Ternelin (other name Zanaflex)

Muscle Relaxants

Active Ingredient: Tizanidine

In Stock: Only 40 packs left

Zanaflex muscle relaxer treats spasticity by temporarily relaxing tense, rigid muscles. Shop Zanaflex online at 24med pharmacy.

Diseases: Spasticity

Ternelin (other name Zanaflex) analogs: Tizanidine

Ternelin (other name Zanaflex) other names: Sanaflex Siralud Ternelin Tizan Tizanidina Tizanidinum

Ternelin (other name Zanaflex) 2mg

Package	Per Pill	Special Price
360 pills Free Regular Delivery	$0.79	~~$1440~~ -81% Only $285
270 pills Free Regular Delivery	$0.81	~~$1080~~ -80% Only $220
180 pills	$0.89	~~$720~~ -78% Only $160
120 pills	$1.17	~~$480~~ -71% Only $140
90 pills	$1.22	~~$360~~ -70% Only $110
60 pills	$1.33	~~$240~~ -67% Only $80
30 pills	$2.00	~~$120~~ -50% Only $60
20 pills	$2.50	~~$80~~ -38% Only $50
10 pills	$4.00	Only $40

Tizanidine Medication Guide: Usage, Side Effects, and Precautions

This comprehensive guide provides essential information about Tizanidine, a medication primarily used to manage muscle spasticity. Whether you're a patient, caregiver, or healthcare professional, this resource offers valuable insights into its usage, potential side effects, and necessary precautions.

What should I tell my health care provider before I take this medicine?

Before starting Tizanidine, inform your healthcare provider about all existing medical conditions, especially:

Kidney disease
Liver disease
Low blood pressure
Mental disorder
Any unusual or allergic reaction to tizanidine, other medicines, lactose (tablets only), foods, dyes, or preservatives
Pregnancy or plans to become pregnant
Breast-feeding

How should I use this medicine?

Take Tizanidine exactly as prescribed by your doctor. Here are some key guidelines:

Administer orally with a full glass of water.
Take on an empty stomach, at least 30 minutes before or 2 hours after food, unless otherwise directed by your doctor.
Adhere to the prescription label instructions.
Take at regular intervals.
Do not exceed the directed dosage.
Do not discontinue without your doctor's advice. Abrupt cessation can be dangerous.

Consult your pediatrician regarding the use of this medicine in children.

Patients over 65 years old may be more sensitive to Tizanidine and may require a lower dose.

Overdosage: If you suspect an overdose, immediately contact a poison control center or emergency room.

What if I miss a dose?

If you miss a dose, take it as soon as you remember. However, if it is less than four hours until your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take double or extra doses.

What may interact with this medicine?

Tizanidine can interact with various medications. Avoid taking it with the following:

Ciprofloxacin
Clonidine
Fluvoxamine
Guanabenz
Guanfacine
Methyldopa

Tizanidine may also interact with the following medications:

Acyclovir
Alcohol
Antihistamines
Baclofen
Barbiturates like phenobarbital
Benzodiazepines
Cimetidine
Famotidine
Female hormones, like estrogens or progestins and birth control pills
Medicines for high blood pressure
Medicines for irregular heartbeat
Medicines for pain like codeine, morphine, and hydrocodone
Medicines for sleep
Rofecoxib
Some antibiotics like levofloxacin, ofloxacin
Ticlopidine
Zileuton

Inform your healthcare provider about all medications, herbs, non-prescription drugs, and dietary supplements you are using. Also, disclose if you smoke, drink alcohol, or use illegal drugs, as these may interact with Tizanidine.

What should I watch for while using this medicine?

Tizanidine may cause drowsiness or dizziness. Avoid driving, operating machinery, or performing tasks requiring mental alertness until you know how the medication affects you. Stand or sit up slowly, especially if you are an older patient, to reduce the risk of dizziness or fainting. Avoid alcohol, as it may interfere with the effects of Tizanidine.

Dry mouth may occur. Chewing sugarless gum, sucking on hard candy, and drinking plenty of water can help alleviate this. Contact your doctor if dry mouth persists or becomes severe.

What side effects may I notice from receiving this medicine?

Side effects that require immediate medical attention:

Allergic reactions (skin rash, itching, hives, swelling of the face, lips, or tongue)
Blurred vision
Fainting spells
Hallucinations
Nausea or vomiting
Nervousness
Redness, blistering, peeling, or loosening of the skin, including inside the mouth
Slow or irregular heartbeat, palpitations, or chest pain
Yellowing of the skin or eyes

Common side effects that usually do not require medical attention:

Dizziness
Drowsiness
Dry mouth
Tiredness or weakness

If these side effects persist or become bothersome, consult your doctor.

Storage and Disposal

Keep Tizanidine out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Discard any unused medication after the expiration date.

Tizanidine: Expert Tips for Optimal Use and Safety

This section offers advanced guidance to ensure the safe and effective use of Tizanidine. We delve into critical considerations often overlooked, providing you with a deeper understanding of this medication.

Comprehensive Management of Muscle Spasticity

Tizanidine is frequently prescribed to alleviate muscle spasticity resulting from conditions such as multiple sclerosis, spinal cord injury, or cerebral palsy. It operates by acting on the central nervous system to relax muscles. It's important to tailor the dosage to each patient's individual needs and response. Monitor the impact on muscle tone, functional abilities, and the occurrence of any adverse effects. Work with your healthcare provider to fine-tune your treatment plan for the best outcomes. Consider the integration of physical therapy and other rehabilitative strategies to optimize function and improve the quality of life.

Detailed Drug Interaction Management

Be aware of the potential interactions of Tizanidine with other medications. It's essential to avoid concurrent use with drugs that can potentiate its sedative effects, such as benzodiazepines, opioids, or antihistamines. Co-administration with antihypertensive drugs can lead to additive blood pressure-lowering effects. Careful blood pressure monitoring is crucial when combining Tizanidine with these medications. Other drugs, like certain antibiotics (e.g., ciprofloxacin), can increase Tizanidine levels in the body, elevating the risk of adverse effects. A comprehensive review of all medications is essential to mitigate the risk of harmful drug interactions.

Strategies for Managing Side Effects

Drowsiness and dizziness are common side effects of Tizanidine. These effects can be more pronounced when starting the medication or increasing the dosage. Advise patients to take the first few doses at bedtime to minimize daytime sedation. To counteract dry mouth, suggest sugar-free candies or gum and frequent sips of water. In some cases, adjusting the dosage or timing of administration may help alleviate these side effects. If side effects are severe or persistent, consider alternative medications or therapeutic approaches under the guidance of a healthcare professional.

Monitoring Liver Function

Tizanidine can cause liver enzyme elevations in some individuals. Periodic monitoring of liver function tests (LFTs) is advisable, especially during the initial months of treatment. Patients with pre-existing liver disease may be at higher risk for liver-related complications. If significant liver enzyme elevations occur, consider discontinuing Tizanidine or reducing the dosage. Careful evaluation of the benefits and risks is necessary when using Tizanidine in patients with liver impairment.

Guidance for Elderly Patients

Elderly patients may be more sensitive to the effects of Tizanidine. Age-related changes in kidney and liver function can alter drug metabolism and clearance, leading to higher drug levels and increased risk of adverse effects. Initiate treatment at a lower dosage and titrate slowly, based on individual response and tolerance. Regular monitoring of cognitive and motor function is essential in elderly patients taking Tizanidine.

Safe Use during Pregnancy and Breastfeeding

The safety of Tizanidine during pregnancy has not been definitively established. It should be used during pregnancy only if the potential benefits outweigh the risks. Caution is advised when using Tizanidine during breastfeeding, as it is unknown whether the drug is excreted in breast milk. Discuss the risks and benefits with a healthcare provider before using Tizanidine during pregnancy or breastfeeding.

Recognizing Signs of Overdose

Tizanidine overdose can cause serious and potentially life-threatening effects, including respiratory depression, severe hypotension, and coma. Seek immediate medical attention if an overdose is suspected. Supportive measures, such as airway management, ventilation, and cardiovascular support, may be necessary. Gastric decontamination with activated charcoal may be considered if the overdose is recent. Monitoring of vital signs and neurological status is crucial until the patient is stable.

FAQ about Tizanidine

What is Tizanidine used for?

Tizanidine is a muscle relaxant used to treat muscle spasticity.

Can I take Tizanidine with food?

It is recommended to take Tizanidine on an empty stomach, at least 30 minutes before or 2 hours after food, unless otherwise directed by your doctor.

What should I do if I experience side effects?

Report any severe or persistent side effects to your doctor immediately.

Is it safe to drink alcohol while taking Tizanidine?

No, avoid alcohol consumption while taking Tizanidine, as it can increase the risk of side effects.

Where can I buy Tizanidine online?

You can buy Tizanidine online through licensed pharmacies. Ensure you have a valid prescription from your doctor before making a purchase.

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Disclaimer: This information is not intended as a substitute for professional medical advice. Always consult with your healthcare provider for diagnosis and treatment.