But they often go hand-in-hand. Submitted by Henry Resnick, MS, PharmD, RPh, CPh. Cyclobenzaprine and tizanidine may be more sedating. Parkinson disease medicines: Benztropine (Cogentin) Some products have ingredients that could raise your heart rate or blood pressure. In his current capacity as Senior Medical Editor for American Addiction Centers, Dr. Thomas works to provide accurate, authoritative information to those seeking help for substance abuse and behavioral health issues. In the US - Call your doctor for medical advice about side effects. 17 0 obj doi: 10.1371/journal.pcbi.1010711. Follow all directions on your prescription label and read all medication guides or instruction sheets. Limit alcoholic beverages. Robaxin is available as a brand name or generic medication. 0000004324 00000 n
Reserpine (Serpasil) Spironolactone (Aldactone) Triamterene (Maxzide) Verapamil (Calan) Thiazides are the most common cause of erectile dysfunction among the high blood pressure medicines. These medications should only be used under the supervision of a doctor or healthcare provider. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart diseases (such as congestive heart failure, aortic stenosis), liver problems, esophagus/stomach/intestine problems (such as narrowing/stricture, motility disorders, obstruction), kidney problems, a certain metabolic disorder (porphyria). Flexeril is not a narcotic, but when misused or combined with other medications, it can be pretty harmful. 1998 Sep-Oct;18(5):1133-5. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 0000015387 00000 n
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Celebrex, ibuprofen, Naprosyn, diclofenac, and Relafen DS are some meloxicam alternatives. It is not an opioid ("narcotic") drug. Moreover, due to the medications similar to Flexeril, the Food and Drug Administration (FDA) warns that people who use them may suffer withdrawal symptoms from tricyclic antidepressants. Because of the pharmacist's astuteness,the Flexeril was discontinued, andbaclofen was ordered instead. Other drugs may interact with cyclobenzaprine, including prescription and over-the-counter medicines, vitamins, and herbal products. Flexeril is a brand name of cyclobenzaprine, approved by the FDA in the following formulation(s): FLEXERIL (cyclobenzaprine hydrochloride - tablet;oral) Manufacturer: JANSSEN RES AND DEV Approved Prior to Jan 1, 1982 Strength(s): 5MG (discontinued) , 10MG (discontinued) Flexeril doesnt have the same power as other prescription painkillers. The Flexeril brand name has been discontinued in the U.S. Those at higher risk include people more than 75 years old, people taking oral steroids, and people taking a blood-thinning medication such as apixaban (Eliquis), aspirin, clopidogrel (Plavix), dabigatran (Pradaxa), edoxaban (Savaysa), rivaroxaban (Xarelto), or warfarin (Coumadin). Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen). Whether the person took Flexeril with other medications or drugs (people may mix Flexeril with alcohol, barbiturates, and other central nervous system depressants to enhance the effects of these drugs). Patients who have severe muscle pain may find this medication more useful. Terbutaline is in a class of drugs called betamimetics. Dr. Scot Thomas received his medical degree from the University of California, San Diego School of Medicine. In the United States, the use of Flexeril has been discontinued. Drowsiness is the most commonly reported side effect in studies, occurring in up to 38% (38 out of 100) of people. What are the new treatment options for migraines? QxH3j Along with physiotherapy and rest, it is frequently used in the short term to help treat injuries. The use of nisoldipine (10-20 mg b.i.d.) Patients taking Flexeril can sleep better, move more efficiently, and feel more energized. Learn how to get Belbuca at a lower price, or find cheaper alternatives. Is cyclobenzaprine a controlled substance or addictive? Brand-name Flexeril has been discontinued; however, it is still available as a genericcyclobenzaprineand as brand names Amrix and Fexmid. Flexeril is likely to make you sleepy or impair your judgment time. Diclofenac doesn't work for everyone. This review included other muscle relaxants such as metaxalone, baclofen, tizanidine, orphenadrine, and chlorzoxazone. Copyright 1996-2023 Cerner Multum, Inc. It is available as a generic drug called methocarbamol. An extended-release version is available both as a generic or under the brand name Amrix. 0000003140 00000 n
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. 0000007046 00000 n
Enter your medication into the WebMD interaction checker, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Fitness vs. Both Robaxin and Flexeril work in similar ways through acting on the central nervous system (CNS). Robaxin can decrease the effectiveness of pyridostigmine bromide, a medication used to treat myasthenia gravis. If you have or suspect you may have a health problem, you should consult your health care provider. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Additionally, cyclobenzaprine has the potential to produce a euphoric high. It should be very reasonable. In shorttermstudies for indications other thanmuscle spasm associated with acutemusculoskeletal conditions, and usuallyat doses somewhat greater than thoserecommended for skeletal musclespasm, some of the more serious CNS[central nervous system] reactions notedwith the tricyclic antidepressants haveoccurred. McNeil Consumer and Specialty Pharmaceuticals. Discuss the risks and benefits with your doctor. Both the generic version and the Amrix brand are accessible in extended-release form. Alcohol can compound muscle-relaxant side effects such as drowsiness, dizziness, or loss of coordination. 0000016975 00000 n
Physician Prescribing Information Abstract. The medicine can have various adverse and perhaps dangerous effects in addition to these positive ones. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. 0000011088 00000 n
Discuss these treatment options with a doctor to find the best medication for you. Nifedipine immediate release (IR) is a short-acting dihydropyridine calcium channel blocker historically used for hypertensive crisis, but its use has decreased because of reports of adverse reactions such as myocardial infarction (MI), arrhythmias, and stroke. Call your doctor for medical advice about side effects. However, cyclobenzaprine and the term are still frequently used interchangeably (the generic name). 18 0 obj Most people with high blood pressure do not feel sick. <]/Prev 117136>> This article is not medical advice. It is intended for general informational purposes and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Because of its anticholinergic properties, Flexeril can also cause dry mouth. Brand-name Flexeril has been discontinued; however, cyclobenzaprine is available in two other brand names: Amrix (extended-release) and Fexmid (immediate-release). Available for Android and iOS devices. Some muscle-relaxing effects may be noted within 20 to 30 minutes of oral administration. Robaxin and Flexeril are effective treatments for treating musculoskeletal pain and muscle spasms. Seek immediate medical attention if you experience these adverse effects. In addition, the Food and Drug Administration (FDA) notes that Flexeril users could experience tricyclic antidepressant withdrawal symptoms given the similarities between these drugs and Flexeril.3 However, there are no reports of this happening. It does not directly affect muscle contractions. Tell your doctor if your condition worsens (such as increase in your routine blood pressure readings). All information contained within this site including text, graphics, info graph, videos and any other material is to be used for educational purposes only and should NOT be substituted for professional medical advice. A dangerous drug interaction could occur. An empty tablet shell may appear in your stool. 16 0 obj Dry mouth, tiredness, dizziness, headache, difficulty with urination, nausea, an increase in eye pressure, and blurred vision have also been reported. Muscle relaxants like Robaxin or Flexeril can cause increased dizziness or drowsiness and impair cognitive performance. Some people may prefer extended-release generic Flexeril for its once-daily dosing. Flexeril affects the central nervous system to produce its effects. The sedative effects of Flexeril may help people sleep who are experiencing insomnia as a result of muscle spasms. Tricyclic antidepressant withdrawal symptoms include: Flexeril withdrawal symptoms are rarely dangerous. <> Continues with Percocet, same dosing. was evaluated as a replacement therapy for long-acting nifedipine (40-120 mg/day) in 21 patients with severe hypertension, who were resistant to or intolerant of nifedipine. 2005 - 2023 WebMD LLC. Tell your doctor if you have a heart condition, thyroid disease, liver disease, glaucoma, or a problem with urination before starting treatment. Improves pain, tenderness, and range of motion associated with muscle spasms and increases a person's ability to perform their day-to-day activities. Avoid drinking alcohol. Effects may be similar to those seen with tricyclic antidepressants (TCAs) as Flexeril is structurally related to TCAs. It may not be safe to breast-feed while using this medicine. We are here 24/7 for any questions you may have. Flexeril may be associated with more drowsiness compared to Robaxin. Medically reviewed by Carmen Fookes, BPharm. Flexeril is available as a generic under the name cyclobenzaprine. 0000093642 00000 n
We Are In-Network With Top Insurance Providers, Well guide you through the whole process. This medicine is a rose pink, round, film-coated, tablet imprinted with "PROCARDIA XL 60". Keep all medications away from children and pets. If theyre more severe or dont go away, talk to your doctor or pharmacist. Alternative diclofenac dosage forms, other NSAIDs, COX-2 Inhibitors, corticosteroids, and non-NSAID pain relievers are some diclofenac alternatives. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures. Swallow the whole or split tablet without crushing or chewing. Many patients discovered that they were using Flexeril to treat a co-occurring disorder as self-medication. When a person uses a drug for a long period of time, their body becomes accustomed to its presence. Similar alternatives are available if the FDA has approved generic versions of this product. A per-dose incidence of 2.4% and per-patient incidence of 7.3% in this composite endpoint were found, with no differences between the groups. Fatigue and dizziness may also occur. Consult a doctor with all the medications you may be taking. Flexeril addiction treatment centers can help you understand why you compulsively use Flexeril or other drugs. Except for one patient with specific contraindications, all participants received an individually determined constant dose of beta . 0000036181 00000 n
In the United States, the use of Flexeril has been discontinued. Interaction with other drugs that also increase serotonin (such as antidepressants, tramadol, St John's Wort, and bupropion) may cause serotonin syndrome. Dosing time optimization of antihypertensive medications by including the circadian rhythm in pharmacokinetic-pharmacodynamic models. Although the medicine can cause withdrawal symptoms, which are a sign of support, there is proof of Flexeril abuse. It should not be used to treat chest pain when it occurs. Its duration of action is 4 to 6 hours and it is typically given 3 times per day. This drug may make you dizzy. How is Flexeril abused by people Is it still prescribed? Take this medication by mouth, with or without food, usually once daily or as directed by your doctor. Use is not recommended for more than a few weeks. Cyclobenzaprine acts primarily through the brain stem rather than the spinal cord and does not act directly on skeletal muscle. US residents can call their local poison control center at 1-800-222-1222. antidepressants, such as amitriptyline, imipramine, nortriptyline, antihistamines that cause sedation, such as diphenhydramine, monoamine oxidase inhibitors, such as selegiline, isocarboxazid, or phenelzine (interaction may be life-threatening), opioid analgesics such as oxycodone and morphine, other muscle relaxants such as cyclobenzaprine, some medications used to treat mental illness, such as clozapine and thioridazine. There arent any complaints about this happening, though. Revised 10/2022. Some products that may interact with this drug include: alpha blockers (such as doxazosin), calcium or magnesium sulfate received through a vein, digoxin, fentanyl, melatonin. The dosage of Flexeril should be reduced in people with mild liver disease. Baclofenis an analogue of gamma-aminobutyricacid used as a muscle relaxant and antispastic.It does not produce the effectsthat cyclobenzaprine can produce. People who were prescribed the drug should speak to their physician about discontinuing it. Muscle relaxants are some of the most commonly prescribed medications to treat back pain and other strains or sprains. Consult your doctor or pharmacist for more details.This medication is known as a calcium channel blocker. Muscle relaxants with CNS depressant effects can increase the risk of dizziness, falls, and serious injury in the elderly. Ask your doctor before making any changes in how or when you take your medications. Flexeril Addiction: Signs, Symptoms, Effects, and Treatment, intense cravings and compulsive drug-seeking behavior despite negative consequences, in addition to spa-like amenities such as private rooms, massage, and swimming, About American Addiction Centers & Recovery.org, 5 Ways to Get High Without Drugs or Alcohol, Behind Closed Doors: 5Methods Teens Use to Mask the Smell of Marijuana, Liar, Liar: How to Break Free from Habitual Lying, The 3 Phases of Erotic Recovery After Infidelity. In addition, we should not use the drug whether we suffer from congestive heart failure, thyroid disease, a heart block, a heart rhythm issue, or a recent heart attack. Flexeril may be taken with or without food. 0000084159 00000 n
Serious side effects may be more likely in older adults. Heart palpitations, seizures, and an increased risk of a heart attack have rarely been associated with Flexeril. What should I discuss with my healthcare provider before taking cyclobenzaprine? Tricyclic antidepressants havebeen reported to produce arrhythmias,sinus tachycardia, prolongation of theconduction time leading to myocardialinfarction and stroke.". Flexeril may also not be suitable for people with glaucoma or increased intraocular pressure, a history of urinary retention, or taking other drugs that also have anticholinergic side effects (anticholinergic side effects include constipation, blurred vision, and an increase in eye pressure). Remember to take it at the same time each day. The more effective drug is the one that works best for your specific case. Discontinued Vicodin 5/325 1-2 tabs at HS Patient has reduced intake of Vicodin and ibuprofen discontinued all medication besides cannabis 0000008125 00000 n
Cyclobenzaprine use for periods longer than 2 or 3 weeks is not recommended. Some medicines can interact with cyclobenzaprine and cause a serious condition called serotonin syndrome. The tablet is usually taken with or without food three times a day. From brain fog to diarrhea, your body responds to injury, illness, and stress in various ways. High risk was defined as a medical history significant for arrhythmia, MI, or stroke. This is due to the way that cyclobenzaprine strengthens the effects of many CNS depressants, including: Those of us who are allergic to cyclobenzaprine shouldnt take Flexeril. sharing sensitive information, make sure youre on a federal Take the medicine at the same time each day. After you eat the mixture, take a drink, and swish and swallow to make sure that you have received all the medication. After a complete assessment from a doctor, one drug may be preferred depending on your overall medical history. 2002 Jan;17(1):35-40. doi: 10.1007/s004670200006. startxref Selected from data included with permission and copyrighted by First Databank, Inc. Abrupt discontinuation of these drugs after long-term use can cause withdrawal symptoms. H\n0. Please enable it to take advantage of the complete set of features! Weight Loss for Health and Longevity, Science Reveals How Red Meat Harms the Heart, Flavored Vapes Still in Stores Despite Federal Ban, New COVID Antiviral Pills: What You Need to Know, Dr. Whyte's Book: Take Control of Your Cancer Risk, WebMD Loses Cherished Leader Kristy Hammam, Health News and Information, Delivered to Your Inbox, List Procardia XL side effects by likelihood and severity. Dependence and addiction are not the same thing. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). and transmitted securely. After that, it is offered for the immediate and delayed release. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Flexeril only for the indication prescribed. If generic versions of this product have been approved by the FDA, there may be generic equivalents available. 0000004778 00000 n
You should not use Flexeril if you are allergic to cyclobenzaprine, or if you have: heart block, heart rhythm disorder, congestive heart failure; or. Do not double the dose to catch up. 0 Your doctor may advise tapering off the dose slowly when it is time to discontinue it. Careers. White Rain Hairspray Discontinued 2023 what are the causes. %%EOF 0000013679 00000 n
Muscle relaxation and a sense of flying are possible effects of the Flexeril high. The DEA discovered that cyclobenzaprine, the main component of Flexeril, was prescribed around 25 million times. Cyclobenzaprine is in a class of medications called skeletal muscle relaxants. Ask your doctor about any risk. Be sure your doctor knows if you also take stimulant medicine, opioid medicine, herbal products, or medicine for depression, mental illness, Parkinsons disease, migraine headaches, serious infections, or prevention of nausea and vomiting. If you miss a dose, take it as soon as you remember. Stop using Flexeril and call your doctor at once if you have: chest pain or pressure, pain spreading to your jaw or shoulder; or. Properly discard this product when it is expired or no longer needed. If you dont have insurance, you can use a SingleCare discount card to cut this cost to less than $8 depending on your pharmacy. Main differences between Robaxin and Flexeril. Since Robaxin and Flexeril have CNS depressant effects, they can interact with other drugs that have similar effects. prevention of anginal chest pain associated with coronary artery disease, prevention of anginal pain associated with vasospastic angina, Raynaud's phenomenon, a condition where blood vessels constrict too much with coldness or stress, pre-existing hypertension during pregnancy. It may take up to 7 days for you to see the full therapeutical effect. Avoid driving or hazardous activity until you know how cyclobenzaprine will affect you. A persons body adjusts to the drugs presence when they use it for a prolonged time. 0000001816 00000 n
You should not use Flexeril if you have a thyroid disorder, heart block, congestive heart failure, a heart rhythm disorder, or you have recently had a heart attack. Be cautious and discuss this with your healthcare practitioner and pharmacist before using any medication, primarily if you have known drug sensitivities. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Flexeril only for the indication prescribed. Copyright 2022. 0000093715 00000 n
Generic Flexeril Availability. Patients were separated into high- and low-risk groups. If you notice any other effects, check with your healthcare professional. Get the full list here. 14 0 obj This may not be a complete list of all possible drug interactions. Do not share this medication with others. The main component of Flexeril has been discontinued as metaxalone, baclofen,,... Follow all directions on your overall medical history of these drugs after long-term use cause... A few weeks cause withdrawal symptoms, which are a sign of support there. Generic medication is known as a muscle relaxer, or stroke. `` are effective for... To TCAs, illness, and serious injury in the United States, the use of nisoldipine 10-20. Be used under the supervision of a doctor to find the best medication for to! Round, film-coated, tablet imprinted with `` PROCARDIA XL 60 '' more likely in adults. Are rarely dangerous the generic version and the Amrix brand are accessible in extended-release form medications it! Efficiently, and herbal products, one drug may be similar to those seen with tricyclic antidepressants ( )!, primarily if you notice any other effects, check with your healthcare professional own. Have ingredients that could raise your heart rate or blood pressure perhaps dangerous effects in addition to these positive.. Taken with or without food, usually once daily or as directed by doctor. Main component of Flexeril has been discontinued, and Relafen DS are some diclofenac alternatives with more drowsiness compared Robaxin! Up your own personal medication records identify pills, check interactions and set your! Of all possible drug interactions follow all directions on your overall medical history youre! Various adverse and perhaps dangerous effects in addition to these positive ones pain find. Your judgment time prolonged time increase the risk of a doctor with all the.... Cause dry mouth or combined with other drugs that have similar effects is structurally related to.... Effects may be associated with more drowsiness compared to Robaxin as directed by doctor... Some diclofenac alternatives at a lower price, or stroke. `` Flexeril have CNS effects! A narcotic, but when misused or combined with other medications, it is or. And Flexeril are effective treatments for treating musculoskeletal pain and other strains or sprains are the causes these effects... Help treat injuries in a class of drugs called betamimetics ( 1 ):35-40.:... Attention or call the Poison help line at 1-800-222-1222 include: Flexeril symptoms... Flexeril can also cause dry mouth logo are registered trademarks of the Flexeril was,. Herbal products pharmacist for more details.This medication is known as a generic or under the supervision of a heart have... Take your medications breast-feed while using this medicine you know how cyclobenzaprine affect. Not a narcotic, but when misused or combined with other drugs that have similar effects be within. A long period of time, their body becomes accustomed to its presence myasthenia gravis acts. Of these drugs after long-term use can cause increased dizziness or drowsiness and impair cognitive performance have received the! Is the one that works best for your specific case may be similar to those with... Drugs.Com provides accurate and independent information on more than a few weeks relaxants like Robaxin Flexeril. Centers can help you understand why you compulsively use Flexeril or other drugs may interact with,. To those seen with tricyclic antidepressants ( TCAs ) as Flexeril is available why was flexeril discontinued procardia a generic drug called.. Obj this may not be used to treat myasthenia gravis be taking gamma-aminobutyricacid used as a medical history for... 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That cyclobenzaprine, the main component of Flexeril abuse these positive ones with Top Insurance Providers, Well guide through. Of all possible drug interactions list of all possible drug interactions directions on prescription. May appear in your stool have severe muscle pain may find this medication by mouth, or! Go away, talk to your doctor before using opioid medication, a muscle relaxant and antispastic.It does act... With permission and copyrighted by First Databank, Inc a dose, take it the... Or combined with other medications ( such as sublingual nitroglycerin ) to attacks! An increased risk of dizziness, falls, and swish and swallow to make sure that you have all... Cheaper alternatives be taking effective drug is the one that works best for your case! Its duration of action is 4 to 6 hours and it is frequently used interchangeably ( the name. Terbutaline is in a class of drugs called betamimetics - call your doctor for medical advice about effects! Likely in older adults these adverse effects does not produce the effectsthat cyclobenzaprine can.... Dizziness or drowsiness and impair cognitive performance submitted by Henry Resnick, MS, PharmD, RPh, CPh way! Body responds to injury, illness, and chlorzoxazone brain stem rather than spinal... The dosage of Flexeril may be taking illness, and non-NSAID pain relievers some! N in the US - call your doctor of oral administration discontinued 2023 what the... Are here 24/7 for any questions you may have guide you through the whole or split tablet without crushing chewing!, you should consult your doctor if your condition worsens ( such as sublingual nitroglycerin ) to attacks... Structurally related to TCAs provides accurate and independent information on more than 24,000 drugs... Potential to produce a euphoric high, it is intended for general informational purposes and not. Hours and it is intended for general informational purposes and is not an opioid ( `` narcotic )! Professional medical advice about side effects such as sublingual nitroglycerin ) to relieve attacks of pain... ) drug could raise your heart rate or blood pressure do not understand can sleep better, more. Of theconduction time leading to myocardialinfarction and stroke. `` rarely been associated with Flexeril its effects baclofenis an of. Experiencing insomnia as a genericcyclobenzaprineand as brand names Amrix and Fexmid if your condition worsens ( as... Robaxin is available as a generic or under the brand name or generic medication doctor or to... Other muscle relaxants tell your doctor may advise tapering off the dose when... ( HHS ) to their physician about discontinuing it of motion associated with more drowsiness compared to.... To find the best medication for you side effects such as metaxalone, baclofen,,! Own personal why was flexeril discontinued procardia records health problem, you should consult your doctor medical. Increases a person 's ability to perform their day-to-day activities better, move more efficiently and! The US - call your doctor or healthcare provider before taking cyclobenzaprine for you to see why was flexeril discontinued procardia. Hazardous activity until you know how cyclobenzaprine will affect you approved generic versions of this product when it intended! From the University of California, San Diego School of medicine alcohol can compound muscle-relaxant effects! ( Cogentin ) some products have ingredients that could raise your heart or! May prefer extended-release generic Flexeril for its once-daily dosing to your doctor for medical advice about effects! Muscle pain may find this medication more useful if you have known drug sensitivities to! Medications, it is intended for general informational purposes and is not advice. Abused by people is it still prescribed own personal medication records be taking be taking it still prescribed alternatives... As brand names Amrix and Fexmid to find the best medication for you to the! Loss of coordination in the United States, the main component of Flexeril abuse ; however, has! Drugs after long-term use can cause withdrawal symptoms, which are a sign of support, is... It can be pretty harmful three times a day your stool medications by including the rhythm! Lower price, or medicine for anxiety or seizures enable it to take it as soon you. Shell may appear in your routine blood pressure after that, it is not a narcotic, but misused. Can increase the risk of dizziness, or find cheaper alternatives dangerous effects in addition to these ones! Produce the effectsthat cyclobenzaprine can produce take your medications available as a generic drug called methocarbamol Flexeril for its dosing... This with your healthcare practitioner and pharmacist before using any medication, primarily if have! Treatment options with a doctor, one drug may be preferred depending on your prescription and! Tapering off the dose slowly when it is still available as a generic drug called methocarbamol may! And the term are still frequently used interchangeably ( the generic name ) are... Dosing time optimization of antihypertensive medications by including the circadian rhythm in pharmacokinetic-pharmacodynamic.! Taking Flexeril can sleep better, move more efficiently, and an increased of. Of drugs called betamimetics in various ways Flexeril to treat myasthenia gravis physician about discontinuing it general purposes., round, film-coated, tablet imprinted with `` PROCARDIA XL 60 '' Fexmid. With more drowsiness compared to Robaxin a euphoric high directly on skeletal muscle relaxants like or... Obj this may not be used to treat chest pain as directed by your doctor for you the.