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Need muscle relaxer recommendation

I have severe DDD with 87% deterioration in C-1, 75% in C-2, and progressing down through C-7. I also have problems in my middle back, as well as in my arms and legs. And with this, of course, I have varying levels of constant pain.

I have recently had to change insurance companies. Previously, aside from other medications, I was taking Metaxalone 800mg, 2-3 times a day, as needed. My new insurance company does not cover Metaxalone; it only covers cyclobenzaprine, carisoprodol, and methocarbamol.

I also had to change doctors and the one I have now (at least until I can find another one) says that I need to tell him which muscle relaxer I want to take and he will provide a prescription for it. (My pain meds and others are covered by the new insurance.) This doctor says he's involved with 20+ insurance plans and can't keep track of what each of them covers. My previous doctor, who, unfortunately, doesn't handle my new insurance, would just check with the insurance co. or through the computer system. This new doctor does neither, claiming it's the patients responsibility to figure out which one is covered and the one they want.

Does anyone have any experience with cyclobenzaprine, carisoprodol, or methocarbamol? If so, what was it like? Do you prefer one? Etc.?



  • sandisandi Posts: 6,269
    edited 01/28/2014 - 6:38 AM
    is being phased out of the PM doctors offices due to the addictive problems with it's use. So, I would check your formulary booklet, or on the website, and then read about each of the other two options and decide which one you want to try.
    Talk to your pharmacist and ask which one he recommends, but again, I would stay away from the Soma ( carisprodol) since it is one of those on the watched list due to high percentages of abuse/misuse.
    I would run from any doctor who wanted me , as a new patient to his practice telling him what medication to prescribe......that to me is a huge, scary red flag.
    You can and should know what medications are options in your formulary, however he , as the doctor is responsible for what he prescribes based on his examination and testing of you..
  • Thanks, sandi. Yes, I have the formulary booklet, and even asked if he wanted to see it but he didn't want to do it. I have "researched" the three online but just the "medical" aspect. I wasn't aware of the abuse part. I did intend on also talking to the pharmacist (the one I have is very good) but just wanted to get some feedback from some people who actually use them. I know it's different for different people but if 20 people say "X" doesn't work good, it's worth considering.

    And, as I mentioned, i am running from this dr. but I need to get another one first. Hope it won't take too long. I also intend on making the local AMA aware of it, as well as a some of the dr. recommendation sites here locally.

    Thanks again for the tip on carisprodol. (It's unfortunate that the majority must pay for the minority when it comes to pain meds. Instead of just taking care of those who abuse/misuse it, we all have to pay -- nice way to run a country. I was using Oxy up until 7 months ago when my previous dr. got frightened by the stricter laws here and cut everybody across the board by 1/3, costing him many patients in the process. I switched to hydrophone/acet. but it doesn't work that good. Another issue I will bring up with the new dr.)
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  • The one thing I liked about Metaxalone is that it didn't make me sleepy and lethargic. Does anyone find that with cyclobenzaprine or methocarbamol (since we have now eliminated carisoprodol)?
  • Cyclobenzaprine made me sleepy, and it lasted into the next day. I felt hung over. I didn't like that, so I stopped taking it. I was taking it at night since I couldn't stay awake during the day, but I hated that hangover.
    (see profile for medical details)

    I *heart* my TENS unit.
  • I use clonezapam (Rivitrol) in Australia. I have bad muscle spasms and I have not upped my dose for a couple of years when they finally put me on muscle relaxants as well as pain medication. It works really well for me. My GP says it's non addictive but you might have to look it up.

    I can function normally with it and it made a really noticeable difference to my pain levels. I just looked it up on the web and there seems to be some side effects but I've never had any.

    My GP asks me now as well as I have had spine pain for so long - I have a couple of degrees so have researched spine now I'm not working so give him my information, he has so many patients and I'm just one but he's been my GP for 15 years before and after my accident and knows I'm not stupid or faking the pain.
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  • jlrfryejjlrfrye ohioPosts: 1,111
    I was switched to xanax because nothing was working, although it worked it had too many side effects for me so my Dr put me on Valium. It works wonders
  • thoracic spine painthoracic spine pain Posts: 566
    edited 01/28/2014 - 11:21 PM
    Susan, it's really strange how one med works for one person and not another. I was prescribed valium and it made me feel really sick - even though it helped my spasms. Maybe it was the interaction with the other meds.

    I didn't want to take it as years ago I used to be a psych nurse and watched people withdraw from Valium. It wasn't a great withdrawal, in fact I remember one big, tough guy giving up - he was a mess must have been taking a lot but they ended up putting him back on it. Watching that guy trying to withdraw really scared me off valium but guess it depends on the amount. Funny things that stick in your mind for years.

    Has anyone else read Brave New World by Aldous Huxley and sees the irony of naming a drug Soma??
  • rainwebrainweb Posts: 1
    edited 01/29/2014 - 4:12 PM
    Post edited by the Spine Health Moderation Team
    Please review the forum rules prior to posting at these links for more information.


    Edited by Sandi to remove link
  • I guess I'll go with cyclobenzaprine since I really have no other choice. Thanks to all for the help.
  • This is the name of the Cyclobenzaprine I believe . I take mine 3 x daily. It gives me no side effects. Now when my son takes for his back knocks him out until morning. I just must be tolerant to certain meds. I also take 2800 gabapentin and norco since surgery in June. I still have other issues with back since my neck surgery is coming along pretty so far.
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