Description
Amrix is an extended-release muscle relaxant prescribed to relieve muscle spasms associated with musculoskeletal conditions and pain. It blocks nerve impulses (or pain sensations) sent to the brain.
Amrixis is structurally related to tricyclic antidepressants and exerts its muscle relaxant effects centrally within the nervous system.
Amrix is typically prescribed as part of a treatment plan that includes physical therapy or bedrest. Amrix provides short-term relief that allows a person to take advantage of long-term aspects of the comprehensive plan.
Fact Table
|
Formula
|
C20H21N
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License
|
US FDA
|
Bioavailability
|
33-55%
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Legal status
|
Prescription only (?)
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Chemical Name
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3-(5H-dibenzo[a,d]cyclohepten-5-ylidene)-N,N-dimethyl-1-propanamine hydrochloride
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Elimination half-life
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18 hours (immediate-release), up to 32 hours (extended-release)
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Dosage (Strength)
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15 mg, 30 mg extended-release capsules
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Pregnancy
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Use with caution
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Brands
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Amrix, Fexmid, Flexeril (immediate-release)
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Protein binding
|
93%
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PubChem CID
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2895
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MedlinePlus
|
a682514
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ChEBI
|
CHEBI:4006
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ATC code
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M03BX08
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DrugBank
|
DB00924
|
KEGG
|
D00346
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Routes of administration
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Oral
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Directions
The usual dosage of Amrix is 15-30 mg by mouth once daily.
To maintain the extended-release properties, Amrix should be taken at the same time each day and swallowed whole, not crushed or chewed.
It is important to follow the prescribing physician's instructions carefully and avoid exceeding the recommended dosage.
Ingredients
The active ingredient in Amrix is cyclobenzaprine.
Interactions
Common drug-drug interactions with Amrix may include:
- Bepridil
- Cisapride
- Dronedarone
- Furazolidone
- Iproniazid
- Isocarboxazid
- Levoketoconazole
- Levomethadyl
- Linezolid
- Mesoridazine
- Methylene Blue
- Moclobemide
- Pargyline
- Phenelzine
- Pimozide
- Piperaquine
- Potassium Citrate
- Procarbazine
- Rasagiline
- Safinamide
- Saquinavir
- Selegiline
- Sparfloxacin
- Terfenadine
- Thioridazine
- Tranylcypromine
- Ziprasidone
Cautions
Amrix should be used with caution in patients with a history of heart disease, hyperthyroidism, or glaucoma.
Amrix may cause drowsiness, dizziness, and impaired coordination, so patients should avoid driving or operating machinery until they know how the medication affects them.
Amrix is not recommended for long-term use and should only be used for short periods (usually up to two or three weeks) unless otherwise directed by a healthcare provider.
Side Effects
The most common side effects may include:
- Abnormal liver function
- Anaphylaxis
- Bone marrow depression
- Cardiac dysrhythmia
- Cerebrovascular accident
- Cholestasis
- Constipation
- Dizziness
- Edema of the tongue
- Fatigue
- Heart block
- Hepatitis
- Indigestion
- Myocardial infarction
- Nausea
- Neuroleptic malignant syndrome
- Parotid swelling
- Paralytic ileus
- Psychotic disorder
- Serotonin syndrome
- Somnolence
- Syncope
- Thrombocytopenia
- Xerostomia
References
Amrix [package insert]. Vandalia, OH: Teva; April 2019.
About Dr. Conor Sheehy (Page Author)
Dr. Sheehy (BSc Molecular Biology, PharmD) works a clinical pharmacist specializing in cardiology, oncology, and ambulatory care. He’s a board-certified pharmacotherapy specialist (BCPS), and his experience working one-on-one with patients to fine tune their medication and therapy plans for optimal results makes him a valuable subject matter expert for our pharmacy. Read More....
IMPORTANT NOTE:
The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.
Product Code : 12153