Flexiril 10 mg (Tablet)
Unit Price: ৳ 9.00 (3 x 10: ৳ 270.00)
Strip Price: ৳ 90.00
Medicine Details
Category | Details |
---|---|
Generic | Baclofen |
Company | Everest pharmaceuticals ltd |
Also available as |
Indications
- spasticity resulting from multiple sclerosis
- flexor spasms and concomitant pain
- skeletal muscle spasm resulting from rheumatic disorders
- spinal cord injuries and other spinal cord diseases
- cerebrovascular accidents or neoplastic or degenerative brain disease
Pharmacology
- Baclofen inhibits monosynaptic and polysynaptic reflexes
- Stimulates GABA receptors
- Inhibits release of glutamate and aspartate
- Produces CNS depression
- Exerts antinociceptive effect
Dosage & Administration
- Adult & children over 10 years: 5 mg 3 times daily
- Preferably with or after food
- Gradually increased
- Max. 100 mg daily
- Children <10 years: Treatment usually started with 2.5 mg given 4 times daily
- Raised according to requirement
- Daily maintenance dose based on age range
Interaction
- Increased sedation with agents acting on the central nervous system
- Increased fall in blood pressure with antihypertensives
- Potentiation of pharmacological effects with tricyclic antidepressants
- Reports of mental confusion, hallucinations, headaches, nausea and agitation with levodopa and carbidopa
- Increased CNS depressant effects with MAO inhibitors
- Caution with magnesium sulphate or other neuromuscular blocking agents
Contraindications
- Hypersensitivity to any component of the product
Side Effects
- Transient drowsiness
- Daytime sedation
- Dizziness
- Weakness
- Fatigue
- Common central nervous system reactions including headache, insomnia, euphoria, depression, confusion
- Cardiovascular reactions like hypotension
- Gastrointestinal reactions including nausea, constipation
- Genitourinary reactions like urinary frequency
- Other reactions like rash, excessive perspiration, weight gain
Pregnancy & Lactation
- Pregnancy category B3
- Safe use not established
- Crosses placental barrier
- Should only be administered when potential benefits outweigh possible hazards
- Excreted in breast milk in small quantities
Precautions & Warnings
- Lower doses for impaired renal function or chronic haemodialysis
- Cautious treatment for patients with psychotic disorders, schizophrenia, depressive or manic disorders
- Use with supervision in patients with epilepsy, muscle spasticity, and adequate anticonvulsive therapy
- Caution in patients with peptic ulcers, cerebrovascular diseases, or hepatic, renal or respiratory failure
- Monitoring of respiratory and cardiovascular function
- Caution in patients with neurogenic disturbances affecting bladder emptying
- Not significantly beneficial for stroke patients
- Appropriate laboratory tests for patients with hepatic diseases or diabetes mellitus
Overdose Effects
- Importance of gastric lavage in case of severe overdose
Therapeutic Class
- Centrally acting Skeletal Muscle Relaxants
Storage Conditions
- Keep below 30°C temperature
- Away from light & moisture
- Keep out of the reach of children