Cyclobenzaprine
DRUG STATUS
Approvals
US(FDA)
Essential Medicine
NO
Teratogenicity
N/A
Pharmaceutical Class
Muscle Relaxant

Cyclobenzaprine
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Click HereSummary
Cyclobenzaprine is primarily used to relieve muscle spasms associated with acute musculoskeletal conditions such as back pain, neck pain, or muscle strain from injury. It is also used in conditions causing muscle spasms like fibromyalgia.
Cyclobenzaprine acts on the central nervous system, specifically within the brainstem. It functions as a muscle relaxant by inhibiting nerve signals that cause muscle contractions, helping to reduce muscle spasms. It blocks neurotransmitters like norepinephrine that contribute to muscle tension, allowing the muscles to relax.
The typical dosage for adults is 5 mg taken three times a day. The dose can be increased to 10 mg three times a day if needed, based on individual response and tolerability. Cyclobenzaprine is taken orally, with or without food.
Common side effects of Cyclobenzaprine include drowsiness, dry mouth, dizziness, fatigue, and constipation. Severe side effects can include serotonin syndrome, arrhythmias, confusion, hallucinations, and severe allergic reactions like rash, swelling or difficulty breathing.
Cyclobenzaprine should be avoided in individuals with a history of hypersensitivity to the drug, heart issues like arrhythmias, heart block or congestive heart failure, or during acute recovery after a heart attack. It is also contraindicated in patients with hyperthyroidism and should not be used with monoamine oxidase inhibitors (MAOIs) or within 14 days of their use due to the risk of serious interactions.
Indications and Purpose
What is Cyclobenzaprine used for?
Cyclobenzaprine is primarily indicated for the relief of muscle spasms associated with acute musculoskeletal conditions. It is commonly used to treat conditions such as:
- Acute musculoskeletal pain (e.g., back pain or neck pain)
- Muscle spasm from injury or strain
- Conditions causing muscle spasms (e.g., fibromyalgia)
It is typically used alongside rest and physical therapy for short-term relief.
How does Cyclobenzaprine work?
Cyclobenzaprine works by acting on the central nervous system, specifically within the brainstem. It primarily functions as a muscle relaxant by inhibiting nerve signals that cause muscle contractions, helping to reduce muscle spasms. Cyclobenzaprine works by blocking certain neurotransmitters (like norepinephrine) that contribute to muscle tension, allowing the muscles to relax. It does not directly relax the muscles but instead works to reduce the central nervous system's response to muscle spasms.
Is Cyclobenzaprine effective?
Cyclobenzaprine has been shown to be effective in treating acute muscle spasms based on clinical studies. Research indicates that it can significantly reduce muscle spasm severity and associated pain, particularly in conditions like muscle strain or sprains. Studies have demonstrated that it improves mobility and reduces discomfort, with benefits seen within a few days of use. However, it is generally recommended for short-term use due to potential side effects and limited long-term effectiveness.
How does one know if Cyclobenzaprine is working?
The benefit of Cyclobenzaprine is typically evaluated by assessing the reduction in muscle spasm severity, pain relief, and improvement in mobility. Healthcare providers monitor the patient’s response to the medication through physical exams, patient-reported pain scales, and overall functionality. If symptoms improve and there are no significant adverse effects, it is considered effective for managing short-term muscle spasms.
Directions for Use
What is the usual dose of Cyclobenzaprine?
The usual adult dose for Cyclobenzaprine is 15 mg once daily, with some patients requiring up to 30 mg per day. Cyclobenzaprine is not recommended for use in children, as its safety and effectiveness have not been established in pediatric patients.
How do I take Cyclobenzaprine?
Cyclobenzaprine can be taken with or without food. There are no specific food restrictions, but it is advised to take it with food if it causes stomach upset. It is important to follow the prescribed dosage and avoid exceeding the recommended dose. Also, avoid alcohol and sedatives while using Cyclobenzaprine, as they can increase drowsiness and other side effects. Always consult your doctor before making any changes to your medication or diet.
For how long do I take Cyclobenzaprine?
Cyclobenzaprine is a medicine for muscle spasms, but it's only meant for a short time—two or three weeks at most. Taking it longer isn't helpful because it hasn't been proven to work beyond that, and muscle spasms from injuries usually don't last that long anyway.
How long does it take for Cyclobenzaprine to start working?
Cyclobenzaprine typically starts to work within about 1 hour after taking it. Its effects, such as muscle relaxation and relief from spasms, may be noticeable shortly after administration. However, the full therapeutic effect might take a few days of consistent use. Always follow your healthcare provider's instructions for the best results.
How should I store Cyclobenzaprine?
Cyclobenzaprine should be stored at room temperature, away from heat, moisture, and direct light. It should be kept in its original container, tightly closed, and out of reach of children. Do not store it in the bathroom, as the humidity can affect the medication. Always check the expiration date and safely dispose of any expired medication.
Warnings and Precautions
Who should avoid taking Cyclobenzaprine?
Cyclobenzaprine should be avoided in individuals with a history of hypersensitivity to the drug, heart issues (like arrhythmias, heart block, or congestive heart failure), or during acute recovery after a heart attack. It is also contraindicated in patients with hyperthyroidism, and should not be used with monoamine oxidase inhibitors (MAOIs) or within 14 days of their use due to the risk of serious interactions.
Can I take Cyclobenzaprine with other prescription drugs?
Cyclobenzaprine may interact with central nervous system depressants (e.g., alcohol, benzodiazepines), increasing sedation and drowsiness. It should not be combined with monoamine oxidase inhibitors (MAOIs) or within 14 days of their use due to the risk of serotonin syndrome. Caution is also advised when used with other medications that affect serotonin levels, such as selective serotonin reuptake inhibitors (SSRIs).
Can I take Cyclobenzaprine with vitamins or supplements?
Cyclobenzaprine may interact with certain vitamins or supplements, particularly those that affect the central nervous system. For example:
- Sedative supplements: Magnesium and valerian root, which have sedative properties, may enhance Cyclobenzaprine's sedative effects, increasing the risk of drowsiness or dizziness.
- Vitamin D: High doses of vitamin D may interact with Cyclobenzaprine, although this is not well-documented, as it may affect calcium metabolism, potentially influencing muscle function.
Always consult a healthcare provider before taking supplements with Cyclobenzaprine.
Can Cyclobenzaprine be taken safely while pregnant?
Cyclobenzaprine is classified as a Category C medication during pregnancy, meaning risk to the fetus cannot be ruled out. Animal studies have shown adverse effects on the fetus, but there are limited human studies. It should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Always consult a healthcare provider before use during pregnancy.
Can Cyclobenzaprine be taken safely while breastfeeding?
Cyclobenzaprine is excreted in breast milk in small amounts, and its effects on a nursing infant are not well studied. Due to potential sedative effects on the infant, it is generally recommended to avoid using Cyclobenzaprine while breastfeeding, especially during the first few weeks. If its use is necessary, close monitoring of the infant is advised. Always consult a healthcare provider for guidance.
Is Cyclobenzaprine safe for the elderly?
Cyclobenzaprine, a medicine for muscle pain, stays in the body much longer and reaches higher levels in older people. This makes them more likely to have side effects like confusion or hallucinations, and also increases the risk of heart problems and falls. Therefore, doctors are careful when prescribing it to older adults, starting with a very low dose and increasing it slowly only if absolutely necessary.
Is it safe to exercise while taking Cyclobenzaprine?
Cyclobenzaprine may cause drowsiness, dizziness, and fatigue, which can limit your ability to exercise safely. If you experience these side effects, it is advisable to avoid strenuous activities and consult your doctor for guidance.
Is it safe to drink alcohol while taking Cyclobenzaprine?
Drinking alcohol while taking Cyclobenzaprine can enhance the impairment effects of the drug, such as drowsiness and dizziness. It is advised to avoid alcohol consumption to prevent increased side effects and potential safety risks.