{"id":628985,"date":"2024-07-24T09:30:53","date_gmt":"2024-07-24T13:30:53","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=628985"},"modified":"2025-09-12T14:18:31","modified_gmt":"2025-09-12T18:18:31","slug":"how-long-does-cyclobenzaprine-last","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/how-long-does-cyclobenzaprine-last\/","title":{"rendered":"How long does cyclobenzaprine last?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/cyclobenzaprine-hcl\/what-is\"><span style=\"font-weight: 400;\">Cyclobenzaprine hydrochloride<\/span><\/a><span style=\"font-weight: 400;\"> (brand names <a href=\"https:\/\/www.singlecare.com\/blog\/flexeril-generic\/\">Flexeril <\/a><\/span><span style=\"font-weight: 400;\">and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amrix\"><span style=\"font-weight: 400;\">Amrix<\/span><\/a><span style=\"font-weight: 400;\">) is a widely used skeletal muscle relaxant that is <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2003\/017821s045lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">FDA approved<\/span><\/a><span style=\"font-weight: 400;\"> to be used alongside rest and physical therapy for relief of muscle spasms associated with acute, painful musculoskeletal conditions. It provides short-term relief from acute muscle spasms and may help increase the range of motion. It is also prescribed off-label to treat pain from fibromyalgia, <\/span><span style=\"font-weight: 400;\">temporomandibular joint (TMJ) disorders, and as an adjunct treatment for <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6590307\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">opiate withdrawal<\/span><\/a><span style=\"font-weight: 400;\"> symptoms<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cyclobenzaprine acts on the brain and central nervous system (CNS) to inhibit chemical signals that trigger muscle contractions. In other words, it allows the muscles to relax.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cyclobenzaprine typically remains effective for four to six hours. Still, factors like metabolism, dosage, and the presence of other medications or substances in the body can impact how long it takes to wear off.<\/span><\/p>\n<h2 id=\"how-long-does-cyclobenzaprine-last\"><span style=\"font-weight: 400;\">How long does cyclobenzaprine last?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cCyclobenzaprine is often used alongside rest and physical therapy to help speed up recovery from muscle-related pain,&#8221; says <\/span><a href=\"https:\/\/www.linkedin.com\/in\/tahersaifullahmd\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Taher Saifullah, MD<\/span><\/a><span style=\"font-weight: 400;\">, a pain management specialist and founder of <\/span><a href=\"https:\/\/spineandpainla.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Spine and Pain Institute Los Angeles<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"> It is available in immediate-release tablets and extended-release (ER) capsules.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Immediate-release: <\/b><span style=\"font-weight: 400;\">This formulation lasts for four to six hours, with an average half-life of 18 hours. Dosage ranges from 5 to 10 mg, three times daily.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Extended-release:<\/b> <span style=\"font-weight: 400;\">This form works for up to 24 hours, with an average half-life of 32 hours. The dosage is 15 to 30 mg, taken once daily.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u201cCyclobenzaprine typically peaks in your system between three and eight hours after you take it,\u201d notes Dr. Saifullah.<\/span><span style=\"font-weight: 400;\"> He says it is not uncommon for the prescription drug to induce drowsiness, which may persist into the following day\u2014particularly when higher doses are taken or when the drug is used for an extended period.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to Dr. Saifullah, the following factors can impact the duration of action:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Age:<\/b><span style=\"font-weight: 400;\"> Older adults might experience longer-lasting effects because their bodies metabolize the drug more slowly.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Liver function: <\/b><span style=\"font-weight: 400;\">Those with liver issues might have a prolonged duration of action due to slower drug breakdown.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Medications: <\/b><span style=\"font-weight: 400;\">Some medications can interfere with the enzymes that metabolize cyclobenzaprine, affecting how long it stays active.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Body composition: <\/b><span style=\"font-weight: 400;\">Cyclobenzaprine is stored in fat tissue, so individuals with higher body fat may notice longer-lasting effects.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Cyclobenzaprine, similar in chemical structure to tricyclic antidepressants (TCAs), is metabolized primarily through the liver and excreted through the urine, says <\/span><a href=\"https:\/\/www.linkedin.com\/in\/dr-wendi-d-jones\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Wendi D Jones, Pharm.D.,<\/span><\/a><span style=\"font-weight: 400;\"> a pharmacist with <\/span><a href=\"https:\/\/aspenrxhealth.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">AspenRx Health<\/span><\/a><span style=\"font-weight: 400;\">.<\/span> <span style=\"font-weight: 400;\">In healthy adults, the effects of immediate-release cyclobenzaprine generally subside within six hours of the last dose, she says. \u201cHowever,<\/span><span style=\"font-weight: 400;\"> this duration is much longer in older adults, who should be started on a lower dose and titrated slowly to avoid excessive side effects.\u201d<\/span><\/p>\n<h2 id=\"how-long-does-cyclobenzaprine-take-to-work\"><span style=\"font-weight: 400;\">How long does cyclobenzaprine take to work?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Cyclobenzaprine doesn&#8217;t provide immediate pain relief, according to Dr. Saifullah. Still, it reduces muscle spasms and discomfort within about 30 minutes to an hour, adding that peak effects usually occur between three and eight hours. Dr. Jones adds that the drug&#8217;s anti-spasm effects may take one to two days to reach full effect.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Saifullah says it&#8217;s often best to take cyclobenzaprine in the evening or before bed to take advantage of its muscle-relaxing effects and avoid daytime tiredness. &#8220;You can take it with or without food, but taking it with food improves absorption,&#8221; he says.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/cyclobenzaprine-hcl-fexmid-without-insurance\/\"><b>How much is cyclobenzaprine HCl (Fexmid) without insurance?<\/b><\/a><\/p>\n<h2 id=\"cyclobenzaprine-side-effects\"><span style=\"font-weight: 400;\">Cyclobenzaprine side effects<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Dr. Saifullah says cyclobenzaprine can make you feel relaxed and sleepy. Its sedating effect is considered moderate, and caution should be exercised when engaging in activities requiring alertness or operating machinery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK513362\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">common side effects<\/span><\/a><span style=\"font-weight: 400;\"> of cyclobenzaprine include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatigue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drowsiness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry mouth<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you experience the following life-threatening side effects, seek medical attention\u00a0 immediately:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Signs of an allergic reaction:<\/b><span style=\"font-weight: 400;\"> Itching, hives, skin rash, or swelling for the tongue, lips, face, or throat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Symptoms of CNS depression:<\/b><span style=\"font-weight: 400;\"> Shortness of breath, slow or shallow breathing, feeling faint, confusion, or difficulty staying awake<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Changes in heart rhythm:<\/b><span style=\"font-weight: 400;\"> Fast heartbeat, feeling faint, lightheadedness, chest pain, difficulty breathing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/serotonin-syndrome-symptoms\/\"><b>Symptoms of serotonin syndrome<\/b><\/a><b>:<\/b><span style=\"font-weight: 400;\"> Agitation, anxiety, restlessness, mood changes, disorientation or confusion, loss of muscle coordination, sweating or shivering, flushed skin, fever, hyperthermia (overheating), increased heart rate or high blood pressure, nausea, vomiting, or diarrhea, tremor, muscle stiffness, hyperactive reflexes, dilated pupils<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Cyclobenzaprine is contraindicated in the following populations:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Individuals with <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/hypethyroidism-treatment-and-medications\"><span style=\"font-weight: 400;\">hyperthyroidism<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Those who have experienced a recent heart attack (the acute recovery phase), heart failure, or heart arrhythmias<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Patients who have taken a <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/maois\"><span style=\"font-weight: 400;\">monoamine oxidase inhibitor (MAOI)<\/span><\/a><span style=\"font-weight: 400;\"> within 14 days<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Alcohol increases the risk of sedation and should be avoided with cyclobenzaprine. Possible drug interactions that may also worsen sedation include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/opioids\"><span style=\"font-weight: 400;\">Opioids<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/benzodiazepines\"><span style=\"font-weight: 400;\">Benzodiazepines<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/gabapentin\"><span style=\"font-weight: 400;\">Gabapentin<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/diphenhydramine-hcl\"><span style=\"font-weight: 400;\">Diphenhydramine<\/span><\/a><\/li>\n<\/ul>\n<h2 id=\"how-long-should-you-take-cyclobenzaprine\"><span style=\"font-weight: 400;\">How long should you take cyclobenzaprine?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Cyclobenzaprine is typically prescribed for short-term use to manage acute muscle spasms. Long-term use is generally <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK279656\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">discouraged<\/span><\/a><span style=\"font-weight: 400;\"> due to the potential risks of dependence, tolerance, and increased likelihood of experiencing adverse effects, says Dr. <\/span><span style=\"font-weight: 400;\">Saifullah. Taking it every night isn\u2019t recommended<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">\u201cYou should stop taking it once your muscle spasms and pain have subsided, usually within two to three weeks, he says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Adhering to the prescribed duration of treatment and consulting with a healthcare professional if concerns arise or if symptoms persist is crucial.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><br \/>\n<\/span><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/cyclobenzaprine-interactions\/\"><b>Cyclobenzaprine interactions to avoid<\/b><\/a><\/p>\n<h2 id=\"cyclobenzaprine-alternatives\"><span style=\"font-weight: 400;\">Cyclobenzaprine alternatives<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In cases where cyclobenzaprine is not suitable or contraindicated, alternative treatment options for managing muscle injuries or spasms may be necessary.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">They include<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/cyclobenzaprine-alternatives\/\"><span style=\"font-weight: 400;\">medications<\/span><\/a><span style=\"font-weight: 400;\"> and dietary supplements, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Over-the-counter NSAIDs like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ibuprofen\"><span style=\"font-weight: 400;\">ibuprofen<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/naproxen-sodium\"><span style=\"font-weight: 400;\">naproxen<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/acetaminophen-extra-strength\"><span style=\"font-weight: 400;\">Acetaminophen<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other muscle relaxants, includin<\/span><span style=\"font-weight: 400;\">g <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/tizanidine-hcl\"><span style=\"font-weight: 400;\">tizanidine<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/methocarbamol\"><span style=\"font-weight: 400;\">methocarbamol<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/metaxalone\"><span style=\"font-weight: 400;\">metaxalone<\/span><\/a><span style=\"font-weight: 400;\">, and\u00a0 <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/baclofen\"><span style=\"font-weight: 400;\">baclofen<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Topical<\/span><span style=\"font-weight: 400;\"> pain relievers, like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lidocaine\"><span style=\"font-weight: 400;\">lidocaine<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/capsaicin-hp\"><span style=\"font-weight: 400;\">capsaicin cream<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11301568\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">B-complex supplements<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8094171\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Magnesium supplements<\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dr. Saifullah recommends the following non-pharmacological options:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical therapy to improve flexibility and strength<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Applying ice or heat to the affected area<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Massage to reduce muscle tightness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Adequate rest and avoiding activities that might worsen the injury<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The bottom line? Cyclobenzaprine provides short-term relief from muscle spasms and injuries. It takes effect in 30 minutes to an hour and lasts four to six hours (immediate-release) or up to 24 hours (extended-release). Consult your healthcare provider to determine the best treatment option for your condition.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cyclobenzaprine hydrochloride (brand names Flexeril and Amrix) is a widely used skeletal muscle relaxant that is FDA approved to be used alongside rest and physical therapy for relief of muscle spasms associated with acute, painful musculoskeletal conditions. It provides short-term relief from acute muscle spasms and may help increase the range of motion. It is [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":628967,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[788,12752],"coauthors":[20608],"class_list":["post-628985","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-drug-safety","tag-medication-side-effects","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How long does cyclobenzaprine last?<\/title>\n<meta name=\"description\" content=\"Understand the duration of cyclobenzaprine&#039;s effects and how long it stays in your system. 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