Robaxin


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Related to Robaxin: methocarbamol

Robaxin

 [ro-bak´sin]
trademark for preparations of methocarbamol, a skeletal muscle relaxant.

methocarbamol

PMS-Methocarbamol (CA), Robaxin

Pharmacologic class: Autonomic nervous system agent

Therapeutic class: Skeletal muscle relaxant (centrally acting)

Pregnancy risk category C

Action

Unknown. Thought to depress central perception of pain without directly relaxing skeletal muscles or directly affecting motor endplate or motor nerves.

Availability

Injection: 100 mg/ml in 10-ml ampules, 100 mg/ml in 10-ml vials

Tablets: 500 mg, 750 mg

Indications and dosages

Adjunct in muscle spasms caused by acute, painful musculoskeletal conditions

Adults: Initially, 1.5 g P.O. q.i.d. (up to 8 g/day) for 2 to 3 days, then 4 to 4.5 g/day P.O. in three to six divided doses; or 750 mg P.O. q 4 hours or 1 g P.O. q.i.d. or 1.5 g P.O. t.i.d. If oral dosing isn't feasible or if condition is severe, give 1 to 3 g/day I.M. or I.V. for maximum of 3 days.

Off-label uses

• Tetanus

Contraindications

• Hypersensitivity to drug, its components, or polyethylene glycol (with parenteral form)
• Renal impairment (with parenteral form)

Precautions

Use cautiously in:
• seizure disorders (with parenteral use)
• pregnant or breastfeeding patients
• children (safety not established).

Administration

• For direct I.V. injection, administer slowly. Keep patient supine for 10 to 15 minutes afterward.
• For I.V. infusion, dilute 1 g with up to 250 ml 5% dextrose or 0.9% sodium chloride injection.
• Avoid extravasation; drug is hypertonic.
• Don't give subcutaneously.
• For I.M. use, inject no more than 500 mg (5 ml of 10% injection) into each gluteal area.
• Don't use parenteral form in patients with renal impairment. Polyethylene glycol vehicle may irritate kidneys.
• When giving for tetanus, crush and suspend tablets in water or saline solution, and give via nasogastric tube, if necessary.
• Be aware that drug is usually given as part of regimen that includes rest and physical therapy.

Adverse reactions

CNS: dizziness, light-headedness, drowsiness, syncope, seizures (with I.V. use)

CV: bradycardia or hypotension (with I.V. use)

EENT: blurred vision, conjunctivitis, nasal congestion

GI: nausea, GI upset, anorexia

GU: brown, black, or green urine

Musculoskeletal: mild muscle incoordination (with I.V. or I.M. use)

Skin: flushing (with I.V. use), pruritus, rash, urticaria

Other: fever, pain at I.M. injection site, phlebitis at I.V. site, allergic reactions including anaphylaxis (with I.M. or I.V. use)

Interactions

Drug-drug.Antihistamines, CNS depressants (such as opioids, sedative-hypnotics): additive CNS depression

Drug-diagnostic tests.Urinary 5-hydroxyindoleacetic acid, urine vanillylmandelic acid: false elevations

Drug-herbs.Chamomile, hops, kava, skullcap, valerian: increased CNS depression

Drug-behaviors.Alcohol use: increased CNS depression

Patient monitoring

• Assess for orthostatic hypotension, especially with parenteral use. Keep patient supine for 10 to 15 minutes after I.V. administration.

Watch for anaphylaxis after I.M. or I.V. administration.

Stay alert for bradycardia and syncope after I.V. or I.M. dose. As needed and prescribed, give epinephrine, corticosteroids, or antihistamines.
• Monitor I.V. site frequently to prevent sloughing and thrombophlebitis.

Patient teaching

• Tell patient that drug may turn urine brown, black, or green.
• Caution patient to avoid driving and other hazardous activities, because drug may cause drowsiness or dizziness.
• Instruct patient to move slowly when changing position, to avoid dizziness from sudden blood pressure decrease.
• As appropriate, review all other significant and life-threatening adverse reactions and interactions, especially those related to the drugs, tests, herbs, and behaviors mentioned above.

Robaxin

(rō-băk′sĭn)
A trademark for the drug methocarbamol.

Robaxin

a trademark for a skeletal muscle relaxant (methocarbamol).

Robaxin

A brand name for METHOCARBAMOL.
References in periodicals archive ?
Brown: fava beans or rhubarb; sorbitol; senna (a laxative); and such drugs as Aralen, Robaxin, Aldomet, Flagyl, and Macrobid.
This will complement the Company's existing product portfolio in musculo-skeletal therapies with products including Calcichew and Calcichew D3 Forte, the UK's leading range of prescription calcium supplements used as adjuncts to conventional therapies for the treatment of osteoporosis, and Robaxin which is prescribed for acute painful muscle spasm due to musculo-skeletal disorders or trauma, such as sports injuries.