Cyclobenzaprine Flashcards
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Questions and Answers

What is the generic name of the drug?

cyclobenzaprine

What are the brand names of cyclobenzaprine? (Select all that apply)

  • Flexeril (correct)
  • Advil
  • Amrix (correct)
  • Tylenol
  • What is the medication classification for cyclobenzaprine?

    Therapeutic = Skeletal muscle relaxant, Pharmacologic = Centrally acting norepinephrine-releasing agent

    Which interactions are associated with cyclobenzaprine? (Select all that apply)

    <p>Enhanced anticholinergic adverse effects with phenothiazines</p> Signup and view all the answers

    What are the primary uses of cyclobenzaprine?

    <p>Short-term therapy of acute musculoskeletal conditions that are unrelated to CNS disease, off-label use for fibromyalgia</p> Signup and view all the answers

    What is the action of cyclobenzaprine?

    <p>Thought to occur at brainstem and spinal cord, increases NE activity by blocking its synaptic reuptake</p> Signup and view all the answers

    Match the following side effects with their description:

    <p>Drowsiness = Common side effect Xerostomia = Dry mouth Tachycardia = Increased heart rate Syncope = Fainting</p> Signup and view all the answers

    What are the contraindications for cyclobenzaprine? (Select all that apply)

    <p>Hypersensitivity to TCAs</p> Signup and view all the answers

    What nursing considerations should be taken into account for patients using cyclobenzaprine?

    <p>Hx &amp; Px, baseline neurologic status, assess for pain, protect from falls, assess for rash, inform patient not to drive</p> Signup and view all the answers

    Study Notes

    Drug Information

    • Generic Name: cyclobenzaprine
    • Brand Names: Amrix, Flexeril

    Classification

    • Therapeutic Class: Skeletal muscle relaxant
    • Pharmacologic Class: Centrally acting norepinephrine-releasing agent

    Drug Interactions

    • CNS depressants and Tricyclic Antidepressants (TCAs) can cause additive sedative effects.
    • Co-administration with phenothiazines and anticholinergic agents may enhance adverse anticholinergic effects.
    • There is a risk of a fatal hypertensive crisis when taken with Monoamine Oxidase Inhibitors (MAOIs).

    Indications

    • Primarily used for short-term management of acute musculoskeletal conditions.
    • Off-label use includes treatment for fibromyalgia.

    Mechanism of Action

    • Acts at the brainstem and spinal cord; believed to block the reuptake of norepinephrine.
    • Results in increased norepinephrine activity, producing anticholinergic effects.
    • No direct action on skeletal muscle; operates centrally.

    Side Effects

    • Common: Drowsiness, dizziness, xerostomia (dry mouth)
    • Cardiovascular: Orthostatic hypotension, tachycardia, syncope, palpitations
    • Gastrointestinal: Nausea, vomiting, diarrhea, anorexia, flatulence
    • Other: Sweating, potential for paralysis, myalgia, hepatitis, alopecia, tongue and facial edema, unpleasant taste, coated tongue, discoloration

    Contraindications

    • Hypersensitivity to tricyclic antidepressants.
    • Prolonged QT interval conditions.
    • Recovery phase after a myocardial infarction (MI).

    Nursing Considerations

    • Conduct thorough history and physical examination, including vital signs.
    • Establish a baseline neurologic status and assess pain levels.
    • Monitor for fall risk due to drowsiness.
    • Observe for signs of urticaria, rash, or pruritus.
    • Advise patients against driving while on this medication.

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    Description

    Test your knowledge on cyclobenzaprine with these flashcards. Covering everything from its generic and brand names to its medication classification and interactions, this quiz is essential for anyone studying pharmacology.

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