Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Methocarbamol (Robaxin) and tizanidine (Zanaflex) are both medications used to treat muscle-related issues and are referred to as muscle relaxers, but they work in slightly different ways. Methocarbamol is a muscle relaxer, while tizanidine is a specific type of muscle relaxer called an alpha-2 adrenergic receptor agonist. Methocarbamol is used for muscle pain and discomfort, and its injection form is specifically indicated for muscle problems due to tetanus (only administered by a healthcare professional). Tizanidine is used for muscle stiffness and rigidity. Methocarbamol is typically taken 3 to 4 times a day, whereas tizanidine is taken up to 3 times a day as needed. Methocarbamol is not available as a brand-name tablet anymore, while tizanidine is available in both brand and generic forms. Common side effects of methocarbamol include dizziness and drowsiness, while tizanidine can cause dry mouth, sleepiness, and low blood pressure. Neither methocarbamol nor tizanidine have known interactions with common pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin).
Methocarbamol
Tizanidine (Zanaflex)
Methocarbamol
Tizanidine (Zanaflex)
Summary of Methocarbamol vs. Tizanidine
Summary for Muscle relaxant
Prescription only
Methocarbamol (Robaxin) is a muscle relaxer. It's used to treat muscle pain and discomfort, like back pain, in people ages 16 years and older. It works best when used along with non-medication treatments, such as rest and physical therapy. Methocarbamol is taken by mouth, typically 3 or 4 times daily. It's also available as an injection that's given into the muscles or through the veins, typically in a hospital setting. Side effects of methocarbamol include dizziness, drowsiness, and blurry vision.
Summary for Alpha-2 agonist
Prescription only
Tizanidine, also known by its brand name Zanaflex, is a muscle relaxer. It's FDA approved to treat stiff, rigid muscles in adults. This medication comes as tablets and capsules that you take by mouth. The usual dosage is taken as needed, up to 3 times a day. It has side effects like dry mouth, sleepiness, dizziness, and constipation. Tizanidine (Zanaflex) is available as a generic and brand-name medication.
Indications of Methocarbamol vs. Tizanidine
Indications for
•Muscle pain and discomfort caused by acute (short-term) conditions
•Muscle problems due to tetanus - injection form only