Types of Skeletal Muscle Relaxers for Back Spasms and Pain

When you injure your neck or back, your muscles may seize up, making it difficult to get through your day, your exercises and/or your physical therapy session. When this happens, your doctor may prescribe skeletal muscle relaxers to help speed your progress.

Drugs in the skeletal muscle relaxer class are not available over the counter; they must be prescribed by your doctor.

In this article, I'll discuss three types of skeletal muscle relaxers. Certain similarities are shared by all, regardless of which you take. We'll go over those so you can get a complete picture of this class of drugs, but in the meantime, the most important thing to remember about skeletal muscle relaxers is that they'll probably make you drowsy. This means that driving, operating heavy machinery and or engaging in other risky activities are a no-no when you are under the influence of this skeletal muscle relaxers.

Another thing to know — especially if you have a family — is that with all the skeletal muscle relaxers we'll talk about, experts say it's possible that the active ingredient may be passed to your fetus if you take it while pregnant, or to your baby when you breastfeed.

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Carisoprodol molecule model.
Carisoprodol molecule model. LAGUNA DESIGN/Collection:Science Photo Library/Getty Images

Cariosoprodol is available generically and as a brand; brand names are Soma and Vanadom.

It is thought that carisoprodol works by suppressing nerve impulses located in the brain and spinal cord (the two components of the central nervous system.)  

Many doctors prescribe this medication, as well as other types of drugs in the skeletal muscle relaxer class, as an adjunct to physical therapy for the healing and managing of musculoskeletal injuries and/or pain.

When I say adjunct, what I mean is that you may be able to take carisoprodol (or other skeletal muscle relaxer) to reduce your pain and/or release any muscle spasm you may have — long enough to give you a fair change to engage with your activity based care.

And taking this medication may help you adhere to the exercise program you'll inevitably encounter in your physical therapy sessions.

The idea of using carisoprodol is to give you a fair chance to get started, so that you can reap the results in the long term. It's not about needing or continually taking the drug in order to feel better. Think of it more as a kick start, after which you take the ball and run with it (by sticking with the home program your therapists gives you.)

Back muscle spasm is a perfect example of the kind of condition that may benefit from carisoprodol in the short term. 

The Drugs.com website says that carisoprodol can be habit forming. Based on that, a few warnings are in order:

  • Only the person to whom it was subscribed should use it
  • Never give carisoprodol to someone with a history of drug abuse or addiction.
  • If you've taken carisoprodol for a long time and stop, you may experience withdrawal symptoms. Be sure to talk to your doctor before suddenly going off this medication; you may need to taper, and she can help you get this right.
  • Carisoprodol can cause side effects that may impair your thinking or reactions. As alluded to in the intro in this article, be careful if you drive or do anything that requires you to be awake and alert. Also, avoid drinking alcohol when you take carisoprodol; alcohol may increase the drowsiness and dizziness that is often caused by carisoprodol.

Be sure to communicate with your doctor before taking carisoprodol if you have any drug allergies, kidney disease or liver disease, or if you get seizures.

If you're allergic to carisoprodol, obviously you shouldn't take it. And you shouldn't take it if you are allergic meprobamate (Equanil, Miltown). Another reason to avoid cariosoprodol is if you have porphyria.  

 

 

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Flexeril - Cyclobenzaprine drug molecule
Flexeril - Cyclobenzaprine drug molecule. LAGUNA DESIGN/Collection:Science Photo Library/Getty Images

Cyclobenzaprine is available as Flexeril, Amrix and in generic form. Like other types of muscle relaxers, cyclobenzaprine may cause dizziness or drowsiness, so you shouldn't drive, lift heavy objects or do vigorous exercise while under its influence.

In fact, the sedation effects of cyclobenzaprine may be the way in which it works its magic on your painful, tension-filled muscles. 

As with cariosoprodol and other skeletal muscle relaxers, cylobenzaprine is used together with rest and physical therapy to treat skeletal muscle related conditions and/or injuries, especially when pain or spasm is involved. So when you use cyclobenzapine in conjunction with your physical therapy, you may find you're making speedier progress, especially if you take your home exercise program seriously.

Cyclobenzaprine is chemically related to tricyclic antidepressants. Although it is considered a derivative of the tricyclic antidepressant class, it does not pose the same risk to your liver health. Experts do not currently know the reason for this difference between the two substances.

According to Drugs.com, reasons not to take this medication include, among other things, if you have thyroid disorder, heart block, congestive heart failure, a heart rhythm disorder, or you have recently had a heart attack.

 

As with skelaxin and carisoprodol, your doctor's recommendation that you go with  Flexeril (instead of another drug in this class) may be based on a comparison of anticipated side effects, your personal preferences and/or potential drug interactions.

 

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Skelaxin-Metaxalone chemical model
Skelaxin-Metaxalone chemical model. LAGUNA DESIGN/Collection:Science Photo Library/Getty Images

Skelaxin is the brand name for metaxalone.  

While the FDA has approved the generic form of this medication, it is not actually being sold on the market. As with the other muscle relaxers described on this page, metaxalone used as an adjunct for physical therapy and rest when your muscles get too tight; it works by suppressing nerve impulses in the brain and spinal cord.

The Drugs.com website says that it's possible metaxalone may skew results of certain medical tests. So if you're scheduled for one, be sure to tell (or remind) your doctor that you're taking this drug.  

Drugs.com also says not to use Skelaxin if you're allergic to it, or you have anemia, liver disease or kidney disease.

Source

Skelaxin. Drugs.com website. Revision Date: Dec 2015..

Carisoprodol. Drugs.com website. Revision Date: April 2009..

Cyclobenzaprine. Drugs.com website. Revision Date: Dec 2015..

Cyclobenzaprine. Liver Tox. United States National Library of Medicine. Last updated: Jan. 2017. https://livertox.nih.gov/Cyclobenzaprine.htm

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