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Old Feb 13, 2020, 01:14 PM   #1
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xCLAVEx
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Default Why do you require prescriptions for muscle relaxers when they are not a CS?

With the exception of SOMA (which is a controlled substance) why do you require a prescription in order to get non-addictive muscle relaxers such as cyclobenzaprine? Now granted, it does make you really drowsy but so do many other over the counter meds such as benadryl. Heck, the generic form only costs like $8 for 30 pills.

I've tried googling around but found no relevant reason as to why it is being treated as a controlled substance.
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Old Feb 13, 2020, 02:36 PM   #2
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Medications have classes (schedules). It depends on what level it's classed at whether it can be OTC or not:

https://www.deadiversion.usdoj.gov/2...r/2108cfrt.htm
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Old Feb 13, 2020, 03:07 PM   #3
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Originally Posted by Mahjik View Post
Medications have classes (schedules). It depends on what level it's classed at whether it can be OTC or not:

https://www.deadiversion.usdoj.gov/2...r/2108cfrt.htm
Cyclobenzaprine (the drug I used as an example) is not a scheduled drug. This is where my confusion is. If it's not a controlled substance or even scheduled, why does it require a prescription?
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Old Feb 13, 2020, 03:20 PM   #4
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Technically, there are many drugs that are not controlled substances which are not OTC. Controlled substances just have some added security/tracking around them now when being prescribed.

I don't know the exact criteria that is used to determine what is OTC capable, but the label of controlled substance is not required for it not to be OTC.
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Old Feb 13, 2020, 03:25 PM   #5
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I think what I'm trying to figure out is the reasoning behind it. It makes sense for narcotics to be controlled and prescribed only through a doctor. It does not make sense for a non-narcotic to require a prescription. Some may say it has a (low) chance of being abused, but amphetamine also can be abused and you can still get that over the counter.
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Old Feb 13, 2020, 03:28 PM   #6
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The FDA does not publish how they make that decision. They do publish some things that they take in account, which things like affect on a person is in there. But you won't find their exact criteria and how they make their decisions.
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Old Feb 13, 2020, 03:30 PM   #7
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Originally Posted by Mahjik View Post
The FDA does not publish how they make that decision. They do publish some things that they take in account, which things like affect on a person is in there. But you won't find their exact criteria and how they make their decisions.
Then again, it is all subjective. Here in the states you can easily get as much melatonin (for example) as you want at the local CVS/Walgreens/Walmart/etc but over in the U.K. it's prescription only.
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Old Feb 13, 2020, 03:42 PM   #8
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FWIW, I do consider cyclobenzaprine/Flexeril "dangerous" depending on the dosage. It affects people differently. I know people who have had some pretty disturbing hallucinations after taking it. I took it once before leaving work (not understanding it's affects on me at that time). Needless to say, I don't remember half of my drive home and I obviously never did that again.
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Old Feb 13, 2020, 03:57 PM   #9
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Higgy can sell you a muscle relaxer
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Old Feb 13, 2020, 04:04 PM   #10
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AMA lobby is why so many meds require prescriptions in the US.
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Old Feb 13, 2020, 04:35 PM   #11
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Quote:
Originally Posted by Mahjik View Post
FWIW, I do consider cyclobenzaprine/Flexeril "dangerous" depending on the dosage. It affects people differently. I know people who have had some pretty disturbing hallucinations after taking it. I took it once before leaving work (not understanding it's affects on me at that time). Needless to say, I don't remember half of my drive home and I obviously never did that again.
It's only recommended to take that at night time and that is an unusual reaction (assuming it was no greater than 10mg). It does have a mild sedating affect, but then again so does benadryl (also not recommended to take during waking hours). NSAIDS can be dangerous too, as pretty much any drug is.
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Old Feb 13, 2020, 08:30 PM   #12
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my chiro, suggests these, no prescription required,

https://www.amazon.com/Formula-Maxim...2 C208&sr=8-4
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Old Feb 13, 2020, 09:28 PM   #13
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Originally Posted by xCLAVEx View Post
It's only recommended to take that at night time and that is an unusual reaction (assuming it was no greater than 10mg). It does have a mild sedating affect, but then again so does benadryl (also not recommended to take during waking hours). NSAIDS can be dangerous too, as pretty much any drug is.
I'm not sure where you read or got that it's suggested to take at night. It's "taken as needed". If you are in severe pain and prescribed the medication, you don't wait for bedtime to take it. If your discomfort is during sleeping, then yes that would be the appropriate time to take it.
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Old Feb 14, 2020, 01:31 AM   #14
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Quote:
Originally Posted by Mahjik View Post
I'm not sure where you read or got that it's suggested to take at night. It's "taken as needed". If you are in severe pain and prescribed the medication, you don't wait for bedtime to take it. If your discomfort is during sleeping, then yes that would be the appropriate time to take it.
It does say not recommended to take while operating heavy machinery, including a car, but unless you have had no experience with the drug and didn't talk to the dr/pharmacist (not wise) it is pretty much common knowledge that some muscle relaxers sedate. Not all though, many don't sedate but cyclo is one that does.
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Old Feb 14, 2020, 09:06 AM   #15
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Higgy can sell you a muscle relaxer
True that but I’m retired these days
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Old Feb 14, 2020, 11:31 AM   #16
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True that but I’m retired these days
How retired?
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Old Feb 14, 2020, 11:46 AM   #17
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Originally Posted by xCLAVEx View Post
It does say not recommended to take while operating heavy machinery, including a car, but unless you have had no experience with the drug and didn't talk to the dr/pharmacist (not wise) it is pretty much common knowledge that some muscle relaxers sedate. Not all though, many don't sedate but cyclo is one that does.
Well yes, but the current level medical information wasn't as readily available 20 years ago. The doctors used to say, when you have pain, take these. My dosage back then was pretty high as I was going through severe back pain (ended up leading to surgery in 2008).
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Old Feb 14, 2020, 11:51 AM   #18
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How retired?
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Old Feb 14, 2020, 04:45 PM   #19
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I thought anything that required a prescription was ipso facto a controlled substance.
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Old Feb 14, 2020, 05:29 PM   #20
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The fruits of my labous are exclusively for my own benefit(and the sister in law)
Selfish bastard
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Old Yesterday, 10:01 AM   #21
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I thought anything that required a prescription was ipso facto a controlled substance.
Nope. Mostly about potential for abuse and dependence. Some steroids and drugs like valium & Xanax are on the list too. Here's a list of CS schedules and examples of each

Schedule I Controlled Substances

Substances in this schedule have no currently accepted medical use in the United States, a lack of accepted safety for use under medical supervision, and a high potential for abuse.

Some examples of substances listed in Schedule I are: heroin, lysergic acid diethylamide (LSD), marijuana (cannabis), peyote, methaqualone, and 3,4-methylenedioxymethamphetamine ("Ecstasy").

Schedule II/IIN Controlled Substances (2/2N)

Substances in this schedule have a high potential for abuse which may lead to severe psychological or physical dependence.

Examples of Schedule II narcotics include: hydromorphone (Dilaudid®), methadone (Dolophine®), meperidine (Demerol®), oxycodone (OxyContin®, Percocet®), and fentanyl (Sublimaze®, Duragesic®). Other Schedule II narcotics include: morphine, opium, codeine, and hydrocodone.

Examples of Schedule IIN stimulants include: amphetamine (Dexedrine®, Adderall®), methamphetamine (Desoxyn®), and methylphenidate (Ritalin®).

Other Schedule II substances include: amobarbital, glutethimide, and pentobarbital.

Schedule III/IIIN Controlled Substances (3/3N)


Substances in this schedule have a potential for abuse less than substances in Schedules I or II and abuse may lead to moderate or low physical dependence or high psychological dependence.

Examples of Schedule III narcotics include: products containing not more than 90 milligrams of codeine per dosage unit (Tylenol with Codeine®), and buprenorphine (Suboxone®).

Examples of Schedule IIIN non-narcotics include: benzphetamine (Didrex®), phendimetrazine, ketamine, and anabolic steroids such as Depo®-Testosterone.

Schedule IV Controlled Substances

Substances in this schedule have a low potential for abuse relative to substances in Schedule III.

Examples of Schedule IV substances include: alprazolam (Xanax®), carisoprodol (Soma®), clonazepam (Klonopin®), clorazepate (Tranxene®), diazepam (Valium®), lorazepam (Ativan®), midazolam (Versed®), temazepam (Restoril®), and triazolam (Halcion®).

Schedule V Controlled Substances

Substances in this schedule have a low potential for abuse relative to substances listed in Schedule IV and consist primarily of preparations containing limited quantities of certain narcotics.

Examples of Schedule V substances include: cough preparations containing not more than 200 milligrams of codeine per 100 milliliters or per 100 grams (Robitussin AC®, Phenergan with Codeine®), and ezogabine.

https://www.deadiversion.usdoj.gov/schedules/


EDIT Basically, the rule is that if a drug requires supervision of a physician, it needs a prescription. The problem is that many OTC drugs can cause problems or even death if not taken properly, but many people assume that if it's OTC then it's perfectly safe to be taken however and whenever they want. Instructions labels are for noobs.

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Old Yesterday, 10:53 AM   #22
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Is there a way to make meth out of it? Or do some other foolish thing with it that humans tend to do?

That might be a reason it's Rx-only.

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Old Yesterday, 06:45 PM   #23
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EDIT Basically, the rule is that if a drug requires supervision of a physician, it needs a prescription. The problem is that many OTC drugs can cause problems or even death if not taken properly, but many people assume that if it's OTC then it's perfectly safe to be taken however and whenever they want. Instructions labels are for noobs.

For example: like long term killing of your liver or something. One off isn't going to hurt you, but if you're taking it day after day it could cause problems. They're protecting you from yourself.


"controlled substances" go a step past that and basically keep tabs on you and inform the powers-that-be.
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Old Today, 07:08 AM   #24
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Higgy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling fresh


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Originally Posted by Cyko View Post
Selfish bastard
well i tried to think of a eloquent rebuttal to that.... and i got nothing
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Old Today, 07:11 AM   #25
Higgy10
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Join Date: Mar 2002
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Higgy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling freshHiggy10 kills 99.99% of germs and leaves hands feeling fresh


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Originally Posted by koralis View Post
For example: like long term killing of your liver or something. One off isn't going to hurt you, but if you're taking it day after day it could cause problems. They're protecting you from yourself.
Thats true, even things advil,tylenol,aleve will do a number on your guts, cause ulcers and a number of GE problems if taken to often and for to long a duration
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