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Are there any other precautions or warnings for this medication? : signs of stroke (e.g., sudden or severe headache; sudden loss of coordination; vision changes; sudden slurring of speech; or unexplained weakness, numbness, or pain in arm or leg), 5-ASA medications (e.g., mesalamine, olsalazine, sulfasalazine), aminoglycoside antibiotics (e.g., amikacin, gentamicin, tobramycin), angiotensin-converting enzyme (ACE) inhibitors (e.g., ramipril, enalapril, lisinopril), angiotensin II receptor blockers (e.g., candesartan, irbesartan, losartan), antihistamines (e.g., cetirizine, dimenhydrinate, diphenhydramine, hydroxyzine), antipsychotics (e.g., haloperidol, quetiapine, olanzapine, risperidone), barbiturates (e.g., butalbital, phenobarbital, secobarbital), benzodiazepines (e.g., alprazolam, diazepam, lorazepam), beta-blockers (e.g., propranolol, atenolol), bisphosphonates (e.g., alendronate, etidronate), calcium channel blockers (e.g., amlodipine, diltiazem, nifedipine, verapamil), corticosteroids (e.g., dexamethasone, hydrocortisone, prednisone), diuretics (water pills; e.g., furosemide, hydrochlorothiazide, triamterene), general anesthetics (medications used to put people to sleep before surgery), herbal products that affect blood clotting (e.g., cat's claw, chamomile, fenugreek, evening primrose, feverfew, garlic, ginger, ginseng, turmeric), low-molecular-weight heparins (e.g., dalteparin, enoxaparin, tinzaparin), other muscle relaxants (e.g., baclofen, cyclobenzaprine, orphenadrine, tizanidine), narcotic pain relievers (e.g., codeine, fentanyl, morphine), other nonsteroidal anti-inflammatory drugs (NSAIDs; e.g., naproxen, ketoprofen, diclofenac), prostaglandin eye drops (e.g., bimatoprost, latanoprost, travoprost), quinolone antibiotics (e.g., ciprofloxacin, norfloxacin, ofloxacin), seizure medications (e.g., clobazam, levetiracetam, phenobarbital, phenytoin, primidone, topiramate, valproic acid, zonisamide), selective serotonin reuptake inhibitors (SSRIs; e.g., citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline), serotonin-norepinephrine reuptake inhibitors (SNRIs; desvenlafaxine, duloxetine, venlafaxine), tricyclic antidepressants (e.g., amitriptyline, desipramine, imipramine). When discussing the possibility of using muscle relaxants for chronic neck pain your physician should have already ruled out structural abnormalities in the neck anatomy, along with neurological issues, or other clear (non-muscular) cause of the neck pain. Muscle relaxants have been shown to help relieve this pain and get you through these tough daysused at night, these medications may improve acute neck and back pain. Infection: This medication may mask the signs of an infection. If you have an autoimmune disorder, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. Check with your doctor if you notice any symptom that worries you while you are taking this medication. It is used to relieve pain associated with muscle spasm such as strains and sprains, back pain, and tense neck muscles.Methocarbamol belongs to a class of medications called muscle relaxants and they reduce muscle spasms. Stop taking this medication and contact your doctor immediately if you experience persistent heartburn; stomach pain; vomit that looks like coffee grinds; or black, tarry, or bloody stools. People with an autoimmune disorder, such as lupus or mixed connective tissue disease, are also at higher risk of developing symptoms of aseptic meningitis. Side effects can be mild or severe, temporary or permanent. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor. Examples of muscle relaxants include baclofen (Lioresal), carisoprodol (Soma), cyclobenzaprine (Fexmid) and tizanidine (Zanaflex). What will it do for me? T… Tizanidine is a short-acting muscle relaxer. It is available as a tablet or injection. What other drugs could interact with this medication? Ask your pharmacist how to dispose of medications that are no longer needed or have expired. Each white and purple, caplet-shaped, bilayer, film-coated tablet, debossed with "rph" on the white side and plain on the purple side, contains 500 mg of methocarbamol and 200 mg of ibuprofen. If you have reduced liver function or liver disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. The following side effects have been reported by at least 1% of people taking this medication. It can be harmful for people to take this medication if their doctor has not recommended it. What side effects are possible with this medication? This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Before you take methocarbamol - ibuprofen, inform your doctor about any previous adverse reactions you have had to medications, especially NSAIDs. Before you begin taking a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. Available for Android and iOS devices. Metaxalone targets pain and muscle spasms from sprains, strains, and muscle injuries. This medication should not be used during pregnancy unless the benefits outweigh the risks. Metaxalone (Skelaxin, Metaxall, and Metaxall CP, Lorvatus PharmaPak). Systemic lupus erythematosus (SLE): People with SLE appear to be at a greater risk of experiencing severe adverse reactions to ibuprofen, including anaphylaxis. Muscle relaxants (also called skeletal muscle relaxants) are a diverse group of medicines that have the ability to relax or reduce tension in muscle. All material copyright MediResource Inc. 1996 – 2021. Skeletal muscle relaxants are centrally acting agents that work by reducing the tone of skeletal muscle causing muscle to relax. If you have had a heart attack or stroke, or are at risk of a heart attack or stroke, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Fluid retention and high potassium levels: NSAIDs such as ibuprofen can cause fluid retention and high blood potassium levels. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor. Seniors: Seniors are more likely to experience side effects with this medication and may require lower doses. If you have high blood pressure, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication and whether any special monitoring is needed. Ibuprofen belongs to a class of medications called nonsteroidal anti-inflammatory drugs (NSAIDs) that reduce pain and inflammation. Common side effects include drowsiness, dizziness, nausea, and vomiting. Advil/Motrin (ibuprofen) These two brands contain the same active ingredient, ibuprofen. If you have a history of heart failure, high blood pressure, diabetes, or kidney failure, are a senior, or are also taking beta-blockers (e.g., atenolol, metoprolol) or angiotensin converting enzyme (ACE) inhibitors (e.g., ramipril, enalapril, lisinopril), discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. Others (such as dantrolene and botulinum toxin) act directly on muscle. Medication: other analgesics and muscle relaxants for chronic pain In the early stages of their pain people were sometimes prescribed paracetamol. If your doctor has told you to take this medication on a regular basis and you miss a dose, take it as soon as possible and continue with your regular schedule. Breast-feeding: Ibuprofen passes into breast milk. Skeletal muscle relaxants are approved for short-term treatment of muscle spasms and back pain. Unfortunately, many individuals take muscle relaxers alone or in combination with other illicit drugs for nonmedical reasons, such as to produce or enhance feelings of euphoria and dissociation. Your first-line treatment will still be over-the-counter pain reliever… It works by blocking nerve impulses (pain sensations) that are sent to your brain. … If you have bleeding disorders, a history of bleeding problems, or are taking medications to prevent clotting, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. Pregnancy: There is not enough information to determine whether using methocarbamol - ibuprofen is safe during pregnancy. down the sink or in the toilet) or in household garbage. 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. This means you may need to take it with other medications. Contact your doctor if you experience these side effects and they are severe or bothersome. This is a combination product containing 2 medications: methocarbamol and ibuprofen. If you are taking this medication for a long period of time, your doctor will monitor your liver function. Store this medication at room temperature, protect it from light, and keep it out of the reach of children. Check with your doctor as soon as possible if any of the following side effects occur: Stop taking the medication and seek immediate medical attention if any of the following occur: Some people may experience side effects other than those listed. They are used to treat musculoskeletal pain and spasms. Depending on your specific circumstances, your doctor may want you to: An interaction between two medications does not always mean that you must stop taking one of them. Bleeding disorders: NSAIDs such as ibuprofen may increase bruising, and bleeding from cuts may take longer to stop. This medication may be available under multiple brand names and/or in several different forms. The contents herein are for informational purposes only. To read the full Health Canada Advisory, visit Health Canada's web site at www.hc-sc.gc.ca. Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. Stomach and intestines: Ibuprofen can cause stomach and duodenal ulcers and bleeding. Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. Baclofen belongs to a class of drugs called muscle relaxers. 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