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General Information/Uses

The prescription medication tramadol is a narcotic-like drug that is typically used to treat chronic pain. It is often prescribed to treat acute lower back pain and fibromyalgia. It can also be used to treat acid reflux and restless leg syndrome (RLS). The drug is an opioid analgesic and is related to codeine.

How to Take This Drug

This drug is typically taken orally and should always be consumed exactly as the patient’s doctor directs. Doses should usually be taken within 4 to 6 hours of each other. It is not advisable to consume more than 300 mg of this drug per day.

It is not necessary to take tramadol with a meal. However, it should be taken at the same time every day and with a full glass of water,

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. The medicine should never be crushed or diluted. If a tablet is accidentally crushed,

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the patient should be careful not to inhale the powder. Consumption of crushed/powdered tablets, particularly delayed-release tablets, may cause an overdose.

Because of the risk of withdrawal symptoms,

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, the patient should not stop using the drug without first consulting his or her doctor,

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tremors, hallucinations, breathing problems, and nausea.

Warnings/Precautions

Seizures are a rare side effect of tramadol,

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is taking antidepressants, or has a history of seizures,

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narcotic medications, or street drugs may increase the patient’s risk.

If the patient suffers from depression, a stomach disorder,

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, or liver or kidney disease, his or her doctor should be informed before the drug is taken.

If the patient is allergic to morphine,

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or any other opiate narcotics, he or she may not be able to take tramadol,

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. The drug may not react well with antidepressants, MAO inhibitors, cold medications, and herbs or natural supplements such as St. John’s Wort,

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Female patients should speak to their doctors about whether or not they should take this drug while pregnant. Consumption of this drug during pregnancy may cause birth defects and may create complications during the labor process,

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. Women who are nursing should not take the drug because it can pass through breast milk and may harm the baby.

Tramadol should not be taken by children under the age of 18 or by those who have a drug or alcohol addiction.

Side Effects

Some patients may be allergic to tramadol and may experience symptoms such as severe airway constriction, hives, and swelling of the face, throat, or tongue,

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. Because allergic reactions can be fatal, the patient should seek medical help immediately if he or she develops these symptoms.

Some of the drug’s more serious side effects include seizures, hallucinations, fainting, breathing problems, and changes in heart or pulse rates. Some patients may develop skin problems such as blistering, itching, redness, or rashes that cause peeling.

Some of the less serious side effects of this drug include fatigue,

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, sensory impairment, dry mouth, and insomnia,

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. The drug may cause intestinal problems such as constipation, diarrhea, nausea, and vomiting.

Overdose Information

It is possible to overdose on tramadol. Signs of an overdose include severe fatigue, clammy skin, fainting,

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and coma. If any of these symptoms occur,

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the patient must seek medical help at once.

Additional Information

Patients should use this drug with caution because it may lead to addiction. The patient should always follow his or her doctor’s instructions to the letter. Also, the medicine should be kept in a safe place so that no one may use it improperly. The patient should speak to his or her doctor about how to avoid addiction and withdrawal symptoms.

This drug is usually only given to patients who have acute or chronic pain. It should not be taken more than is necessary. However, those who suffer from severe,

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, chronic pain will find it highly effective,

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The drug is often given to patients with severe lower back pain. However,

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Disclaimer

The information given here does not cover all of this drug’s risks, side effects, drug interactions, or uses. This is general information that is not meant to give specific instructions. The owners of this article disclaim all responsibility for the accuracy of this information as well as any dangers or damages to persons or property that may occur because of it.






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Your muscles help you move and help your body work,

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. Different types of muscles have different jobs. There are many problems that can affect muscles,

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. Muscle disorders can cause weakness, pain or even paralysis.

There may be no known cause for a muscle disorder. Some known causes include


Injury or overuse, such as sprains or strains,

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cramps or tendinitis

Genetics,

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such as muscular dystrophy

Some cancers

Inflammation, such as myositis

Diseases of nerves that affect muscles

Infections

Certain medicines

A spasm is a sudden, involuntary contraction of a muscle, a group of muscles, or a hollow organ, or a similarly sudden contraction of an orifice. It is sometimes accompanied by a sudden burst of pain, but is usually harmless and ceases after a few minutes. Spasmodic muscle contraction may also be due to a large number of medical conditions, including the dystonias.

By extension,

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activity, emotion, stress, or anxiety.

A subtype of spasms is colic,

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, an episodic pain due to spasms of smooth muscle in a particular organ (e.g,

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. the bile duct). A characteristic of colic is the sensation of having to move about, and the pain may induce nausea or vomiting if severe,

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. Series of spasms or permanent spasms are called a spasmism.

In very severe cases, the spasm can induce muscular contractions that are more forceful than the sufferer could generate under normal circumstances,

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. This can lead to torn tendons and erical strength is argued to be a type of spasm induced by the brain under extreme circumstances.

A muscle relaxant is a drug which affects skeletal muscle function and decreases the muscle tone. It may be used to alleviate symptoms such as muscle spasms, pain, and hyperreflexia. The term "muscle relaxant" is used to refer to two major therapeutic groups: neuromuscular blockers and spasmolytics. Neuromuscular blockers act by interfering with transmission at the neuromuscular end plate and have no CNS activity. They are often used during surgical procedures and in intensive care and emergency medicine to cause paralysis,

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. Spasmolytics, also known as "centrally-acting" muscle relaxants, are used to alleviate musculoskeletal pain and spasms and to reduce spasticity in a variety of neurological conditions,

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. While both neuromuscular blockers and spasmolytics are often grouped together as muscle relaxants, the term is commonly used to refer to spasmolytics only.

Muscle relaxers, AKA "skeletal muscle relaxants ",

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, make up an important category of prescription medication useful for the relief of muscle pain and muscle spasm.  Muscle relaxers are not available without a prescription in the U.S.  For those who must bear the challenges of chronic pain,

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multiple sclerosis, or spinal injury, prescription muscle relaxers are often the medications which allow them to enjoy a reasonable quality of life.  They are often used for short term relief of back or neck spasm or stiffness.  Sometimes finding the appropriate prescription muscle relaxer can be challenging.  As with many medications,

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what works well for one person may not work well for another.





  

Neuromuscular-blocking drugs

Muscle relaxation and paralysis can theoretically occur by interrupting function at several sites, including the central nervous system, myelinated somatic nerves, unmyelinated motor nerve terminals, nicotinic acetylcholine receptors, the motor end plate, and the muscle membrane or contractile apparatus. Most neuromuscular blockers function by blocking transmission at the end plate of the neuromuscular junction,

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. Normally,

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a nerve impulse arrives at the motor nerve terminal, initiating an influx of calcium ions which causes the exocytosis of synaptic vesicles containing acetylcholine. Acetylcholine then diffuses across the synaptic cleft. It may be hydrolysed by Acetylcholine esterase (AchE) or bind to the nicotinic receptors located on the motor end plate. The binding of two acetylcholine molecules results in a conformational change in the receptor that opens the sodium-potassium channel of the nicotinic receptor. This allows Na+ and Ca2+ ions to enter the cell and K+ ions to leave the cell causing a depolarization of the end plate,

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resulting in muscle contraction. Following depolarization, the acetylcholine molecules are then removed from the end plate region and enzymatically hydrolysed by acetylcholinesterase.

Normal end plate function can be blocked by two mechanisms. Nondepolarizing agents like tubocurarine block the agonist,

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, acetylcholine, from binding nicotinic receptors and activating them, thereby preventing depolarization. Alternatively, depolarizing agents such as succinylcholine are nicotinic receptor agonists which mimic Ach, block muscle contraction by depolarizing to such an extent that it desensitizes the receptor and it can no longer initiate an action potential and cause muscle contraction. These neuromuscular blocking drugs are structurally similar to acetylcholine,

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the endogenous ligand, in many cases containing two acetylcholine molecules linked end-to-end by a rigid carbon ring system, as in pancuronium.





Carisoprodol is a centrally-acting skeletal muscle relaxant. It is a colorless, crystalline powder,

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, having a mild characteristic odor and a bitter taste,

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. Carisoprodol is slightly soluble in water and freely soluble in alcohol,

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chloroform and acetone. The drug's solubility is practically independent of pH. Carisoprodol is marketed in the United States under the brand name Soma, and in the United Kingdom and other countries under the brand names Sanoma and Carisoma. The drug is available by itself or mixed with aspirin and in one preparation (Soma Compound With Codeine) along with codeine and caffeine as well.

Cyclobenzaprine is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain.   Cyclobenzaprine is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury. 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 at 25°C. It is freely soluble in water and alcohol, sparingly soluble in isopropanol,

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, and insoluble in hydrocarbon solvents,

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. If aqueous solutions are made alkaline, the free base separates. 

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

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

FLEXERIL tablets contain the following inactive ingredients: hydroxypropyl cellulose, hydroxypropyl methylcellulose, iron oxide, lactose,

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, magnesium stearate, starch, and titanium dioxide. FLEXERIL 5 mg tablets also contain Yellow D&C #10 Aluminum Lake HT, and Yellow FD&C #6 Aluminum Lake.





FLEXERIL is indicated as an adjunct to rest and physical therapy for relief of muscle spasm associated with acute, painful musculoskeletal conditions.

Improvement is manifested by relief of muscle spasm and its associated signs and symptoms, namely, pain, tenderness, limitation of motion, and restriction in activities of daily living.

FLEXERIL should be used only for short periods (up to two or three weeks) because adequate evidence of effectiveness for more prolonged use is not available and because muscle spasm associated with acute,

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, painful musculoskeletal conditions is generally of short duration and specific therapy for longer periods is seldom warranted.

FLEXERIL has not been found effective in the treatment of spasticity associated with cerebral or spinal cord disease, or in children with cerebral palsy.



 Muscle relaxants

Generic Name Brand Name carisoprodol Soma cyclobenzaprine hydrochloride Flexeril diazepam Valium metaxalone Skelaxin methocarbamol Robaxin

The muscle-relaxing effects of these medicines are most likely the result of their ability to depress the central nervous system. They are also called sedatives. Muscle relaxants can be helpful when severe muscle spasms follow the start of low back epam (Valium) and carisoprodol (such as Soma) are not recommended for use by pregnant women, older adults, or people who have depression or a history of drug or alcohol acute low back pain,

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, muscle relaxants improve pain,

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muscle tension,

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and mobility. But side effects are common.  For chronic low back pain, muscle relaxants may relieve pain and lead to overall improvement, but side effects are common.

Muscle relaxant Side Effects

Possible side effects of muscle relaxants include:



Drowsiness or dizziness.

Possible addiction or dependence.

Dry mouth.

Urinary retention.

Muscle relaxants work by acting on the central nervous system. In the UnitedStates, they are available only with a physician's prescription. Examples ofmuscle relaxants are carisoprodol (Soma), chlorzoxazone (Parafon Forte DSC),cyclobenzaprine (Flexeril), and methocarbamol (Robaxin). Most come only in tablet form. However, methocarbamol (Robaxin) is available in both tablet and injectable forms. Some muscle relaxants are available in Canada without a prescription.

Muscle relaxants are usually prescribed along with rest,

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, exercise, physical therapy, or other treatments,

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. Although the drugs may provide relief, they should never be considered a substitute for these other forms of treatment. Thesedrugs may make the injury feel so much better that one is tempted to go backto normal activity, but doing too much too soon can actually make the injuryworse.

Muscle relaxants work quite well for relieving muscle pain due to injuries, but are not effective for other types of pain. Some people feel drowsy,

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, dizzy,confused, lightheaded, or less alert when using muscle relaxants drugs. These drugs may also cause blurred vision, clumsiness, or unsteadiness.

Because muscle relaxants work on the central nervous system, they may add tothe effects of alcohol and other drugs that slow down the central nervous system. They may also add to the effects of anesthetics, including those used for dental procedures. For this reason, anyone who takes these drugs should notdrive, operate machinery,

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, or do anything else that might be dangerous untilthey have found out how the drugs affect them.

People with certain medical conditions or who are taking certain other medicines can have problems if they take muscle relaxants. Diabetes should be awarethat the metaxalone (Skelaxin) may cause false test results on one type of test for sugar in the urine. People with epilepsy should be cautioned that taking the muscle relaxant methocarbamol may increase the likelihood of seizures.

Anyone who has allergies, who is breastfeeding has kidney disease, has suffered a recent heart attack or irregular heartbeat, has an overactive thyroid gland, hepatitis or liver disease, is a current or former drug or alcohol abuser, has glaucoma,

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, or has problems with urination should discuss their condition with their doctor before taking muscle relaxants.

An antispasmodic (synonym: spasmolytic) is a drug or an herb that suppresses muscle spasms. One type of antispasmodics is used for smooth muscle contraction, especially in tubular organs of the gastrointestinal tract. The effect is to prevent spasms of the stomach, intestine or urinary bladder,

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. Both dicyclomine and hyoscyamine are antispasmodic due to their anticholinergic action. Both of these drugs have general side effects and can worsen gastroesophageal reflux disease. 

Pharmacotherapy may be used for acute musculoskeletal conditions when physical therapy is unavailable or has not been fully successful. Another class of antispasmodics for such treatment includes cyclobenzaprine, carisoprodol,

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, orphenadrine, and tizanidine. Effectiveness has not been clearly shown for metaxalone, methocarbamol, chlorzoxazone, baclofen, or dantrolene. Applicable conditions include acute back or neck pain, or pain after an injury.

We have setup Muscle Relaxer Review systems,

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