Categorized | Medications, Muscle Relaxants

Tizanidine – Zanaflex

The following information is NOT meant to be used to treat yourself or patients

  • Generic name = Tizanidine

    Photo from Drug3k.com

  • Trade name = Zanaflex
  • Class = muscle relaxant
  • MOA
    • Centrally-acting
    • Binds to alpha-2 adrenergic receptors, increasing presynaptic motor neuron inhibition and reducing spasticity
  • Advantages
    • Great for spasticity
  • Disadvantages
    • Can cause lowered blood pressure in spinal cord injured patients that already have a lowered baseline blood pressure
  • Dosing
    • Starting dose: 4  mg PO at night
    • Titrating: Increase by one 4-mg pill every 2-3 days until desired effect
    • Max dose:  12 mg/day
    • Adequate trial period:  2-3 weeks
  • Note:
    • Renal dose if CrCl <25
    • Hepatic dosing
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This post was written by:

Christopher Faubel, MD - who has written 183 posts on The Pain Source.

Pain Medicine Fellowship (2011/2012) - Louisiana State University

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About the author

Christopher Faubel, MD

Pain Medicine Fellowship (2011/2012) - Louisiana State University

About ThePainSource.com

ThePainSource.com was started to provide pain medicine information on neuromusculoskeletal conditions, interventional pain procedures, journal article reviews, and other clinically-relevant information to physicians and other healthcare providers specializing in the treatment of patients with pain.