Metaxalone vs Baclofen

Metaxalone vs Baclofen

Metaxalone and Baclofen are muscle relaxants. Both these medications are widely used to treat muscle pains and spasms caused in the body.

What is Metaxalone?

Metaxalone belongs to the drug class called Skeletal muscle relaxants. Metaxalone is a medication used to treat muscle pain. It works against the pain caused due to muscle strains and injuries and provides relief (Bruce, R.B., Turnbull, L., Newman, J. and Pitts, J., 1966).

What is Baclofen?

Baclofen belongs to the drug class called Skeletal muscle relaxants. Baclofen can be used as a medication to relieve pain and muscle spasms. It can also be used against stiffness caused due to sclerosis or spinal injury (Ghose, K., Holmes, K.M. and Matthewson, K., 1980).

Metaxalone vs. Baclofen: Which is More Effective?

Both these medications- Metaxalone and Baclofen are muscle relaxants. They work as effective medication against muscle pain and spasms.

There is no specific study comparing the efficacy of Metaxalone and Baclofen for the treatment of muscle pain and spasms. But it is observed that both these medicines are equally effective against pain and spasms.

Metaxalone has few side effects and is thus preferred in older people, while Baclofen has fewer sedative effects on the body during treatment. Therefore, it is suggested that both medications are equally effective and can be selected by the doctor depending upon the health conditions.

Conversation of two people on flexeril and baclofen

How does Metaxalone work?

Metaxalone works against pain by affecting nerve impulses. Metaxalone affects these nerve impulses by working on the CNS and blocking these impulses. This action results in stopping the pain signals from reaching the brain (Bruce, R.B., Turnbull, L., Newman, J. and Pitts, J., 1966).

How does Baclofen work?

It works by acting on the spinal cord nerves. It helps to decrease the action of these nerves, which cause the problem of pain and spasm. Due to the decreased activity of these nerves, the pain gets relieved, and the muscle spasms get stopped (Ghose, K., Holmes, K.M. and Matthewson, K., 1980).

How to take Metaxalone?

Metaxalone can be taken before or after food. It is advisable to take medicine after a light meal to reduce the sedation effect. It should be consumed only as advised by the doctor.

The doctor can change the dosage depending upon the responsiveness and tolerability (Bruce, R.B., Turnbull, L., Newman, J. and Pitts, J., 1966).

How to take Baclofen?

Baclofen can be taken orally with or without food. It is taken 3 times a day, depending upon the responsiveness. The doctor may gradually increase the dose. A proper measuring spoon should be used for the liquid Baclofen. It should be consumed only as advised by the doctor (Ghose, K., Holmes, K.M. and Matthewson, K., 1980).

Dosage of Metaxalone

The normal dose for adults and children is 800 mg, which must be taken 3-4 times daily.

People below 12 are not allowed to take this medicine.

Dosage of Baclofen

The initial daily dose of Baclofen is 5 mg, taken 3 times a day.

The dosage can be gradually increased daily to 10,20 mg per dose.

The maximum daily dose limit is 80 mg per day.

Who should not take Metaxalone?

One should not take Metaxalone if:

  • Allergic to Metaxalone
  • Seizures
  • Consumed MAO inhibitors in last two weeks
  • Blood disorders
  • Liver problems
  • Kidney disorders
  • Consuming alcohol regularly

Pregnant and breastfeeding women should not take Metaxalone as it can have adverse effects on the health of women and children. It can be taken only in necessary conditions as prescribed by the doctor.

Who should not take Baclofen?

One should not take Baclofen if:

  • Allergic to Baclofen
  • Kidney disorder
  • Below the age of 12
  • Stroke
  • Parkinson’s disease
  • Epilepsy
  • Nervous system problems

Pregnant and breastfeeding women should not take Baclofen. It can be taken only in necessary conditions as prescribed by the doctor.

Side effects of Metaxalone:

Following are some of the common side effects observed after taking Metaxalone:

  • Nausea
  • Headache
  • Drowsiness
  • Upset stomach
  • Vomiting

There are severe side effects that one may face after taking Metaxalone:

  • Agitation
  • Problem in breathing
  • Jaundice
  • Skin rashes
  • Fever
  • Anemia

Take emergency medical help if any side effects are observed to prevent negative risks.

Side effects of Baclofen:

Following are some of the common side effects observed after taking Baclofen:

  • Nausea
  • Constipation
  • Vomiting
  • Tiredness
  • Increase in urine

There are severe side effects associated with the medication of Baclofen. Following are some of them:

  • Depression and confusion
  • Hallucinations
  • Seizures
  • Itching
  • Low blood pressure

Consult your doctor if any of these side effects are experienced. The doctor can terminate or change the dosage to reduce further risks.

Difference between Metaxalone and Baclofen

  • Metaxalone is used to treat short-term to cure pain, while Baclofen can be used for long-term pain and spasms.
  • Anemia, Jaundice are some side effects of Metaxalone, which are not similar to the side effects of Baclofen.
  • Low blood pressure, confusion, depression are side effects of Baclofen which are different from the side effects of Metaxalone.
  • Metaxalone is mostly preferred in older people as no major side effects are associated with older people.
  • Baclofen has fewer sedative effects than Metaxalone and other muscle relaxants.

Conclusion

Metaxalone and Baclofen are muscle relaxants. These medications are widely used and equally effective against muscle spasms and pain. It is advisable to consult your medical health practitioner before taking this medication to prevent the risk of adverse effects and get better results.

Flexeril vs Baclofen

Flexeril vs Baclofen

What is Flexeril?

Flexeril is a muscle relaxant that is used in conjunction with rest, physical therapy, and other treatments to relieve pain and suffering caused by muscle strains, sprains, and other injuries. Cyclobenzaprine belongs to the skeletal muscle relaxant class of drugs. It works by allowing the muscles to relax by acting on the brain and nerve system (RELAXANT, S.M., 1981. FLEXERIL).

What is Baclofen? 

Baclofen is a prescription pain reliever that is used to treat pain and spasticity caused by spinal cord injuries, multiple sclerosis, and other spinal cord illnesses. Baclofen belongs to the skeletal muscle relaxant class of drugs. Baclofen works by acting on the nerves in the spinal cord, reducing the amount and intensity of muscular spasms caused by multiple sclerosis or other spinal disorders. It also helps with pain relief and muscle movement (Ghose, K., Holmes, K.M. and Matthewson, K., 1980).

Forms and Strength

For Flexeril

  • Tablet for adults and children – 5mg, 7.5mg, 10mg
  • Capsule, extended use for adults only – 15mg, 30mg

For Baclofen

Oral Tablet – 10mg, 20mg

Dosages

For Flexeril

The suggested cyclobenzaprine dose is 5 or 10 mg three times per day in immediate release pills or 15 or 30 mg once per day in extended-release tablets (RELAXANT, S.M., 1981. FLEXERIL).

For Baclofen

For people with spasticity, the usual starting dose of oral baclofen is 5 mg three times daily. The amount can be increased by 5 mg every three days, up to a maximum of 80 mg/day in divided doses, depending on the reaction (Ghose, K., Holmes, K.M. and Matthewson, K., 1980).

Side Effects

Flexeril 

  • Unpleasant taste
  • Nervousness
  • Acid reflux
  • Abdominal pain or discomfort
  • Dry mouth
  • Fatigue
  • Blurred vision

Baclofen 

  • Vomiting
  • Low blood pressure (hypotension)
  • Respiratory depression
  • Weakness
  • Seizures
  • Inability to sleep (insomnia)
  • Increased urinary frequency or urinary retention

Drug Interactions

Flexeril 

  • MAO inhibitors and FLEXERIL may have life-threatening interactions. 
  • Alcohol, barbiturates, and other CNS depressants may be amplified by Flexeril.
  • Antihypertensive effects of guanethidine and related substances may be blocked by tricyclic antidepressants. 
  • Tricyclic antidepressants may amplify the risk of seizures in tramadol users (RELAXANT, S.M., 1981. FLEXERIL).

Baclofen

  • The use of baclofen plus MAO inhibitors can lead to a decrease in brain function and a drop in blood pressure.
  • Anti-diabetic medicine doses may need to be modified when baclofen is started because it can raise blood sugar.
  • The use of baclofen and tricyclic antidepressants combined may produce muscle weakness, in addition to the danger of reducing brain function.
  • Baclofen with monoamine oxidase inhibitors can cause brain function to be depressed as well as low blood pressure (Ghose, K., Holmes, K.M. and Matthewson, K., 1980).

Which one is better?

If you have acute back or neck pain due to a musculoskeletal injury or fibromyalgia, cyclobenzaprine is the best treatment option. If you have spasticity or persistent pain as a result of neurological disease or injury, such as multiple sclerosis or a spinal cord injury, baclofen may be the best option for you.

Always talk to your healthcare professional about your medical history to figure out which medications are the safest for you to use. Any medication’s apparent benefits should always outweigh the potential hazards.

Metaxalone Vs Flexeril

Metaxalone Vs Flexeril

Both Skelaxin and Flexeril are FDA-approved medicines for treating muscular spasms. They’re part of a class of drugs known as skeletal muscle relaxants.

The generic versions of Skelaxin and Flexeril are metaxalone and cyclobenzaprine, which are the most routinely prescribed. It’s unclear how they function; however it could be linked to the central nervous system (CNS) depression and sedative effects. These drugs have no direct effect on the muscles or nerves.

What are the differences between Metaxalone and Flexeril?

Metaxalone is a muscle relaxant used to treat sprains, strains, and other ailments that produce muscle spasms and pain. Skelaxin is a brand name for a generic medication called Metaxalone. Other brand names for this metaxalone are Metaxall, Metaxall CP.

Flexeril is a muscle relaxant that can be used to relieve skeletal, muscular spasms. Flexeril’s generic name is cyclobenzaprine.

Strength and Dosage

For Flexeril

  • Tablet for adults and children – 5mg, 7.5mg, 10mg
  • Capsule, extended use for adults only – 15mg, 30mg
The suggested cyclobenzaprine dose is 5 or 10 mg three times per day in immediate release pills or 15 or 30 mg once per day in extended-release tablets (Tofferi, J.K., Jackson, J.L. and O’Malley, P.G., 2004).

For Metaxalone

Tablet for adults and children – 400mg and 800mg Adults and children aged 13 and up should take 800 milligrams (mg) three to four times a day. Children under the age of 12 must have their use and dose determined by their doctor (Gabhane, K.B., Kasture, A.V., Shrikhande, V.N., Barde, L.N. and Wankhade, V.P., 2009).

Side Effects

 For Flexeril 

  • Unpleasant taste
  • Nervousness
  • Acid reflux
  • Abdominal pain or discomfort
  • Dry mouth
  • Fatigue
  • Blurred vision

For Metaxalone

  • Dizziness
  • drowsiness
  • Stomach upset
  • Nervousness
  • irritability
  • Blurred vision
  • Headache

Is Metaxalone the same as Flexeril?

Despite the fact that Metaxalone and Flexeril belong to the same pharmacological class (skeletal muscle relaxants), they have some distinctions in terms of adverse effects, dosage, and cost.

Is it Safe for me to use Metaxalone vs Flexeril while Pregnanancyt?

Although there has been no evidence of fetal impairment in the post-marketing experience, this does not rule out the possibility of occasional or subtle damage to the human baby. The safe usage of metaxalone in terms of potential fetal development side effects has not been proven. As a result, unless your healthcare practitioner determines that the benefits exceed the risks, Skelaxin is not indicated for use in pregnant women or women who may become pregnant. There are no adequate, well-controlled trials in pregnant women, according to the Flexeril manufacturer’s statement. As a result, Flexeril should only be taken on pregnant women if absolutely necessary (Di Martino, A., Russo, F., Denaro, L. and Denaro, V., 2017).

Which one is more effective?

According to American Family Physician, there is very little evidence comparing muscle relaxants and their efficacy. They advise that muscle relaxants be chosen based on the risk of side effects, drug interactions, and abuse, as well as patient preference. 

Your healthcare professional will be able to tell you if metaxalone or Flexeril is right for you. Your symptoms, medical problems, medical history, and any drugs you’re taking that could interact with Skelaxin or Flexeril will all be taken into account.

Tylenol vs Ibuprofen

Tylenol vs Ibuprofen

What Is Tylenol?

Tylenol is a drug used for various pains in the body as the Medication involves different cures for other body pains and fever. It is a class of Analgesics. The generic name for Tylenol is acetaminophen. It is one of the pain relievers seen in today’s world—this Medication, primarily known in the USA.

What Is Ibuprofen?

Ibuprofen is an anti-inflammatory drug (NSAIDs) that belongs to the class of nonsteroidal. It reduces different hormones that cause pain and inflammation in the body. It helps in curing various aches and pains in the body.

conversation of two people on tylenol and ibuprofen

How Does Tylenol Work?

Tylenol is an analgesic and even antipyretic. Tylenol works by obstructing the brain from emitting bodily substances which take out pains in the body. It cures the mild pains in the body. This works as a tool to obstruct pains, aches in the body. (Waldstein, A., 2006)

How Does Ibuprofen Work?

Ibuprofen works by obstructing the production of cyclooxygenase from the body. It helps in reducing pains, swelling, and inflammation. It has a more significant response to injuries and illness. (Xaudiera, S. and Cardenal, A.S., 2020)

Forms And Strengths Of Tylenol

Forms

Strengths

1- Tablet form

325mg, 500mg, 625mg

2- Liquid gel

325mg

Forms And Strengths Of Ibuprofen.

Forms

Strengths

1- Tablet

100mg, 200mg, 400mg, 600mg, 800mg

2- Liquid

100mg per 5ml, 50mg per 1.5ml  (infants)

3- Capsule

200mg

4- Chewable tablet

100mg

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How Should You Take Tylenol?

A person should consume Tylenol as per the instructions printed on the label or the doctor’s suggestion. Tylenol can be consumed after and before food intake with enough water intake before having it.

How Should You Take Ibuprofen?

Ibuprofen is a medicine that should be taken after food intake.

Always follow the instructions given on the label and the doctor’s recommendation.

Syrup form– You should shake the bottle for 10 seconds.

Tablet form– It should be swallowed with water as prescribed by the doctor.

Dosage Of Tylenol

Adults

The person can consume two tablets of 500mg in 4 to 6 hours in one dose (If required)

Single-dose can be more than 1000mg

The maximum dose for a day can be taken of 4000mg

A person should consult a doctor before consuming it (Only ten days advisable)

Pediatric

Dosage of Tylenol 325-650mg can be consumed in 1 dose every 4-6 hours

It should not exceed more than five doses a day (3250mg)

Different people can be given extra doses according to their weight and age.

Dosage Of Ibuprofen

Adults

A person can consume 800 mg per dose, extending to 3200mg per day.

(Overall 4 doses per day is recommendable)

Pediatric

Children’s doses differ in their age and weight.

For the exact dose, they should consult a doctor.

Who Should Not Take Tylenol?

  • The person who intakes alcohol three times a day
  • If the person has severe liver issues
  • If the person is pregnant (advisable after doctors recommendation)
  • If the person gives breastfeeding to a child, it’s not recommendable because it gets mixed into the milk, which can be harmful.
  • If the person is younger than two years.
  • Undernutrition person
  • Kidney failure
  • Allergic to acetaminophen.

Who Should Not Take Ibuprofen?

Ibuprofen should not be taken by following conditions:

  • A person suffering from allergic issues
  • Who gets asthma attacks
  • Pregnant ladies (unless recommended by a doctor)
  • Children younger than six years old
  • If the person has skin reactions
  • Running nose

Side Effects Of Tylenol

There are no side effects that affect it but contact the doctor if you feel this. If you have unusual effects on your body:

  • Allergic Reaction on the body
  • Rashes on the body
  • Itching
  • Swelling of the tongue, face, throats
  • Sleepy
  • A problem in breathing normally
  • Urine (Dark)
  • Pain in stomach
  • Skin becoming yellow.
  • Severe Effects may include
  • Bleeding in intestine
  • Kidney damage
  • Reduce blood count

Side Effects Of Ibuprofen

Ibuprofen side effects on the body

  • Stomach ache
  • Gastric issues
  • Constipation
  • Heartburn
  • Weight gain
  • Swelling, rashes
  • Liver problem
  • Kidney issues
  • Reducing blood cells
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Drug Interaction With Tylenol

  • Similar drugs are related to acetaminophen.
  • Anesthetics
  • Antibiotics
  • Nicotine
  • Alcohol
  • Anticonvulsants
  • Other fever-related medicines.

Before consuming this drug, Inform the doctor to understand the cause better.

Drug Interaction With Ibuprofen

These are the everyday drug interactions that can be seen

  • Cyclosporine
  • Lithium
  • Methotrexate
  • Blood thinner
  • Blood pressure including water pill
  • Steroids medicine

Study

A study was conducted by S A Cooper et al. to observe the relief of pains in the body.

Aim-

To observe the random trial between Ibuprofen and acetaminophen (Tylenol) on the Reaction to the pain.

Method-

This study was conducted for 6 hours, including 184 members in the panel. Those 184 members were patients who had undergone dental surgery. This study included Ibuprofen 400mg and Tylenol 1000mg.; it was studied to know which Medication would be useful for the pain to get cured in the safest way possible. They observed at regular intervals of 6 hours.

Results-

184 were the people with the exact dosage given (given as above). The results surprised the researchers with having Ibuprofen being the most curable one compared to Tylenol. There were side effects on a few patients, but more effective with the Ibuprofen drug. Ibuprofen was safer in comparison with Tylenol in terms of pain.

Conclusion

Both medications have their ways of treating different issues (pains). According to the study, Ibuprofen is a medication that acts more useful for people compared to Tylenol.

Diclofenac vs Ibuprofen

Diclofenac vs Ibuprofen

Diclofenac belongs to the non-steroidal anti-inflammatory medicine (NSAID) class of medications (NSAID). Diclofenac is a pain reliever used to treat mild to moderate pain and the signs and symptoms of osteoarthritis and rheumatoid arthritis.

Ibuprofen is also a non-steroidal anti-inflammatory drug (NSAID). Ibuprofen is a pain reliever used to treat various ailments, including headaches, tooth pain, menstrual cramps, muscle pains, and arthritis.

Is it Better to Take Diclofenac or Ibuprofen?

Diclofenac is a more strong NSAID than Ibuprofen and requires a prescription from your healthcare professional. Diclofenac was found to be more effective than Ibuprofen for arthritic pain alleviation in a meta-analysis published in the Journal of Arthritis Research and Therapy. The researchers looked at data from 176 trials that included 146,524 participants.

Diclofenac was also found to have a decreased risk of stomach-related side effects than Ibuprofen. When compared to other NSAIDs like celecoxib and naproxen, diclofenac was found to be more effective. (Granatto, C.F., Grosseli, G.M., Sakamoto, I.K., Fadini, P.S. and Varesche, M.B.A., 2020)

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Similarities Between Diclofenac and Ibuprofen

NSAIDs like diclofenac and Ibuprofen are routinely used to treat osteoarthritis and rheumatoid arthritis inflammation and pain. Both medications are nonselective NSAIDs, which means they block the prostaglandin-producing COX-2 and COX-1 enzymes. 

Diclofenac-vs-Ibuprofen

Forms and Dosage

Diclofenac Sodium

1.Tablet, delayed release – 25mg (generic), 50mg (generic), 75mg (generic)

2.Tablet, extended-release – 100mg (generic)

Diclofenac potassium

1.Packet-50 mg (1 packet) in 30-60 mL of water, mixed well and drunk immediately

2.Tablet-50 mg

3.Capsule-25 mg

Solution for IV injection – 37.5mg/mL (Dyloject)

Adults and children 12 years of age and older should take 25 milligrams (mg) four times a day for acute pain. Your doctor must determine the use and dosage for children under the age of 12.

Ibuprofen 

Tabelts – 100mg, 200mg, 400mg, 600mg, 800mg

Capsules – 200mg

Chewable tablets – 100mg

Oral suspension – 100 mg per 5 mL , 50 mg per 1.25 mL

High-strength Ibuprofen is only prescribed to people suffering from severe pain or inflammation caused by a specific ailment.

Ibuprofen is usually taken in 200mg pills three times a day, with a six-hour gap between each dose. An adult can take 800–1,200 mg of Ibuprofen per day to manage minor discomfort. A juvenile patient can take 2–10 mg/kg every 6–8 hours to relieve pain and fever. Adults should not use ibuprofen tablets for more than ten days unless recommended by a physician or ibuprofen-containing gels for more than two weeks.

Conditions Treated

Diclofenac

Diclofenac is a medication used to treat mild to moderate pain and the signs and symptoms of osteoarthritis and rheumatoid arthritis. Ankylosing spondylitis is another condition for which Voltaren is used. This medication is also used to treat menstrual cramps under the brand name Cataflam. Migraine headaches are treated with diclofenac powder.

Ibuprofen

Ibuprofen is used to treat a type of joint disorder due to excess uric acid in the blood called gout, minor musculoskeletal injury, fever, headache, pain, pain with menstruation

rheumatoid arthritis, joint inflammatory disease in children and young adults joint damage causing pain and loss of function, non-radiographic axial spondyloarthritis ankylosing spondylitis, a rheumatic disease causing pain and stiffness in the backbone.

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Is Diclofenac the Same as Ibuprofen?

Diclofenac is a prescription NSAID, whereas Ibuprofen is available without a prescription or over-the-counter. Diclofenac is only prescribed for adults, whereas Ibuprofen is safe for children. So, diclofenac and Ibuprofen are not the same. (Pradal, J., 2020)

Scientific Study for Diclofenac Vs Ibuprofen

A study was conducted to compare the effectiveness of various oral analgesics in relieving pain and distress in adults following tooth extraction and deep cavity preparations under local anesthesia.

One hundred and twenty patients were randomly assigned to one of three groups. The paracetamol (1 gram) group had 40 patients, the Ibuprofen (400 mg) group had 40 patients, and the diclofenac potassium (50 mg) group had 40 patients. Patients rated their post-extraction and deep cavity preparation pain on standard 100 mm visual analog scales immediately after surgery, 2, 4, and 6 hours later (VAS). Furthermore, each patient was assessed for signs of distress using a 5-point face scale both preoperatively and immediately postoperatively.

 

Diclofenac vs Ibuprofen

At 4 hours postoperatively, the diclofenac potassium group had significantly lower mean pain VAS scores than the paracetamol and ibuprofen groups. Diclofenac potassium was found to be more effective than paracetamol or Ibuprofen in reducing postoperative pain after tooth extraction and deep cavity preparation (Comparison of paracetamol, ibuprofen, and diclofenac potassium for pain relief)

Terbinafine vs Clotrimazole

Terbinafine vs Clotrimazole

What is Terbinafine?

Terbinafine belongs to the antifungals class of medication. It works by preventing fungi from growing. It’s used to treat fungal (yeast)-related skin illnesses, such as:

  • Athlete’s foot
  • Fungal nail infection
  • Jock itch ringworm (sometimes called dhobie itch, an infection in the groin area)
  • Pityriasis versicolor is a kind of pityriasis (this causes small patches of scaly and discoloured skin often observed on your back, chest, upper arms, neck, and tummy)

Terbinafine is used to treat pityriasis versicolor, jock itch, and ringworm as a cream, gel, or spray. A fluid (solution) is also available for the athlete’s foot. It can be purchased from pharmacy and supermarket.(Balfour, J.A. and Faulds,)

What is Clotrimazole?

Clotrimazole is over counter medicine used as an antifungal medicine. It works against skin infections caused due to fungi(Gallagher, H.C., 2014).

Terbinafine vs Clotrimazole

Clotrimazole can be used for the treatment of different types of fungal infections, including:

  • Rash in folds of skin
  • Fungal nail infection
  • Ringworm
  • Thrush
  • Athlete’s foot
  • Infected nappy rash

Uses

Terbinafine

This medicine can be consumed meal as directed by your doctor. Dosage and duration of medication are determined by your medical condition and response to treatment.

 This medicine may take several months to work after you stop taking it. It will take time for new healthy nails to grow and replace the infected nails.

 Keep taking this medicine until your prescription is finished. Terminating the medication in the early stage can make the fungus grow and the infection might come back.

Clotrimazole

This medicine should be used externally only. This medication should be applied to the affected area of the skin twice a day or as directed by your doctor.

The type of infection to be treated determines the dose and duration of treatment. It should not be used more than once in a day. Your illness will not improve any faster, but the severity of your side effects may get worse.

Cover the affected area and part of the surrounding skin with enough medication. Wash your hands after using this medicine. Unless your doctor tells you otherwise, do not wrap, cover, or bandage the affected area.

 This medication must not be used in the eyes, nose, mouth, or vaginal area.

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Mechanism of Action

Terbinafine

Most antifungal drugs work by blocking fungal film formation and ergosterol synthesis. Terbinafine is an allylamine that acts as a non-completive inhibitor of squalene epoxidase and the subsequent conversion of squalene-to-squalene epoxide at the initiation of the pathway. 

 The intracellular accumulation of squalene causes fungal cell death, despite the fact that it has no immediate fungicidal effect.

Clotrimazole

Clotrimazole works by disrupting the permeability barrier in the cytoplasmic membrane of fungal cells. Clotrimazole blocks ergosterol formation by preventing demethylation of alpha lanosterol in a concentration-dependent manner.

Cells can no longer make complete and functional cell membranes when ergosterol synthesis is blocked. In terms of hormones, ergosterol also promotes fungal cell growth; Thus, the rapid onset of previous events resulted in dose-dependent inhibition of fungal growth.

Clotrimazole has antifungal properties by inhibiting ergosterol production, but it also has other pharmacological effects. These include blockade of calcium-dependent and potential-dependent calcium channels, as well as inhibition of the ca2+ ATPase substrate network and intracellular calcium depletion.

The action of clotrimazole on several cellular targets explains the additional effects of the drug, unrelated to its antispasmodic properties.

Forms and Strength

Terbinafine

It is also available in tablet form to treat nail fungus and other fungal diseases. If your doctor thinks creams, gels, sprays, or solutions aren’t working, they may recommend pills.

Terbinafine granules are applied to the scalp to treat fungal infections. Terbinafine pills are accustomed to treating toenail and fingernail fungal infections.

Terbinafine: 250mg

Terbinafine tablets can only be purchased with a doctor’s prescription.

Clotrimazole

Clotrimazole is available in the form of cream, spray, and solution that can be applied on skin.

Clotrimazole: Troche- 10mg

                        Lozenge – 10mg

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Dosage

Terbinafine

Disease

Strength & Dosage

Onychomycosis

Fingernail

250mg for 6weeks

Toenail

250mg for 12weeks

Tinea Pedis (Off Label)

Orally 250mg/day single dose or divided every 12hours for 2-6weeks

Tinea Corporis

Orally 250mg/day single dose or divided every 12hours for 2-4weeks

Sporotrichosis, Lymphocutaneous and cutaneous (Off-label)

Orally 500mg/day after every 12hours for 2-6weeks. Can be continued for additional 2-4 weeks after resolution of all lesions.

Tinea Capitis, Pediatric

Less than 25kg weight

125 mg/day orally for 6 weeks

25-35Kg weight

187.5 mg/day orally for 6 weeks

Greater than 35kg weight

250 mg/day orally for 6 weeks

 

Clotrimazole

Disease

For

Application

cutaneous candidiasis

Adults

It can be applied to the affected skin and surrounding areas two times a day.

Children and Adolescents

It can be applied to the affected skin and surrounding areas two times a day.

oropharyngeal candidiasis (thrush)

Adults

10 mg PO 5 times daily for 1-2 weeks.

Children and Adolescents 3-17 Years

10 mg PO 5 times daily for 1-2 weeks.

vulvovaginal candidiasis 

Adult females

1 applicatorful of 1% cream (50 mg) vaginally at bedtime for 7 days 

Adolescent females 12 to 17 years

1 applicatorful of 1% cream (50 mg) vaginally at bedtime for 7 days 

Tinea corporis, Tinea cruris, and Tinea pedis

Adults

It should be applied to the infected skin and surrounding areas twice daily.

Children and Adolescents 2 to 17 years

It should be applied to the infected skin and surrounding areas twice daily.

Tinea versicolor.

Adults

It should be applied to the infected skin and surrounding areas twice daily.

Children and Adolescents

It should be applied to the infected skin and surrounding areas twice daily.

Side effects

Some common side effects of Terbinafine are

If you use a cream, gel, spray, or solution, talk to your pharmacist or doctor if you observe t:

  • Peeling or itching skin

Inform your doctor if you face these side effects:

  • Rash
  • Headache
  • Diarrhea
  • Feeling or being sick (nausea or vomiting)
  • Smaller appetite than usual
  • Stomach ache
  • Indigestion
  • Muscle or joint pain

Common side effects of Clotrimazole are;

  • Red, irritated skin
  • Burning skin or pain

If the side effects bother you for long, start using a smaller amount of treatment or consult your doctor.

Some severe side effects of both Terbinafine and Clotrimazole are;

  • Skin rashes and itchiness
  • Difficulty in breathing
  • swelling of lips and throat

Health Conditions

Terbinafine under condition

       1. Alcohol

Yes, you can drink alcohol while taking terbinafine

  1. In Liver disease

In patients with chronic or active liver disease, oral terbinafine is not indicated. Terbinafine has the potential to be hepatotoxic.

  1. Neutropenia

Isolated cases of severe neutropenia were reported in some patients who consumed oral terbinafine. Although neutropenia resolved after discontinuation of terbinafine with or without adjuvant therapy, no causal link was established.

  1. Depression

People suffering from depression should take this medicine with caution keeping the symptoms in mind. Patients and caregivers should inform patients and caregivers of any symptoms of depression.

  1. Immunosuppression

Full blood count monitoring is required in those taking terbinafine for more than six weeks and with known or suspected immunosuppression.

  1. Lupus

Terbinafine should not be used by patients suffering from symptoms like lupus erythematosus.

Clotrimazole under condition

  1. Budesonide / formoterol

Clotrimazole may help the drug budesonide be absorbed into the bloodstream. Weight gain, high blood pressure, swelling, high blood sugar, muscle weakness, depression, acne, thinning skin, stretch marks, easy bruising, loss of bone density, cataracts, irregular periods, excessive hair growth on face and body and uneven fat distribution are all possible side effects.

  1. Hepatic Dysfunction

When using clotrimazole lozenges, abnormal liver function tests have been reported, most of the SGOT values are usually slightly increased. Patients with pre-existing liver failure should have their liver function tested regularly.

Warnings

Terbinafine

Adults and children one year of age and older may be prescribed tablets, creams, and gels. (Balfour, J.A)

Creams, gels, and sprays available in pharmacies and supermarkets are suitable for people 16 years of age and older. Only adults 18 years and older should use solutions.

Inform your doctor or pharmacist, If

  • Kidney and liver disorders
  • Are pregnant, trying to conceive or breast-feeding
  • Have ever had an adverse reaction to terbinafine or any other medicine.

Clotrimazole

Most adults and children can use clotrimazole cream, spray, or solution. Clotrimazole is not a medicine that should be used by everyone. If you have ever had an allergic reaction to clotrimazole or any other medication, consult your doctor to know the safety of the medicine.((Bodey, G.P., 1972))

Which Is More Effective

A study was conducted to observe the efficacy and safety of terbinafine 1% cream and clotrimazole 1% cream for tinea pedis treatment.

A multicentre, double-blind, parallel-group has taken evaluable 211 patients. 107 with a mean age of 40 were randomized with terbinafine, and the remaining 104 with a mean age of 36 with clotrimazole.

Inert cream was applied two times a day daily for 3 weeks while Terbinafine was used twice a day for a span of 2 weeks. Clotrimazole 1% cream applied daily for four weeks. Mycological cure and effective treatment were measured at 1,2,3,4,5, and 6 weeks.

The results show that a one-week course of 1% terbinafine cream is more effective than a four-week course of 1% clotrimazole cream in treating tinea pedis both in terms of mycological cure effective treatment of the disease.

Terbinafine vs Clotrimazole

Difference between Terbinafine and Clotrimazole:

Particular

Terbinafine

Clotrimazole

Antifungal

Used as antifungal

Used as an antifungal. It is used in the treatment of vaginal yeast infections, oral thrush, tinea versicolor, or tinea corporis.

Over the Counter/ Prescription

 over-the-counter (OTC) and as a generic

 over-the-counter (OTC) and as a generic

Side effects

Similar side effects that include itching and hives

Similar side effects that include itching and hives

Uncommon Side effects

Side effects different from Clotrimazole are diarrhea, cough, abdominal pain, abdominal pain, and headache.

Side effects different from terbinafine are local redness, stinging, blistering, peeling, swelling, or burning at the area of application, and nausea and vomiting.

Conclusion

Terbinafine is more effective than Clotrimazole. One should always consult the doctor and talk about the medical history to prevent from negative effects before taking any medicine.

Clotrimazole vs Nystatin

Clotrimazole vs Nystatin

What is Clotrimazole?

Clotrimazole is an antifungal cream that prevents the growth of fungus. Clotrimazole is used to treat different skin infections such as ringworm, jock itch, candidiasis, athlete’s foot and fungal infections(Crowley, P.D).

What is Nystatin?

Nystatin belongs to the drug class called Polyenes- antifungal medications. Its working is also similar to Clotrimazole. Nystatin is also used in the treatment of fungal infections, especially internal fungal infections(G.W., 1977).

Forms and Strength

Clotrimazole

Clotrimazole is available as – Cream, Powder, lotion, ointment, Gel.

Strengths – 15GM of 1%, 28GM of 1%, 30GM of 1%, 45GM of 1%

Nystatin

Nystatin is available as – Cream, Powder, Ointment, Tablet, and Liquid.

Strengths – 15gm and 30gm (tube), 15gm, 30gm and 60gm (bottle), 500,000units (tablet), 60ml and 480ml (bottle)

Dosage

Clotrimazole

The amount of dosage may vary depending on the condition. Depending on the nature and severity, you can apply the cream around the infected area for 2 to 8 weeks up to two times a day.

Nystatin

Tablet – Adults and children over the age of 5 can take 1-2 pills for about 3 to 5 times a day.

Liquid – 1 teaspoon full is the standard dosage

Side Effects

Clotrimazole vs Nystatin

Clotrimazole

It can cause minor side effects like burning, itching, or irritation when applied. Following are the severe side effects associated with Clotrimazole(Crowley, P.D):

  • Fever
  • Chills
  • Nausea
  • Rash
  • Hives
  • stomach pain

Nystatin

Like Clotrimazole, even Nystatin may irritate, stinging, or burning where it is applied. Following are the adverse effects(Bissell, M.J., 1974):

  • Allergic reaction
  • Slow heart rate
  • Bronchospasm
  • Facial swelling
  • Muscle pain
  • Vomiting
  • Hypersensitivity reactions
  • Skin irritation or redness
  • Mouth irritation
  • Rash
  • Hives
  • Diarrhea
  • Nausea
  • Stomach pain or upset
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Drug Warnings

Clotrimazole

Once you have applied the medication, don’t apply cosmetics on it.

Also, do not use any other creams on the area where you have applied Clotrimazole.

The liquid form may be flammable so take appropriate precautions with it.

Do not breastfeed or use it during pregnancy without consulting your healthcare professional.

Do not use clotrimazole if you have had allergic reactions to other antifungal medications before.

Nystatin

Consult your healthcare professional if you are using any OTC medications, prescription medications, or herbal medicines before using Nystatin.

Can you use Clotrimazole and Nystatin together?

No interactions between Clotrimazole and Nystatin have been discovered yet. Still, there have been no studies implying that you can use them together. Always consult your healthcare professional before mixing medications.

Scientific Study on Clotrimazole and Nystatin

A study was conducted to compare the efficacy and safety of Clotrimazole and Nystatin in the treatment of Diaper dermatitis in infants. Diaper dermatitis is a common type of irritative dermatitis in infancy.

Ninety-six infants were included in this study which was multi-center, controlled, and randomized. The infants were treated with either Nystatin or Clotrimazole two times a day for 14 days straight.

Both medications helped in decreasing the symptoms. However, the clinical cure rate and global assessment of clinical response were higher in Clotrimazole. The frequency of side effects was minimal in both the medications.

In conclusion, Clotrimazole was better in this trial than Nystatin.

Clotrimazole vs Nystatin

Which one is better?

Based on various studies conducted on Clotrimazole and Nystatin, clotrimazole ointment was found to be significantly more effective than Nystatin. However, depending on your condition, one might be better than the other, so speak to your healthcare professional, and he will help you decide which one is suited for you.

Tolnaftate vs Clotrimazole

Tolnaftate vs Clotrimazole

What Is Tolnaftate?

It’s an antifungal cream that comes in many forms; Athlete’s foot, jock itch, and ringworm are among conditions that can be treated with tolnaftate.

What Is Clotrimazole?

Clotrimazole is a topical antibiotic used to treat fungal skin diseases such as athlete’s foot, jock itch, and ringworm. This drug is also used to treat pityriasis, a fungal illness that causes the skin on the neck, chest, arms, and legs to lighten or darken.

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How Does Clotrimazole Work?

Clotrimazole kills the fungus that is the source of the infection. The fungus is killed, and the condition is treated.

Forms And Strengths Of Tolnaftate:

The following dose formulations are available for this product:

  • Spray
  • Cream
  • Powder
  • Solution

Maximum strength- 1%- tolnaftate 1% liquid

Forms And Strengths Of Clotrimazole:

It comes in a variety of dose forms, such as

  • Topical cream
  • Ointment
  • Vaginal suppository
  • It’s also available as a prescription-only oral troche or throat lozenge.

Topical solution in a bottle :

  • 10 mL of 1% lozenge,
  • 30 mL of 1% lozenge Cream tube with 10mg.
  • 15 grammes of 1%, 30 grammes of 1%, and 45 grammes of 1%

Side Effects Of Tolnaftate:

Common Side Effects:

  • It is possible that the treated skin will become irritated. Notify your doctor or pharmacist right once if this effect persists or worsens.
Tolnaftate vs Clotrimazole Severe Side Effects

Severe Side Effects:

Although a severe allergic reaction to this medicine is unusual, get medical help right once if one does develop.

  • Rashes,
  • itching/swelling
  • extreme dizziness
  • difficulty breathing
Side Effects Of Clotrimazole

Side Effects Of Clotrimazole:

Common Side Effects:

  • Pimples
  • Acnes
  • Skin Irritation
Severe Side Effects

Severe Side Effects:

  • Extreme dizziness
  • Rash
  • Allergic reaction

Precautions of Tolnaftate:

  • Do not take this medication by mouth.
  • This drug should not be used on open wounds, sunburned, windburned, dry, chapped, or irritated skin.
  • It is unknown if this medication goes into breast milk. Before you start breastfeeding, talk to your doctor.

Precautions of Clotrimazole:

  • Inform your doctor or pharmacist about your medical history before taking this drug.
  • During pregnancy, this medicine should only be used if necessary. Consult your doctor about the dangers and advantages.
  • It is unknown if this medication goes into breast milk. Before you start breastfeeding, talk to your doctor.
  • Do not take this medication by mouth.
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Case Study:

Tolnaftate vs Clotrimazole

Patients with external fungal otitis who were treated with topical antifungals were randomized into two treatment groups in a controlled, randomised, and open clinical trial: (2) tolnaftate solution; (1) clotrimazole cream. They were examined microscopically after one and two weeks of treatment to see if the disease had resolved. There was a record of recurrence and problems. We gathered and analyzed demographic and clinical data. The groups were compared in terms of follow-up and end outcomes.

The study included 48 patients: 28 in the clotrimazole group and 20 in the tolnaftate group. The most prevalent season linked with otomycosis was spring, and otic manipulation was the most common risk factor in both groups. Itching and otic fullness were the most common complaints. The organism Aspergillus niger was isolated the most. At one week of treatment, clotrimazole medication resulted in 75 percent resolution compared to 45 percent resolution with tolnaftate treatment. The Tolnaftate therapy group had a greater rate of recurrence.

Synopsis:

For uncomplicated otomycosis, clotrimazole cream is more effective than tolnaftate.

Ketoconazole vs. Clotrimazole: Which Is Effective?

Ketoconazole vs. Clotrimazole: Which Is Effective?

Ketoconazole is the medication that treats fungal infections whereas, Clotrimazole is the medication that treats yeast infection and is not suitable to treat fungal infection.

What Is Ketoconazole?

Ketoconazole is an antifungal medication sold under the brand name Nizoral that treats fungal infections caused due to fungus. Ketoconazole is an anti-androgen medication that is remedial to the conditions, namely, cutaneous candidiasis, dandruff, pityriasis Versicolor, seborrheic dermatitis(Cantilena, L.R., 1993).

What is Clotrimazole?

Clotrimazole is an FDA-approved medication sold under the brand name Lotrimin that is primarily used to treat infections such as yeast infections in the vaginal area, oral thrush, diaper rash, pityriasis Versicolor, and ringworm infections such as athlete’s foot and jock itch(Gallagher, H.C., 2014).

How does Ketoconazole work?

Clotrimazole kills the fungus (yeast) that is the source of the infection. Clotrimazole kills fungus by causing holes in its cell membrane to emerge, allowing the components to escape. The fungus is killed, and the infection is treated(Müller, R.H., 2005).

How does Clotrimazole work?

Clotrimazole kills the fungus (yeast) that is the source of the infection. Clotrimazole kills fungus by causing holes in its cell membrane to emerge, allowing the components to escape. The fungus is killed, and the infection is treated.

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Ketoconazole: Form and Strength

  • Form: This drug comes in the form of a tablet.
  • Strength: 200mg 

Clotrimazole: Form and Strength

  • Form: cream, ointment and also available as a troche. 
  • Strength: lozenge 10mg
  • troche 10mg

Ketoconazole: How to take it?

Ketoconazole is available as a pill that can be swallowed. It is typically taken once per day. Ketoconazole should be taken at the same time each day. Follow the medication as directed carefully, and if there is anything you don’t understand, consult your veterinarian or pharmacist. Ketoconazole should be taken exactly as prescribed(D.A.J., 1981).

Clotrimazole: How to take it?

It is generally taken five times a day for 14 days to treat yeast infections. It is commonly taken three times a day to prevent yeast infections. The course of the preventative treatment is determined according to one’s condition.

Ketoconazole: dosage

  • The dosage for fungal infection:
  • Adults: 200-400 mg orally per day
  • Children under the age of two: Safety and efficacy have yet to be determined.

Clotrimazole: dosage

  • The troche (lozenge) should dissolve gradually. One troche is given five times a day for 14 days.
  • For 7 days, the vaginal cream is injected by the applicator once daily, ideally at night.
  • For 7 days, the 100 mg vaginal suppository is injected once daily, ideally at bedtime.
  • The 200 mg vaginal suppository is administered once a day, ideally before night, for three days.

Ketoconazole: side effects

The side effects of this medication can be common or adverse. In any case, consult the physician immediately. 

Adverse Side effects:

Ketoconazole vs Clotrimazole Which Is Effective Adverse Side effects

Contact the medical practitioner as fast as possible if you notice any of these symptoms:

  • Nausea or vomiting
  • foul-smelling vaginal discharge 
  • rash
  • hive
  • stomach discomfort 
  • fever chills 
  • increased vaginal burning
  • itching, or irritation

Clotrimazole: Side Effects

The side effects of this medication can be common or adverse. In any case, consult the physician immediately.

Adverse side effects

  • Loss of hair
  • Headache
  • Dizziness
  • Hyperlipidemia
  • Loss of breath 
  • Allergy 
  • Drowsiness 
  • Fever or Chills

Common side effects

  • Vomiting and nausea
  • Itching 
  • rash on the skin
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Ketoconazole: Who should not take it?

  • Ketoconazole can injure your liver severely, requiring a liver transplant or perhaps death. If you noticed any symptoms of liver damage, such as nausea, vomiting, stomach discomfort, urine, clay-colored stools, or jaundice, call your doctor (yellowing of the skin or eyes)
  • Ketoconazole might potentially be dangerous to your heart. If you develop fast or pounding heartbeats, shortness of breath, or abrupt dizziness, call your doctor straight away(Borelli, D., 1980).

Clotrimazole: who should not take it?

  • Don’t consume this medication if you are allergic to it
  • Do not take the medicines if you are suffering from any liver or heart conditions. 
  • Consult the doctor before taking the medication

Ketoconazole: Medical conditions

  • Overdose:The side effects overdosed on this medication can lead to side effects nausea or vomiting, feeling tired, stomach pain or tenderness, dark urine, or light-colored stools. You overdosed on Ketoconazole, contact your doctor or your local Poison Control Center straight away, or seek emergency medical help.
  • Alcohol:Do not consume alcoholic beverages. It’s possible that you’ll have dangerous side effects.
  • During pregnancy:Animal reproduction studies have revealed an unfavorable effect on the fetus, and there are no appropriate and well-controlled trials in humans. However, possible benefits may justify the use of the medicine in pregnant women despite potential risks, according to the US FDA pregnancy category C.

Clotrimazole: Medical conditions

  • Overdose: If overdosed, it can lead to side effects, namely burning, stinging, swelling, irritation, redness, pimple-like lumps, soreness, or peeling. I overdosed on Clotrimazole. Contact your doctor or your local Poison Control Center straight away, or seek emergency medical help.
  • Alcohol: Alcohol can be consumed when taking Clotrimazole.
  • During pregnancy: Clotrimazole is generally thought to be safe for use by pregnant women. It is suggested that you insert the pessary using your fingers rather than the applicator supplied if you are treating vaginal thrush during pregnancy.

Study: ketoconazole v/s Clotrimazole

Research: This study was conducted by the Department of Dermatology, University Clinic of the RWTH Aachen, Germany.

Aim: In a double-blind, randomized study, the efficacy of two topical cream formulations containing Clotrimazole 1 percent and Ketoconazole 2 percent, respectively, were clinically evaluated for a 28-day treatment of interdigital tinea pedis in 106 patients.

Conclusion: Both Clotrimazole and Ketoconazole may successfully treat tinea pedis within 28 days of treatment. Once-daily Clotrimazole is similarly effective as twice-daily Ketoconazole, with favorable effects on the disease’s most bothersome symptoms.

Synopsis: Ketoconazole and Clotrimazole are both effective medications, as proved in the study. Both the medicines treat infections ranging from yeast infection to candidiasis; however, Clotrimazole does not treat other fungal infections. In any case, confirm with the doctor regarding any history of medical problems to take suitable precautions or can be lethal. Do not consume any of these medications without the doctor’s prescription or consultation. 

Flexeril (Cyclobenzaprine) vs Valium (Diazepam)

Flexeril (Cyclobenzaprine) vs Valium (Diazepam)

Muscle spasms are treated with Flexeril (cyclobenzaprine) and Valium (diazepam). Valium is also prescribed for anxiety, seizures, and alcohol withdrawal symptoms. Valium and Flexeril belong to separate drug classes. Valium is a benzodiazepine, while Flexeril is a muscle relaxant (Basmajian, J.V., 1978).

Which One is Better?

Cyclobenzaprine is a common treatment for muscular spasms that is also available as a generic, although it should not be used for an extended period. Valium is beneficial for anxiety and muscle spasm when used infrequently or for a short period. Valium is particularly fast-acting when compared to cyclobenzaprine.

Difference between Cyclobenzaprine and Valium

Valium and cyclobenzaprine belong to separate pharmacological classes. Valium is a benzodiazepine and cyclobenzaprine is a muscle relaxant.

Diarrhea, rash, exhilaration, loss of balance, excitability, muscle spasm, lack of sleep, rage, and speech issues are some of the side effects of Valium that differ from cyclobenzaprine (Aker, P., 2004).

Similarities between Cyclobenzaprine and Valium

Cyclobenzaprine and Valium are both used to treat muscle spasms. Side effects of cyclobenzaprine and Valium that are similar include drowsiness, fatigue, vision problems, and confusion (Elenbaas, J.K., 1980).

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Age Restrictions

For Cyclobenzaprine-Cyclobenzaprine is not recommended for children under the age of 15.

For Diazepam- Use is not recommended for children under the age of six months.

Conditions Treated

By Cyclobenzaprine

  • Relaxes muscles
  • Relives pain from strains
  • Relives pain caused by sprains
  • Relives pain caused by muscle injuries
  • Chronic Myofascial Pain
  • Fibromyalgia
  • Migraine

By Valium 

  • panic disorder
  • a feeling of restlessness with the inability to sit still
  • symptoms from alcohol withdrawal
  • psychosis caused by sudden alcohol withdrawal
  • inducing of a relaxed, easy state
  • muscle spasm
  • anxiety

Availability and Cost

Flexeril (Cyclobenzaprine) vs Valium (Diazepam)

Cyclobenzaprine

Cyclobenzaprine pills are available in three dosage strengths.

  • 5 milligrammes (mg)
  • 7.5 milligrammes (mg)
  • 10 milligrammes (mg) tablets

Cyclobenzaprine is also available as a generic or under the brand name Amrix in 15 mg or 30 mg extended-release capsules.

Dosage for muscle spasms 

For adults and teenagers 15 years and older – For muscle spasms, take 5–10 mg up to three times per day as required for up to three weeks.

Maximum recommended dosage – For a maximum of three weeks, take no more than 10 mg three times each day.

Amrix and Fexmid are two brand names for cyclobenzaprine. Depending on the drugstore you visit, cyclobenzaprine oral tablet 10 mg costs roughly $10 for a supply of three tablets.

Valium

Valium (diazepam) comes as an intramuscular injection, an intravenous injection, and a tablet. It’s usually prescribed as a tablet, and it’s taken that way.

The tablet is available in the strength of

  • 2mg
  • 5mg
  • 10mg

Intramuscular injection: the amount varies. Intravenous injection: the amount varies.

Dosage 

For Adults to treat muscle spasms – 3-4 times a day, take a 2-10 mg pill.

For children six months and older – The standard dose is 0.1 to 10mg a day, and the maximum dose is 30mg.

Diazepam is a generic name for Valium. Valium oral tablet 2 mg costs roughly $364 for a 100-tablet supply, depending on the drugstore you go to.

Mechanism of Action

Cyclobenzaprine

Cyclobenzaprine is a centrally acting skeletal muscle relaxant with a tricyclic antidepressant-like structure. Cyclobenzaprine reduces localized skeletal, muscular spasms without impairing muscle function.

According to research, it predominantly functions in the brain stem of the central nervous system. Although an overlapping action on the spinal cord may contribute to its total skeletal muscle relaxant activity, cyclobenzaprine does not work directly on skeletal muscle or the neuromuscular junction. 

The evidence suggests that cyclobenzaprine causes a decrease in tonic somatic motor activity, impacting both the gamma() and alpha() motor systems. According to recent research, cyclobenzaprine is a (5-HT2) receptor antagonist, and its antispasmodic activity is due to this extra action.

Valium

Valium is a benzodiazepine that has anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnestic properties. The majority of these effects are assumed to be due to a facilitation of the action of gamma-aminobutyric acid (GABA), a central nervous system inhibitory neurotransmitter.

How to take them?

Cyclobenzaprine

Cyclobenzaprine is available as a tablet and an extended-release capsule for oral administration. The tablet is normally taken three times a day, with or without food. 

The extended-release capsule is typically taken once a day, with or without food. Do not take this medication for longer than three weeks without consulting your healthcare professional. 

Follow the instructions on your prescription label carefully, and if there is anything you don’t understand, ask your doctor or pharmacist to explain it to you. 

Take cyclobenzaprine exactly as prescribed by your healthcare professional. Do not take more or less of it, or take it more frequently than your doctor has suggested.

Valium

With a glass of water, take diazepam tablets or liquid. They can be consumed with or without meals.

Typically, you’ll take your medicine one to three times per day.

Your healthcare professional will determine the most appropriate dose for you. It’s critical to take diazepam exactly as prescribed by your doctor (Hall, A.M., 2017).

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Common Side Effects

Cyclobenzaprine

  • Blurred vision, Dry mouth, or Throat.
  • Headache.
  • Fatigue.
  • Loss of appetite.
  • Stomach pain.
  • Drowsiness.
  • Dizziness.

Valium

  • Drowsiness
  • Tiredness
  • Dizziness
  • spinning sensation
  • Exhaustion
  • Constipation
  • ataxia (loss of balance)
  • memory issues
  • Constipation

Drug Warnings

Cyclobenzaprine

Serotonin syndrome is a potentially fatal side effect of this medication. This occurs when your body produces too much serotonin due to your drugs. If you have any signs of this ailment, contact your doctor immediately. Agitation, hallucinations, convulsions, and nausea are some of these symptoms. If you combine cyclobenzaprine with other drugs that enhance the risk of serotonin syndrome, such as antidepressants, your risk may be increased.

This medication has the potential to cause cardiac arrhythmias. If you use a depressive medication or already have cardiac problems, your risk may be increased. These problems can lead to a heart attack or stroke if they aren’t addressed.

Valium

Diazepam has the potential to become addictive. Do not take a higher dose, take it more frequently, or take it for a longer period than your doctor recommends.

Tell your doctor if you’ve ever drunk a lot of alcohol, if you use or have used illicit drugs, or if you’ve ever taken too many prescription prescriptions.

During your treatment, refrain from drinking alcohol or using illegal substances. When you drink alcohol or use illegal substances while taking diazepam, you increase your chances of developing these significant, life-threatening side effects.

Also, tell your doctor if you are currently suffering from or have ever suffered from depression or a similar mental disorder.

Diazepam, especially if taken for several days to weeks, can create physical dependency. Do not stop taking this drug or reduce your doses without consulting your doctor.

Stopping diazepam abruptly might aggravate your health and create withdrawal symptoms that can last anywhere from a few weeks to over a year. Your healthcare professional will most likely progressively reduce your diazepam dosage (Hincapie-Castillo).

Scientific Study

In patients with long-term intractable pain of cervical and lumbar origin increased by skeletal muscle spasm and soreness, the effectiveness of cyclobenzaprine hydrochloride, a novel tricyclic skeletal muscle relaxant, was demonstrated. The study compared cyclobenzaprine hydrochloride (10 mg three times a day) to diazepam (5 mg three times a day) and placebo in a double-blind, randomised trial.

The 16 patients in the cyclobenzaprine group showed an overall improvement in pain variables after two weeks of treatment, as did the 16 patients in the diazepam group. In the trial, no significant side effects from cyclobenzaprine were observed. However, the anticholinergic activity of cyclobenzaprine caused dry mouth and mild sleepiness, which were more common than with diazepam or placebo (Jackson, J.L. and O’Malley, P.G., 2001).