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Flexeril (cyclobenzaprine) addiction treatment that actually works

For more than a decade and a half, we’ve helped countless people recover from substance use disorders using a science- and evidence-based addiction treatment program that combines cutting-edge medical care with proven behavioral and psychological therapy.

We offer a complete continuum of care, including inpatient, outpatient, and even virtual treatment – as well as ongoing education, counseling, and support to treat the whole person for a lifetime – an approach that has proven far more effective than traditional 12-step programs.

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Treatment options for Flexeril addiction

Cyclobenzaprine (commonly prescribed under the brand names Flexeril, Amrix) dependence can be difficult to overcome without the help of a comprehensive treatment program that offers medical, psychological, and behavioral therapy.

Treatment for cyclobenzaprine dependence typically starts with supervised medical detox to remove the substance from the body and alleviate withdrawal symptoms. During the detox process, medical staff with formal training in drug and alcohol addiction treatment closely monitor the patient’s health.

Please note that the medical detox phase is NOT actually considered treatment. Rather, it’s a necessary prerequisite to treatment that allows patients to fully participate in a long-term program consisting of behavioral therapy, psychological counseling, and psychiatric treatment to address their substance use disorder and any co-occurring mental health issues.

Counseling includes both individual- and group-oriented addiction sessions, and we can also include family members when appropriate. Continuing care is an essential component of every treatment plan and is included in all discharge plans, so patients have access to counseling and support for as long as they need it.

A treatment plan for cyclobenzaprine addiction may include:

  • Individual counseling
  • Group therapy
  • Family therapy sessions
  • Pharmacotherapy (medication management)
  • Intensive Outpatient Programs (IOP)
  • Supportive Outpatient Programs (SOP)
  • Maintenance Outpatient Programs (MOP)
  • Wellness, nutritional, and stress management education

A range of treatment options based on you

Each person’s path to addiction is unique with different neurological, emotional, social and environmental contributing factors. That’s why the Enterhealth journey to recovery is personalized to meet individuals and families where they are. Whether you need immersive inpatient care or outpatient treatment, we offer a range of evidence-based treatment options and innovative therapies. Enterhealth is the only facility with highly trained on-site addiction specialists, including PhDs, MDs and Master’s Level Therapists, who coordinate care at every stage. Because we understand the science behind addiction, we are best equipped to assess and treat individuals and families. Contact us to see why we’re the only facility with an 84% success rate.

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Enterhealth’s Outpatient Center of Excellence, conveniently located in the Park Cities, is expertly staffed with board-certified addiction specialists. Our comprehensive program is designed for continued recovery care and provides individuals and families the support they need to reconnect with each other and thrive in recovery.

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Frequently Asked Questions About Flexeril Addiction

What is Flexeril (cyclobenzaprine)?

Cyclobenzaprine is a medication primarily used to treat muscle spasms. It is a skeletal muscle relaxant, which means it works on the central nervous system to help relieve muscle spasms without affecting global muscle function.

Cyclobenzaprine is not classified as a controlled substance in the United States under the Controlled Substances Act. However, it is available only by prescription because of potential side effects, drug interactions, and the risk of misuse.

How does cyclobenzaprine work?

While the exact mechanism of action is not completely understood, cyclobenzaprine is thought to produce its muscle relaxant effects by acting on the brainstem and reducing tonic somatic motor activity, thus influencing both gamma and alpha motor neurons.

In other words, it doesn’t work directly on your muscles. Instead, it acts on the nervous system to calm muscle activity by essentially telling the brain to send “relax” messages to the muscles, which helps reduce muscle spasms. It also shares similarities with certain antidepressants in structure, but its primary role is to alleviate muscle spasms often associated with musculoskeletal conditions.

How is cyclobenzaprine taken?

Flexeril (cyclobenzaprine) is typically taken orally. It’s available in tablet form, and the dosage and frequency depend on the patient’s specific needs and the prescribing physician’s recommendations. Common dosages include:

  • Tablet Strengths: It’s available in 5 mg and 10 mg tablet strengths.
  • Typical Dosage: The usual starting dose for adults is 5 mg taken three times a day. Depending on individual patient response and tolerability, the dosage may be increased to 10 mg three times a day.
  • Duration: It’s generally prescribed for short-term use, typically no more than 2-3 weeks since most muscle spasms are acute and resolve in this time frame.

How long does cyclobenzaprine stay in your system?

The half-life of cyclobenzaprine is approximately 18 hours, though this can range from 8 to 37 hours, depending on individual factors like metabolism, age, liver function, and other factors.

Considering the half-life, it generally takes about 4 to 5 half-lives for a drug to be eliminated from the system. Given the half-life of cyclobenzaprine, it takes approximately 3.5 to 7.5 days (or possibly a bit longer depending on individual variability) for Flexeril to be largely cleared from the body.

However, detection time can vary based on the type of drug test used:

  • Urine: Cyclobenzaprine can be detected in urine for up to 3-8 days after the last dose.
  • Blood: It may be detectable in the blood for about a day.
  • Hair: Many drugs can be detected in hair for several months, but hair tests are rarely used to detect muscle relaxants like cyclobenzaprine.

Remember, the time frame can vary based on individual factors like metabolism, dosage, frequency of use, and overall health. If you have concerns or need to undergo drug testing, it’s essential to consult with a healthcare professional or the entity conducting the test.

Can a person become addicted to cyclobenzaprine?

While Flexeril (cyclobenzaprine) is primarily prescribed as a muscle relaxant for short-term use, there’s potential for misuse. Cyclobenzaprine is not classified as a controlled substance, and while it’s not considered as habit-forming as some other drugs, some individuals might misuse it for its sedative effects.

Prolonged use or taking it in doses higher than prescribed can increase the risk of dependency. Misuse can lead to both physical and psychological dependence. This means a person might feel they need the drug to function normally, even if they no longer have the muscle spasms for which it was prescribed. Over time, the body might develop tolerance, leading to the need for increasing doses to achieve the same effects.

Additionally, suddenly stopping cyclobenzaprine after prolonged use can result in withdrawal symptoms, further indicating the drug’s dependency potential. It’s essential to use Flexeril as prescribed by a healthcare professional and to be aware of its potential risks.

How do you know if someone is abusing cyclobenzaprine?

Identifying Flexeril (cyclobenzaprine) abuse can be challenging, as the signs might be subtle. Here are some indicators:

  • Taking Higher Doses: Using the medication in amounts greater than prescribed or more frequently than directed.
  • Doctor Shopping: Visiting multiple doctors to obtain additional prescriptions.
  • Preoccupation with the Drug: A heightened focus on obtaining and consuming the medication, even in the absence of pain or muscle spasms.
  • Usage Beyond Need: Continuation of the drug even after the initial medical reason (like muscle spasm) has resolved.
  • Behavioral Changes: Altered sleep patterns, mood swings, or a decrease in social or recreational activities.
  • Physical Symptoms: Experiencing side effects like excessive drowsiness, dry mouth, dizziness, or confusion.
  • Withdrawal Symptoms: If a person suddenly stops taking the drug after prolonged use, they might exhibit symptoms like headaches, nausea, or malaise.
  • Secrecy or Defensiveness: Being secretive about medication use or defensive when confronted about it.

If someone is suspected of abusing Flexeril, it’s essential to approach the situation with understanding and encourage them to speak with a healthcare professional.

What are the short- and long-term side effects of cyclobenzaprine abuse?

Short-Term Side Effects:

  • Drowsiness or Sedation – This is one of the most common side effects, even when taken as prescribed.
  • Dry Mouth – A frequent complaint.
  • Dizziness or Lightheadedness – This can increase the risk of falls or accidents.
  • Blurred Vision – Can make tasks like reading or driving challenging.
  • Constipation – Gastrointestinal effects are common.
  • Confusion – Particularly in older adults.
  • Urinary Retention – Difficulty in passing urine.
  • Heart Palpitations – Irregular or fast heartbeats.

Long-Term Side Effects:

  • Dependency – Physical and psychological dependence can develop, leading to withdrawal symptoms if the drug is suddenly stopped.
  • Cognitive Impairment – Prolonged use can lead to memory issues or confusion.
  • Serotonin Syndrome – While more common when combined with other drugs that increase serotonin, this is a potentially life-threatening condition with symptoms like agitation, fever, rapid heartbeat, and muscle rigidity.
  • Heart Issues – Chronic misuse can lead to arrhythmias or other cardiac complications.
  • Liver Damage – Like many drugs, chronic abuse can have a toll on the liver.

What are the symptoms of cyclobenzaprine withdrawal?

While Flexeril (cyclobenzaprine) isn’t typically associated with a severe withdrawal syndrome like some other medications (e.g., benzodiazepines or opioids), discontinuing it after prolonged use can result in some symptoms. It’s important to note that not everyone will experience withdrawal symptoms, but for those who do, some of the potential symptoms include:

  • Headaches: A common symptom reported after stopping the drug.
  • Nausea: Some individuals might feel sick or even vomit.
  • Malaise: A general feeling of discomfort or unease.
  • Fatigue or Tiredness: Feeling unusually tired or drained.
  • Sleep Disturbances: This could mean difficulty falling asleep, staying asleep, or experiencing unusual dreams.
  • Mood Changes: This can include irritability, anxiety, or even depression in some cases.

How long does cyclobenzaprine withdrawal last?

Flexeril (cyclobenzaprine) withdrawal duration can vary depending on several factors, such as the length of time the medication was taken, the dosage, individual metabolism, and general health.

In general, if a person does experience withdrawal symptoms after discontinuing Flexeril, they can expect the symptoms to last for a few days to a week. However, some people might experience symptoms for a more extended period, especially if they abruptly stop taking a high dose without tapering.

It’s essential to note that not everyone will experience withdrawal symptoms when stopping Flexeril. For those who do:

  • The First 1-3 Days: Symptoms typically begin within the first 1-3 days after the last dose. They may include headaches, nausea, malaise, fatigue, and mood changes.
  • After the First Week: By the end of the first week, most symptoms will start to decrease in intensity for many individuals.
  • Extended Symptoms: While the acute withdrawal symptoms usually subside within a week, some individuals might experience prolonged symptoms like mood changes or sleep disturbances for a few more weeks.

Can you overdose on cyclobenzaprine?

Yes, it is possible to overdose on Flexeril (cyclobenzaprine) if a person takes more than the prescribed or recommended dose.

The symptoms of a Flexeril overdose may include:

  • Drowsiness or extreme fatigue
  • Fast or irregular heartbeat
  • Dry mouth
  • Confusion or hallucinations
  • Nausea or vomiting
  • Agitation
  • Increased body temperature
  • Slurred speech
  • Tremors or seizures
  • Respiratory depression
  • Cardiac arrest

If you or someone you know has taken a large amount of Flexeril or shows signs of an overdose, it’s essential to seek medical attention immediately. Overdose can be fatal if not treated promptly.

*State standard is 1:10 clinical staff to patient ratio