muscle relaxers

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anice
Veteran Member


Date Joined Apr 2009
Total Posts : 536
   Posted 5/28/2009 9:02 PM (GMT -7)   
I  would like to get some input about muscle relaxers for muscle spasms. I am on Flexiril 10mg q8h. I don't think this is working for me. When I went to the Dr. this week, I did tell him this. He did not change it or increase it. And he didn't say why. I am having very painful muscle spasms in my buttocks and in my middle to lower back. I  told him I don't think it is working for me. It was shortly after that when we discussed the PT. I don't understand why he won't do something about this. I know that there are others that could be tried. I have taken Soma before. I don't understand this.
 
I would like some insight on this. Is Flexiril better than Soma? How do I go about getting him to change me to something that will work? The spasms are very painful and often times will take my breath away. Do I just do nothing and wait for the PT to see if that helps?
Anice

fatherjohn
Veteran Member


Date Joined Feb 2009
Total Posts : 999
   Posted 5/28/2009 9:11 PM (GMT -7)   
Anice, I can't say too much about the relaxers. I stopped taking them several years ago. I just use the heating pad, ice and hot showers to deal with the spasams. For me, some of the side effects did not make it worth the little gain I would get. If they work for you, great. I suggest you talk to the PT about it as the PT will send a report to the Dr. and it would not hurt to have the PT on your side. The other possiblility is that PT takes care of part of the spasams.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 5/28/2009 9:16 PM (GMT -7)   
Anice,
Medications work so much differently for each of us it's difficult to compare. But I find for muscle spasms you have to learn to do a number of things besides just medication. Heat, warm shower, the right stretches. Many of these things you may learn in PT. Be sure to tell your PT where your spasms are. I'm having some bad ones in my shoulder and neck probably because my pillow is going bad and I slept in a bad position for a couple of nights. So I've had a lot of heat on, doing my stretch routiens, and a bunch of other stuff. If I took enough muscle relaxant to get rid of it, I wouldn't be able to stand up. But you could call your doctor's office back and have the nurse ask him. Did you tell him clearly ithe flexiril wasn't working, or did you just want to increase the dose? Flexiril is usually pretty strong, but if you know another muscle relaxant that has worked for you, you could ask for a switch. The way you get him to change is to be assertive and ask. And if he doesn't want to change ask why. But the meds. won't get rid of it all.

Try to relax, too. Some soothing music while you lie down with a heating pad might help. The stress you've been going through is also contributing. Try to put all the famiy issues on the back burner for a little while each day while you listen to soft music, take a shower, or some things like that.

Hope some of this helps a bit.

PaLady

Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 5/28/2009 9:56 PM (GMT -7)   
I've noticed lately doctors hate prescribing Soma, especailly if takin with narcotics cause I guess it has the same effects as heroin when pain meds and Soma are taken together, especailly with hydrocodone and oxycodone. But some doctors dont seem to mind prescribing them together, thats just what I've been told by several doctors. But their is a wide range of other muscle relaxers to try. I just know soma is frowned upon cause it's the only muscle relaxer thats is addictive. I tried to find a good muscle relaxer for when I get tension type headaches, and I finally gave up, they kept trying to push zanaflex on me, but that made my blood pressure drop too much, even when takin in tiny doses, and flexeral and methocarbenol dont work for me, and the others are not cover by medicaid, so I'm SOL here lol.

-hellokitty


 

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White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3609
   Posted 5/28/2009 10:35 PM (GMT -7)   
anice
The bad thing about some of the muscle relaxors is that you have to be on the medication for a period of time before it will work. I looked up Flexeril and it is suppose to be used for only short term 2 or 3 weeks tops, and your on the usual dosage 10 mg every 8 hours but ask your Doctor if he can increase it  a bit  you can take up to a max of  60 mg in 24 hour period. But if your muscle spasms are being caused by your spine then maybe you do need to be on something else! I take Baclofen 25 mg every 8 hours and for the most part it has really helped me! Without it I get terrible muscle spasms  everywhere! In my hands and in my feet, and my arms and neck and in my legs the calves are really bad as is the back of the thigh and a really bad place is the inside of your thighs when those muscles knot up sheeesh!  Baclofen has been a real Godsend for me and it also helps control pain. But it is a rather dangerous drug and you just cannot stop using it, as that can have  very dire consequences, you must be slowly weaned off of it!  Anyway anice don't let them blow you off!  I think muscle spasms can be on of the most painful things you can have, especially if you cannot get them to relax out! So talk with your doctor, again about it!
 
Good Luck to You
I do wish you only the best!
White Beard
  I'm Retired USAF, went back to school and became an RN, and now am on full disalbility!--Degenerative Disc (affecting mostly the thorasic disc but all levels involved), C6/7 laminectomy/diskectomy& fusion, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications: Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13451
   Posted 5/29/2009 5:07 AM (GMT -7)   

Hi Anice,

I have been following along on you and reading your posts. I cannot take Flexeril, it makes me throw up something awful.  Many years ago I was given Robaxin for a muscle relaxer and it worked very well for neck & back spasms. I am now taking Zanaflex 10mg. and have been for about 4 years but I only use them on & off. They work well for me and they do not knock me out. But there have been some on here that say they did not help them. Its like any med it may or may not work for you. When it comes to medication we really never know unless a person is tried on something. My new pain dr is not thrilled about giving me the Zanaflex because in spring of 07 they came out with a warning letter of problems when taken with other certain medications. I asked her when I had my last pump refill if she would mind giving me a script for the Zanaflex. She said no, I do not write scripts for Zanaflex any longer since the warning letter came out. I told her I really hated to hear that because it was one muscle relaxer that worked for me when I needed one. I told her what happens when I take Flexeril. Then I guess she had a change of heart because the next words out of her mouth were, well since it works for you and you only take them once in a while as needed I will give you a script for 40, so she did with the promise of only as needed.

I would call and talk to the nurse at the drs office and say look, I need help here. Let her know the dr ignored you when you told him the Flexeril are not working. Ask her to please talk to him,  and let him know you need something for the spasms that will work. White Beard is right about the Balcofen, I really doubt the dr would rx that to you, but there are others he can try. I really believe you, because I think that is one reason your pain level stays kicked up so high is due to spasms. Why some of these drs stick their heads in the sand is beyond me, but it sure infuriates me when they do not listen. It may just take the nurse pleading your case to get his attention on this, If he refuses, then I would make an appt and go in and meet him face to face about this problem. Do not let him blow you off. Last resort go see your PCP you need help kid.  Good luck with the PT, I really think it will benefit you greatly and you will be surprised. I know you are a little down and thought you would be farther along, but you really have done well in a short time.  Anice when I was working I cannot tell you how many people I saw have neck & back surgery in 20 yrs. I never saw one client ever be able to go back to work in 4-6 weeks after back surgery, I know you had a lam done, the earliest any of those returned to work was 3 months and it depended on what type of work they did. Most of our fusion clients never returned to work until at least one year after surgery. Keep that positive attitude going as much as you can. Hugs, Susie 



White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3609
   Posted 5/29/2009 5:39 AM (GMT -7)   
Excellent advice straydag!
 
I can't Flexeril either, it makes me loopy as can be! I have taken Robaxin, when I was in the military they often prescribed it to me, but it was one of the meds that didn't work right away, but you had to be on it for a little while, but it was an extremely effective medication! The Doc tried to put me on Zanaflex  as a replacement for Baclofen, that was a disaster! It did not work at all, so I went back on the Baclofen. But even on the Baclofen, every once in awhile the muscle spasms come back with a vengence, and it is like I wasn't taking anything at all! and then after a period of time ( days or weeks)  they will ease up and the Baclofen does it's job. But when that happens I usually get a whole bunch of other symptoms too! ( balance problems, swallowing difficulities, and host of other things, like numbness and tingling in my extremeties, even constipation and I have UC! so I never get that!) and then they also go away, but always will return sometime!  Everyone  is so different and medications act so differently with each individual, your Doctor literally, just has to have you  try it to see if it works for you!
 
I can understand the impatients on wanting to return to work! But you are rigtht  straydog, back and spinal surgery does takes time to heal!
 
I wish you Luck anice!
 
White Beard
  I'm Retired USAF, went back to school and became an RN, and now am on full disalbility!--Degenerative Disc (affecting mostly the thorasic disc but all levels involved), C6/7 laminectomy/diskectomy& fusion, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications: Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV

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