Chlorzoxazone, also known by the now discontinued brand name Lorzone, is a muscle relaxant used to treat sudden muscle pain in adults, along with rest and physical therapy. It's thought to work by calming nerve signals that cause muscles to tighten or cramp. The medication comes in tablet form, and you'll typically take a dose by mouth three or four times a day. Though chlorzoxazone is generally well tolerated, side effects can include drowsiness, dizziness, and feeling lightheaded.
Muscle pain and discomfort caused by acute (short-term) conditions
Chlorzoxazone is a muscle relaxant. Experts aren't exactly sure how it works, but it doesn't seem to act directly on the muscles. It's thought to help by calming the nerves that make your muscles tighten or cramp, which can reduce pain and discomfort.
Source:Â DailyMed
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Rare
Bloody or black, tarry stools
clay-colored stools
dark urine
decreased appetite
difficulty swallowing
dizziness
fast heartbeat
headache
large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
loss of appetite
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
severe stomach pain
shortness of breath
skin rash
swelling of the feet or lower legs
tightness in the chest
unusual tiredness or weakness
vomiting of blood or material that looks like coffee grounds
yellow eyes or skin
Get emergency help immediately if any of the following symptoms of overdose occur:
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Rare
Bruising
large, flat, blue, or purplish patches in the skin
small red or purple spots on the skin
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Can cause dizziness and drowsiness
Needs to be taken multiple times a day
Interacts with alcohol and other medications that cause sleepiness
Chlorzoxazone is usually meant for short-term muscle pain. Don’t use it longer than your prescriber tells you to.
Take chlorzoxazone at the same times each day, and try to space your doses evenly. As your pain improves, your prescriber might lower your dose.
Keep resting your muscles and doing physical therapy if recommended. Chlorzoxazone works best when used along with other treatments, not as a replacement.
Rarely, chlorzoxazone can change the color of your urine. This is harmless and goes away after you stop the medication.
Chlorzoxazone can cause drowsiness or dizziness. Don’t drive or use heavy machines until you know how it affects you.
Avoid alcohol while taking chlorzoxazone as it can make side effects like drowsiness and dizziness worse.
Watch for signs of liver problems while taking chlorzoxazone. Stop taking it and call your prescriber if you feel nauseous, tired, have dark urine, yellowing skin or eyes, or upper right stomach pain.
Talk to your prescriber before using chlorzoxazone if you’re pregnant or planning to become pregnant. It’s not known if this medication is safe during pregnancy, so it should only be used if your prescriber believes the benefits outweigh the risks.
Chlorzoxazone can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Although rare, serious liver damage (including life-threatening cases) has been reported with chlorzoxazone. Stop taking it and contact your prescriber right away if you notice fever, rash, loss of appetite, nausea, vomiting, tiredness, upper right stomach pain, dark urine, or yellowing of your skin or eyes. Your prescriber might also check your liver enzymes during treatment.
Risk factors: Drinking alcohol | Taking medications that cause sleepiness
Don’t drink alcohol or take medications that make you sleepy — like sleep aids, anxiety medications, or strong painkillers — while taking chlorzoxazone unless your prescriber says it’s okay. Taking them together can make you extra sleepy, dizzy, or even slow your breathing, which can be dangerous. Always check with your prescriber or pharmacist before combining medications.
Use chlorzoxazone carefully if you’ve ever had an allergic reaction to medications. If you notice itching, redness, or hives, stop taking the medication and call your prescriber right away.
The typical starting dose is 250 mg to 500 mg by mouth three or four times a day. The maximum dose is 750 mg by mouth three to four times a day.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
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Endo USA, Inc. (2024). Chlorzoxazone tablet [package insert]. DailyMed.
MedlinePlus. (2023). Pain medications - narcotics.
Puris, E., et al. (2019). Laparoscopic Roux-en-Y gastric bypass surgery influenced pharmacokinetics of several drugs given as a cocktail with the highest impact observed for CYP1A2, CYP2C8 and CYP2E1 substrates. Basic & Clinical Pharmacology & Toxicology.
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