Skip to main content

Compare
Lioresal vs. Norflex

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Gablofen (baclofen) and orphenadrine ER (Norflex) are both muscle relaxants, but they have different uses and methods of administration. Gablofen (baclofen) is used to treat severe spasticity in people who can't tolerate or don't get enough relief from oral baclofen. It's given as a continuous infusion through an implantable pump directly into the space around the spinal cord. On the other hand, orphenadrine ER is used to relieve muscle pain and discomfort from short-term muscle conditions and is taken orally. Gablofen (baclofen) is typically for long-term use and requires surgical implantation and regular refills by a healthcare professional, while orphenadrine ER is taken by twice a day. Gablofen (baclofen) different side effects compared to oral muscle relaxers like orphenadrine ER, which can cause dry mouth, headache, and drowsiness. Both drugs are available as lower-cost generics.

Intrathecal baclofen

(Lioresal)

Get free coupons

Orphenadrine

 

Get free coupons

Summary for Lioresal

Prescription only

Intrathecal baclofen (Lioresal) is a muscle relaxant. It's given to adults and children ages 4 years and older to treat severe spasticity caused by certain conditions, like spinal cord injuries, that can't be treated with oral baclofen. Intrathecal baclofen (Lioresal) is typically given as a continuous infusion through an implantable pump. But before you can undergo the procedure to receive the pump, your healthcare team will inject test doses of intrathecal baclofen (Lioresal) to see if it works for you. Some side effects of this medication include nausea, sleepiness, and dizziness.

Indications for Lioresal

  • Severe spasticity in people who are either having too many side effects from oral baclofen or who aren't getting enough symptom relief from it

Pros and Cons for Lioresal

Pros

  • A possible option for those who can't take oral baclofen
  • Less side effects compared to oral baclofen
  • Infused through a pump, so don't need to remember to take medication by mouth daily
  • Might be an option for children as young as 4 years old

Cons

  • The intrathecal pump must be placed by a surgeon while under anesthesia
  • Pump must be replaced after the battery runs out (5 to 7 years)
  • Refills must be given by a qualified healthcare professional
  • Some people might need the dose raised after long-term use because of tolerance.

Common Side Effects for Lioresal

  • Muscle weakness (up to 35%)
  • Sleepiness (up to 21%)
  • Headache (up to 11%)
  • Nausea and vomiting (up to 11%)
  • Convulsions (up to 10%)
  • Dizziness (8%)
  • "Pins and needles" feeling in arms and legs (up to 7%)
  • Stiff muscles (up to 6%)
  • Constipation (up to 5%)

Warnings for Lioresal

  • Withdrawal when stopping intrathecal baclofen (Lioresal) suddenly
  • Intrathecal baclofen overdose
  • Worsening of other health conditions
  • Extreme sleepiness or dizziness
  • Ovarian cysts

Summary for Norflex

Prescription only

Orphenadrine citrate is a muscle relaxer that's used to relieve muscle pain and discomfort. It's often used together with other pain-relieving methods, such as resting and physical therapy. Orphenadrine is available as a tablet that's taken by mouth as well as an injection that's administered by a healthcare provider for certain situations. Side effects can include dry mouth, headache, and drowsiness. Orphenadrine is a generic medication; its brand-name version, Norflex, is no longer available.

Indications for Norflex

  • Relief of muscle discomfort from short-term muscle conditions

Pros and Cons for Norflex

Pros

  • Taken only twice a day
  • Can start to work within 1 hour
  • Available as a lower-cost generic

Cons

Common Side Effects for Norflex

  • Dry mouth
  • Sleepiness
  • Headache
  • Dizziness

Warnings for Norflex

  • Difficulty concentrating
  • Use with caution in people with heart problems

Prices with our coupons for Lioresal vs. Norflex

Price Card Drug Icon
Baclofen60 tablets / 10mg
$11.16$50.36
Get free coupons
More Information
Price Card Drug Icon
Orphenadrine ER20 tablets / 100mg
$17.66$35.32
Get free coupons
More Information

Browse medications by letter

Show All

Browse prescription and over-the-counter medications from A to Z, compare drug prices, and start saving.