Tizanidine 2 mg. 50 tablets
- Tizanidine belongs to a group of medicines called skeletal muscle relaxants.
- Your medicine is used to relieve the stiffness and limited muscle movements which can be a result of multiple sclerosis, injury or disease of the spinal cord.
2. BEFORE YOU TAKE tizanidine - TEVA
Do not take Tizanidine
- If you are allergic (hypersensitive) to tizanidine or any of the other ingredients of tizanidine
- If you have liver problems;
- If you are taking medicines such as fluvoxamine (for depression) or ciprofloxacin (an antibiotic) (see. Also "Using other medicines")
Take special care with tizanidine
Consult your doctor if:
* Have kidney problems;
* Have heart problems such as coronary artery disease of the heart;
* You have liver problems.
Using other medicines
Tizanidine should not be taken together with fluvoxamine (for depression) or ciprofloxacin (an antibiotic) (see. "Do not take tizanidine if")
Please tell your doctor or pharmacist if you are taking
- Other medicines used to treat abnormal heart rhythm, such as amiodarone, mexiletine or propafenone;
- Cimetidine (for digestive problems and ulcers of the gastro-intestinal tract;
- Some antibiotics known as fluoroquinolones, such as enoxacin, pefloxacin or norfloxacin;
Walls of contraceptives. You may need a lower dose of tizanidine if you are taking such drugs.
- Ticlopidine (to prevent blood clots);
-nyakakvi medicines to treat high blood pressure, including diuretics ("water pills");
beta blockers such as atenolol-, propranolol;
- Digoxin (used to treat congestive heart failure and heart rhythm disturbances);
-some sedatives (sleeping pills or medicines for anxiety disorders), for example. temazepam;
-nyakakvi other drugs that, when taken with Tizanidine may be related to heart rhythm; consult your doctor or pharmacist.
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Taking tizanidine with food and drink
Tizanidine can be taken with or without food. Alcohol may increase its sedative effect. It is recommended while taking tizanidine not to drink alcohol.
Pregnancy and lactation
Tizanidine is not recommended while you are pregnant or breastfeeding. Tell your doctor if you think you are pregnant or ask him for advice before taking any medicine.
Driving and using machines
Tizanidine may cause drowsiness or dizziness (see. "Possible Side Effects"). Alcohol and sedatives may increase this effect. If you feel dizzy, do not drive or operate machinery.
Important information about some of the ingredients of tizanidine
This product contains lactose. If your doctor has told you that you have an intolerance to some sugars, consult him before taking this product.
3. HOW TO TAKE tizanidine - TEVA
Always take tizanidine exactly as your doctor told you. If you're not sure, ask your doctor or pharmacist.
The usual dosage instructions are given below:
Your doctor will usually start with a dose of 2 mg, which will gradually be increased. The dose should not be increased more frequently than every 3-4 days. When the dose increase, your doctor will advise you to distribute the dose to 3 or 4 times a day.
The usual dose is between 12 and 24 mg. The maximum daily dose is 36 mg.
Your doctor will decide whether to take Tizanidine.
Children and adolescents (under 18 years)
Zanaflex is not recommended for use in children and adolescents.
Patients with kidney disease
Treatment should be started with 2 mg once daily. Your doctor will advise you on how to increase the dose.
Method of administration
Tizanidine Teva is for oral use. The tablets should be swallowed with a glass of water.
If you take more dose Tizanidine
If you (or someone else) swallow a lot of tablets at once, or you think a child has swallowed than tablets, immediately call the nearest hospital or your doctor.
Overdose can cause nausea, vomiting, low blood pressure, slow or irregular heartbeat, dizziness, narrowing the pupils, difficulty breathing, coma, restlessness or lethargy.
If you forget to take Tizanidine
If you forget to take one or more of your tablets, make sure that you take the tablets at the usual time allotted for the next intake. Do not take extra tablets.
If you stop taking Tizanidine
Do not stop taking tizanidine, unless your doctor has told you. Treatment with tizanidine should be discontinued gradually, especially if you are taking a high dose, unless your doctor has told you otherwise. Stopping treatment suddenly may cause effects such as increased heart rate and high blood pressure.
If you have further questions about the use of this medicine, ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Tizanidine can cause side effects, although not everybody gets them.
The following adverse reactions:
Common (seen in less than 1 person 10, but more often from 1 person in 100):
- Drowsiness, fatigue, dizziness;
- Reduction of blood pressure;
- Increased blood pressure abruptly stopping treatment;
- Dry mouth, nausea, upset stomach;
- Increase or decrease the heart rate.
Rare (occurring in less than one person in 1000 but more than 1 in 10,000):
- Sleep disturbances, including difficulty falling asleep;
- Allergic reactions (itching, rash);
- Changes in liver function - may require blood tests for control;
- Muscle weakness.
Very rare (occurring in less than 1 person per 10 000):
- Inflammation of the liver (hepatitis) or liver failure, which can lead to yellowing of the eyes or skin and / or dark urine. If this happens, consult your doctor immediately.
Other side effects (frequency unknown):
- Irregular heart beat;
- Headache, abnormal movements;
- Difficulty focusing vision;
- Loss of appetite;
If any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.
5. HOW TO STORE tizanidine
Keep out of the reach of children.
Do not use Tizanidine after the expiry date stated on the carton.
Store at temperatures below 30 ° C.
Medicines should not be disposed of in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. ADDITIONAL INFORMATION
- The active ingredient is tizanidine. Each tablet contains 2 mg or 4 tizanidine (tizanidine hydrochloride).
- The other ingredients are lactose anhydrous, microcrystalline cellulose, stearic acid and silica colloidal anhydrous.
Tizanidine looks like and contents of the pack:
Tizanidine - Teva 2 mg tablets:
White to off-white, biconvex, round tablets, 6 mm in diameter, debossed with "T2" on one side and scored on the other.