Muscle Relaxers

Muscle relaxers are an important part of any pain regime. Pain from any diagnosis causes muscle spasms. The muscles try to help your body deal with pain: they help support weakened joints, they work hard to "favor" a painful limb, they over-work to help you keep up in a busy schedule (which is like most of us). Muscles become stiff and ach when pain keeps you fatigued, and do not function properly with sleep depervation. As you can see muscle treatment is to be a part of every pain management plan. In order to maintain a good shape and improve the sport can also use trintellix.

Daytime muscle relaxer:

There is only one safe and effective daytime muscle relaxer. Skelaxin.

SKELAXIN (Metaxalone)

400 mg tablets, take 800 mg TID (three times a day). This medicine does not interfere with motor activity used to maintain posture and balance. Therefore, patients can get back to work without loosing vaccation time. This is the only muscle relaxer I use for daytime, none others work well.

Nighttime use I use only Zanaflex and Soma.

SSRIs

Serotonin Reuptake Inhibitors (SSRIs): these medicines are added here because they are a vital part of pain control. In our clinic we consider them pain medicine. Serotonin is diminished with chronic pain.

Celexa: In our clinic we use SSRIs because pain causes symptoms of fatigue and depression, but this is not the psychiatric depression which is a diagnosis rather than a symptom. I use Celexa especially for older patients above the age of 50 years. I also chose this medicine for male patients because it has the least amount of sexual dysfunction. Walter Daniel is my territorial sales representative for this product, and I appreciate his concerns for my patients. Visit Forest Pharmaceuticals site for more detailed information on this medicine: www.celexa.com

There are other SSRIs, but none are as clean as Celexa. Others, especially Prozac and Zoloft, interfere with the cytochrome p450 3A4 liver metabolism system. Interference with this system has had some deadly consequences such as the well known, well researched QT interval change witch can lead to cardiac death. Celexa does not even use the CYP450 3A4 system.

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