The Company's poster titled, 'Steady-State Pharmacokinetic Properties of a Sublingual Formulation of Cyclobenzaprine
(CBP) HCl (TNX-102 SL): Comparison to Simulations of Oral Immediate Release CBP' reports PK results of TNX-102 SL, a sublingual form of cyclobenzaprine
studied in a comparative PK, open-label, randomized, parallel, two-arm, multiple-dose pivotal bridging study, with the reference listed drug AMRIX (cyclobenzaprine
HCI extended release capsules).
Naproxen with cyclobenzaprine
, oxycodone/acetaminophen, or placebo for treating acute low back pain.
is a muscle relaxant that also has activity in the central nervous system.
On Day 1 at Tmax, tolperisone (450 mg total daily dose) was equivalent to placebo (p=0.9) for the primary endpoint of SDLP, while cyclobenzaprine
(30 mg total daily dose) demonstrated significant impairment (p=0.05.
The TNX-102 SL sublingual formulation is based on a eutectic between cyclobenzaprine
HCl and mannitol, which protects the acidic hydrochloride salt of cyclobenzaprine
from molecular interactions with the basic excipient, potassium phosphate dibasic, which is added to enhance transmucosal absorption.
Other medications such as antiarrhythmics [36-38], non-TCA antidepressants [39, 40], antiepileptic medications , cyclobenzaprine
[43,44], propranolol , cocaine , and certain antihistamines  may produce similar ECG and clinical manifestations with favorable response to similarly administered IV sodium bicarbonate.
-- A sublingual formulation of cyclobenzaprine
taken at bedtime was significantly better than placebo at reducing symptoms of military-related posttraumatic stress disorder, and study participants taking cyclobenzaprine
also reported better sleep, a study showed.
He was instructed to take ibuprofen and cyclobenzaprine
(a muscle relaxant) for pain relief and to return if symptoms worsened.
Among the drugs officers located in the apartment were several oxycodone pills and a Methadone pill (both defined as Class B substances), as well as Xanax, Naproxen and Cyclobenzaprine
(all classified as Class E substances), according to the police report.
C's medications are substrates of CYP1A2 (acetaminophen, caffeine, cyclobenzaprine
, diazepam, duloxetine, melatonin, olanzapine, ondansetron, and zolpidem).
Other drugs used in this condition include Milnacipran and Cyclobenzaprine
(a muscle relaxant structurally related to tricyclic antidepressants).
An order for "cycloprine 10 mg po qhs" which was intended to refer to the muscle relaxant cyclobenzaprine
, was entered into a pharmacy system as "cyclosporine 10 mg po qhs" Fortunately, the error was caught, and cyclosporine was not dispensed.
According to an autopsy report issued by the New York City Medical Examiner's Office, Leiby Kletzky had several drugs in his system, including cyclobenzaprine
, quetiapine, hydrocodone and Tylenol.
* Treatment includes medications that can improve sleep as well as relieve pain, such as prega-balin (Lyrica) and gabapentin (Neurontin), which block overactivity of nerve cells involved in pain transmission, and cyclobenzaprine
(Flexeril) and amitriptyline (Elavil).
shares pharmacologic properties with TCAs, but acts on the brainstem to induce skeletal muscle relaxation via reduction of tonic activity of alpha and gamma neurons.