Muscle Relaxants, Muscle Relaxant Drugs, Muscle Relaxant

Muscle relaxants are not really a class of drug, but more a group of different kinds of drugs that have a sedative effect on the bodyContrary to their name, muscle relaxants referred to in the sense of pain relief do not act directly on the muscles, but rather on the central nervous system, causing something more akin to total body relaxation.

Typically, muscle relaxants are prescribed for use to relieve mild or moderate muscular aches and pains, particularly back pain and muscle spasms.

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Diazepam (Valium). Valium is usually limited to a short course of one to two weeks, and the typical dosage is 5-10mg every six hours as needed to relieve lower back pain associated with muscle spasm. Because of its habit-forming potential, and because it changes sleep cycles and makes it very difficult to sleep after stopping the drug, Valium should not be used long term. Valium is also a depressant and can therefore worsen depression associated with chronic pain.

Carisoprodol (Soma). Taken approximately every eight hours or as needed for the relief of muscle spasm. Soma is typically prescribed on a short-term basis and may be habit forming, particularly if used in conjunction with alcohol or other mind-altering substances.

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Cyclobenzaprine (Flexeril). This is prescribed for cases where longer-term pain relief is required, and has a similar action to some antidepressant medications, although it is not an antidepressant. Usually it is prescribed as 10mg every six hours as needed to relieve lower back pain associated with muscle spasm, or it can also be prescribed as 10mg at night as needed to relieve sleeping difficulties. Flexeril can impair mental and physical function and should therefore be used with caution, and not in conjunction with other sedatives.

Antispasmodic drugs are also frequently prescribed as muscle relaxants, and can be broadly categorized into benzodiazepines and non-benzodiazepines.

Benzodiazepines, also referred to as benzodiazepine receptor agonists (BzRAs), were once the most commonly prescribed sedative hypnotics. These drugs nonselectively target receptor sites in the brain that modulate the effects of the neurotransmitter gamma-aminobutyric acid (GABA). Medium to short acting benzodiazepines include triazolam (Halcion), lorazepam (Ativan), alprazolam (Xanax), temazepam (Restoril), oxazepam (Serax), prazepam (Centrax), estazolam (ProSom), and flunitrazepam (Rohypnol).

Non-Benzodiazepine hypnotics are newer, short-acting sedatives which are more specific than benzodiazepines in the receptor sites that they target in the brain. Consequently they have fewer side-effects and substantially less of the next day ‘hangover’ that the older benzodiazepines are associated with. Popular forms of this kind of drug include Zolpidem (Ambien), Zaleplon (Sonata), Eszopliclone (Lunesta) and Ramelteon (Rozerem).

Muscle relaxants are often prescribed alongside rest, exercise, physical therapy, or other treatments. Although the drugs may provide relief, they should not be considered a substitute for these other forms of treatment, and if symptoms persist, further medical advice should be sought in order to address the root cause of pain and discomfort.

Muscle relaxants may make an injury feel much better, to the extent that a person is tempted to go back to normal activity, but doing too much too soon can aggravate a condition, so it is important to combine muscle relaxants with rest and recuperation, not use them to ‘work though’ pain and continue normal activities.

Muscle relaxants work well for relieving muscle pain due to injuries, but some are not effective for other types of pain. Some people feel drowsy, lightheaded, or less alert when using muscle relaxants drugs, and they may also cause blurred vision, clumsiness, and unsteadiness.

It is recommended that if a particular muscle relaxant is not working for you, that you try a different type, since some people are naturally inclined to be unresponsive to certain drugs and responsive to others. It is also important to be aware of manufacturer’s advice with relation to dosage and possible side effects. Seek medical help as a matter of urgency if symptoms worsen.

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