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Look Up > Drugs > Methocarbamol and Aspirin
Methocarbamol and Aspirin
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Drug Interactions
Mechanism of Action
Pharmacodynamics/Kinetics
Usual Dosage
Dietary Considerations
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Dosage Forms

Pronunciation
(meth oh KAR ba mole & AS pir in)

U.S. Brand Names
Robaxisal®

Generic Available

Yes


Synonyms
Aspirin and Methocarbamol

Pharmacological Index

Skeletal Muscle Relaxant


Use

Dental: Treatment of muscle spasm associated with acute temporomandibular joint pain

Medical: Adjunct to rest, physical therapy, and other measures for the relief of discomfort associated with acute, painful musculoskeletal disorders


Pregnancy Risk Factor

C/D (if full-dose aspirin in 3rd trimester)


Contraindications

Methocarbamol: Renal impairment, hypersensitivity to methocarbamol or any component

Aspirin: Bleeding disorders (factor VII or IX deficiencies), hypersensitivity to salicylates or other NSAIDs, tartrazine dye and asthma


Warnings/Precautions

Use aspirin with caution in patients with platelet and bleeding disorders, renal dysfunction, erosive gastritis, or peptic ulcer disease, previous nonreaction does not guarantee future safe taking of medication; do not use aspirin in children <16 years of age for chickenpox or flu symptoms due to the association with Reye's syndrome

Elderly are a high-risk population for adverse effects from nonsteroidal anti-inflammatory agents. As much as 60% of elderly with GI complications to NSAIDs can develop peptic ulceration and/or hemorrhage asymptomatically. Also, concomitant disease and drug use contribute to the risk for GI adverse effects. Use lowest effective dose for shortest period possible. Consider renal function decline with age. Use with caution in patients with history of asthma


Adverse Reactions

Methocarbamol: >10%: Central nervous system: Drowsiness, dizziness, lightheadedness

Aspirin:

>10%: Gastrointestinal: Nausea, vomiting, dyspepsia, epigastric discomfort, heartburn, stomach pains

1% to 10%: Gastrointestinal: Ulceration


Drug Interactions

Methocarbamol: Increased effect/toxicity with CNS depressants

Aspirin: Concomitant use of aspirin may result in possible decreased serum concentration of NSAIDs; aspirin may antagonize effects of probenecid; aspirin may increase methotrexate serum levels. Aspirin may displace valproic acid from binding sites which can result in toxicity; warfarin and aspirin result in increased bleeding; NSAIDs and aspirin result in increased GI adverse effects.


Mechanism of Action

Causes skeletal muscle relaxation by reducing the transmission of impulses from the spinal cord to skeletal muscle


Pharmacodynamics/Kinetics

Methocarbamol:

Absorption: Rapid

Onset of muscle relaxation: Oral: Within 30 minutes

Time to peak serum concentration: Oral: ~2 hours

Serum half-life: 1-2 hours

Aspirin:

Absorption: Rapid

Time to peak serum concentration: ~1-2 hours

Serum half-life:

Parent drug: 15-20 minutes

Salicylates (dose-dependent): From 3 hours at lower doses (300-600 mg), to 5-6 hours (after 1 g) to 10 hours with higher doses


Usual Dosage

Children >12 years and Adults: Oral: 2 tablets 4 times/day


Dietary Considerations

Food decreases rate but not extent of absorption (oral)


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

Use with caution in patients with platelet and bleeding disorders, renal dysfunction, erosive gastritis, or peptic ulcer disease, previous nonreaction does not guarantee future safe taking of medication; use with caution in impaired hepatic function; do not use aspirin in children <16 years of age for chickenpox or flu symptoms due to the association with Reye's syndrome

Elderly are a high-risk population for adverse effects from nonsteroidal anti-inflammatory agents. As much as 60% of elderly with GI complications to NSAIDs can develop peptic ulceration and/or hemorrhage asymptomatically. Also, concomitant disease and drug use contribute to the risk for GI adverse effects. Use lowest effective dose for shortest period possible. Consider renal function decline with age. Use with caution in patients with history of asthma


Patient Information

See individual agents. Pregnancy/breast-feeding precautions: Inform prescriber if you are or intend to be pregnant. Consult prescriber if breast-feeding.


Dosage Forms

Tablet: Methocarbamol 400 mg and aspirin 325 mg


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