Muscle Relaxer

Is Valium a Muscle Relaxer? [EXPLANATION] 1

Muscles relaxers are the group of drugs which is used to relieve the pain and discomfort caused due to muscle spasms.

Muscle spasms occur as a result of the involuntary contraction of the muscles, which can be attributed to a number of conditions related to the central nervous system.

Multiple sclerosis, motor neuron disease, cerebral palsy and long-term injuries to the head and back are examples of conditions that can lead to muscle spasms.

Plenty of muscle relaxers are available on the market such as Flexeril, cannabis extract, and methocarbamol.

These drugs can be attained over the counter and not only with a prescription.


The role of Valium

Valium, which is the brand name for diazepam, is well known for its role as an anxiolytic.

The drug is usually prescribed for the treatment of anxiety disorders such as generalized anxiety disorder, panic disorder, and obsessive-compulsive disorder.

It is also used as a drug to attain relief from the symptoms brought about by alcohol withdrawal known as delirium tremens.

However

What many people are not aware of is the fact that Valium is also beneficial in treating lower back pain and neck pain that arises due to short-term injuries like whiplash.

It is one of the muscle relaxers available on the market which are used when people are troubled by acute muscle spasms.

However

It cannot be used for more than a week or two due to the risk of dependency that it carries.

Valium belongs to a group of drugs which is classified as benzodiazepines.

The drug works by enhancing the effect of GABA, thereby leading to a moderation of activity of the nerve signals in the brain.

Follow the instructions

When you are prescribed muscle relaxers, you need to ensure that you abide by the instructions that are provided to you by the doctor.

Valium is usually given in the form of a tablet or capsule.

It needs to be ensured that the drug is taken in the right dosage since overdosing can be detrimental to the health.

Usually

The drug is started off with a low dosage and the dose is increased gradually so as to ensure that body has the time to get used to it.

The same is done when the drug is withdrawn i.e. it is tapered off.

Furthermore

While using Valium, you need to ensure that you are aware of the side effects that it can cause which would enable you to keep an eye out for them, thereby leading to prompt consultation if required.

Side effects that one needs to be cautious about

Every medication introduced into the market carries a certain risk of side effects.

What needs to be ensured is that the side effects fall short in comparison to the benefits that it has to offer.

If we talk about Valium:

One of the major concerns regarding the drug is the risk of dependency.

In the recent times:

Abuse of the drug has become rather common.

It is due to this reason that the drug is not used as a muscle relaxer for chronic conditions and its role is limited to acute conditions.

Common side effects caused by Valium include sleepiness, weakness, lightheadedness, forgetfulness, confusion, unsteadiness and aggression.

While you are on the drug, it is advisable to refrain from consuming alcohol.

You should also endeavor to avoid activities:

Like driving or operating machinery after you take the drug due to the drowsiness that it might induce.

Diazepam is avoided in patients suffering from breathing difficulties such as myasthenia gravis or other lung-related problems.

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David Warren
David Warren is a pharmaceutical specialist that dispenses prescription medication on a daily basis. He received a Bachelor of Science degree in pharmacy from the University of Tennessee in 1991. With over 50 publications on medication-related and pharmacy topics, David has been able to share his experiences and knowledge with others. David with lots of experience and knowledge in medications that are utilized to treat a wide range of medical conditions. Before David dispenses a medication to a patient, he will go over the side effects, dosage recommendation and contraindications.

1 Comment

  1. In my opinion, and personal experience, Valium, is no more addictive than many others, unless taken by those with addictive personality problems.
    As well, there is no panacea nor quick fix for muscle spasms despite the advertisements to the contrary. There are conditions that sustain spasms that no medication can eliminate, but for which low doses of opioids can reduce the patients pain.
    Now if only DR’s would stop being more afraid of politics and more concerned with their patients well being.
    Too bad real chronic pain sufferers are killings themselves due political paranoia , not actual medical facts!

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What Do Muscle Relaxers Do & How Thet Work? [QUICK OVERVIEW] 0

Muscle relaxers are used to attain relief from muscle spasms that can occur due to different conditions.

Muscle spasms occur owing to the involuntary and uncontrolled contraction of muscles.

The muscles tend to contract suddenly, giving rise to pain.

Spasticity results when muscles contract tightly due to which they become stiff and harder to use.

Different muscle relaxers are currently in use to solve this problem.

  • Baclofen
  • dantrolene
  • diazepam
  • tizanidine
  • methocarbamol

Cannabis extract comprising of dronabinol and cannabidiol are some examples of muscle relaxers prescribed in the current times.

Most of these options are:

Available in the form of tablets, capsules, and liquid form.

Baclofen can be taken:

As an intrathecal injection, while diazepam can be administered rectally in liquid form.

Apart from attaining relief from muscle spasms, these drugs are sometimes used for other conditions as well.

Diazepam is given to those suffering from anxiety or insomnia and can also be used to treat seizures.


How do they work?

Muscle relaxers perform their function by causing the muscles to become less stiff and tense, which leads to a reduction in pain and discomfort.

Different muscle relaxers have different ways to perform their function.

Baclofen, diazepam, methocarbamol, and tizanidine acte on the brain and the spinal cord.

Dantrolene has a direct effect on the muscles due to which it has relatively fewer side effects as compared to the other options and is the drug prescribed for chronic muscle spasms.

Cannabis extracts act on the brain, spinal cord, and muscle.

When are muscle relaxers prescribed?

There are quite a few conditions that lead to muscle spasms, for which muscle relaxers are prescribed to provide relief.

Multiple sclerosis, motor neuron disease, cerebral palsy, and injuries to the head and back are examples of conditions that benefit muscle relaxers.

Cannabis is usually prescribed to patients with multiple sclerosis who do not show improvement with other muscle relaxers.

Usually

It is given as a four-week trial to gauge the effects it causes.

Diazepam is often used to provide relief from lower back pain or neck pain.

The drug is addictive:

So it should only be used for a week or two.

Methocarbamol is used for treating muscle spasm in people suffering from lower back pain.

How to take the drugs?

The drugs are usually taken orally.

Normally

The doctor starts the patient on a low dose, which is increased gradually over a few weeks.

This is done to give the body some time to get used to the medications.

Cannabis extract:

Is available in the form of a spray for the mouth needs to be sprayed under the tongue or onto the inside of the cheek once or twice in a day, as prescribed by the doctor.

The patient is advised to change the mouth area where the spray is applied to minimize the risk of irritation in the mouth.

Potential side effects

All drugs have a certain list of side effects that one needs to be wary of, and muscle relaxers are no different.

They may cause:

  • dizziness
  • sleeping problems
  • weakness
  • tiredness

Among other effects like liver toxicity, heartburn, and breathing problems.

Therefore

It needs to be ensured that the patient is closely monitored when the drugs are started so that intervention can be done in the case of any abnormality.

It should also be made certain that the patients observe compliance.

Muscle Relaxer Side Effects – What You Should Know [BE SAFE] 0

Muscle relaxers are a group of drugs used to relieve muscle spasms resulting from different conditions affecting the nervous system.

Apart from diseases

long-term and short-term injuries to the head and neck can lead to muscle spasms.

In such cases

The muscle relaxers prove to be highly beneficial in relaxing the muscles, which lead to relief from the pain and discomfort.

A muscle spasm occurs when a group of muscle contracts involuntarily and in an uncontrolled manner.

The contraction occurs suddenly and gives rise to quite a bit of pain.

Spasticity results when the muscles tighten a great deal due to which they become rather stiff, making it quite hard to use them.

Doctors currently prescribe various muscle relaxers.

These include:

Baclofen, dantrolene, diazepam, tizanidine, methocarbamol, and cannabis extract containing dronabinol and cannabidiol.

Most of these medications are available as tablets, capsules, or liquids.

Baclofen is also available in an injectable form where the injection has to be inserted into the back.

Diazepam is available in liquid form meant to be administered rectally, while an injectable preparation is available.

Cannabis extract is only available as a spray for the mouth.

Multiple sclerosis, cerebral palsy, and motor neuron disease are some examples of conditions related to the central nervous system that

lead to muscle spasms.


Potential side effects that one needs to be wary of

There are no drugs that carry no risk of side effects, so muscle relaxers also have a list of possible side effects that you need to be cautious about.

It is important to keep in mind:

Everyone does not experience these side effects, and most of the effects tend to improve as your body adjusts to the medication.

Different muscle relaxers have different side effects.

Let us take a look at some of them.

  • Baclofen can lead to a feeling of sickness, tiredness, vision problems, weakness, and dizziness. Patients may also experience light-headedness, headache, and breathing problems. Some complaints about dry mouth, muscle ache, anxiety, confusion, and increased sweating.
  • Cases of skin rash and sleeping disturbances have also been reported.
  • Patients with dantrolene might experience dizziness, sleepiness, tiredness, sickness, abdominal pain, and diarrhea. Some might also complain of headaches, loss of appetite, speech disturbances, fever with chills, and seizures. Inflammation of the lining around the heart can also result in some cases, and there have been reports of liver toxicity caused by the drug.
  • Those taking diazepam may feel weak and lightheaded, and they may suffer from episodes of forgetfulness. The drug can also cause confusion, aggression, and instability.
  • Patients taking tizanidine may experience drowsiness, dizziness, and fatigue. They may also complain of stomach upset, hallucinations, slower heart rate, and difficulty in sleeping.
  • Methocarbamol may lead to forgetfulness, anxiety, blurred vision, confusion, headache, and heartburn. The drug can also trigger allergic reactions, and some patients might experience itching and rashes.
  • Dizziness, depression, abdominal problems, mouth ulcers, and appetite changes have been reported using cannabis extract. There are also reports of hallucinations.

Contraindications to muscle relaxers

There are certain conditions where muscle relaxers cannot be prescribed.

Baclofen is contraindicated in patients suffering from:

Stomach ulcer, epilepsy, mental condition, and diabetes. Similarly, dantrolene cannot be given to those who have liver, heart, or breathing problems.

It is advisable to prescribe diazepam to those suffering from:

Conditions like myasthenia gravis and lung problems. Tizanidine should be avoided for older people or people with liver diseases.

Some factors to take into consideration

As has been noted, most people are prone to drowsiness.

Hence

One should avoid driving or operate any machinery if he experiences dizziness on taking the medication.

It is also advisable to refrain from consuming alcohol during this period.

  • Certain drugs, such as baclofen, should not be stopped suddenly. The dose should be tapered off i.e., decreased slowly over weeks before it is stopped completely.
  • Diazepam has the potential for addiction, and those who take the drug for more than two weeks can grow dependent. Therefore, they might experience withdrawal symptoms if the drug is stopped suddenly.

Caution is advised

It is essential to keep in mind that drugs can lead to serious side effects if taken in the wrong manner.

 Therefore

It needs to be ensured that the medication dosage and timing are followed strictly as advised by the doctor.

These drugs are available over the counter, but you will need to purchase upon prescription if you have a serious condition.

Therefore

You need to ensure that all the instructions are followed to the last letter to ensure that the drugs do not prove detrimental to health.

The drugs have the potential of being harmful and addictive, and it is up to you to ensure that the risk associated with them is minimized.

Snorting Muscle Relaxers – Is It Dangerous ? [EXPLANATION] 0

Snorting muscle relaxers or other prescription drugs is considered to be a form of prescription drug abuse.

In simpler words:

It’s the use of prescription drugs in a way that it’s not supposed to be used.

A significant percentage of the population uses prescription muscle relaxers without a proper prescription, and there’s a chance that most of these users snorted muscle relaxers at some point.

While opioid painkillers are the most common prescription drugs abused by young adults and teens, that doesn’t mean muscle relaxers aren’t being snorted and abused.

Illicit use of prescription muscle relaxers is higher among adolescents and young adults than other age groups.

Many people think that prescription drugs are safer to snort than street drugs, but that’s far from the truth.

These prescription muscle relaxers can cause serious side effects, especially when they are being snorted and abused.

Snorting muscle relaxers is incredibly dangerous to your health.

Prescription drug abuse isn’t a new trend, and it has been going on ever since Bayer created a drug called heroin.

Since then, people have been abusing drugs that are intended for medical purposes.

These days

Abuse of muscle relaxers and prescription drugs is bigger than ever.

ER visits due to prescription drug abuse have more than doubled over the last decade.

In fact

The rate of prescription drug abuse is much higher than illicit drug use.

However

Muscle relaxers aren’t the only drugs that are being abused.

People are also snorting OxyContin and several other painkillers.

There are many sorts of medications ripe for abuse, and muscle relaxers are just one of them.


Why It’s Dangerous

Snorting muscle relaxers may appeal to some people because of the intense and quick onset of the effects.

However

Suppose they continue to use muscle relaxers and painkillers non-medically more frequently. In that case, they’ll soon discover that the drugs don’t have the same intensity of effects, no matter how they are administered i.e. orally or nasally.

Snorting muscle relaxers produces a quicker and more extreme high.

Users who have built up a drug tolerance for muscle relaxers will not find the same stimulation level by simply ingesting the muscle relaxants orally.

This leads to them snorting crushed-up muscle-relaxing drugs to reach the same intoxication level.

Benzodiazepines, or known as benzos, are common muscle relaxing, anti-anxiety, anti-seizure drugs.

Over the years, the use, as well as the abuse of benzos, has gone up.

In 2012:

Physicians per 100 patients wrote 38 benzo prescriptions.

Snorting muscle relaxers is so dangerous because the wide abuse of this class of drugs can even lead to death. 

In fact

It has even surpassed heroin and cocaine in terms of the number of unintentional deaths.

Benzos are very effective as muscle relaxers because they work by activating a neurotransmitter that blocks the brain cell activity.

This leads to the sedative effect that causes the muscles to relax.

However

This is the same reason why people abuse this drug in the first place.

Benzos are muscle relaxers that have a tranquilizing effect, which can be addicting.

Prevention

In most cases, people build up drug tolerance for muscle relaxers and end up resorting to snorting these drugs to experience the same effect.

Hence

It’s important not to consume too many muscle relaxers regularly.

Since we know that most of the time

Prescription drug abusers can get their medication from friends and family, it’s important to take stock of your medicine cabinets regularly.

Muscle Relaxers and Alcohol – Why It’s Dangerous to Mix [EXPLANATION] 0

Muscle relaxers are a class of oral drugs that are usually prescribed to treat neck or back pain that arises from muscle spasms and cramps.

Muscle injuries caused by accident or prolonged stiffness are also usually treated with these drugs.

The safest and most preferred way of taking these muscle relaxers is to consume them with a glass of water.

However

Mixing muscle relaxers with alcoholic beverages isn’t safe at all, and various studies have revealed that alcohol and muscle relaxers don’t work well together.

 

Be it an alcoholic beverage or a relaxing muscle drug; both are nervous system suppressants.

It’s common knowledge that you need your nervous system to function properly to move your muscles.

After you consume alcohol or muscle relaxers, you’ll experience restricted muscle activity.

However

This limited motion is induced by the muscle relaxers to help treat your back pain or neck pain that results from strain or muscle spasms.


Mixing Alcohol and Muscle Relaxers

Alcoholic beverages such as beer and wine are very common and popular, and these alcoholic drinks can prove beneficial for your health when taken in moderation.

However, they can be deadly when taken with muscle relaxers.

Replacing water with an alcoholic beverage to swallow your muscle relaxing drugs may not seem like a huge deal, but it can be extremely dangerous.

It’s not safe at all to mix powdered muscle relaxants with your alcoholic drink.

Interaction of alcohol with muscle relaxation drugs can produce some severe side effects that can also be fatal.

 

Studies also suggest:

That the effectiveness of muscle relaxing drugs also reduces significantly when consumed along with alcohol.

Hence

Mixing muscle relaxers and alcohol defeats the purpose of consuming muscle-relaxing drugs in the first place.

Combining the two is dangerous because both alcohol and muscle relaxation drugs act as sedatives that can relieve muscle spasms, but together, they can cause drowsiness.

Depending on the amount of alcohol and muscle relaxers consumed simultaneously, the feeling of drowsiness can elevate to dangerous levels.

 

As mentioned before:

Muscle relaxers work by slowing down the muscle movement.

This effect is further amplified by the presence of alcoholic beverages, which can lead to some dangerous consequences as the muscles that control the essential functions of a body, such as a heartbeat and breathing, may also be affected.

This can lead to heart problems, difficulty in breathing, or both.

Prevention

Since these side effects are serious, it’s important to practice alcohol abstinence while taking muscle relaxing drugs.

A recent study has shown:

That while most people are aware of the fatal effects that mixing alcohol with muscle relaxers can have, they are simply ignorant about the hazards of taking the muscle relaxers a while after consuming alcohol.

 

Some people believe:

Taking drugs and alcohol together is harmful, but consuming alcohol after a dose of these drugs with a gap of 10 to 15 minutes is safe.

However, this is far from the truth since the negative effects will still register, even if you separate the drug and alcohol consumption by a gap of 15 minutes or more.

At least two hours of a gap should be exercised if you take medicine after consuming alcohol.

This prevents the interaction of muscle relaxing drugs with alcohol.

However

It’s advised to practice total abstinence from all sorts of alcoholic beverages during the period that you’re on oral muscle relaxants.

Is Naproxen a Muscle Relaxer? [EXPLANATION] 0

Naproxen is a non-steroidal anti-inflammatory drug (NSAID) that works by reducing the hormones causing pain and inflammation in the body.

It works by preventing the effect of chemicals in your body called cyclooxygenase (COX) enzymes.

The enzymes are useful in making other chemicals in the body known as prostaglandins.

Some prostaglandins are produced at sites of damage or injury and result in inflammation and pain.

By preventing COX enzymes’ effect, naproxen allows fewer prostaglandins to be produced, which means no pain and inflammation.

While naproxen is a pain reliever:

That can help reduce muscle spasms; it does not possess any direct muscle relaxant properties, which means it does not belong to muscle relaxers.

The drug is used for treating inflammation and pain caused by conditions such as:

  • ankylosing
  • arthritis
  • spondylitis
  • bursitis
  • tendinitis
  • gout
  • menstrual cramps.

It is available as the brand-name drugs Naprelan, Naprosyn, Anaprox, and Mediproxen.


Precautions

Although naproxen is used for relieving pain, it may cause some problems to certain individuals in certain conditions.

Therefore

Extra care is required when taking medicine.

 Before you consume your first dose:

Make sure that your doctor is aware of any other allergic disorder, high blood pressure, a heart condition, or ever experienced blood clotting problems.

 Also, inform your doctor if you are expecting or breastfeeding.

Side Effects

The common side effects of naproxen include:

  • diarrhea
  • gas
  • heartburn
  • dizziness
  • nausea
  • vomiting
  • constipation
  • stomach pain.

Other than these

You might also experience some serious side effects, upon which you need to contact your doctor immediately.

 The severe side effects are

  • shortness of breath
  • difficulty in breathing
  • chest pain
  • swelling of the throat or face
  • high blood pressure
  • a problem in speaking
  • asthma attacks
  • yellowing of skin
  • whites of the eyes
  • swelling of any part of the body
  • unusual weight gain
  • skin rash
  • blisters

Moreover

Naproxen intake can also cause an ulcer in the intestines and stomach.

The symptoms of this are

  • stomach pain
  • vomiting blood
  • blood in your stool
  • sticky black stool

Weakness, fatigue, and lethargy after taking the drug can also sign a lower count of red blood cells.

Warnings

Naproxen is reported to cause an asthma attack.

If your asthma triggers with aspirins or other NSAIDs, naproxen is not for you.

People with a history of stomach or intestinal bleeding or ulcer should avoid the drug.

It can also cause damage to the kidney if used for a very long time.

Patients with high blood pressure problems are advised not to take naproxen because it can worsen the condition and make their high blood pressure medications not work.

The drug can also result in severe allergic reactions.

If you notice:

  • Hives
  • Swelling of your tongue or throat
  • Trouble in breathing

Do not retake medicine as it could be fatal.

Naproxen comes in category C pregnancy drugs.

According to the research conducted in animals:

The drug can have adverse effects on the fetus when the expectant mother takes it.

However

There are no adequate studies done in humans to ensure if the drug is safe.

Therefore

It is suggested to stop naproxen intake during the third trimester of pregnancy as it may be harmful to the unborn baby.

The drug can also be passed through breast milk and can cause side effects in a breastfeeding child, so it is recommended not to breastfeed while taking this medication.

Be cautious when taking naproxen if you are older than sixty-five years as your body may process the drug slower.

Your doctor is more likely to start you on a lowered dose to not build up in your body.

Carisoprodol – All You Need to Know About 0

The general form of the prescription drug soma is known as carisoprodol, which is used for alleviating pain from muscle spasms and relaxing muscles.

Carisoprodol is from the group of drugs called muscle relaxants.

The Food and Drug Administration (FDA)-approved Media Pharmaceuticals manufacture drug.


The ‘Carisoprodol High’ and Abuse

Among all muscle relaxants, carisoprodol is known for having the greatest abuse potential and causing drowsiness.

As put forward by the anecdotal reports, drug abusers usually combine carisoprodol with two other medications, hydrocodone and benzodiazepine alprazolam (Xanax), to prepare a cocktail called “The Holy Cocktail” or “The Trinity.” Considering its potential for abuse, carisoprodol is an FDA-scheduled drug, but it is subject to the Controlled Substances Act.

Make sure to keep the drug away from teenagers, children, or anyone for whom it may not be prescribed as there are some serious risks and side effects involved.

Carisoprodol Warnings

If you are allergic to carisoprodol or any of the ingredients, you should completely avoid using it.

However, if you are not allergic but have any of the following conditions, consider referring to a physician before taking the drug.

  • Acute intermittent porphyria
  • A history of substance or drug abuse
  • A risk or history of seizures
  • Poor liver function
  • Poor kidney function
  • Sensitivity to the drug felbamate (Felbatol)
  • Sensitivity to the drug meprobamate

Moreover, if you have any physical disabilities or are of advanced age, it is suggested to take carisoprodol with special care under a doctor’s guidance.

While it is uncertain if the drug causes any harm to an unborn baby or fetus, you should notify your doctor if you are pregnant or planning to become pregnant before taking the medication.

Also, breastfeeding mothers are recommended to consult a physician.

Side Effects

The common side effects of carisoprodol include headache, drowsiness, sleepiness, and dizziness.

If these conditions are persistent or become severe, you need to speak to your doctor and seek medical care immediately.

Some people may also experience dry eyes, constipation, dry mouth, and trouble in urinating.

Another condition is a severe skin reaction where the skin peels, becomes extremely red or develops large bumps and blisters.

This life-threatening condition is known as erythema multiforme. Other symptoms are swelling of the tongue, lips, and mouth (also called angioedema), feeling of confusion and agitation, extreme weakness, paralysis, and poor coordination.

You may also experience seizures, lightheadedness while standing and sitting new infections, or fatigue after taking the medication.

It is not uncommon to feel ‘weird’ when you stop taking carisoprodol after consuming it for a long time.

Carisoprodol Interactions

It is always important to discuss all of your treatments with your pharmacist and doctor, including any over-the-counter (OTC) medications (nutritional shakes, vitamins, protein powders, herbal treatments, etc. medicines) as well as any recreational or illegal drugs.

When you are using carisoprodol, it is advisable to avoid the intake of clopidogrel (Plavix), drugs that contain doxylamine, carbinoxamine, sodium oxybate (Xyrem), and ticlopidine (Ticlid).

Carisoprodol is known for interacting with various groups of drugs such as:

  • Sleep medications like opiates
  • Anxiety medications, including benzodiazepines
  • Drugs that enhance wakefulness such as armodafinil (Nuvigil) and modafinil (Provigil)
  • Medications that are taken for psychological conditions such as depression
  • Drugs that can cure seizures and muscle disorders
  • Analgesics or pain killers
  • Other drugs that can dull the nervous system or act on brain receptors such as guanabenz, guanfacine (Tenex, Estulic, Intuniv), apomorphine (Apokyn), and methyldopa (Aldomet)

Drugs like belatacept (Nulojix) and adalimumab (Humira) that suppress your immune system and allergy medicines also interact with carisoprodol.

Individuals taking the chemotherapy drug acrivastine are advised to avoid taking carisoprodol at the same time.

Other drugs that can interact with carisoprodol are tocilizumab (Actemra) and thalidomide (Thalidomid).

Furthermore, drinking alcohol while you are taking the medication can worsen your nervous system and impair movement and increase drowsiness.

Make sure you restrict your consumption of alcohol with the intake of carisoprodol.

Furthermore, grapefruit juice is commonly believed to interact with the drug. Still, both the juice and the medication are broken down through different pathways in the liver, so it is not likely for a reaction to occur.

Medications such as the prescription drug rifampin (Rifadin) and herbal supplement St. John’s wort may reduce carisoprodol’s ability to work.

Dosage

Carisoprodol comes in 250 and 350 mg tablets.

The recommendation is to take the tablet with a full water glass, whether you have eaten anything or not.

It is better if you have not eaten since eating can delay the effects of the medicine.

Make sure you do not take two doses of the drug at the same time.