BEFORE USING FLEXERIL :
Some medicines or medical conditions
may interact with this medicine. Inform your doctor or pharmacist
of all prescription and over-the-counter medicine that you are
taking.
Do not take this medicine if
you are also taking a monoamine oxidase inhibitor (MAOI).
Use of this medication is not
recommended if you are also taking tramadol. If you are taking
tramadol, be sure your doctor knows.
ADDITIONAL MONITORING OF YOUR
DOSE OR CONDITION may be needed if you are taking droperidol or
fluoxetine.
Before taking this medication,
tell your doctor if you have urinary retention or narrow-angle
glaucoma or increased intraocular pressure (pressure inside the
eye).
Do not take cyclobenzaprine
if you have recently (within the last 6 weeks) had a heart attack,
have irregular heartbeats, have a heart block, have heart conduction
disturbance, have congestive heart failure, or ·have hyperthyroidism
that is not under control.
Inform your doctor of any other
medical conditions, allergies, pregnancy, or breast-feeding. Contact
your doctor or pharmacist if you have any questions or concerns
about using this medicine.
DIRECTIONS FOR USING FLEXERIL:
Follow the directions for using
this medicine provided by your doctor. This medicine may be taken
with food if it upsets your stomach. Store Flexeril at room temperature,
away from heat and light. If you miss a dose of Flexeril and you
are using it regularly, take it as soon as possible. If it is
almost time for your next dose, skip the missed dose and go back
to your regular dosing schedule. Do not take 2 doses at once.
FLEXERIL CAUTIONS :
FLEXERIL may cause drowsiness,
dizziness, or blurred vision. Do not drive, operate machinery,
or do anything else that could be dangerous until you know how
you react to this medicine.
This medication will add to
the effects of other depressants or alcohol. Ask your pharmacist
if you have questions about which medicines are depressants.
If you experience dry mouth
, use sugarless candy or gum, or melt bits of ice in your mouth.
If dry mouth continues for more than 2 weeks, contact your dentist
or doctor. Do not use this medicine longer than recommended by
your doctor.
FOR WOMEN: It is unknown if
this medication is excreted in breast milk. IF YOU ARE OR WILL
BE BREAST-FEEDING while you are using this medicine, check with
your doctor or pharmacist to discuss the risks to your baby.
Do not stop taking cyclobenzaprine
suddenly if you have been taking it regularly for more than 1
week. This may cause nausea, headache and general discomfort.
POSSIBLE SIDE EFFECTS OF
FLEXERIL:
SIDE EFFECTS, that may go away
during treatment, include drowsiness, dizziness, fatigue, blurred
vision, dry mouth, or unpleasant taste. If they continue or are
bothersome, check with your doctor. If you notice other effects
not listed above, contact your doctor, nurse, or pharmacist.
DRUG INTERACTIONS :
Do not take cyclobenzaprine
if you have taken a monoamine oxidase inhibitor (MAOI) such as
isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine
(Parnate) in the last 14 days. Dangerous side effects could result.
Many drugs can increase drowsiness
associated with cyclobenzaprine: antihistamines such as brompheniramine
(Dimetane, Bromfed, others), chlorpheniramine (Chlor-Trimeton,
Teldrin, others), azatadine (Optimine), clemastine (Tavist), and
many others, narcotics (pain killers) such as meperidine (Demerol),
morphine (MS Contin, MSIR, others), propoxyphene (Darvon, Darvocet),
hydrocodone (Lorcet, Vicodin), oxycodone (Percocet, Percodan),
fentanyl (Duragesic), and codeine (Fiorinal, Fioricet, Tylenol
#3, others, sedatives such as phenobarbital (Solfoton, Luminal),
amobarbital (Amytal), and secobarbital (Seconal), phenothiazines
such as chlorpromazine (Thorazine), fluphenazine (Prolixin), mesoridazine
(Serentil), perphenazine (Trilafon), prochlorperazine (Compazine),
thioridazine (Mellaril), and trifluoperazine (Stelazine, antidepressants
such as doxepin (Sinequan), imipramine (Tofranil), nortriptyline
(Pamelor), fluoxetine (Prozac), paroxetine (Paxil), sertraline
(Zoloft), phenelzine (Nardil), and tranylcypromine (Parnate).
The stomach medicine cimetidine
(Tagamet, Tagamet HB) and pain relievers such as aspirin, ibuprofen
(Motrin, Advil), indomethacin (Indocin), ketoprofen (Orudis, Orudis
KT, Oruvail), fenoprofen (Nalfon), flurbiprofen (Ansaid), naproxen
(Aleve, Anaprox, Naprosyn), and nabumetone (Relafen) may all increase
the pain-relieving effects of cyclobenzaprine. Use these drugs
under the supervision of your doctor.
IF YOU TAKE TOO MUCH FLEXERIL:
If Flexeril overdose is suspected,
contact your local poison control center or emergency room immediately.
Symptoms of overdose may include drowsiness, fast or irregular
heartbeat, enlarged pupils, seizures, and loss of consciousness,
dry, hot, flushed skin, hallucinations (seeing, hearing, or feeling
things that are not there), increase or decrease in body temperature,
troubled breathing, unexplained muscle stiffness; unusual nervousness
or restlessness (severe); vomiting (occurring together with other
symptoms of overdose)
ADDITIONAL INFORMATION ABOUT
FLEXERIL:
Do not share this medicine with
others for whom it was not prescribed. Do not use this medicine
for other health conditions. Keep this medicine out of the reach
of children. Do not store this medicine in the bathroom, near
the kitchen sink, or in other damp places. Heat or moisture may
cause the medicine to break down.