Sometimes the pain you feel when a muscle in your back, neck, or leg suddenly snaps is unbearable, isn't it? You can't even move and have to stay in one place. To treat this kind of sudden muscle pain and stiffness, a doctor will most likely prescribe you a medicine called Cyclobenzaprine. So today, let's talk about this medicine, what it does, and what you need to be careful about while using it.
What kind of medicine is Cyclobenzaprine?
Simply put, Cyclobenzaprine is a drug that belongs to a class of drugs called muscle relaxants . Many people think of it as a painkiller. But that's not entirely true. Rather than directly treating pain, this drug works by affecting your brain and nervous system, blocking signals from going to tight, contracted muscles, and relaxing them. When the muscles relax, the associated pain and stiffness also decrease.
The important thing is that this is usually used as a short-term treatment, for only a few days or two to three weeks.
Things you need to tell your doctor before taking this medicine
Before prescribing Cyclobenzaprine to you, your doctor will need to know your complete health history. You should especially tell them if you have any of the following conditions:
- Heart disease: If you have heart disease, an irregular heartbeat, or have had a heart attack in the past.
- Liver disease: If there is any problem with the liver.
- Thyroid problems: If you have a condition called hyperthyroidism (high thyroid hormone levels).
- Allergies: Tell us if you are allergic to cyclobenzaprine or similar tricyclic antidepressants. Also tell us about any allergies you have to other medications, foods, or preservatives.
- If you are pregnant , trying to get pregnant, or breastfeeding .
Providing this information accurately is very important for your safety.
How should I use the medicine?
Keep these things in mind when using this medicine.
- Swallow the pill with a glass of water.
- If you experience stomach upset or heartburn after taking the medicine, take it with a meal or a glass of milk.
- Take the medicine exactly as prescribed by your doctor, at the right time. Do not take more than the prescribed amount.
- If you are giving this medicine to children, special care should be taken, so talk to your doctor about it.
What if you suddenly take too much medicine? (Overdose)
Imagine that you have accidentally taken too many pills. This is an emergency. If this happens , immediately call the National Poisons Information Centre at the Colombo National Hospital. Or go to the nearest hospital Emergency Treatment Unit (ETU) without delay.
This medicine has been prescribed for you only. Never give this medicine to anyone else, even if they have the same symptoms as you.
What if I miss a dose of medication?
If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. Never take a double dose to make up for a missed dose.
Other drugs that may interact with this medicine (Drug Interactions)
Cyclobenzaprine can interact with other medications, so it is important to tell your doctor about all the medications you are taking (including vitamins, herbal products, and over-the-counter medications).
| Drugs that should not be taken with Cyclobenzaprine and with extreme caution | |
|---|---|
| Do not take Cyclobenzaprine with these. | |
| MAOI drugs | These are medications used to treat conditions such as depression (e.g. Carbex, Eldepryl, Marplan). Cyclobenzaprine should not be taken for at least 2 weeks after stopping one of these medications. |
| Safinamide | A drug for Parkinson's disease. |
| If you are taking this medication, be sure to tell your doctor. | |
| Alcohol | Drowsiness and dizziness may be increased. |
| Other medications that cause drowsiness | Allergy medications (Antihistamines), anxiety or sleep medications, and some painkillers (Narcotics). |
| Other medications for depression | For example: Amitriptyline, Fluoxetine, Sertraline. |
| Medicines for other diseases | Some medications for seizures, Parkinson's disease, bladder problems, and stomach upset. |
What side effects might I experience while taking the medication?
Like any medicine, Cyclobenzaprine can cause side effects in some people. Some of these are dangerous, while others are common.
| Potentially dangerous side effects (see a doctor immediately if any of these occur) | |
|---|---|
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue or throat. |
| Central nervous system depression (CNS depression) | Slow or shallow breathing, excessive sleepiness, feeling faint, confusion. |
| Changes in heart rate | Feeling like your heart is beating fast or irregularly, dizziness, chest pain, difficulty breathing. |
| Side effects that are usually not dangerous (but tell your doctor if they persist) | |
| Drowsiness | This is very common. Therefore, do not drive or operate machinery while taking the medicine. |
| Dry mouth | Drink more water. Chewing sugar-free gum may help. |
| Other | Dizziness, Constipation, Fatigue, Nausea. |
Take-Home Message
- Cyclobenzaprine is a muscle relaxant rather than a painkiller. It is a short-term treatment.
- Tell your doctor about all medications you are taking, especially medications that cause drowsiness.
- This medicine may cause drowsiness and dizziness, so avoid driving or performing tasks that require alertness. Do not drink alcohol.
- If you accidentally take too much medicine, immediately go to the National Poisons Information Center or the nearest hospital ETU.
- Seek immediate medical attention if you experience any dangerous side effects, such as allergic symptoms, difficulty breathing, or changes in heart rate.
- This medicine is for you only. Never share it with others.


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