Spasticity: treatment

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Spasticity: treatment. Baclofen: 5mg tid, Dantrolene: 25mg daily, Tizanidine: 2-4mg tid, Diazepam: 2-5mg bid. Fully referenced neurology checklist.

Anti-spasticity muscle relaxants

  • Baclofen: 5mg tid
  • Dantrolene: 25mg daily.
  • Tizanidine: 2-4mg tid
  • Diazepam: 2-5mg bid
  • Clonazepam: 0.5mg
  • Gabapentin: 100mg

Anti-spasmodic muscle relaxants

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Other muscle relaxants

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Intrathecal agents

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Other treatments

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References

  1. Ghai A, Garg N, Hooda S, Gupta T. Spasticity - pathogenesis, prevention and treatment strategies. Saudi J Anaesth 2013; 7:453-460.
  2. Cashin AG, Folly T, Bagg MK, et al. Efficacy, acceptability, and safety of muscle relaxants for adults with non-specific low back pain: systematic review and meta-analysis. BMJ 2021; 374:n1446. 
  3. See S. Ginzburg R. Skeletal muscle relaxants. Pharmacotherapy 2008; 28:207-213.
  4. Elenbaas JK. Centrally acting oral skeletal muscle relaxants. Am J Hosp Pharm 1980; 37:1313-1323.

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