assess the patient before dispensing medications. Short-term use of skeletal muscle relaxants may be appropriate for certain conditions but should not be used long-term, regardless of interaction. Nonpharmacologic therapy may be a better option in both the short term and the long term. Nonpharmacologic education on fall prevention is essential in patients being given skeletal muscle relaxants, regardless of duration of therapy. Not only will appropriate use of skeletal muscle relaxants improve patient outcomes, it can also improve star ratings for both insurance providers and pharmacies.

Overdose Possibilities of Baclofen vs. Flexeril

Overdose can also happen when they both are mixed with alcohol or other drugs. Flexeril is a relatively safe drug, and usually overdoses are not very serious. Overdose on Gablofen occurs when the daily dose exceeds 200 mg and triggers neurological effects, delirium, seizures, and coma. The dose needs to be gradually increased and tapered to avoid withdrawal symptoms. Although the two are muscle relaxants, their indications are different. The strength of the two depends on the dosage and purpose for which each drug is used, so it isn’t easy to compare the strength of Baclofen vs. Flexeril.

This medicine comes with a patient information and instructions leaflet. Epsom salt contains high concentrations of magnesium, an essential electrolyte that helps the muscles function correctly. Therefore, it can be used to ease the stress on the muscles, allowing you to recover faster and relax. After successful graduation from Boston University, MA, Sharon gained a Master’s degree in Public Health. Because of the similarities between the two drugs, there’s often a question of which one between Flexeril vs. Baclofen is stronger. Flexeril, also known as Cyclobenzaprine, Amrix, and Fexmid, is also a drug belonging to the same class and is used orally.