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Cyclobenzaprine HCl 10 mg/Lidocaine 100 mg Rectal Suppositories

Cyclobenzaprine HCl 10 mg/Lidocaine 100 mg Rectal Suppositories are a solid dosage form designed for insertion into the rectum, where they dissolve or melt to release medication for local or systemic absorption.

This formulation is used to treat muscle spasms and pain associated with conditions such as muscle strains, sprains, and other musculoskeletal disorders. The combination of cyclobenzaprine, a muscle relaxant, and lidocaine, a local anesthetic, provides effective relief by reducing muscle tension and numbing the affected area.

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Cyclobenzaprine Hydrochloride
Lidocaine Hydrochloride
Suppository
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Formula Information

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Cyclobenzaprine HCl 10 mg/Lidocaine 100 mg rectal suppositories are a compounded medication designed to provide localized relief from muscle spasms and pain in the rectal area. Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses that are sent to the brain, helping to reduce muscle spasms. Lidocaine is a local anesthetic that numbs the tissue, providing immediate pain relief at the site of administration.

This formulation is particularly beneficial for patients experiencing conditions such as proctalgia fugax, levator ani syndrome, or postoperative pain following rectal surgery. By delivering the medication directly to the rectal tissue, the suppository allows for targeted therapy, potentially reducing systemic side effects compared to oral administration.

For prescribers, this combination offers a multimodal approach to managing anorectal pain and muscle spasms. The local application of lidocaine provides rapid analgesia, while cyclobenzaprine addresses muscle spasticity. This can be especially useful for patients who may not tolerate oral medications well or who need localized treatment.

Patients using this suppository should follow their healthcare provider's instructions carefully. The suppository is inserted into the rectum, where it dissolves to release the active ingredients. It is recommended to wash hands before and after insertion and, if necessary, moisten the suppository with a small amount of water to ease administration. Consistent use as directed is important for achieving the best therapeutic outcomes.

Potential side effects may include local irritation, dizziness, drowsiness, or allergic reactions. Patients should be advised to report any adverse effects to their healthcare provider promptly. It is also important to disclose all current medications and medical conditions to the prescriber to avoid potential drug interactions or contraindications.

If you have any questions or need further information about this compounded formulation, please reach out to us.

Drug Interactions

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Cyclobenzaprine HCl and Lidocaine rectal suppositories are formulated to provide both local anesthetic and muscle relaxant effects, which can be beneficial in managing conditions such as muscle spasms, pain, and discomfort in the rectal area. Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain, while Lidocaine is a local anesthetic that works by blocking nerve signals in your body. When used together in a suppository form, they can provide targeted relief with potentially reduced systemic side effects compared to oral administration.

Patients and prescribers should be aware of potential drug interactions when using Cyclobenzaprine HCl and Lidocaine rectal suppositories. Cyclobenzaprine is structurally similar to tricyclic antidepressants and can interact with other central nervous system (CNS) depressants, such as alcohol, benzodiazepines, opioids, and antihistamines, potentially leading to enhanced sedative effects. Patients should be advised to avoid or limit the use of these substances while using this medication. Additionally, the concurrent use of Cyclobenzaprine with monoamine oxidase inhibitors (MAOIs) or within 14 days of stopping such treatment is contraindicated due to the risk of serious, potentially life-threatening interactions, including hypertensive crisis and serotonin syndrome.

Lidocaine, when absorbed systemically, can interact with antiarrhythmic drugs, such as amiodarone, mexiletine, and tocainide, potentially leading to additive cardiac effects. Patients with pre-existing cardiac conditions should be closely monitored, and prescribers should consider the cumulative effects of Lidocaine when used with other local anesthetics or medications that affect cardiac conduction. Additionally, caution is advised when using Lidocaine in patients receiving beta-blockers or cimetidine, as these can increase Lidocaine plasma levels, potentially leading to toxicity.

Both Cyclobenzaprine and Lidocaine can have additive effects with other medications that prolong the QT interval, increasing the risk of cardiac arrhythmias. Therefore, prescribers should evaluate the patient's medication profile for other QT-prolonging agents and assess the risk-benefit ratio of using this formulation. Patients should be informed about the signs and symptoms of potential interactions, such as dizziness, palpitations, or syncope, and advised to seek medical attention if they experience these symptoms.

As with any medication, individual patient factors such as age, liver function, and overall health status can influence the risk of interactions and side effects. Prescribers should conduct a thorough medication review and consider these factors when prescribing Cyclobenzaprine HCl and Lidocaine rectal suppositories. Patients should be encouraged to report all medications they are taking, including over-the-counter drugs and supplements, to their healthcare provider.

If you have any questions or need further information about this formulation and its potential interactions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

How Does it Work

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The Cyclobenzaprine HCl 10 mg/Lidocaine 100 mg Rectal Suppositories are designed to deliver targeted relief through a solid dosage form that is inserted into the rectum. This formulation combines the muscle relaxant properties of Cyclobenzaprine HCl with the local anesthetic effects of Lidocaine, providing a dual-action approach to managing pain and muscle spasms. Upon insertion, the suppository dissolves or melts at body temperature, allowing the active ingredients to be absorbed through the rectal mucosa. This method of administration can offer both local and systemic effects, making it a versatile option for patients who may have difficulty swallowing oral medications or require localized treatment.

Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses, or pain sensations, that are sent to the brain. It is particularly effective in alleviating muscle spasms associated with acute musculoskeletal conditions. By reducing muscle tension, Cyclobenzaprine helps to improve mobility and decrease discomfort, allowing patients to engage more comfortably in physical activities and rehabilitation exercises.

Lidocaine, on the other hand, is a local anesthetic that works by blocking sodium channels in the nerve cells, which prevents the initiation and transmission of nerve impulses. This action results in a numbing effect that can significantly reduce pain and discomfort in the targeted area. When used in combination with Cyclobenzaprine, Lidocaine enhances the overall pain-relieving effects of the suppository, providing rapid and effective relief from symptoms.

The rectal route of administration offers several advantages, including bypassing the gastrointestinal tract, which can be beneficial for patients with nausea, vomiting, or gastrointestinal disorders. Additionally, rectal absorption can lead to a more rapid onset of action compared to oral administration, as the medication is absorbed directly into the systemic circulation through the rectal mucosa. This can be particularly advantageous for patients requiring prompt relief from severe symptoms.

For prescribers, this formulation offers a unique therapeutic option for patients who may benefit from the combined effects of a muscle relaxant and a local anesthetic. It is important to consider the patient's overall health status, potential contraindications, and any concurrent medications when prescribing this treatment. Patients should be advised on the proper insertion technique and informed about potential side effects, such as local irritation or systemic effects like drowsiness or dizziness, which may occur with Cyclobenzaprine.

If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries you may have regarding the use and benefits of Cyclobenzaprine HCl 10 mg/Lidocaine 100 mg Rectal Suppositories.

Other Uses

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The formulation of Cyclobenzaprine HCl 10 mg/Lidocaine 100 mg Rectal Suppositories is primarily designed to provide relief from muscle spasms and localized pain, leveraging the muscle relaxant properties of cyclobenzaprine and the anesthetic effects of lidocaine. However, beyond its primary indications, this formulation may have other potential uses that could benefit patients and prescribers seeking alternative therapeutic options. One such use could be in the management of certain types of chronic pelvic pain, where muscle tension and localized pain are contributing factors. The rectal administration allows for direct delivery of the medication to the pelvic region, potentially providing targeted relief.

Additionally, this formulation might be considered for off-label use in conditions where muscle relaxation and pain relief are desired, but oral administration is not feasible due to gastrointestinal issues or patient preference. For instance, patients with severe dysphagia or those who are unable to take oral medications due to nausea or vomiting might find rectal suppositories a viable alternative. Furthermore, the combination of cyclobenzaprine and lidocaine could be explored for use in certain neuropathic pain conditions, where both muscle relaxation and local anesthetic effects could contribute to symptom management.

It is important for prescribers to carefully evaluate the potential benefits and risks of using this formulation for off-label purposes, considering the individual patient's medical history and specific needs. Patients should be informed about the intended effects, possible side effects, and the importance of adhering to the prescribed dosage regimen. As with any medication, monitoring for adverse reactions is crucial, and any unexpected symptoms should be reported to a healthcare provider promptly. If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist both patients and healthcare professionals in making informed decisions about their treatment options.

Frequently Asked Questions

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What are Cyclobenzaprine HCl/Lidocaine Rectal Suppositories used for?

Cyclobenzaprine HCl/Lidocaine Rectal Suppositories are used to provide relief from muscle spasms and pain. Cyclobenzaprine is a muscle relaxant, while Lidocaine is a local anesthetic that helps numb the area to reduce pain.

How do I use Cyclobenzaprine HCl/Lidocaine Rectal Suppositories?

To use the suppository, gently insert it into the rectum. It is important to follow the instructions provided by your healthcare provider or pharmacist for proper insertion and dosage.

How often should I use these suppositories?

The frequency of use will depend on your specific condition and the advice of your healthcare provider. Always follow the prescribed dosage and schedule.

Can I use these suppositories if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using these suppositories to ensure they are safe for you and your baby.

What should I do if I miss a dose?

If you miss a dose, use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Are there any side effects associated with these suppositories?

Some possible side effects include local irritation, burning, or itching. If you experience severe side effects or an allergic reaction, seek medical attention immediately.

How should I store Cyclobenzaprine HCl/Lidocaine Rectal Suppositories?

Store the suppositories in a cool, dry place away from direct sunlight. Keep them out of reach of children and pets.

Can I use these suppositories with other medications?

Before using these suppositories with other medications, consult your healthcare provider to avoid potential interactions.

What should I do if I experience severe discomfort or an allergic reaction?

If you experience severe discomfort, swelling, or signs of an allergic reaction such as rash, itching, or difficulty breathing, stop using the suppositories and seek medical attention immediately.

How long does it take for the suppository to dissolve and take effect?

The suppository typically dissolves within minutes after insertion, and the effects can be felt shortly thereafter. The exact time may vary depending on individual factors.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.