Muscle relaxant less sedating
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Your first line treatment will still be acetaminophen (Tylenol) and NSAIDs (ibuprofen, Advil, naproxen, Aleve, etc) which do work better for neck and back pain than muscle relaxants.
But there may be benefit to taking both, especially at night, where a muscle relaxant added to acetaminophen or an NSAID works better than either alone. How well do they work and what are their side effects ?
Whether from a new injury or an aggravated old injury, stiffness and soreness in the neck and back at night may lead to disrupted sleep and more pain in the morning.
Muscle relaxants have been shown to help relieve this pain and get you through these tough days—used at night, these medications may improve acute neck and back pain.
If you suffer from a headache, back ache, neck pain, or other conditions that cause muscle spasms, first try other therapies that don’t involve medications, such as using a heating pad, exercise, biofeedback, or progressive relaxation, massage, or yoga.
If those don’t help, a good next step is to try over-the-counter pain relievers, such as acetaminophen (Tylenol and generics), ibuprofen (Advil and generics), or naproxen (Aleve and generics).
Analgesics generally recommended are: Tylenol, Tylenol with codeine, Vicodin, Darvon and Ultram.
These medications, except Tylenol are prescribed for pain at the physician's discretion and are generally prescribed for those requiring a greater analgesic effect than acetaminophen alone can deliver, and/or those who are allergic to, or cannot take aspirin.: Drugs made from naturally occurring and synthetic substances that combat bacterial infection.
The problem with muscle relaxants — and it’s a big problem — is this: Although the drugs are effective and have been in use for decades, they appear to work by causing general nervous system sedation and by targeting muscle tissue.
You might say: “who cares as long as they work.” That’s a legitimate perspective — the precise mechanism of action of many drugs is not known.
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