muscle relaxants Flashcards
what drug class would be used to treat acute muscle spasms caused by:
anxiety
inflammation
pain/ trauma
cerebral palsy
stroke
MS
neurological damage
spinal cord injuries
skeletal muscle relaxants
Baclofen
Botulinum Toxins A+B
Cyclobenzaprine
Tizanidine
These are examples of what drug class?
muscle relaxants
Muscle relaxants like Metaxalone will also _________ the CNS.
depress
rheumatic disorders are a contraindication of muscle relaxants because that pain and the spams are a result of ____________ in the joints rather than in the muscles.
inflammation
You need to be cautious giving a muscle relaxer to someone with epilepsy or a seizure condition because:
it can lower the seizure threshold, which makes it more likely for a seizure to occur
cardiac issues are also a caution because the heart is a muscle
what are the 4 main side/ adverse effects of muscle relaxants?
-dizziness (fall risk)
-drowsiness (fall risk)
-dependence
-withdrawal symptoms w/ abrupt cessation
Dantrolene is a muscle relaxant but it is also used to treat malignant hyperthermia and neuroleptic malignant syndrome. Describe each of these reactions and their cause.
MH - this is a rapid increase in body temperature + muscle rigidity during surgery from anesthesia
NMS - this is also a rapid increase in temperature with muscle rigidity caused by antipsychotic medications
drowsiness
dizziness
muscle weakness
bleeding
seizures
hepatitis (hepatotoxic)
These are side/ adverse effects of which muscle relaxant?
Dantrolene
How long can it take for baclofen to have a therapeutic effect?
it can take a few hours or up to a few weeks
Diazepam is a muscle relaxant that is also used to treat ________.
anxiety
What is the drug of choice for muscle spasticity especially for paraplegic and quadriplegic patients?
Baclofen
Hyperkinesia is an abnormal increase in motor function, this can be aggravated when baclofen is taken with _______.
Lithium
Intrathecally administered means that the medication is given directly to the spinal cord. Which drug can be given this way?
Baclofen