Soma

There are a number of classes within the Benzodiazepines Category: Hypnotic, Anxiolytic, Anti-Seizure, Muscle-Relaxant, and Amnesic.

The Muscle Relaxant category is more common because so many people are prescribed drugs such as Flexeril and Valium. The addictions to these drugs and withdrawal from the drugs are among some of the most avoided topics within Drug Addiction. Depending on the addiction and “flavor” of choice, to walk away from Benzodiazepines will require prolonged treatment, but only after a detoxification to be remembered.

It is a tough drug to get completely out of the system.

3 Symptoms of the Addiction

1. Unable to cope without the drug
2. Overly concerned with where the medication is at any given time
3. Increasing dose over time

3 Possible Treatment Options

1. Use of SSRI’s to help in Detox
2. Taper off the drug
3. Homeopathic Remedies

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What Is Rheumatoid Arthritis?

Rheumatoid arthritis, or RA, is a systemic inflammatory disease that causes pain, stiffness, swelling and loss of motion in the joints. It is an autoimmune disease – one of many in which, for unknown reasons, a person’s immune system attacks his or her own body tissues. In RA, the immune system attacks the synovium, which is the tissue that lines the joints, causing inflammation in and overgrowth of this tissue.

How Do I Know If I Have RA?

The symptoms of RA vary from person to person and can mimic those of other inflammatory joint conditions, sometimes making the diagnosis difficult. Common RA symptoms include:

* Tender, warm, swollen and stiff joints, often first noticed in the hands and feet and usually symmetrical, e.g., both wrists are affected at the same time.
* Stiffness and pain that are usually worse after waking in the morning and last at least an hour before improving, which occurs with use and motion.
* Symptoms like tiredness, low-grade fever, weight loss and a general feeling of malaise that may develop even before the onset of joint symptoms.
* Systemic effects on other parts of the body such as the tear and salivary glands, lungs, heart and blood vessels.
* Soft lumps called rheumatoid nodules that range in size from a pea to a walnut, which occur in 20 to 30 percent of people with RA.

How Is RA Treated?

RA patients use a combination of treatments to relieve pain, improve mobility and slow down or perhaps even stop damage to the joints. A treatment plan may include:

* Lifestyle modifications: exercise, stress reduction, healthful eating
* Medications including non-steroidal anti-inflammatory drugs (NSAIDs), steroids, disease-modifying anti-rheumatic drugs (DMARDs), and biologic therapies
* Physical therapy
* Surgery to repair damaged joints
* Alternative and complementary therapies such as acupuncture, massage or biofeedback for pain control

Sports-related activities as well as falls and other trauma can injure the cartilage within a joint and, if it is not provided sufficient time to heal, chronic pain and persistent disability can follow. These activities and incidents may increase the risk of osteoarthritis, especially if there’s impact involved or there’s the risk of injury to ligaments. Additionally, damage to the bone surface can start a biological process that results in joint degeneration. This in turn, often leads to rheumatoid arthritis or osteoarthritis.

Arthritis is often a chronic disease meaning it can affect the person afflicted over a long period of time. It cannot be cured, but it can be treated through a variety of methods and products. Learning how to manage your joint pain over the long term is an important factor in controlling the disease and maintaining a good quality of life. This is a brief overview of some of the methods that arthritis sufferers can use to alleviate many of the symptoms associated with arthritis, especially joint pain. Products, both prescription and over-the-counter, for relieving arthritic joint pain are described in Joint Pain Products.

Heat and cold

Heat and/or cold therapy is not recommended to alleviate symptoms associated with all types of arthritis and as such, the decision whether to use it or not should be discussed with your doctor or physical therapist. If your care provider determines that the use of heat and/or cold is appropriate for use on your arthritis pain, it must be determined which kind of temperature treatment should be used. Moist heat, such as a warm bath or shower, or dry heat, such as a heating pad, placed on affected joint for about 15 minutes may relieve the pain. An ice pack or bag of frozen vegetables wrapped in a towel and placed on the sore area for about 15 minutes may help to reduce swelling and stop the pain. If you have poor circulation, do not use cold packs.

Joint protection

In order to relieve the stress of everyday activity on an afflicted joint, which can exacerbate the condition and may lead to additional injury, a splint or brace can be used to allow joints to rest and keep them from being used. As with many other treatments, a medical care provider such as a physician or physical therapist can make recommendations and possibly provide you with the brace.

Massage

Massage is associated with temporarily relieving joint pain, one of the major symptoms associated with arthritis, rather than treating the underlying cause of a loss of cartilage. A massage therapist will typically lightly stroke and/or knead the muscles around the joint, which increases blood flow to the stressed area. It is important to realize that arthritic joints are very sensitive, so the massage therapist must be familiar with the disease and problems associated with the affected joints.

Exercise

Low-impact exercises such as stretching exercises, swimming, walking, low-impact aerobics, and range-of-motion exercises may reduce joint pain and stiffness while increasing joint mobility. A physical therapist or gym trainer can help plan an exercise program that will give you the most benefit with the least stress on the arthritis-stressed joints.

Weight Reduction

In addition to alleviating some symptoms, the weight loss associated with an exercise program is beneficial in relieving the extra stress that extra pounds put on weight-bearing joints such as the hips and knees. Studies have shown that overweight women who lost approximately 10 pounds substantially reduced the development of osteoarthritis in their knees. In addition, these studies suggested that if osteoarthritis has already affected one joint such as the knee or hip, weight reduction would reduce the chance of it occurring in the other knee or hip. A physical therapist or gym trainer can help plan an exercise program that will give you the most benefit with the least stress on the arthritis-stressed joints.

Transcutaneous electrical nerve stimulation (TENS)

Transcutaneous electrical nerve stimulation uses a small devi ce that is placed near the joint afflicted with arthritis and directs mild electric pulses to nerve endings in and around the arthritic joint. It is theorized that TENS blocks the pain messages sent to the brain from the nerves and modifies the body’s perception of pain. Although TENS relieves some joint pain associated with arthritis, it doesn’t offset the joint inflammation that is associated with arthritis.

Surgery

In some extreme cases of persons with arthritis, surgery may be necessary. The surgeon may perform an operation to remove the synovium, realign the joint, or in extreme cases, replace the damaged joint with an artificial one. Total joint replacement provides not only dramatic pain relief but also significant improvement in joint motion and mobility for many people with arthritis.

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Generic Name: cyclobenzaprine (sye kloe BEN za preen)
Brand Names:Flexeril

What is Flexeril?

Flexeril is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain.

Flexeril is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury.

Flexeril may also be used for other purposes not listed in this medication guide.

How should I take Flexeril?

Take this medication exactly as it was prescribed for you. Do not take Flexeril in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Take this medicine with a full glass of water. Do not crush, chew, break, or open an extended-release capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

Flexeril is only part of a complete program of treatment that may also include rest, physical therapy, or other pain relief measures. Follow your doctor’s instructions.
Store Flexeril at room temperature away from moisture, heat, and light.

Flexeril side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Flexeril and call your doctor at once if you have any of these serious side effects:

* fast, pounding, or uneven heartbeats
* chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling
* sudden numbness or weakness, especially on one side of the body
* sudden headache, confusion, problems with vision, speech, or balance
* feeling light-headed, fainting
* confusion, weakness, lack of coordination
* nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes)
* seizure (convulsions)
* unusual thoughts or behavior, hallucinations (seeing things)
* easy bruising or bleeding, unusual weakness.

Less serious side effects may include:

* dry mouth or throat
* blurred vision
* drowsiness, dizziness, tired feeling
* loss of appetite, stomach pain, nausea
* diarrhea, constipation, gas
* muscle weakness

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Strains, sprains, and other muscle injuries can result in pain, stiffness, and muscle spasms. Muscle relaxants do not heal the injuries, but they do relaxmuscles and help ease discomfort and stop muscle spasms. The muscle relaxantcyclobenzaprine (Flexeril) is also sometimes used to treat fibromyalgia, a condition that involves aches, stiffness, and fatigue.

Muscle relaxants work by acting on the central nervous system. In the UnitedStates, they are available only with a physician’s prescription. Examples of muscle relaxants are carisoprodol (Soma), chlorzoxazone, cyclobenzaprine (Flexeril), and methocarbamol. Most come only in tablet form. However, methocarbamol is available in both tablet and injectable forms. Some muscle relaxants are available in Canada without a prescription.

Muscle relaxants are usually prescribed along with rest, exercise, physical therapy, or other treatments. Although the drugs may provide relief, they should never be considered a substitute for these other forms of treatment. Thesedrugs may make the injury feel so much better that one is tempted to go backto normal activity, but doing too much too soon can actually make the injuryworse.

Muscle relaxants work quite well for relieving muscle pain due to injuries, but are not effective for other types of pain. Some people feel drowsy, dizzy,confused, lightheaded, or less alert when using muscle relaxants drugs. These drugs may also cause blurred vision, clumsiness, or unsteadiness.

Because muscle relaxants work on the central nervous system, they may add tothe effects of alcohol and other drugs that slow down the central nervous system. They may also add to the effects of anesthetics, including those used for dental procedures. For this reason, anyone who takes these drugs should notdrive, operate machinery, or do anything else that might be dangerous untilthey have found out how the drugs affect them.

People with certain medical conditions or who are taking certain other medicines can have problems if they take muscle relaxants. Diabetes should be awarethat the metaxalone (Skelaxin) may cause false test results on one type of test for sugar in the urine. People with epilepsy should be cautioned that taking the muscle relaxant methocarbamol may increase the likelihood of seizures.

Anyone who has allergies, who is breastfeeding has kidney disease, has suffered a recent heart attack or irregular heartbeat, has an overactive thyroid gland, hepatitis or liver disease, is a current or former drug or alcohol abuser, has glaucoma, or has problems with urination should discuss their condition with their doctor before taking muscle relaxants.

The most common side effects or muscle relaxants are vision changes, such asdouble vision or blurred vision; dizziness; lightheadedness; drowsiness; anddry mouth. These problems usually go away as the body adjusts to the drug anddo not require medical treatment. Methocarbamol and chlorzoxazone may causeharmless color changes in urine –orange or reddish-purple with chlorzoxazoneand purple, brown, or green with methocarbamol. The urine will return to itsnormal color when the patient stops taking the medicine.

Less common side effects, such as stomach cramps or pain, nausea and vomiting, constipation, diarrhea, hiccups, clumsiness or unsteadiness, confusion, nervousness, restlessness, irritability, flushed or red face, headache, heartburn, weakness, trembling, and sleep problems also may occur and do not need medical attention unless they do not go away or they interfere with normal activities.

More serious side effects are not common, but may occur. Anyone who experiences breathing problems, facial swelling, fainting, unusually fast or unusuallyslow heartbeat, fever, tightness in the chest, rash, itching, hives, burning, stinging, red, or bloodshot eyes, or unusual thoughts or dreams after taking muscle relaxants should seek medical help promptly

The muscle relaxant chlorzoxazone has caused serious, life-threatening liver problems in some people. The reaction is rare, but anyonetaking the drug should stop taking it and notify his or her physician immediately if any of these symptoms occur: fever, rash, loss of appetite, nausea,vomiting, fatigue, pain in the upper right part of the abdomen, dark urine, or yellow skin or eyes.

Muscle relaxants may interact with some other medicines. When this happens, the effects of one or both of the drugs may change or the risk of side effectsmay be greater. Anyone who plans to take muscle relaxants should let the physician know all other medicines, including over-the-counter or nonprescription medicines, that he or she is taking.

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Cyclobenzaprine is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain.

Cyclobenzaprine is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury.

Cyclobenzaprine may also be used for other purposes not listed in this medication guide.

Carisoprodol Soma is a muscle relaxer that works by blocking pain sensations between the nerves and the brain.

Carisoprodol Soma is used together with rest and physical therapy to treat injuries and other painful musculoskeletal conditions.

Carisoprodol soma may also be used for other purposes not listed in this medication guide.

They both are VERY powerful muscle relaxer.

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Neck pain may begin in any of the structures in the neck. These include muscles and nerves as well as spinal vertebrae and the cushioning disks in between. Neck pain may also come from regions near the neck, like the shoulder, jaw, head, and upper arms.

When your neck is sore, you may have difficulty moving it, especially to one side. Many people describe this as having a stiff neck.

If neck pain involves nerves (for example, significant muscle spasm pinching on a nerve or a slipped disk pressing on a nerve), you may feel numbness, tingling, or weakness in your arm, hand, or elsewhere.

If the pain is due to muscle spasm or a pinched nerve, your doctor may prescribe a muscle relaxant like Soma or Tramadol, and possibly a more powerful pain reliever. Prescription drugs are not necessarily better than over-the-counter medications. The doctor may prescribe a neck collar or, if there is nerve damage, refer you to a neurologist or neurosurgeon for consultation.

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Generic Name: metaxalone (me TAX a lone)
Brand Names: Skelaxin

What is Skelaxin?

Skelaxin is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) in the brain.

Skelaxin is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury.

Skelaxin may also be used for other purposes not listed in this medication guide.

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Take Skelaxin on an empty stomach, unless your doctor tells you otherwise.

Skelaxin can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using Skelaxin.

Skelaxin is only part of a complete program of treatment that may also include rest, physical therapy, or other pain relief measures. Follow your doctor’s instructions.
Store Skelaxin at room temperature away from moisture and heat.

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The effects of Soma during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. This drug appears in breast milk and could affect a nursing infant. If Soma is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished.

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Forty percent of the 119,000 mentions of narcotic pain medications in emergency rooms involved either oxycodone or hydrocodone in 2002, according to a new report released today by the Substance Abuse and Mental Health Services Administration (SAMHSA). The DAWN Report on “Oxycodone, Hydrocodone, and Polydrug Use, 2002″ is based on data from SAMHSA’s Drug Abuse Warning Network (DAWN), which tracks drug-abuse related mentions of various substances in hospital emergency rooms.

The report found 47,594 mentions of these two narcotic pain medications in 42,808 emergency room visits related to drug abuse. These drugs are marketed under many brand names. Approximately three-quarters of emergency room visits involving oxycodone (71 percent) and hydrocodone (78 percent) also involved additional drugs. Visits to emergency rooms involving both hydrocodone and its combinations and oxycodone and its combinations have been trending upward since 1994.

“The abuse of narcotic pain relievers is a serious and growing public health problem,” SAMHSA Administrator Charles Curie noted. “Narcotic pain medications are wonders of modern medicine for patients with serious pain who are under the care of physicians. When diverted from their legitimate use, however, they are highly addictive narcotics that the body perceives exactly as if the person were taking heroin.”

Of the 42,808 drug-abuse related visits to emergency rooms involving either oxycodone or hydrocodone, 3,000 involved use of both drugs simultaneously. Alcohol was present in 33 percent of emergency room visits involving oxycodone and 31 percent of visits involving hydrocodone. Benzodiazepines (anti-anxiety medications) were present with 21 percent of oxycodone visits and 26 percent of hydrocodone-involved emergency room visits. Cocaine was involved in 12 percent of oxycodone-related visits and nine percent of hydrocodone-related visits, while heroin was involved in eight percent of oxycodone-related visits and four percent of hydrocodone-related visits.

Marijuana was found in seven percent of visits involving oxycodone, and in five percent of visits to emergency rooms involving hydrocodone. Carisoprodol, which is used therapeutically as a muscle relaxant, was present in four percent of visits involving oxycodone and eight percent of visits involving hydrocodone in 2002.

DAWN measures mentions of specific illicit, prescription and over-the- counter drugs that are linked to drug abuse in visits to hospital emergency departments.

SAMHSA, a public health agency within the U.S. Department of Health and Human Services, is the lead federal agency for improving accountability, quality and effectiveness of the Nation’s substance abuse prevention, addictions treatment and mental health services.

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Can you take Nyquil and muscle relaxants?

I don’t recommend them together. Both are depressants of varying degrees. If absolutely necessary then stagger the times thy are given, not together, which is difficult becuse NyQuil is long acting. Check with a doctor or pharmacist.

NyQuil, produced by the Vicks company, is the brand name of a family of cold medicine designed to help relieve many symptoms of the common cold. Because all of the medications within the NyQuil imprint contain sedating antihistamines and/or hypnotics, they are typically taken at night, just before bedtime. Its daytime counterpart is DayQuil, which does not contain sedating antihistamines and is not intended to induce drowsiness.

NyQuil comes in both liquid form and packaged in capsules (LiquiCaps).

NyQuil should not be taken with medications that contain other antihistamines or cough suppressants such as MUSCLE RELAXANTS. People who have other diseases, such as diabetes mellitus, glaucoma, asthma, chronic cough, excess mucus production, enlarged prostate, high blood pressure, or women who are nursing or pregnant, or may become pregnant. Some should consult a physician or pharmacist to ensure that NyQuil will not interact negatively with their disease states. Additionally, concurrent use of NyQuil with monoamine oxidase inhibitors (MAOIs) or other drugs containing acetaminophen is contraindicated. Another concern with Nyquil of any formulation is that it contains acetaminophen (also known as Tylenol). It is essential to avoid excessive amounts of acetaminophen as this may cause damage to the liver. This risk is additive when separate co-ingestion of acetaminophen is used. The normal maximum for acetaminophen per day is 65 mg/kg/24hrs or 4g/day, whichever is less. Certain patients such as those on medications processed by the liver or diseases of the liver (eg Hepatitis A,B,C) should consult their physician.

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