Muscle relaxant less sedating
Muscle relaxant less sedating - financial security dating
Whether from a new injury or an aggravated old injury, stiffness and soreness in the neck and back at night may lead to disrupted sleep and more pain in the morning.Muscle relaxants have been shown to help relieve this pain and get you through these tough days—used at night, these medications may improve acute neck and back pain.
Many different classes of drugs, from antidepressants to benzodiazepines to antiepileptics, are also used to treat painful muscle spasms, but are not classified as skeletal muscle relaxants or approved for this indication by the FDA.Chou et al performed a systematic review of trials to compare efficacy and safety of skeletal muscle relaxants.Although the evidence was considered to be of fair quality, they concluded that for the treatment of musculoskeletal pain, tizanidine, orphenadrine, carisoprodol, and cyclobenzaprine were more effective than placebo.Muscle spasms can be caused by musculoskeletal conditions, such as back pain and neck pain, or neurological conditions associated with upper motor neuron lesions, such as multiple sclerosis.Both underlying causes can result in localized tenderness, significant pain, limitation of movement, and disability.Your first line treatment will still be acetaminophen (Tylenol) and NSAIDs (ibuprofen, Advil, naproxen, Aleve, etc) which do work better for neck and back pain than muscle relaxants.
But there may be benefit to taking both, especially at night, where a muscle relaxant added to acetaminophen or an NSAID works better than either alone. How well do they work and what are their side effects ?
The muscle relaxant class is a heterogeneous group of agents, with individual differences in drug interactions, comorbidity considerations, and ADEs.
These agents are categorized as either antispasmodics or antispasticity agents.
The skeletal muscle relaxants are a diverse class of drugs that are used for treating painful muscle spasticity or spasms, which can substantially affect a patient’s ability to function (Table 1).
About 2 million people annually report using muscle relaxants, with about 15% being elderly.
Brief history All three medications are indicated as an adjunct to rest, physical therapy, and other measures for the relief of discomforts associated with acute, painful musculoskeletal conditions.