Get your patient on Chlorzoxazone - Chlorzoxazone tablet (Chlorzoxazone)
Chlorzoxazone - Chlorzoxazone tablet prescribing information
INDICATIONS AND USAGE
Chlorzoxazone is indicated as an adjunct to rest, physical therapy, and other measures for the relief of discomfort associated with acute, painful musculoskeletal conditions. The mode of action of this drug has not been clearly identified, but may be related to its sedative properties. Chlorzoxazone does not directly relax tense skeletal muscles in man.
DOSAGE AND ADMINISTRATION
Usual Adult Dosage
Chlorzoxazone tablets USP 375 mg
One tablet three or four times daily. If adequate response is not obtained with this dose, the 375 mg tablets may be increased to two tablets (750 mg) three or four times daily. As improvement occurs dosage can usually be reduced.
Chlorzoxazone tablets USP 500 mg
One tablet three or four times daily. If adequate response is not obtained with this dose, it may be increased to one and one-half tablets (750 mg) three or four times daily. As improvement occurs dosage can usually be reduced.
Chlorzoxazone tablets USP 750 mg
1/3 tablet (250 mg) three or four times daily. Initial dosage for painful musculoskeletal conditions should be 2/3 tablet (500 mg) three or four times daily. If adequate response is not obtained with this dose, it may be increased to one tablet (750 mg) three or four times daily. As improvement occurs dosage can usually be reduced.
CONTRAINDICATIONS
Chlorzoxazone is contraindicated in patients with known intolerance to the drug.
ADVERSE REACTIONS
Chlorzoxazone containing products are usually well tolerated. It is possible in rare instances that chlorzoxazone may have been associated with gastrointestinal bleeding. Drowsiness, dizziness, light- headedness, malaise, or overstimulation may be noted by an occasional patient. Rarely, allergic-type skin rashes, petechiae, or ecchymoses may develop during treatment. Angioneurotic edema or anaphylactic reactions are extremely rare. There is no evidence that the drug will cause renal damage. Rarely, a patient may note discoloration of the urine resulting from a phenolic metabolite of chlorzoxazone. This finding is of no known clinical significance.
DESCRIPTION
Each 375 mg Chlorzoxazone tablet contains: Chlorzoxazone USP 375 mg.
Each 500 mg Chlorzoxazone tablet contains: Chlorzoxazone USP 500 mg.
Each 750 mg Chlorzoxazone tablet contains: Chlorzoxazone USP 750 mg.
Chemical Name: 5-Chloro-2-benzoxazolinone.
Structural Formula:

Molecular Formula: C 7 H 4 CINO 2
Molecular Weight: 169.56
Chlorzoxazone USP is a white or practically white, practically odorless, crystalline powder. Chlorzoxazone is slightly soluble in water; sparingly soluble in alcohol, in isopropyl alcohol, and in methanol; soluble in solutions of alkali hydroxides and ammonia.
Inactive ingredients:, croscarmellose sodium, docusate sodium, lactose monohydrate, magnesium stearate, microcrystalline cellulose, pregelatinized corn starch and sodium benzoate.
CLINICAL PHARMACOLOGY
Chlorzoxazone is a centrally-acting agent for painful musculoskeletal conditions. Data available from animal experiments as well as human study indicate that chlorzoxazone acts primarily at the level of the spinal cord and subcortical areas of the brain where it inhibits multisynaptic reflex arcs involved in producing and maintaining skeletal muscle spasm of varied etiology. The clinical result is a reduction of the skeletal muscle spasm with relief of pain and increased mobility of the involved muscles. Blood levels of chlorzoxazone can be detected in people during the first 30 minutes and peak levels may be reached, in the majority of the subjects, in about 1 to 2 hours after oral administration of chlorzoxazone. Chlorzoxazone is rapidly metabolized and is excreted in the urine, primarily in a conjugated form as the glucuronide. Less than one percent of a dose of chlorzoxazone is excreted unchanged in the urine in 24 hours.
HOW SUPPLIED
Chlorzoxazone tablets USP are supplied as follows:
mg
A white to off-white capsule shaped tablet, debossed "m338" on one side and plain on the other side, in bottles of 100 tablets, NDC 51862-338-01
mg
A white to off-white capsule shaped tablet with functional scoring on one side and debossed "m339" on one side and plain on the other side, in bottles of 100 tablets, NDC 51862-339-01
mg
A white to off-white capsule shaped tablet with two functional scores on both sides of the tablet. The top side is debossed with "3", "4", and "0" on left, middle, and right portions, respectively. The bottom side is debossed with "m" on each tablet portion. The tablet has a functional bisect score on each band of the tablet. The tablets are provided in bottles of 100 tablets. NDC 51862-340-01
Dispense in tight container as defined in the official compendium.
Store at 20° to 25° C (68° to 77° F) [see USP Controlled Room Temperature].