Tandolax (4mg) 10 Tablets

Tizanidine 4mg tablets primarily exert their therapeutic effects by acting as an agonist at the alpha-2 adrenergic receptors in the central nervous system. This mechanism is responsible for its muscle relaxant properties. When tizanidine binds to these receptors, it leads to a decrease in the release of excitatory neurotransmitters, particularly substance P and glutamate, from the spinal cord interneurons. As a result, tizanidine inhibits the facilitation of spinal motor neuron activity, leading to a reduction in muscle spasticity. By selectively targeting these receptors, tizanidine helps to alleviate muscle spasms and hypertonicity associated with various conditions, such as multiple sclerosis and spinal cord injuries, without directly affecting skeletal muscle fibers.

Muscle relaxant.

Tablet

The following are the uses of Tizanidine 4mg Tablet:

• Used for treating muscle spasms, particularly in conditions like multiple sclerosis, spinal cord injuries, or cerebral palsy.
• Used to relieve muscle stiffness and improve muscle movement.
• Used for managing muscle pain and discomfort associated with muscle spasms.
• Used to provide short-term relief from muscle spasms and allow for increased mobility.
• Used in combination with physical therapy to enhance its effectiveness.
• Used for reducing muscle hyperactivity and promoting relaxation.
• Used to improve quality of life by managing muscle-related symptoms.

Follow these dosage instructions:

• Take as per doctor's Prescription.
• Take one tablet per day as your doctor suggests.
• Your doctor will determine the treatment length based on your symptom severity.

In the case of an overdose of Tizanidine 4mg Tablets, it is crucial to act swiftly. Symptoms may include severe drowsiness, confusion, slowed heart rate, and difficulty breathing. Immediate medical intervention is essential, as prompt treatment can mitigate potential complications. Call emergency services and provide them with details about the medication and the suspected amount ingested. Quick action can significantly impact the outcome and ensure the best possible care for the individual.

In the case of a missed dose of Tizanidine 4mg Tablet, it is important to take action promptly. If you remember within a few hours of the missed dose, take the medication as soon as possible. However, if it is almost time for your next scheduled dose, it is best to skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one, as this may increase the risk of side effects. Consult your healthcare provider if you have any concerns or if you miss multiple doses.

To take Tizanidine 4mg Tablets, swallow the tablet whole with a glass of water, exactly as prescribed by your doctor, usually 2-3 times a day, and do not stop or change the dosage without consulting your healthcare provider.

Here are the conditions and situations when Tizanidine 4mg Tablet should not be taken:

• Must not be used in individuals with known allergies or hypersensitivity to Tizanidine or any of its inactive components.
• Contraindicated in individuals with severe liver impairment as it can lead to increased side effects.
• Not suitable for patients with severe kidney disease or end-stage renal disease.
• Should not be used in individuals with low blood pressure or those taking medications that lower blood pressure significantly.
• Avoid using Tizanidine if you have a history of heart disease or irregular heart rhythms.
• Contraindicated during pregnancy as it can cause fetal harm.
• Not recommended for nursing mothers as it can be passed into breast milk.
• Do not use in patients with a history of long QT syndrome or other heart conduction disorders.
• Tizanidine should not be used in children under 18 years of age due to insufficient safety and efficacy data.
• Avoid if you have a history of liver disease or are currently consuming large amounts of alcohol.

The side effects of Tizanidine 4mg Tablet may include:

• Drowsiness or sedation
• Dry mouth
• Fatigue and weakness
• Dizziness
• Constipation
• Blurred vision
• Low blood pressure
• Increased muscle enzyme levels

Following are the precautions and warnings for Tizanidine 4mg Tablet:

• Not recommended for individuals with known hypersensitivity or allergy to Tizanidine or any of its excipients.
• Renal function should be closely monitored in patients with kidney disease, and dosage adjustments may be necessary.
• Tizanidine may cause dizziness and drowsiness, so patients should avoid driving, operating heavy machinery, or engaging in activities that require mental alertness.
• Alcohol consumption should be avoided as it can increase the risk of side effects and drowsiness.
• Not recommended for patients with severe liver impairment, and caution is advised in patients with mild to moderate liver disease.
• Elderly patients may be more susceptible to side effects, and dosage adjustments might be required.
• Should be used with caution in patients with a history of depression or suicidal thoughts, as it may worsen these conditions.
• Tizanidine should not be abruptly discontinued; gradual tapering is recommended to avoid withdrawal symptoms.

Following are the drug interactions for Tizanidine 4mg Tablet:

• Concomitant use with fluvoxamine can lead to increased tizanidine concentrations, resulting in enhanced pharmacodynamic effects and potential adverse reactions.
• Alcohol and other central nervous system depressants may potentiate the sedative effects of tizanidine, causing excessive drowsiness and impaired breathing.
• Taking tizanidine with certain antifungal medications like ketoconazole or clarithromycin can increase tizanidine levels in the body, leading to enhanced side effects.
• Rifampin, a strong CYP1A2 inducer, can decrease the effectiveness of tizanidine by increasing its metabolism.
• Tizanidine may interact with medications that affect blood pressure, such as beta-blockers or ACE inhibitors, potentially causing hypotension.
• The effectiveness of tizanidine may be reduced when taken with oral contraceptives, as estrogen can induce tizanidine metabolism.
• Some antidepressants (e.g., fluoxetine, paroxetine) can inhibit tizanidine metabolism, leading to increased tizanidine levels and potential side effects.

Following are the food interactions for Tizanidine 4mg Tablet:

• Grapefruit and grapefruit juice consumption should be avoided as they can interfere with the metabolism of Tizanidine, leading to increased drug levels in the body and potentially causing more side effects.
• Alcohol should be strictly avoided with Tizanidine as it can enhance the sedative effects of the medication, leading to increased drowsiness, dizziness, and impaired coordination.
• Consuming large amounts of high-fat meals before taking Tizanidine may slightly decrease the absorption rate of the drug, but this effect is generally not clinically significant.
• Caffeine-rich beverages like coffee and energy drinks should be limited as they can counteract the relaxing effects of Tizanidine, potentially reducing its effectiveness in treating muscle spasms.
• Avoid consuming herbal teas or supplements containing St. John's Wort as it can reduce the effectiveness of Tizanidine by influencing the liver enzymes responsible for its metabolism.
• Avoid consuming foods or drinks with tyramine, such as aged cheeses, cured meats, and certain types of beer, as Tizanidine can potentially interact with tyramine, leading to increased blood pressure.
• It is generally recommended to take Tizanidine on an empty stomach to ensure faster absorption, but if stomach upset occurs, taking it with a small snack is permissible.
• Always consult your healthcare provider for personalized advice on dietary restrictions and interactions when using Tizanidine.

Tizanidine 4mg Tablets should be stored in a secure and dry location, away from direct sunlight, heat, and moisture. It is recommended to keep the tablets in their original container, tightly sealed, to maintain their integrity and prevent exposure to external factors. Ensure the storage area is not easily accessible to children or pets to prevent accidental ingestion. When disposing of unused or expired tablets, do not flush them down the toilet or discard them in regular household waste. Instead, follow local guidelines for pharmaceutical waste disposal, or consult a pharmacist or healthcare professional for guidance on safe and environmentally friendly disposal methods. Proper disposal is crucial to minimize the potential risks associated with medication waste.

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Following are the quick tips for Tizanidine 4mg Tablet:

• Consult a doctor for the correct dosage and duration; individual needs may vary.
• Swallow the tablet whole; do not crush, chew, or break it.
• Take the tablet with a full glass of water, ensuring proper hydration.
• Avoid alcohol consumption as it may increase side effects.
• Inform your doctor about all medications you're taking to prevent interactions.
• Do not drive or operate machinery until you know how this medication affects you.
• Store the medication at room temperature, away from light and moisture.
• Discontinue use and seek medical attention if you experience severe side effects.