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Metaxalone
Metaxalone – Muscle Relaxant for Painful Musculoskeletal Conditions
Metaxalone is a prescription muscle relaxant used to relieve discomfort associated with muscle injuries, sprains, strains, and other musculoskeletal conditions. Known for its relatively mild side effect profile compared to other muscle relaxants, Metaxalone is often preferred for patients seeking effective relief from muscle pain and spasms without significant sedation.
What Is Metaxalone?
Metaxalone is classified as a centrally acting skeletal muscle relaxant. It works by calming the nervous system, although its precise mechanism of action is not entirely understood. Unlike some muscle relaxants, Metaxalone does not directly affect muscle contractions; instead, it affects pain perception by acting on the brain and spinal cord.
Brand name: Skelaxin
Common strengths: 400 mg, 800 mg tablets
Uses of Metaxalone
Metaxalone is commonly prescribed to treat:
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Acute musculoskeletal pain
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Muscle spasms following injuries
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Strains and sprains
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Back pain or neck pain caused by muscle stiffness
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Painful muscle conditions when combined with rest, physical therapy, and other measures
It is intended for short-term use, typically 2–3 weeks, alongside supportive treatments.
How Metaxalone Works
Although the exact mechanism isn’t fully known, Metaxalone is believed to act centrally on the brain and spinal cord to reduce motor activity, leading to muscle relaxation. It does not work directly on muscles or nerves but reduces muscle spasm by altering pain signals and increasing patient comfort.
Dosage and Administration
Common dosage:
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Adults and teenagers 12 years and older: 800 mg taken 3–4 times daily
Metaxalone should be taken with food to enhance absorption and minimize side effects like nausea or dizziness.
Always follow your healthcare provider’s instructions. Do not increase the dose or frequency without consultation.
Benefits of Metaxalone
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Fast-acting relief from muscle spasms and pain
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Less sedative effect compared to other relaxants (e.g., cyclobenzaprine, carisoprodol)
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Suitable for daytime use
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Does not typically cause dependency or withdrawal
Because of its favorable side effect profile, Metaxalone is often prescribed for patients who require pain relief without heavy drowsiness.
Related Salt
Side Effects of Metaxalone
While generally well-tolerated, some users may experience:
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Drowsiness or dizziness
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Nausea or vomiting
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Headache
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Irritability
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GI upset (especially on an empty stomach)
Rare but serious effects may include:
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Liver function abnormalities
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Allergic reactions (rash, swelling, or difficulty breathing)
Precautions and Warnings
Avoid using Metaxalone if you have:
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Severe liver disease
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Anemia
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A known allergy to Metaxalone
Important:
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Inform your doctor if you are pregnant or breastfeeding
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Avoid alcohol and other CNS depressants while taking Metaxalone
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Do not drive or operate heavy machinery if you feel drowsy
Elderly patients may be more sensitive to side effects such as dizziness or confusion.
Drug Interactions
Metaxalone may interact with:
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Alcohol
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Sedatives or tranquilizers (e.g., benzodiazepines)
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Opioids or pain medications
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Antidepressants (especially SSRIs and tricyclics)
Always tell your healthcare provider about any other medications or supplements you’re using.
Q1: Is Metaxalone a narcotic or opioid?
A: No. Metaxalone is not a narcotic or opioid. It is a muscle relaxant with a low risk of dependency.
Q2: Can I use Metaxalone for chronic back pain?
A: It is primarily used for acute conditions. Chronic use should only be under the guidance of a doctor.
Q3: How quickly does Metaxalone start working?
A: It generally begins working within 1 hour after taking a dose.
Q4: Can I take Metaxalone at night?
A: Yes, it can be taken at night, especially if you experience muscle pain that interferes with sleep.
Q5: Is Metaxalone available over the counter?
A: No, Metaxalone is a prescription-only medicine in most countries, including the US and UK.
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