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Cyclobenzaprine

Brand: Flexeril (discontinued; Amrix ER still marketed)

Muscle relaxantUsed for: Muscle spasmPain & Inflammation

No boxed warning on the current FDA label.

Caution
Contraindicated with MAO inhibitors, in the recovery phase of a heart attack, and with arrhythmias; strongly anticholinergic in older adults.

Common side effects

  • Drowsiness
  • Dry mouth
  • Dizziness
  • Fatigue

Key interactions

  • Do not combine with MAOI antidepressants
  • Alcohol increases sedation
  • Adds to other sedating drugs
  • Serotonin syndrome risk with some antidepressants

Counseling points

  • Best for short-term use
  • Avoid alcohol
  • Do not drive until you know its effect
  • Intended alongside rest and physical therapy
  • Rise slowly to reduce dizziness
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High-yield study aid for exam prep, not a substitute for the package insert or a pharmacist’s dispensing reference.