• What else should I know about muscle pain and Flexeril?

Like the engine in a vehicle, muscles turn energy into movement. Some are short bunches of fibers, others like those in your legs are long. For these purposes, you are interested in skeletal muscles. They come in pairs and, by expanding and contracting, allow you to move in different directions. Most of the time, these movements are completely voluntary, i.e. you think what you want to happen and your body "does" it. But when there is an injury to a muscle, there can be involuntary contractions. These are called spasms and, in most cases, they are painful.

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Just as you can develop the strength in muscles through exercise — think body builders — muscles can repair themselves so long as the damage is not too great. This requires a mixture of rest and exercise. You need continuing exercise to ensure you do not stiffen. As the muscles knit back together again, you should keep moving. Your doctor or a therapist will be able to advise on the best exercises to keep the muscles toned while the injuries heal.

As with many prescription-only drugs, you should get your doctor’s advice before you start taking flexeril if you have any eye disease, heart disease, your thyroid is overactive or you have liver problems. There are also difficulties if you are taking some of the standard antidepressants - they can combine to produce quite dangerous levels of drowsiness. Combinations with some painkillers can increase a risk of seizures. You should also get advice if you are pregnant.

This drug can cause drowsiness and, if you drink alcohol or combine flexeril with other drugs having a similar effect, the results can be dangerous. Because of the risk of confusion and other mental effects, older people should not use this drug unless there is some supervision to ensure safety.