Top 300 Pharmacy Drug Cards

METHOCARBAMOL: Robaxin, Various

Class: Centrally Acting Skeletal Muscle Relaxant

Dosage Forms. Tablet: 500 mg, 750 mg

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Common FDA Label Indication, Dosing, and Titration.

1. Musculoskeletal pain: 1500 mg po qid × 48-72 h, then may titrate to 750 mg po q4h, or 1500 mg po tid or 1000 mg po qid

Off-Label Uses. None

MOA. The mechanism of action of methocarbamol in humans has not been established, but may be due to general central nervous system (CNS) depression. It has no direct action on the contractile mechanism of striated muscle, the motor end plate, or the nerve fiber.

Drug Characteristics: Methocarbamol

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Medication Safety Issues: Methocarbamol

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Drug Interactions: Methocarbamol

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Adverse Reactions: Methocarbamol

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Efficacy Monitoring Parameters. Reduction in pain and muscle spasms.

Toxicity Monitoring Parameters. Seek medical attention if idiosyncratic symptoms such as extreme weakness, transient quadriplegia, dizziness, and confusion occur within minutes or hours after first dose; vital signs.

Key Patient Counseling Points. Patients should avoid activities requiring mental alertness or coordination until drug effects are known, as drug may cause dizziness or sedative effects.

Clinical Pearls. Methocarbamol is used for the relief of discomfort associated with acute, painful musculoskeletal conditions in adults and should be used for only short periods (up to 2 or 3 wk). Drug may color urine brown, black, or green. Injectable form available, used for spasticity associated with tetanus.