Abstract
Antispasmodics and antispasticity agents are used to treat low back pain and muscle spasms and to break the “pain-spasm-pain” cycle. Although the mechanisms of action are not fully understood, it is generally thought that antispasmodics depress polysynaptic reflexes within the dorsal horn of the spinal cord at spinal interneurons, and antispasticity agents reduce skeletal muscle hypertonicity and contractions at the level of the spinal cord and skeletal muscle. There is no clear evidence that one drug is superior than others for treatment of spasm. Use caution when prescribing these agents to patients who concomitantly use other sedatives.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsSuggested Reading
Baclofen Tablet package insert. Sellersville: Teva Pharmaceuticals USA; 2010 Jun.
Chlorzoxazone package insert. Sayreville: Vertical Pharmaceutical; 2010 Oct.
Chou R, Qaseem A, Snow V, et al. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147(7):478–91.
Jackson K, Argoff C, Dubin A. Skeletal muscle relaxants. In: Practical management of pain. 5th ed. Philadelphia: Elsevier; 2014. p. 569–73.
Metaxalone package insert. Bristol: King Pharmaceuticals, Inc.; 2008 Apr.
Methocarbamol package insert. Philadelphia: Lennett Co., Inc.; 2007 Jan.
Orphenadrine citrate package insert. Schaumburg: Sagent Pharmaceuticals; 2009 Dec.
Soma (carisoprodol) package insert Charlotte. North Carolina: Vintage Pharmaceuticals, Inc.; 2006 June.
Valium (diazepam) package insert Nutley. New Jersey: Roche Laboratories Inc.; 2008 Jan.
Witenko C, et al. Considerations for the appropriate use of skeletal muscle relaxants for the management of acute low back pain. Pharmacy & Therapeutics. 2014;39(6):427–35.
Zanaflex tablets (tizanidine hydrochloride) package insert. Hawthorne: Acorda Therapeutics Inc.; 2006 July.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer Science+Business Media LLC
About this chapter
Cite this chapter
Hall, A.M. (2017). Antispasmodics. In: Pope, J., Deer, T. (eds) Treatment of Chronic Pain Conditions. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-6976-0_24
Download citation
DOI: https://doi.org/10.1007/978-1-4939-6976-0_24
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-6974-6
Online ISBN: 978-1-4939-6976-0
eBook Packages: MedicineMedicine (R0)