lancashire wrote:I wrote down some of the medications which people say that they find successful and told my GP (as diazepam isn't doing anything apart from making me ill) and she refused to prescribe any of them because hadn't heard of them or not drugs that she would prescribe for muscle spasm. Could anyone say who prescribed their drugs? e.g. orphenadrine, methocarbamol, metaxalone/Skelaxin. was it a rheumatol or HMS specialist? many thanks.
The brand name for orphenadrine was Norflex--it should be available as a generic. It works reasonably well for some. Robaxin is the brand name for methocarbamol. It, too, works for some. Zanaflex (tizanidine) is the only muscle relaxer that a patient has come back and spontaneously told me made a big difference, but it is still under patent (or at least was the last time I checked) and is pricey. I often prescribe cyclobenzaprine (Flexeril) as much for its benefit in providing a restful sleep as for the anti-spasm effect. Patients like Soma (carisoprodol), but it is a sedative, not much different in its effects from a standard alcoholic drink. Neurologists like baclofen, but the few times I've prescribed it haven't left me too enthusiastic. My wife (who turned out to be hypermobile) gets along well with chlorzoxazone (Parafon Forte).