Tizanidine narcotic: What Is Tizanidine? Abuse, Addiction, and Treatment
What Is Tizanidine? Abuse, Addiction, and Treatment
Home » What Is Tizanidine? Abuse, Addiction, and Treatment
Tizanidine is an oral drug that is available both in generic and brand name. The brand name version is called Zanaflex. It is a type of muscle relaxant used for very specific types of muscle spasms. These are muscle spasms caused in people with spinal cord injuries and Multiple Sclerosis.
What does Tizanidine do?
Tizanidine works on the central nervous system to stop muscle spasms from occurring. When you have a spinal cord injury or Multiple Sclerosis, you may not have full control over your muscles. Impulses from your brain can cause sudden and sometimes harmful muscle spasms. These sudden jerks have been known to be so strong that they can break bones, damaged tendons, and more.
The medication does not impact the muscle fibers directly, rather it affects the nervous system instead. This helps protect the muscles from damage, while also giving them a break. With MS and spinal cord injuries, some patients experience muscle tightening which can be painful. Tizanidine has the benefit of reducing some pain associated with muscle spasms and it doesn’t require any adjustments in dosing due to liver disease.
What is Tizanidine used for?
It is most widely used to treat muscle spasms associated with Multiple Sclerosis (MS). Tizanidine is one of many drugs that act on the central nervous system to alleviate uncontrollable muscle spasms. It slows impulses in the brain that can allow the muscles to relax. This gives significant comfort and decreases the chances of injury due to muscle spasms.
Tizanidine is an oral drug that can be taken either as a capsule or a tablet. The body responds to each version of the drug differently. The absorption rates are different and can even impact the rates of muscle spasms. For people who struggle to swallow, the doctor may have that individual open the capsule and put it in something like applesauce or pudding. Because this impacts absorption it’s important to only do this under the direction of your doctor.
In some cases, doctors may prescribe Tizanidine for other ailments and purposes. There is some evidence that off-label use of Tizanidine is effective to treat other conditions. Tizanidine may be prescribed for insomnia, migraine headaches, and even back pain.
Is Tizanidine Addictive?
Just Google Tizanidine addiction and you’ll see that there are many facilities that treat Tizanidine addiction. So yes, it can be addictive. Some of the risk factors for addiction include taking it alongside narcotics, taking higher doses than prescribed, and taking it after you no longer need it. All of these factors increase the risk of addiction.
Is Tizanidine a Narcotic?
The greatest appeal to many people who need help with muscle spasms is that Tizanidine is not a narcotic. While Tizanidine is non-narcotic, it does lead some people to become dependent on it. What differentiates it from a narcotic is the way it works in your body. It blocks nerve receptors at the muscle level instead of binding directly to pain receptors. This causes a false perception that one cannot become dependent on Tizanidine.
Side Effects of Tizanidine/Dependence
Doctors are very careful to prescribe small doses of Tizanidine at first to reduce the likelihood of side effects. Some side effects are normal but should go away after your body is used to the medication. If you experience any of these side effects for prolonged periods or if they are severe, it’s important to talk with your doctor. He or she may recommend a lower dose or a different medication.
- weakness, dizziness, or drowsiness
- tingling sensation in the arms, legs, hands, and feet
- nervousness or depression
- constipation, diarrhea, or stomach pain
- vomiting or dry mouth increased muscle spasms or sweating
Additionally, the symptoms below are reasons to call your doctor right away.
- unexplained cold or flu symptoms
- extreme or constant tiredness
- abnormal bruising or bleeding
- vision changes or yellowing of the eyes
- hallucinations
- no appetite
Signs of dependence on Tizanidine vary. Typically, if you drop your dosing below your usual amount and experience withdrawal symptoms, you’ll know your body is dependent. Some of these symptoms include dizziness, dry mouth, heart palpitations, sweating, anxiety, and more.
What Happens If I Stop Taking Tizanidine?
Most doctors will wean you off Tizanidine instead of having you quit cold turkey. Withdrawal symptoms vary from person to person. They can include dizziness, anxiety, blood pressure changes, muscle stiffening, heart rate changes, and more. By weaning off the medication, you may not experience any of these symptoms. In extreme cases, with some of the worst side effects, doctors may need to give you something to help you come off the medicine.
Withdrawal symptoms are typically seen in people who have been using very high doses of Tizanidine and especially those who use it alongside narcotics. It is much safer to use it at lower doses that have been prescribed by your doctor than to take it in higher doses.
Your doctor will likely use dose titration to wean you off Tizanidine slowly. This reduces the occurrence of harmful side effects.
Alternatives to Tizanidine
If you need medication to reduce muscle spasms, there are many options on the market. Your doctor will help you decide the best option for you based on your medical history, types of spasms, allergies, current medications, etc. Some common alternatives are Zanaflex, Soma, Valium, and Flexeril. These medications are all used for different purposes and help with muscle spasms in different ways. Some of them work directly on the muscle fibers, while others are like Tizanidine and work on the nervous system instead.
Getting Help
If you become addicted to Tizanidine and need help, contact your doctor or a detox center near you that can help you wean off and manage withdrawal symptoms. It’s important to only use Tizanidine as directed and to use caution when pairing it with other medications. Let your doctor know about every medicine or herbal product you are taking when you start on Tizanidine. This will help them decide between tablet and capsule and the best dosing.
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Tizanidine – 22 reviews and customer ratings
Release formInstructionReviews (22)Analogues
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4. 5 / 5
Based on 22 customer ratings
Tizanidin tablets 4 mg 30 pcs.
from 186 ₽
An excellent drug, it helps with bruxism. I drink 1 tablet at night, as the drug relaxes the muscles of the eyes and acts as a sleeping pill
Tizanidin-Teva tablets 2 mg 30 pcs.
I take tizanidine for shoulder pain. After 3-4 days it becomes easier, I don’t use it for more than ten days, after two weeks another ten days and that’s it.
Tizanidin-Teva tablets 4 mg 30 pcs.
Tizanidine is a sleepy drug for me, because after taking it I always want to sleep. I try to drink it at night, but in the morning it is very difficult after it, although it relieves pain in the cervical-collar zone.
Tizanidin-Teva tablets 2 mg 30 pcs.
I use tizanidine from time to time to get rid of my lower back pain. I always keep it in the first aid kit, as the tool is proven and I know that it will help. I don’t expect a miracle, I calmly drink for 7-10 days, the pain gradually subsides.
Tizanidine tablets 4 mg 30 pcs.
from 186 ₽
Tizanidine is quite a strong drug, especially for cores. It greatly relaxes not only the muscles, but the whole body. Due to inexperience, I drank along with hypertension pills, as a result, the pressure dropped dramatically.
Tizanidin-Teva tablets 4 mg 30 pcs.
Tizanidine is a tricky drug that is best used only when prescribed by a doctor due to the large number of side effects and conventions. It didn’t suit my girlfriend, but I’m the only one who treats my sore back when it catches that there are sparks in my eyes from pain.
Tizanidine tablets 4 mg 30 pcs.
Relieved neck pain in osteochondrosis after using Tizanidin. It was not a pity to spend money on it, although the drug is not the cheapest. 2 months have passed, so far the condition is stable, I do not notice relapses.
Tizanidine tablets 2 mg 30 pcs.
from 184 ₽
I felt a positive effect from taking tizanidine after 3-4 days of use. The pain has become quieter, and the muscles are more elastic. At the same time, there were side effects from the gastrointestinal tract – loose stools and rumbling in the stomach, I had to add more pills to improve digestion. But for me this is a typical picture.
Tizanidine tablets 4 mg 30 pcs.
from 186 ₽
Tizanidin was prescribed by a doctor after a traumatic brain injury, which was followed by dizziness and severe pain in the crown of the head. However, my gynecologist canceled the drug because it was incompatible with my permanent contraceptives.
Tizanidin-Teva tablets 2 mg 30 pcs.
Tizanidine is an inexpensive drug that has helped me deal with aching muscle pain. Everything seems to be fine, but after the garden, the body aches and hurts, especially the neck, because everything is tilted. The course needs to be drunk completely, I saw the result on day 5, probably.
Tizanidine tablets 4 mg 30 pcs.
Tizanidin is a good remedy in its price category, which helped me get rid of the pain of osteochondrosis. I use it simultaneously with ointments that I apply topically. I do not abuse the drug, since it has a lot of side effects, I am careful.
Tizanidine tablets 2 mg 30 pcs.
from 184 ₽
Thanks to Tizanidin, she refused anti-inflammatory drugs and painkillers. Tablets help relieve pain in the neck and lower back, mobility is felt, and each lifting of the body does not give to each limb.
Tizanidin-Teva tablets 2 mg 30 pcs.
Tizanidine was prescribed as part of other therapy after herniated disc surgery. The drug helps, but you need to drink the entire course. He did not completely remove the pain for me, but contributed to a significant improvement in the condition.
Tizanidin-Teva tablets 2 mg 30 pcs.
Tizanidine is a convenient tablet formulation with various dosages. I use it to treat neck pain when my osteochondrosis reminds me again. Allows you to relax the muscles that become like stone.
Tizanidin-Teva tablets 4 mg 30 pcs.
The work is connected with constant physical exertion, after which not only the muscles of the arms hurt, but also the back and neck. I have been on tizanidine for 2 weeks. The benefits of tablets are, if you drink them constantly. I missed appointments, so the treatment is so-so.
Tizanidine tablets 4 mg 30 pcs.
Since my youth I have been suffering from cervical vertebrae, they constantly hurt, especially in autumn and spring. Various drugs were prescribed, tizanidine is one of them on the list. Its advantages: it helps to quickly relieve pain, did not notice side effects (although there are many of them in the instructions), a small price.
Tizanidin-C3 tablets 4 mg 30 pcs.
Noticed strong muscle contractions due to progressive osteochondrosis. They prescribed tizanidine as a drug designed to reduce them. Efficiency was evaluated after about a week of use, it was then that the pain subsided, it stopped “shooting” and pulling.
Tizanidin-Teva tablets 4 mg 30 pcs.
Tizanidine helped with nagging pain. I drank the course according to the instructions and after consulting a doctor. Soreness almost disappeared, I noticed that my general condition improved. I am currently on other medications.
Tizanidine tablets 2 mg 30 pcs.
I occasionally take tizanidine when my old osteoarthritis of the hip worsens “in season”. It helps to get rid of pain, I feel as if the joint moves easier, it bothers me less. Decreases lameness.
Tizanidin-Teva tablets 4 mg 30 pcs.
Treated with tizanidine for lumbar syndrome associated with drawing and shooting pain. My leg also hurt, the doctor said that this is how the disease ricochets through the body. The drug reduced pain, I felt a desire to move actively and play sports again.
Tizanidine tablets 4 mg 30 pcs.
from 186 ₽
Tizanidin would never recommend to anyone. I drank one pill in the morning and somehow endured at work until lunch, then went home. I work as a driver, you must always be careful and follow the road. And after these pills, I was knocked out right behind the wheel.
Tizanidin-Teva tablets 2 mg 30 pcs.
A sedentary lifestyle sooner or later makes itself felt, and during one of the visits to the doctor I was diagnosed with cervical osteochondrosis. She was treated with tizanidine. I drank the course for 10 days, 2 tablets twice. I felt mobility in my neck, the clamp disappeared, now I am recovering with a massage.
- Reviews about Tizanidine
- Should I buy Tizanidine?
- 22 reviews for Tizanidin from buyers Megapteka.ru
Tizanidin
Structural formula
Russian name
English name
Latin name
chemical name
Gross formula
Pharmacological group of the substance Tizanidine
Nosological classification
CAS code
pharmachologic effect
Characteristic
Pharmacology
The use of the substance Tizanidin
Contraindications
Use during pregnancy and lactation
Side effects of tizanidine
Interaction
Overdose
Dosage and administration
Precautionary measures
Information sources
Trade names with the active substance Tizanidine
Structural formula
Russian name
Tizanidin
English name
Tizanidine
Latin name
Tizanidinum ( genus Tizanidini)
Chemical name
5-Chloro-N-(4,5-dihydro-1H-imidazole- 2-yl)-2,1,3-benzothiadiazol-4-amine (as hydrochloride)
Gross formula
C 9 H 8 ClN 5 S
Pharmacological substance group Tizanidin
Alpha-agonists
Drugs affecting neuromuscular transmission
Nosological classification
ICD-10 code list
CAS code
51322-75-9
Pharmacological action
Pharmacological action –
muscle relaxant , central .
Characteristics
White or almost white crystalline powder, odorless or with a slight characteristic odor. Slightly soluble in water and methanol, solubility in water decreases with increasing pH.
Pharmacology
Excites alpha 2 -adrenergic receptors, mainly at the level of the spinal cord; reduces the release of excitatory amino acids from the intermediate neurons of the spinal cord, selectively suppresses the polysynaptic mechanisms responsible for muscle hypertonicity. Relaxes skeletal muscles in chronic spastic conditions of spinal and cerebral origin, eliminates acute painful muscle spasms and clonic convulsions. Reduces muscle resistance during passive movements, increases the strength of voluntary muscle contractions.
After oral administration, it is rapidly and almost completely absorbed. Absolute bioavailability is approximately 40%. max “> C max is achieved in 1-2 hours. Plasma protein binding is about 30%. Biotransformed in the liver with the participation of the CYP1A2 isoenzyme to inactive or inactive metabolites. Excreted by 70% in the urine. T 1/2 – 3-5 hours
Application of the substance Tizanidine
Painful muscle spasms in diseases of the spine (including osteochondrosis, spondylosis, syringomyelia, hemiplegia, cervical and lumbar syndromes), after surgery for a herniated disc or hip osteoarthritis, spasticity and pain caused by neurological diseases: multiple sclerosis, chronic myelopathy, degenerative diseases of the spinal cord, cerebrovascular accidents, stroke, traumatic brain injury, cerebral palsy, convulsions of central origin.
Contraindications
Hypersensitivity, severe liver and kidney failure, pregnancy, lactation, childhood.
Pregnancy and lactation
FDA fetal category C.
Breastfeeding should be discontinued during treatment (it is not known if tizanidine is excreted in breast milk).
Side effects of the substance Tizanidine
From the side of the nervous system and sensory organs: drowsiness, fatigue, dizziness or vertigo, muscle weakness, anxiety, sleep disturbances, hallucinations.
From the CCC and blood (hematopoiesis, hemostasis): slight decrease in blood pressure (at low doses) or arterial hypertension, bradycardia.
From the gastrointestinal tract: dry mouth, nausea, gastrointestinal disorders, temporary increase in serum transaminase activity.
Interactions
Antihypertensive drugs, including diuretics, increase hypotension and bradycardia. Alcohol and sedatives deepen the depressive effect.
Overdose
Symptoms: nausea, vomiting, lowering blood pressure, dizziness, miosis, respiratory failure, coma.
Treatment: gastric lavage, activated charcoal, forced diuresis, maintenance of vital functions.
Dosage and administration
Inside. Dosing regimen should be selected individually. Tizanidine has a narrow therapeutic index and high variability in plasma levels of tizanidine in patients, so careful dose selection is required. Initial dose – 2-4 mg 3 times a day, in severe cases – an additional 2-4 mg at night. In case of neurologically caused spastic conditions, the initial dose should not exceed 6 mg per day in 3 doses with a gradual increase by 2-4 mg at intervals of 3-4 days – up to a week. The optimal therapeutic effect is usually achieved at a dose of 12-24 mg / day in 3-4 doses at regular intervals. Do not exceed a dose of 36 mg / day.
Precautions
Periodic monitoring of liver and kidney function is necessary and dose reduction if they worsen. A continuous increase in the activity of transaminases in the blood requires discontinuation. Due to possible drowsiness and weakness, it is recommended to limit the appointment to persons whose work requires a quick physical and mental reaction (operators, drivers of vehicles, etc.).
Generalized materials www.grls.rosminzdrav.ru, 2014–2016.
Trade names with the active substance Tizanidine
Reset filters
Lek. form
All lek. capsule forms modified release substance-powder tablets
Dosage
All dosages 2 mg 250-1000 g 4 mg 6 mg No dosage
Manufacturer
All manufacturers Avexima Sibir LLC Berezovsky Pharmaceutical Plant CJSC (CJSC “BFZ”) Veropharm JSC Veropharm JSC J.