What is Flexeril and how it works?

Flexeril is a popular muscle relaxant. It blocks the pain sensations that are transmitted to the brain. In case of skeletal muscle injury or pain Flexeril is taken along with physical therapy and proper rest.

Some important information about Flexeril

Avoid taking Flexeril if you have tried MAO inhibitor like phenelzine, tranylcypromine, selegiline etc., within last 14 days. Some serious and life-threatening side effects can be seen if you use Flexeril before MAO inhibitor gets removed from your body.

Also you should avoid using Flexeril if you had a heart attack recently, or you are suffering from heart rhythm problem, heart block, overactive thyroid or heart failure.

Flexeril can also affect your thinking ability and reactions. You need to be very careful while driving or engaging in activities that need extra alertness. Also do not drink alcohol as this can lead to some unwanted side effects.

How to use Flexeril?

Use this medication exactly as your doctor has prescribed you. Do not consume Flexeril in excess or use it for a long term than advised by your doctor. Read and follow the instructions given on label carefully.

Flexeril is just a part of a treatment program that may comprise of other measures for pain relief, rest, physical therapy etc.

Always store Flexeril away from light, heat and moisture in a room temperature.

Flexeril causes sleepiness and if you are using other medicines like allergy or cold medicines, sleeping pills, narcotic medicines for pain, medicines for seizures, anxiety or depression can increase sleepiness that occurs as a result of consuming Flexeril. Let your doctor know if you are using other medicines regularly and also if you using other muscle relaxer.

Always speak to your doctor before you start or stop taking Flexeril. If you are allergic to the drug, get your emergency help if you see any signs of allergic reactions. In case you are suffering from heart rhythm problems, overactive thyroid or heart block, do not use Flexeril and you should discuss about the allergies so that doctor can help you adjust the dose accordingly. Your doctor might suggest you some special tests as well. Older people are quite sensitive to Flexeril.

Take the medicine with a glass of water. Follow the instructions given by your doctor to avoid serious side effects. If you notice any signs of overdose, immediately consult your doctor as it can be life threatening too.

There are many drugs that can interact with Flexeril, so talk to your doctor and inform him about all other medicines that you are taking apart from Flexeril. Let your doctor know even if you are using minerals, vitamins, herbal products and other drugs, which are prescribed by any other doctor. Also do not start taking any medicine without informing your doctor.

Flexeril can help you in many ways, but you need to be aware of the side effects and other restrictions that come with Flexeril. Your doctor can help you use Flexeril safely.

Treatment methods for overdose of Flexeril

Flexeril is well known muscle relaxant that has its own benefits, but you need to know the right dosage of Flexeril in order to avoid serious side effects. You should use Flexeril as prescribed and get maximum benefit from your drug. When your doctor recommends a particular dose of Flexeril that means he knows what your body needs and the how the drug works. So do not try to change the dose or stop taking Flexeril suddenly without consulting your doctor.

Dosage Information

For most people the dose of Flexeril that is recommended is

5 mg – 3 times a day

Based on patient’s response to the drug the dose can be increased to 10mg – 3 times a day. It is not recommended to use Flexeril for more than 2-3 weeks. For elderly and hepatically impaired patients, less frequent dose of Flexeril is recommended.

Overdose of Flexeril and its treatment

Although the death cases related to over dosage of Flexeril are rare, there are certain precautions that one needs to take while using Flexeril.  It is recommended that a physician should contact centre for poison control to manage the over dose of Flexeril as managing overdose of drug is quite complicated.

Symptoms and signs of toxicity can develop faster after overdose of Flexeril; therefore hospitalization is important so that the patient is monitored constantly. It is always better to get and ECG done and start cardiac monitoring. It is recommended that patient’s airway needs to be protected, initiate gastric detoxification and set up intravenous line. Observation for respiratory depression, CNS, hypotension, seizures or conduction blocks is quite necessary.

If the indications of toxicity still persist, it is important to extend the period of monitoring. All patients who suffer from overdose of Flexeril should be treated for gastrointestinal detoxification.  This is basically carried out by cleaning the gastric lavage.

In case of CNS depression patients are treated with intubation. Seizures need to be controlled using benzodiazepines and in case these don’t work, anticonvulsants can also be used to help the patient recover faster.

In some cases the overdose can also lead to suicide cases, where patient may try to commit suicide. In such cases psychiatric referral is the ideal option to help patient recover from depression and suicidal thoughts.

In case of overdose of Flexeril in children, the management principles remain the same and physicians are recommended to call poison control help centre for a particular pediatric treatment.

In case of overdose the symptoms can vary, but there are treatment methods that can save patient’s life if the patient is treated in time. Do not delay in seeking medical help if you notice the problems related to overdose. If the overdose problems are left untreated, they can result in death too.

Proper monitoring and following overdose management principles can help the patient overcome the serious effects of overdose. Make sure that you avoid overdose of Flexeril as it can be life threatening. Continue with recommended dose and do not exceed the dosage limits.

Is Flexeril safe during pregnancy and breastfeeding

Flexeril is a common prescription drug that helps in relieving muscle pain. It is basically a course (short-term) for muscle sprains. Let us understand if Flexeril is safe during pregnancy and breastfeeding.

Flexeril and Pregnancy

Backache and muscle strain is a common problem reported by a lot of women during pregnancy. Many drugs are quite safe for pregnant woman or fetus. You should speak to your doctor before taking Flexeril during pregnancy. Your doctor can tell you if Flexeril is safe for you to use during your pregnancy. As there are no harmful effects seen in pregnant women due to Flexeril use, women can use Flexeril with doctor’s advice. Taking Flexeril for long term during pregnancy can increase the chances of complications, so it is recommended that do not take excess of Flexeril and try to take Flexeril only when required.

Even FDA has approved Flexeril safe to be used during pregnancy and it doesn’t harm the unborn baby.

Flexeril and Breastfeeding

Muscle pain or injuries are quite common and you may encounter muscle strains or pains while breastfeeding your baby. There are some side effects associated with consumption of Flexeril during breastfeeding. Let us understand about some of the side effect as listed below

  1. Skin rashes
  2. Chest rightness or breathing problems
  3. Dizziness
  4. Constipation
  5. Puffiness around your eyes
  6. Dry mouth
  7. Irregular breathing
  8. Upset stomach
  9. Swelling of face, lips and tongue.

You can take some precautions while using Flexeril during breastfeeding

Flexeril will increase the side effects of medications that are CNS depressants. These drugs lead to drowsiness and suppress the central nervous system. If you are taking any other medicines for sleeping, allergies, cold, seizures, painkillers, then use Flexeril with extra caution.

The same cautions apply when you take anesthesia in different forms during your dental procedures or other medications to relax injured or tired muscles.

As a mother, you need to take good care of your baby and thus need to be extra careful while using Flexeril. Since Flexeril causes drowsiness and suppression of nervous system, you can stop using Flexeril if it interferes with care of your baby. Again while driving you need to be alert, as Flexeril causes drowsiness and there are chances that accidents might happen, which can be dangerous for you and your baby.

The use of Flexeril results in dry mouth. For temporary solutions you can use sugarless candy, ice cubes etc., and if these solutions don’t work, try to increase the intake of water.  If still the problem continues, contact your doctor to find a permanent solution.

It is important to know that pregnancy is the most important phase in your life, so usage of any drugs or medications shouldn’t be taken without doctor’s advice. Nursing mothers need to be extra careful because they need to be cautious while taking care of baby. So, both nursing mothers and pregnant women should use Flexeril with doctor’s consultation only.

Drugs that interact with Flexeril- Explained

There are many drugs that interact with Flexeril and this article will help you understand the interactions of a few drugs with Flexeril. Flexeril can have interactions with MAO inhibitors, which can be life threatening too. Flexeril increases the effects of barbiturates, alcohol and many CNS depressants. Tricyclic antidepressants can block antihypertensive activity of guanethidine and other compounds that act in same manner. Tricyclic antidepressants can increase the risk of seizure in patients using tramadol.

Some other drugs that interact with Flexeril are as listed below

  • Atropine, dimenhydrinate, benztropine, scopolamine, methscopolamine are few drugs that interact with Flexeril.
  • A broncholidator like tiotropium and ipratroprium
  • Guanethidine
  • Mepenzolate
  • Glycopyrrolate
  • Tramadol
  • Urinary and bladder medications like flavoxate, darifenacin, tolterodine and solifenacin
  • Irritable bowel medicines like hyoscyamine, levsin, propantheline and dicyclomine.

Avoid using MAO inhibitors as this can lead to fatal interaction. You should avoid using MAO inhibitors during your treatment with Flexeril. MAO inhibitors should be avoided two weeks prior to the treatment with Flexeril. You can check with your doctor when to stop or start taking the medication.

Before taking Flexeril, let your doctor know about the use of certain drugs that enhance serotonin, including some street drugs like MDMA, antidepressants like SSRIs  (Paroxetine, fluoxetine and SNRIs like venlafaxine, duloxetine tramadol, etc.,

Also tell your doctor if you are taking any other drugs or products that lead to drowsiness including antihistamines like diphenhydramine, ceitirizine and even alcohol. Also inform your doctor if you are using drugs for anxiety sleep like zolpidem, diazepam, alprazolam etc., certain muscle relaxants or narcotic pain relievers like codeine.

Make sure you check the labels on the medicines you are using like cold, cough or allergy products as they might comprise of ingredients that result in drowsiness. Talk to your pharmacist so that you can use the products safely.

Flexeril with MAOIs and tetracyclic compounds

The effects are severe in this interaction. These medicines can interact can result in harmful effects and should not be used together. The combination of these two medicines can enhance the serotonin level in your body.

High levels of serotonin in your body can fluctuate your body temperature, behavior, blood pressure resulting in a medical condition known as serotonin syndrome.  Serotonin syndrome can be fatal too.

If you experience confusion, restlessness, heavy sweating, agitation, stiffness, shivering, tremors, muscle twitching,heart palpitations or severe diarrhea, consult your health care provider immediately.

The doctor may be aware of these interactions and can help you change the dose or adjust the dose of Flexeril. Do not change Flexeril dose yourself or try to stop or start taking medicine on your own.

Similarly many other drugs that interact with Flexeril can lead to problems like disturbance in heart’s rhythm.  The effects of drugs vary depending on the severity of the interaction. You need to be aware of some drugs that can interact with Flexeril.

Always consult your doctor before taking Flexeril so that you do not have to face unwanted side effects.

Adverse effects of Flexeril you need to know about

Flexeril is used as a muscle relaxant and many people use it for muscle sprains and muscle injuries. It certainly helps relieve pain, but there are many side effects related to Flexeril. Though not all side effects are serious, but you should be aware of the ones that you need to pay immediate attention to. Let us look at side effects of Flexeril as below

Common side effects

  • Drowsiness
  • Fatigue
  • Xerostomia
  • Drowsiness

Apart from the common side effects stated above, there are some serious side effects that need immediate medical attention and they include

  • Convulsions
  • Hot, dry and flushed skin
  • Irregular or fast heartbeat
  • Increase/decrease in your body temperature
  • Muscle stiffness
  • Breathing problems
  • Severe restlessness or nervousness
  • Vomiting (with other overdose symptoms)
  • Hallucinations ( hearing, feeling or seeing things that doesn’t exist)

Moderate Side effects

  • Confusion
  • Unsteadiness and clumsiness
  • Yellow skin or eyes
  • Unusual dreams or thoughts
  • Mood changes or mental depression
  • Hives, skin rash, itching

Minor side effects that occur because of Flexeril and do not need medical attention are

Some side effects that arise because of Flexeril use and need no medical attention are as given below. As your body becomes used to the drug during treatment, side effects may vanish with time. Your doctor will help your know about how to prevent some of the side effects listed below. If any of these side effects continue, check with your doctor immediately.

  1. Blurred vision
  2. Dry mouth
  3. Dizziness

Less common/rare side effects are

  1. Constipation
  2. Diarrhea
  3. Stomach cramps, pain, bloated feeling, indigestion, gas or nausea
  4. Nervousness or excitement
  5. Headache
  6. Pounding heartbeat
  7. Trembling
  8. Feeling of illness or discomfort
  9. Frequent urination
  10. Weakness in feet, hands, pain, numbness, tingling
  11. Speech problems
  12. Muscle twitching
  13. Taste changes or unpleasant taste
  14. Unusual tiredness or muscle weakness

The effects related to various systems in our body are

Cardiovascular

Hypotension, vasodilatation, Tachycardia and arrhythmia

Digestive

  • Vomiting
  • Gastrointestinal pain,
  • Gastritis,
  • Thirst,
  • Jaundice,
  • problems in liver functions,
  • Cholestasis, hepatitis and flatulence etc.,

Hypersensitivity

Facial edema

Rash

Urticaria

Anaphylaxis

Pruritus

Skin

Sweating

Urogenital

Urinary retention and/or frequency

There are also side effects associated with overdose of the drug. Overdose of this drug also result in suicidal cases, wherein the person taking excess amounts of Flexeril gets suicidal thoughts and the person tries to attempt suicide. In such cases people around him should monitor for change in his moods and behavior. Consulting a psychiatrist can help a lot.

There are sides effects related to overdose that can be fatal too. Flexeril when used in right doses gives better results, else it can be life threatening too. Talk to your doctor about how Flexeril can help you and the right dose that suits you. Do not make yourself dependent on drug and it becomes difficult to overcome drug dependency.

What should I know before taking Flexeril?

Before taking any medicine you should know how well it will work for you and what are the side effects related to the medicine. Also consult your doctor before you finalize your decision and things to be considered before taking medicine are

Allergies

Speak to your doctor if  you had allergic reaction to other medicines or this medicines. Also discuss with your doctor if you have any other allergies like animals, foods, dyes or preservatives. For all other non-prescription drugs read the ingredients mentioned on the package or label very carefully.

Pediatric

Studies aren’t done on this medicine or there is no information recorded for its usage in children.

Geriatric

Studies aren’t conducted on a lot of medicines especially to be used for older people. That is the reason why it is not known whether it will show the same effect as it does in younger people or whether they will lead to any side effect in case of older people. Similarly there is no specific information available for the use of Flexeril in older people.

Because of the fact that there can be increased blood levels in senior citizens than younger adults, use of Flexeril capsules isn’t recommended for elderly people.

Breast Feeding

There are not enough studies that determine the complications of using Flexeril while breastfeeding so it is better to consult your doctor and look at the risks associated with the medication.

Drug Interactions

Although there are a lot of serious side effects associated to consumption of medicines together, in some other cases two medicines are used together inspite of its interactions that occur. In such cases you health provider might suggest change in dose or ask you to take necessary precautions. While taking this medication, it is very important for your doctor to know if you are also taking any other medication. Looking at the interactions your doctor might suggest you some other medicines.

Other Interactions

There are other types of interactions associated with such medications like these medicines should be avoided while having food or eating in combination with certain food types as this can cause interactions as well.

The medication should not be used with alcohol or tobacco as this can lead to complications, and if this happens in some unavoidable situations, speak to your doctor as he/she might change your dose to minimize the effect of the medication.

Some other medical problems also effect the use of this medication and make sure you discuss with your doctor about your medical problems like Glaucoma or problems in urinating as Flexeril makes the condition worse, heart disease or blood vessel disease,  overactive thyroid as it can increase the risk of side effects and liver disease as increased blood levels in turn increase the chances of related side effects.

Knowing about any medication and its side effects is must and also do not ignore your existing medical condition so that you know better if the medication suits you. Again your doctor is the right person to decide.

Flex Crème for tired, sore muscles and joints

FelxCreme is a proprietary, unique topical cream consisting of menthol, which along with massaging warmth promotes temporary relief for joint discomfort and tired muscles. Nearly 80 million people go through joint discomfort. This problem not only disturbs daily routine but also create problems related to finances, job and many other things that are important in your life.

FlexCreme uses registered blend of essential ingredients and menthol (natural) to relieve muscle soreness and joint discomfort temporarily. Flexcreme acts fast, targets the specific tissues in areas where discomfort occurs helping people to get rid of pain and enjoy their lives.

Primary benefits

  • Decreases soreness of joints temporarily
  • Soothes aches temporarily
  • Provides assistance temporarily for minor scrapes, skin irritation, minor sunburns and insect bites
  • Provides localized, quick and temporary relief for sore joints and tired muscles.

Ingredients in FlexCreme

The main ingredient is menthol which is naturally extracted from peppermint oil. It contains Myristic Fatty Acids, a registered blend having combination of all natural alcohol molecule (a long chain) and fatty acid. It is a natural substance basically found in certain vegetables, nuts and animals. Fatty acids promote maintenance of healthy cells and building healthy cells and in turn our body uses it as a lubricant and emulsifier. FlexCreme directly targets painful areas around joints that are over-worked.

Menthol in FlexCreme is an essential compound extracted from mint and peppermint oils. Menthol is proved to be best to provide relief temporarily incase of muscle, joint pain and minor aches. When applied locally menthol is counterirritant that creates a thermal effect thereby depressing pain sensation.

Can FlexCreme be used too often?

The main ingredient in FlexCreme is menthol and it can cause irritation to sensitive skin if used frequently. Other than skin irritation it doesn’t have any other safety concerns. It doesn’t have any side effects or drug interactions and is meant for external application only. Remember children below 2 years should avoid using this cream.

Happy customers say they felt worth buying this cream as this cream works well as compared to other creams which burn their skin, stick to their fingers, some were very harsh others weren’t too strong whereas FlexCreme seems to be awesome and works best for muscle pain. It also smells nice and some people feel it helped on their knee pain and they could work all day long after applying the cream on knee in the morning.

Muscle or joint pain hurts a lot. Individuals become dependent and movement becomes so painful that it disturbs the normal routine in your life. What you just need is quick relief that can help you get back to work. Such a pain not only affects physically but psychologically too. FlexCreme has the right ingredient for providing quick relief and nothing to worry about side effects.

The cream has everything that you want it is non-sticky, smells nice and also gives you quick relief. Get going and get moving. Try to recover from pain by using FlexCreme.

Know Some Important Facts of Flexeril

Flexeril (cyclobenzaprine) is a common muscle relaxant. It blocks pain sensations sent to the brain. It is used along with physical therapy and rest in order to treat muscle conditions related to skeletal like injury or pain.

You should avoid taking Flexeril if you had encountered heart attack recently, or if you have congestive heart fail, overactive thyroid, heart block or disorder of heart rhythm. Flexeril can have side effects that effect your reactions or thinking so is careful while driving. Avoid taking alcohol as it can worsen the side effects of Flexeril

Speak to your doctor if you get an allergic reaction to any drugs and face the problems like

  1. Live disease
  2. Glaucoma
  3. Urination problems
  4. Enlarge prostate

If you are experiencing such problems your doctor might suggest dose adjustment or ask you to get some special tests done in order to take Flexeril safely

It is still not known whether there can be complications to unborn baby or if Flexeril is harmful to nursing mothers or will it harm the baby if it passes through breast milk so in any conditions you need to check with your doctor like if you are pregnant, planning to conceive or nursing mother.

How to take the medicine

Take the medication as prescribed with glass full water. Remember Flexeril is just a part of treatment program, which also needs physical therapy, proper rest or some other pain relief options. Follow doctor’s instructions and store Flexeril away from heat, light and moisture at room temperature.

If you take an overdose it can be fatal so consult your doctor immediately. You might observe shaking or tremors, confusion, slurred speech, fast heartbeat, seizure or pain in chest, vomiting, nausea.

If you are taking any medicine for allergy or cold along with Flexeril it can cause sleepiness and let your doctor know if you are using any other medicine regularly along with Flexeril

Side effects associated with Flexeril

  • Uneven heartbeats, fast pounding
  • Sudden weakness or numbness on either side of the body
  • Fainting, lightheadedness
  • Co-ordination problem, weakness, confusion
  • Seizure
  • Unusual weakness,  easy bleeding or bruising
  • Chest pain, heavy and ill feeling
  • Sudden headache, vision problem, speech or balance problem
  • Hallucinations, unusual behavior or thoughts

Less serious side effects of Flexeril

Less serious side effects of Flexeril are tired feeling, drowsiness, blurred vision, muscles weakness, gas, constipation, diarrhea, dry throat or mouth.

Some rare side effects include irregular breathing, irregular or fast breathing, hives, skin rash, itching, troubled breathing, swelling or puffiness around eyes or eyelids, tightness feeling in chest, wheezing

Looking at the side effects you should consult your doctor immediately. Again for pregnant women, nursing mothers or women who are planning their pregnancy should not start the medicine without checking with the doctor.

Doctor is the right person to guide you before taking any medicine and to avoid further complications you need to speak to your doctor and let him/her know about your medical conditions.

How Flexeril is supplied

FLEXERIL tablets are available in 5 mg and 10 mg dosage strengths. The 5 mg tablets are yellow-orange, 5-sided, film coated tablets, coded FLEX over 5 on one side and without coding on the other. The 10 mg tablets are butterscotch yellow, 5-sided D-shaped bi-convex, film coated tablets, coded FLEXERIL on one side and without coding on the other. The two dosage strengths are supplied as follows:

5 mg 100 count bottle NDC 50458-280-10
10 mg 100 count bottle NDC 50458-874-11

flexeril
flexeril 10mg
flexeril 10mg
flexeril 10mg
flexeril 10mg

Drug: Flexeril
Strength: 10 mg
Pill Imprint: FLEXERIL MSD 931
Color: Yellow
Shape: Five-sided

flexeril
flexeril
flexeril 10mg
flexeril 10mg

Drug: Flexeril
Strength: 5 mg
Pill Imprint: FLEXERIL
Color: Orange
Shape: Five-sided

Storage

Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F). [see USP Controlled Room Temperature].

Manufactured by: McNeil Consumer Healthcare. Division of McNeil-PPC, Inc. Fort Washington, PA 19034. Manufactured for: McNeil Pediatrics Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc. Titusville, NJ 08560. Edition: April 2013

Flexeril Dosing Information

For most patients, the recommended dose of FLEXERIL is 5 mg three times a day. Based on individual patient response, the dose may be increased to 10 mg three times a day. Use of FLEXERIL for periods longer than two or three weeks is not recommended

What is Flexeril?

Flexeril (cyclobenzaprine) is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain.

Flexeril is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury.

Flexeril may also be used for other purposes not listed in this medication guide.

Cyclobenzaprine hydrochloride is a white, crystalline tricyclic amine salt with the empirical formula C20H21N•HCl and a molecular weight of 311.9. It has a melting point of 217°C, and a pKa of 8.47 at 25°C. It is freely soluble in water and alcohol, sparingly soluble in isopropanol, and insoluble inhydrocarbon solvents. If aqueous solutions are made alkaline, the free base separates. Cyclobenzaprine HCl is designated chemically as 3-(5H -dibenzo[a,d] cyclohepten-5ylidene)-N, N-dimethyl-1-propanamine hydrochloride, and has the following structural formula:

 

FLEXERIL® (Cyclobenzaprine Hcl)  Structural Formula Illustration

FLEXERIL 5 mg (Cyclobenzaprine HCl) is supplied as a 5 mg tablet for oral administration.

FLEXERIL 10 mg (Cyclobenzaprine HCl) is supplied as a 10 mg tablet for oral administration.

FLEXERIL 5 mg (Cyclobenzaprine HCl) tablets contain the following inactive ingredients: lactose hydrous, pre-gelatinized starch, corn starch, magnesium stearate, hydroxypropyl cellulose, hypromellose, titanium dioxide, Yellow D&C #10 Aluminum Lake HT, Yellow FD&C #6 Aluminum Lake, and carnauba wax.

FLEXERIL 10 mg (Cyclobenzaprine HCl) tablets contain the following inactive ingredients: lactose hydrous, pre-gelatinized starch, corn starch, magnesium stearate, hydroxypropyl cellulose, hypromellose, titanium dioxide, yellow iron oxide, and carnauba wax.