Zanaflex

Remember that Zanaflex can cause low blood pressure and should be used with caution if you are taking blood pressure medication. Be cautious, too, when first standing up. Dizziness and light-headedness are especially likely at that time.

Zanaflex has been known to cause liver injury in a few patients. If you have a liver condition, make sure the doctor knows about it. Alert your doctor immediately if you develop warning signs of a liver problem such as loss of appetite, nausea, vomiting, or yellow skin or eyes.

You'll need a reduced dose of Zanaflex if you have a kidney problem. Be sure to inform the doctor about your condition, and be quick to report side effects such as dry mouth, drowsiness, dizziness, and weakness. They could be signs that your dose is too high.

Use Zanaflex with caution if spasticity helps you maintain your posture and balance while walking, or helps to increase other functions.

Although there are no reports of eye damage from Zanaflex, it has occurred in animal tests. Be sure to report any vision problems to your doctor.

Zanaflex has not been tested in children.

Possible food and drug interactions when taking Zanaflex

Oral contraceptives tend to boost the amount of Zanaflex in the system. If you are using an oral contraceptive, you'll probably need a smaller dose of this drug.

Alcohol, or any drug that slows the nervous system (including other drugs taken for spasticity), increases the likelihood of drowsiness when taken with Zanaflex.

Special information if you are pregnant or breastfeeding

The effects of Zanaflex during pregnancy have not been adequately studied. It should be used during pregnancy only if clearly needed.

It's likely that Zanaflex makes its way into breast milk, although this has not been confirmed. Check with your doctor before using Zanaflex while nursing.

Recommended dosage for Zanaflex

ADULTS

To minimize side effects, the doctor is likely to begin with a dosage of 4 milligrams, then increase the dose gradually. Doses of 8 milligrams provide relief for most people. No more than 3 doses should be taken each 24 hours. The maximum dose per day is 36 milligrams.

Overdosage

An overdose of Zanaflex can impair breathing and lead to coma. If you suspect an overdose, seek emergency treatment immediately.