Details About Generic Salt ::  Cycloben

Main Medicine Class:: Skeletal muscle relaxant,Centrally acting   

(SIGH-kloe-BEN-zuh-preen HIGH-droe-KLOR-ide)
Flexeril
Class: Skeletal muscle relaxant/Centrally acting

 

Drugs Class ::

 Action Relieves skeletal muscle spasms of local origin without interfering with muscle function by acting within CNS at brain stem. Structurally and pharmacologically related to tricyclic antidepressants.

Indications for Drugs ::

 Indications Relief of muscle spasms associated with acute painful musculoskeletal conditions. Unlabeled use(s): Treatment of fibrositis.

Drug Dose ::

 Route/Dosage

ADULTS: PO 10 mg tid (maximum 60 mg/day). Do not use > 3 wk.

Contraindication ::

 Contraindications Use of MAO inhibitors or within 14 days of their discontinuation; acute recovery phase of MI; arrhythmias; heart block or conduction disturbances; CHF; hyperthyroidism.

Drug Precautions ::

 Precautions

Pregnancy: Category B. Lactation: Undetermined. Children: Safety and efficacy in children < 15 yr not established. Anticholinergic effects: Use with caution in patients with urinary retention, angle-closure glaucoma and increased intraocular pressure.

PATIENT CARE CONSIDERATIONS


Drug Side Effects ::

 Adverse Reactions

CV: Tachycardia; syncope; arrhythmias; vasodilation; palpitation; hypertension. CNS: Drowsiness; dizziness; fatigue; asthenia; headache; nervousness; convulsions; confusion. DERM: Sweating; skin rash; urticaria. EENT: Blurred vision. GI: Dry mouth; nausea; constipation; dyspepsia; unpleasant taste. HEMA: Purpura; bone marrow depression; leukopenia; eosinophilia; thrombocytopenia. META: Hypoglycemia; hyperglycemia.

Drug Mode of Action ::  

 Action Relieves skeletal muscle spasms of local origin without interfering with muscle function by acting within CNS at brain stem. Structurally and pharmacologically related to tricyclic antidepressants.

Drug Interactions ::

 Interactions

Alcohol and other CNS depressants: May cause additive CNS depression. MAO inhibitors: May cause hyperpyretic crisis, severe convulsions and death.

Drug Assesment ::

 Assessment/Interventions

  • Obtain patient history, including drug history and any known allergies.
  • Record any sensitivity to tricyclic antidepressants and cyclobenzaprine.
  • Take vital signs as needed.
  • Monitor for development of psychotic symptoms (eg, disorientation, depressed mood; anxiety; hallucinations.
  • Obtain ECG if heart arrhythmia develops.
OVERDOSAGE: SIGNS & SYMPTOMS
  Confusion, agitation, visual hallucinations, arrhythmia, CHF, hyperpyrexia, hyperactive reflexes, vomiting, drowsiness, stupor, coma, hypothermia, tachycardia, dilated pupils, seizures, hypotension

Drug Storage/Management ::

 Administration/Storage

  • Give with meals to avoid GI irritation.
  • Do not give concomitantly with MAO inhibitors or within 14 days of last dose of MAO inhibitor.

Drug Notes ::

 Patient/Family Education

  • Inform patient that this medication makes injury temporarily feel better. Caution patient not to rush recovery and to avoid lifting or exercising too soon, which may further damage muscles.
  • Caution patient to rise slowly from a sitting or standing position to avoid injury.
  • Instruct patient to report these symptoms to physician: shortness of breath, palpitations, weight gain, heart irregularities, confusion, yellowing of skin or eyes, fever or difficulty urinating.
  • Advise patient to take sips of water frequently, suck on ice chips or sugarless hard candy or chew sugarless gum if dry mouth occurs.
  • Instruct patient to avoid intake of alcoholic beverages or other CNS depressants.
  • Advise patient that drug may cause drowsiness and to use caution while driving or performing other tasks requiring mental alertness.
  • Instruct patient not to take otc medications without consulting physician.

Disclaimer ::

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