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Formulas

Tizanidine 2 mg/ml Topical Cream

The Tizanidine 2 mg/ml Topical Cream is a semisolid preparation intended for external use. It is dispensed in a pump mechanism that allows for convenient and controlled application directly on the skin. This formulation is designed for localized treatment and facilitates the absorption of the active ingredient, tizanidine, through the skin. Tizanidine is commonly used in the management of muscle spasticity, which can be associated with conditions such as multiple sclerosis, spinal cord injury, or other neurological disorders. By applying the cream topically, patients may experience relief from muscle stiffness and spasms, leading to improved mobility and comfort.

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Tizanidine Hydrochloride
Topical Cream
65d7859259644fe6e0929d7d
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Formula Information

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Tizanidine is a muscle relaxant that works by blocking nerve impulses (pain sensations) that are sent to your brain. When formulated into a 2 mg/ml topical cream, it provides a localized effect directly to the area where it is applied. This can be particularly beneficial for patients who experience muscle spasms or chronic pain in specific areas of the body. The cream is designed to be dispensed from a pump mechanism, which allows for a controlled and consistent dose with each application. This method of delivery is not only convenient but also minimizes the potential for systemic side effects that can occur with oral administration of tizanidine.

The topical application of tizanidine can be used to treat localized muscle spasticity without the sedative effects that often accompany oral administration. This can be especially useful for patients who require muscle relaxation in a targeted area while maintaining overall alertness and mobility. Additionally, the topical route of administration may reduce the risk of liver toxicity, a known side effect of oral tizanidine, as the medication bypasses the gastrointestinal tract and first-pass metabolism in the liver.

Patients and prescribers should be aware that the use of tizanidine cream should be part of a comprehensive treatment plan that may include physical therapy and other pain management strategies. It is important to follow the dosing instructions carefully and to apply the cream only to the affected areas. The cream should not be applied to broken or irritated skin, and hands should be washed immediately after application unless the hands are the area being treated.

For prescribers, it is crucial to consider the patient's overall medication profile to avoid potential drug interactions, as tizanidine can interact with other central nervous system depressants and various medications metabolized by the liver. Monitoring for side effects and effectiveness is recommended to ensure the best therapeutic outcome for the patient.

If you have any questions or require further information about the Tizanidine 2 mg/ml Topical Cream, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing you with the support and information you need to effectively use this formulation for the treatment of muscle spasticity and associated pain.

Drug Interactions

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Tizanidine is a muscle relaxant that works by blocking nerve impulses (pain sensations) that are sent to your brain. When formulated as a 2 mg/ml topical cream, it is intended for localized treatment, potentially reducing systemic side effects compared to oral administration. However, even as a topical formulation, tizanidine may still be absorbed into the bloodstream and thus could interact with other medications. It is important for both patients and prescribers to be aware of these potential interactions to ensure safe and effective use of the medication.

One of the primary concerns with tizanidine is its interaction with blood pressure medications. Tizanidine can lower blood pressure, so when used in conjunction with antihypertensive agents, there is an increased risk of hypotension. Patients should be monitored for symptoms such as dizziness, lightheadedness, or fainting, especially when getting up from a lying or sitting position. It is crucial to inform the healthcare provider if any antihypertensive drugs are being taken so that blood pressure can be monitored closely.

CYP1A2 inhibitors, such as fluvoxamine or ciprofloxacin, can significantly increase the concentration of tizanidine in the blood. This can lead to enhanced effects but also increases the risk of side effects such as drowsiness, reduced blood pressure, and impaired cognitive function. Patients should avoid the concurrent use of tizanidine with strong CYP1A2 inhibitors, and healthcare providers should consider alternative treatments or closely monitor for adverse effects if co-administration is necessary.

Concomitant use of tizanidine with other central nervous system (CNS) depressants, including alcohol, benzodiazepines, opioids, or sedating antihistamines, can lead to additive CNS depression. This can result in profound drowsiness, respiratory depression, and increased risk of falls or accidents. Patients should be advised to avoid or limit the use of alcohol and other CNS depressants while using tizanidine cream.

Oral contraceptives have been shown to increase the serum concentration of tizanidine, which may enhance its therapeutic effects but also the risk of adverse reactions. Women using oral contraceptives should be made aware of this potential interaction and may require dose adjustments or additional monitoring by their healthcare provider.

Lastly, since tizanidine is primarily metabolized by the liver, caution is advised when used in patients with hepatic impairment. The concomitant use of medications known to affect liver function may alter the metabolism and clearance of tizanidine, potentially leading to toxicity. Healthcare providers should assess liver function before initiating treatment and periodically thereafter, especially when other hepatotoxic drugs are being used concurrently.

It is essential for patients to provide a complete list of all medications, including over-the-counter drugs and herbal supplements, to their healthcare provider before starting tizanidine topical cream. This will help to identify any potential interactions and allow for appropriate management. If you have any questions or concerns about the use of tizanidine cream and its interactions with other medications, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Tizanidine is a muscle relaxant that works by blocking nerve impulses (pain sensations) that are sent to your brain. When formulated into a 2 mg/ml topical cream, it is designed to provide localized relief from muscle spasticity without the systemic side effects often associated with oral administration. The cream is compounded to allow tizanidine to penetrate the skin and act at specific sites to reduce muscle tension and alleviate pain.

The mechanism of action of tizanidine involves the agonism of alpha-2 adrenergic receptors in the central nervous system. This action inhibits the release of amino acids that stimulate N-methyl-D-aspartate (NMDA) receptors, which are associated with the transmission of pain signals and muscle spasticity. By applying the cream topically, the drug can directly affect the targeted muscle groups with a lower risk of systemic side effects such as drowsiness or dizziness, which are common with oral administration.

The semisolid preparation of the tizanidine cream is specifically designed for ease of use and consistent dosing. The pump mechanism dispenses a measured dose of the medication, ensuring that patients apply the correct amount to the affected area. This dosage form is particularly beneficial for patients who may have difficulty swallowing pills or for those who require a localized effect of the medication. The cream base is formulated to facilitate the absorption of tizanidine through the skin and to provide a moisturizing effect, which can be soothing for the patient.

This topical formulation of tizanidine is used to treat muscle spasticity associated with conditions such as multiple sclerosis, spinal cord injury, or other neurological disorders. By applying the cream directly to the affected area, patients can experience targeted relief from muscle stiffness and spasms, which can improve mobility and reduce discomfort. It is important to note that while the topical cream can provide localized relief, it should be used as part of a comprehensive treatment plan that may include physical therapy and other medications as prescribed by a healthcare provider.

For patients and prescribers interested in using this tizanidine 2 mg/ml topical cream, it is essential to understand that the formulation is compounded to meet individual patient needs and should be used according to the directions provided by the compounding pharmacist. If you have any questions about the formulation, its use, or its compatibility with other treatments, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide guidance and support to ensure the safe and effective use of this medication.

Other Uses

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Please note that, as Bayview Pharmacy's team of compounding pharmacists, we provide the following information about the potential "Other Uses" section for the Tizanidine 2 mg/ml Topical Cream. Although Tizanidine is primarily known for its muscle relaxant properties, this specific formulation, designed for topical application, may provide localized relief from musculoskeletal pain associated with muscle spasms, strain, or sprain. Users benefit from the pump mechanism which allows for precise dosing without the need for direct hand contact with the cream, reducing the chance of contamination and enhancing overall use.

Aside from the common uses in treating localized muscle-related disorders, some prescribers have explored the off-label use of tizanidine topical cream for conditions such as myofascial pain syndrome, certain types of chronic headaches including tension headaches, or for conditions with spasticity symptoms. In these scenarios, the cream may be applied to the affected area to potentially reduce pain or discomfort through the localized action of the medication.

It is crucial for any additional uses beyond the well-established indications to be grounded in clinical judgment and a comprehensive understanding of the patient’s condition. Evidence for these off-label uses may be variable, and it is important for prescribers and patients to consider the risks and benefits on an individual basis. As always, adherence to proper dosing guidelines, frequency of application, and duration of use should be strictly observed to maximize potential benefits and minimize adverse effects.

For healthcare professionals interested in prescribing this preparation for uses not typically associated with tizanidine, or for patients seeking more information on potential applications of this medication, we encourage you to reach out to us. We are ready to assist by providing detailed information, answering questions, and working in collaboration to ensure safe and effective medication use for a variety of conditions. Our expertise in compounding allows for tailored solutions that fit unique therapeutic needs.

Frequently Asked Questions

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What is Tizanidine 2 mg/ml Topical Cream used for?

Tizanidine 2 mg/ml Topical Cream is used for the localized treatment of muscle spasticity. By applying the cream directly to the skin, it may provide relief from muscle stiffness and spasms in the treated area.

How do I apply the Tizanidine Topical Cream?

You should apply the cream as directed by your healthcare provider. Use the pump to dispense the cream onto your hand and then gently rub it onto the affected area until it is fully absorbed. Wash your hands after applying unless your hands are the area being treated.

How often should I use the Tizanidine Topical Cream?

The frequency of use will be determined by your doctor based on your specific condition. Follow the prescribed regimen strictly, and do not apply more often than recommended to avoid potential side effects.

Can I cover the treated area with a bandage after applying the cream?

Generally, it is not necessary to cover the treated area with a bandage, unless your healthcare provider advises you to do so. Covering the area can increase the absorption of the medication, potentially leading to unwanted side effects.

What should I do if I miss a dose of the cream?

If you miss a dose, apply it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply more cream to make up for the missed dose.

Are there any side effects I should be aware of when using this cream?

Side effects of Tizanidine Topical Cream are generally mild and can include skin irritation, redness, or itching at the application site. If you experience any severe reactions or side effects, contact your healthcare provider immediately.

Can Tizanidine Topical Cream be used with other medications?

Before starting any new medication, including topicals, you should discuss it with your doctor. Tizanidine may interact with other drugs; your healthcare provider will be able to tell you if it is safe to use this cream with other medications you are taking.

Should I use Tizanidine Topical Cream if I am pregnant or breastfeeding?

Consult your healthcare provider before using Tizanidine Topical Cream if you are pregnant or breastfeeding. Your doctor will evaluate the benefits and potential risks before recommending its use.

How should I store Tizanidine Topical Cream?

Store the cream at room temperature, away from heat and direct light. Keep the container tightly closed, and do not freeze the medication. Keep out of reach of children and pets.

What should I avoid while using Tizanidine Topical Cream?

Avoid exposing the treated area to direct sunlight or tanning beds, as this could potentially exacerbate side effects. It is also advisable to avoid applying other topical products to the same area without your doctor's approval.

Is Tizanidine Topical Cream safe for children?

The safety and effectiveness of Tizanidine Topical Cream in children have not been established. Use in children should only be considered if prescribed by a healthcare provider after careful consideration of the potential benefits and risks.

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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.