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Tizanidine vs. Cyclobenzaprine

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

Key takeaways

Tizanidine (Zanaflex) and cyclobenzaprine (Flexeril) are both muscle relaxants used to treat muscle-related conditions. Tizanidine is an alpha-2 adrenergic receptor agonist, while cyclobenzaprine is a general muscle relaxant. Tizanidine is typically used for muscle stiffness and rigidity, often related to conditions like multiple sclerosis, and is taken up to three times a day. Cyclobenzaprine is used for short-term relief of muscle discomfort from acute conditions and is available in both immediate-release and extended-release forms. Tizanidine is available as a lower-cost generic and can be taken with or without food, but food affects its absorption. Cyclobenzaprine is also available as a generic and can be taken with or without food, but food might help with absorption. Common side effects of tizanidine include dry mouth, sleepiness, and dizziness, while cyclobenzaprine can cause drowsiness, dry mouth, and dizziness. Tizanidine can interact with medications like ciprofloxacin, leading to low blood pressure, while cyclobenzaprine can interact with antidepressants, potentially causing serotonin syndrome.

Tizanidine

(Zanaflex)

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Cyclobenzaprine

 

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Summary for Tizanidine

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 for Tizanidine

Pros and Cons for Tizanidine

Pros

  • Taken as needed (up to 3 times a day) to help relax stiff or rigid muscles
  • Works within 1 to 2 hours
  • Also available as capsules that can be opened and sprinkled on applesauce
  • Not a controlled substance

Cons

  • Can cause dizziness, sleepiness, dry mouth, and low blood pressure
  • Interacts with many other medications, like birth control pills, ciprofloxacin, and opioids
  • Can cause withdrawal symptoms if you lower the dose or stop suddenly
  • Higher risk of side effects in older adults and people with kidney problems

Common Side Effects for Tizanidine

Warnings for Tizanidine

  • Low blood pressure
  • Sleepiness
  • Liver damage
  • Possible hallucinations
  • Withdrawal symptoms if stopped suddenly
  • Allergic reactions

Summary for Cyclobenzaprine

Prescription only

Cyclobenzaprine is a muscle relaxant that helps relieve muscle pain and discomfort. It's often used short term with rest and physical therapy. Immediate-release tablets are for people 15 years and older and are taken a few times a day. Once sold under the brand name Flexeril, the tablets now as a generic and brand name Fexmid. Extended-release capsules are for adults only and are taken once a day. The capsules comes as a generic and brand name Amrix. Cyclobenzaprine can make you sleepy and have dry mouth as side effects.

Indications for Cyclobenzaprine

  • Muscle discomfort from short-term muscle or bone injury problems

Pros and Cons for Cyclobenzaprine

Pros

  • Can take with or without food
  • Available as short-acting and long-acting forms for flexible dosing schedules
  • Can help with recovery from acute painful muscle problems in a few days

Cons

  • Only meant for short-term use (up to 2 to 3 weeks at a time)
  • Might not be a safe option for older adults
  • Not known to work well for nerve pain or muscle spasms caused by brain or spinal injuries

Common Side Effects for Cyclobenzaprine

Immediate-release tablets:

  • Drowsiness (39%)
  • Dry mouth (27%)
  • Dizziness (11%)

Extended-release capsules:

  • Dry mouth (14%)
  • Dizziness (6%)

Warnings for Cyclobenzaprine

  • Serotonin syndrome
  • Effect on driving and concentration
  • Caution use in people with glaucoma or trouble urinating
  • Caution use in people with liver problems

Prices with our coupons for Tizanidine vs. Cyclobenzaprine

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Tizanidine30 tablets / 4mg
$9.00$9.00
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Cyclobenzaprine30 tablets / 10mg
$9.95$61.22
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