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Zanaflex vs. Norflex

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

Key takeaways

Tizanidine (Zanaflex) and orphenadrine (Norflex) are both muscle relaxers, but they have some key differences. Tizanidine is an alpha-2 adrenergic receptor agonist that works by slowing down nerves in your spinal column to relax muscles. It's typically taken three times a day and can cause side effects like low blood pressure, dry mouth, and sleepiness. Orphenadrine, on the other hand, is thought to work by blocking nerve signals between your spinal cord and muscles, though its exact mechanism is unclear. It's usually taken twice a day and can cause dry mouth, headache, and drowsiness. Unlike tizanidine, orphenadrine is not recommended for older adults and people with certain conditions like glaucoma or stomach problems. Both medications are available in generic forms, but tizanidine is also available in both tablet and capsule forms, while orphenadrine can be taken as a tablet or given as an injection by a healthcare professional.

Tizanidine

(Zanaflex)

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Orphenadrine

 

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Summary for Zanaflex

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 Zanaflex

Pros and Cons for Zanaflex

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 Zanaflex

Warnings for Zanaflex

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

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 Zanaflex vs. Norflex

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Tizanidine30 tablets / 4mg
$9.00$9.00
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Orphenadrine ER20 tablets / 100mg
$17.66$35.46
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