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tizanidine (generic name)

(tye ZAN i deen): A skeletal muscle relaxant - It may be used to help in the treatment of multiple sclerosis and spinal cord injury

tizanidine

What is this medicine?
TIZANIDINE (tye ZAN i deen) helps to relieve muscle spasms. It may be used to help in the treatment of multiple sclerosis and spinal cord injury.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What is the price of this medication and similar alternatives?

This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing information was updated 09/2009. For the most current and up-to-date pricing information, please visit www.drugstore.com. Actual costs to patients will vary depending on the use of specific retail or mail-order locations and health insurance copays.

TiZANidine HCl 2MG Tablets DR.REDDY'S LABORATORIES INC.90/$19.99 or 100/$21.97
TiZANidine HCl 4MG Tablets DR.REDDY'S LABORATORIES INC.90/$81.99 or 270/$229.99
Zanaflex 2MG Capsules ACORDA THERAPEUTICS150/$292.8 or 450/$853.61
Zanaflex 4MG Capsules ACORDA THERAPEUTICS150/$396.68 or 450/$1152.45
Zanaflex 4MG Tablets ACORDA THERAPEUTICS90/$191.38 or 270/$551.02
Zanaflex 6MG Capsules ACORDA THERAPEUTICS150/$550.64 or 450/$1615.46
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
  • blurred vision
  • fainting spells
  • hallucinations
  • nausea or vomiting
  • nervousness
  • redness, blistering, peeling or loosening of the skin, including inside the mouth
  • slow or irregular heartbeat, palpitations, or chest pain
  • yellowing of the skin or eyes

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • dizziness
  • drowsiness
  • dry mouth
  • tiredness or weakness

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I use this medicine?
Take this medicine by mouth with a full glass of water. Take this medicine on an empty stomach, at least 30 minutes before or 2 hours after food. Do not take with food unless you talk with your doctor. Follow the directions on the prescription label. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice. Suddenly stopping the medicine can be very dangerous.

Talk to your pediatrician regarding the use of this medicine in children.

Patients over 65 years old may have a stronger reaction and need a smaller dose.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with any of the following medications:
  • ciprofloxacin
  • clonidine
  • fluvoxamine
  • guanabenz
  • guanfacine
  • methyldopa

This medicine may also interact with the following medications:

  • acyclovir
  • alcohol
  • antihistamines
  • baclofen
  • barbiturates like phenobarbital
  • benzodiazepines
  • cimetidine
  • famotidine
  • female hormones, like estrogens or progestins and birth control pills
  • medicines for high blood pressure
  • medicines for irregular heartbeat
  • medicines for pain like codeine, morphine, and hydrocodone
  • medicines for sleep
  • rofecoxib
  • some antibiotics like levofloxacin, ofloxacin
  • ticlopidine
  • zileuton

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

Who should NOT use this medication?

  • Concomitant therapy with fluvoxamine. (See Specific Drugs under Interactions.)
  • Known hypersensitivity to tizanidine or any ingredient in the formulation.

What should I watch for while using this medicine?
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
  • kidney disease
  • liver disease
  • low blood pressure
  • mental disorder
  • an unusual or allergic reaction to tizanidine, other medicines, lactose (tablets only), foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding
Can I stop taking the medication if I feel better?
As a general rule, you should always take your medications exactly as prescribed and do not change the dosage or stop taking the medication without first discussing it with your healthcare provider.
I am on so many medications; do I have to take them all?
This is called polypharmacy—many different medications being used at the same time by one person. Sometimes, being on multiple medications is acceptable and appropriate but at other times it may be problematic. If you are receiving your medications from multiple physicians you need to ensure that they all know what medications you are taking. The best way to do this is to make a list of all the medications you are currently using, including all nutritional supplements, homeopathic remedies, vitamins and over-the-counter drugs (if possible, also include all the diseases you have been diagnosed with). Give a copy to every doctor who takes care of you so they have it on file, this way they can avoid duplicating medications and perhaps even try to consolidate some. After every doctor's visit remember to update the list accordingly. Also, as much as you possibly can, try to use the same pharmacy to fill all your prescriptions, this way any potential drug interactions can be caught and averted.
Where can I get more information?
More Information

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