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What is the most important information I should know about cyclobenzaprine?
• Use caution when driving, operating machinery, or performing other hazardous
activities. Butalbital will cause drowsiness or dizziness. If you experience
drowsiness or dizziness, avoid these activities.
• Avoid sleeping pills, antihistamines, sedatives, and tranquilizers except
under the supervision of your doctor. These may also make you drowsy.
• Avoid alcohol. Alcohol taken during therapy with cyclobenzaprine can be very
damaging to your liver and can increase drowsiness and dizziness.
• Check the acetaminophen content of other over-the-counter and prescription
products while taking this medication. You should not exceed 4 grams (4000 mg)
of acetaminophen per day.
• Never take more cyclobenzaprine than is prescribed for you. If your pain is not
being adequately treated, talk to your doctor.
What is cyclobenzaprine?
• Acetaminophen is a pain reliever and fever reducer.
• Butalbital is in a class of drugs called barbiturates that slow down your
central nervous system (brain and nerve impulses) causing relaxation.
• Caffeine is believed to constrict dilated blood vessels that may contribute
to tension headaches.
• Together, acetaminophen, butalbital, and caffeine are used to relieve
complex tension (muscle contraction) headaches although precisely how it works
is unknown.
• cyclobenzaprine may also be used for purposes other than those listed in this
medication guide.
What should I discuss with my healthcare provider before taking cyclobenzaprine?
• This medication is habit forming and should only be used under close
supervision. Take this drug only for as long as it is prescribed , in the
amounts it is prescribed, and no more frequently than prescribed.
• Do not take cyclobenzaprine without first talking to your doctor if you drink
more than three alcoholic beverages per day or if you have had alcoholic liver
disease. You may not be able to take cyclobenzaprine, or you may require a lower
dose.
• Do not take cyclobenzaprine if you have porphyria.
• Before taking this medication, tell your doctor if you have
· kidney disease, or
· liver disease.
• You may not be able to take cyclobenzaprine, or you may require a lower dose or
special monitoring during treatment if you have any of the conditions listed
above.
• This drug combination is in the FDA pregnancy category C. This means that
its effects on an unborn baby are not known. Do not take this medication
without first talking to your doctor if you are pregnant.
• This drug combination passes into breast milk and may harm a nursing infant.
Do not take this medication without first talking to your doctor if you are
breast-feeding a baby.
• cyclobenzaprine has not been approved for use in children younger than 12 years
of age.
How should I take cyclobenzaprine?
• Take cyclobenzaprine exactly as directed by your doctor. If you do not
understand these directions, ask your pharmacist, nurse, or doctor to explain
them to you.
• Take each dose with a full glass of water.
• Take cyclobenzaprine with food or milk if it upsets your stomach.
• Never take more cyclobenzaprine than is prescribed for you. If your pain is not
being adequately treated, talk to your doctor.
• Store cyclobenzaprine at room temperature away from moisture and heat.
What happens if I overdose?
• Seek emergency medical attention.
• Symptoms of an cyclobenzaprine overdose include insomnia, restlessness, tremor,
nausea, vomiting, diarrhea, abdominal pain, sweating, seizures, drowsiness,
decreased breathing, dizziness or fainting, confusion, an irregular heartbeat,
and coma.
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What should I avoid while taking cyclobenzaprine?
• Use caution when driving, operating machinery, or performing other hazardous
activities. Butalbital will cause drowsiness or dizziness. If you experience
drowsiness or dizziness, avoid these activities.
• Avoid sleeping pills, antihistamines, sedatives, and tranquilizers except
under the supervision of your doctor. These may also make you drowsy.
• Avoid alcohol. Alcohol taken during therapy with cyclobenzaprine can be very
damaging to your liver and can increase drowsiness and dizziness.
• Check the acetaminophen content of other over-the-counter and prescription
products while taking this medication. You should not exceed 4 grams (4000 mg)
of acetaminophen per day.
• Avoid taking too much caffeine. Check the caffeine content of other
over-the-counter and prescription products as well as beverages (coffee, tea,
and colas) while taking this medication
What are the possible side effects of cyclobenzaprine?
• If you experience any of the following serious side effects, stop taking
cyclobenzaprine and seek emergency medical attention:
· an allergic reaction (difficulty breathing; closing of your throat; swelling
of your lips, tongue, or face; or hives);
· slow, weak breathing;
· liver damage (yellowing of the skin or eyes, nausea, abdominal pain or
discomfort, unusual bleeding or bruising, severe fatigue);
· blood problems (easy or unusual bleeding or bruising); or
· low blood sugar (fatigue, increased hunger or thirst, dizziness, or fainting).
• These side effects are very rare and are not likely to occur during proper
treatment with acetaminophen and caffeine. If you experience any unusual
reactions, stop taking this medicine and seek the advice of your doctor.
• Other, less serious side effects may be more likely to occur. Continue to
take cyclobenzaprine and talk to your doctor if you experience
· drowsiness;
· dizziness,, confusion or lightheadedness;
· shortness of breath;
· dry mouth;
· nausea, vomiting, abdominal pain, or decreased appetite;
· tiredness, leg pain, or muscle weakness;
· agitation, irritability, nervousness, anxiety or excitability;
· rash or itching;
· feeling of intoxication;
· headache; or
· constipation.
• Butalbital may be habit forming.
• Side effects other than those listed here may also occur. Talk to your
doctor about any side effect that seems unusual or that is especially
bothersome.
What other drugs will affect cyclobenzaprine?
• 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.
• cyclobenzaprine may increase the effects of other drugs that cause drowsiness,
including antidepressants, alcohol, antihistamines, sedatives (used to treat
insomnia), other pain relievers, anxiety medicines, and muscle relaxants. Tell
your doctor about all medicines that you are taking, and do not take any
medicine unless your doctor approves.
• Many other medicines contain acetaminophen, especially over-the-counter pain,
fever, cold, and allergy medications. Too much acetaminophen can be very
dangerous.
• Drugs other than those listed here may also interact with cyclobenzaprine. Talk
to your doctor and pharmacist before taking any prescription or
over-the-counter medicines.
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