Sedating muscle relaxant

Adding a muscle relaxant to the mix has not been shown in studies to be any better at providing relief from this kind of pain than just taking one of the OTC pain relievers.If you can’t tolerate the over-the-counter pain medications because you have other conditions, such as kidney or liver problems, bleeding ulcers, or heart issues, then you together with your doctor may want to consider taking a muscle relaxant as a temporary measure.Cyclobenzaprine is the best studied of the muscle relaxants.In more than 20 studies—most of which involved people with back or neck pain and lasted for two weeks—cyclobenzaprine was consistently more effective than placebo on various measures of pain relief, functional ability, and muscle spasm.There are six muscle relaxants approved to treat back or neck aches, headaches, and other conditions that are due to painful muscle spasms.

If the spasms last longer than a few weeks, you should discuss with your doctor whether you are truly benefiting from the muscle relaxant and whether it should be continued, and if other therapies should be tried.Those side effects, including dizziness and drowsiness, can be a concern for pilots, drivers, and people who use heavy or dangerous equipment.Many of the muscle relaxants, including carisoprodol, chlorzoxazone, cyclobenzaprine, metaxalone, methocarbamol, and orphenadrine, are not recommended for use in people 65 years or older because the sedating effects could lead to accidents or falls.If those don’t help, try over-the-counter pain relievers, such as acetaminophen (Tylenol and generics), ibuprofen (Advil and generics), or naproxen (Aleve and generics).Studies that compared those OTC pain relievers with muscle relaxants mostly found little difference in how well they improved pain or function—but the muscle relaxants were associated with much more sedation.

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