Why is this medicine prescribed?
Cyclobenzaprine sublingual is used treat fibromyalgia (a long-lasting condition that may cause pain, muscle stiffness and tenderness, tiredness, and difficulty falling asleep or staying asleep). Cyclobenzaprine is in a class of medications called skeletal muscle relaxants. It works by acting in the brain and nervous system to allow the muscles to relax.
Are there other uses for this medicine?
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
How should this medicine be used?
Cyclobenzaprine sublingual comes as a tablet to place under the tongue. Take once a day at bedtime. Take after brushing your teeth and after any other oral care. Take cyclobenzaprine sublingual at around the same time every day.
Take cyclobenzaprine sublingual exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Drink a few sips of water before you take cyclobenzaprine sublingual tablets to moisten your mouth and area under your tongue.
Place sublingual tablet(s) under your tongue and wait for it to dissolve. Do not swallow whole, split, chew, or crush the tablet. Do not talk for at least 5 minutes after the tablet dissolves. Do not eat or drink anything for at least 15 minutes after the tablet dissolves. Do not drink hot, cold, or acidic beverages until morning.
Cyclobenzaprine sublingual controls fibromyalgia but does not cure it. Continue to take cyclobenzaprine sublingual even if you feel well. Do not stop taking cyclobenzaprine sublingual without talking to your doctor.
Ask your pharmacist or doctor for a copy of the manufacturer's information for the patient.
What special precautions should I follow?
Before taking cyclobenzaprine sublingual,
- tell your doctor or pharmacist if you are allergic to this medication, any part of this medication, or any other medications, foods or substances. Tell your doctor or pharmacist about the allergy and what symptoms you had.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take while taking cyclobenzaprine sublingual. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor or pharmacist if you are taking the following medications or have stopped taking them within the past two weeks: monoamine oxidase (MAO) inhibitors, including isocarboxazid, phenelzine, rasagiline, selegiline, and tranylcypromine.
- tell your doctor if you are recovering from a recent heart attack or if you have an overactive thyroid gland, heart failure (condition in which the heart is unable to pump enough blood to the other parts of the body), or an irregular heartbeat, heart block, or other heart rhythm problems. Your doctor will probably tell you not to take cyclobenzaprine sublingual.
- tell your doctor if you have or have ever had seizures, increased pressure in the eye or glaucoma, difficulty urinating, or liver problems.
- tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. Cyclobenzaprine sublingual may harm the fetus if taken in the first trimester (3 months) of pregnancy. You should not become pregnant while you are taking cyclobenzaprine sublingual. If you can become pregnant, you will need to take a pregnancy test before you start treatment. Use birth control to prevent pregnancy during your treatment and for 2 weeks after your final dose. If you become pregnant while taking cyclobenzaprine sublingual, call your doctor immediately.
- you should know that cyclobenzaprine sublingual may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you.
- ask your doctor about the safe use of alcoholic beverages while you are taking cyclobenzaprine sublingual. Alcohol can make the side effects from cyclobenzaprine worse.
What special dietary instructions should I follow?
Unless your doctor tells you otherwise, continue your normal diet.
What should I do if I forget to take a dose?
Skip the missed dose and continue your regular dosing schedule the next evening. Do not take a missed dose during the day. Do not take a double dose to make up for a missed one.
What should I do in case of overdose?
In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help . If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911.
Symptoms of overdose may include:
- drowsiness
- fast or irregular heartbeat
- feeling agitated
- confusion
- trouble speaking or moving
- dizziness
- nausea or vomiting
- hallucination (seeing things or hearing voices that do not exist)
- tremor
- loss of consciousness
What side effects can this medicine cause?
Cyclosporine sublingual may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- numbness, tingling, sores, pain or irritation in the mouth
- dry mouth
- change in taste
- sleepiness
- unusual tiredness or weakness
Some side effects can be serious. If you experience any of these symptoms, stop taking cyclosporine sublingual and call your doctor immediately or get emergency medical treatment:
- rash; hives; itching; swelling of the eyes, face, lips, tongue, or throat; or difficulty breathing or swallowing
- trouble eating, drinking, or swallowing
- agitation, fever, sweating, confusion, fast or irregular heartbeat, shivering, severe muscle stiffness or twitching, hallucinations, loss of coordination, nausea, vomiting, or diarrhea
- dizziness, fainting, chest pain, shortness of breath, or fast or irregular heartbeat
Cyclosporine sublingual may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( https://www.fda.gov/Safety/MedWatch ) or by phone ( 1-800-332-1088).What should I know about storage and disposal of this medication?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Keep the desiccant (drying agent) cannister in the bottle to keep the tablets dry.
Keep all medication out of sight and reach of children as many containers are not child resistant. Always lock safety caps. Place the medication in a safe location – one that is up and away and out of their sight and reach. https://www.upandaway.org Dispose of unneeded medications in a way so that pets, children, and other people cannot take them. Do not flush this medication down the toilet. Use a medicine take-back program. Talk to your pharmacist about take-back programs in your community. Visit the FDA's Safe Disposal of Medicines website https://goo.gl/c4Rm4p for more information.What other information should I know?
Keep all appointments with your doctor.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking. Bring this list with you each time you visit a doctor or if you are admitted to the hospital. You should carry the list with you in case of emergencies.