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chlorzoxazone

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Brand names: Parafon Forte

Muscle Relaxant Rx

Chlorzoxazone is a muscle relaxant. It helps to relieve discomfort from painful muscle problems.

Drug Pricing (NADAC)

Generic Price

$0.19/unit

Generic Available

Yes (11 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

This medicine treats discomfort from muscle problems.

Common side effects

Drowsiness, Dizziness, Lightheadedness

Key warnings

If you are intolerant to chlorzoxazone, you should not take this medicine.

How It Works

The way this drug works is not fully known. It may work by making you feel sleepy. This medicine does not directly relax your muscles.

How to Take It

Take one tablet three or four times each day. If that doesn't help enough, your doctor may increase your dose to one and a half tablets (750 mg) three or four times a day. Your doctor will lower your dose as you start feeling better.

Pregnancy & Breastfeeding

Talk to your doctor if you are pregnant or breastfeeding. It is not known if this medicine will harm your unborn baby. It is also not known if this medicine passes into breast milk.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is close to your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store at room temperature between 59° and 86°F.

Side Effects (from patient reports)

Based on 749 FDA adverse event reports.

Feeling unsteady or lightheaded
94
Feeling sick to your stomach
94
Feeling very tired
92
General discomfort
90
Medicine not working
81
Pain in your head
72
Feeling worried or nervous
66
Long-term kidney problems
56
Loose, watery stools
53
Feeling sleepy or drowsy
51

FDA Adverse Event Report Analysis

Detailed analysis of 1,256 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

1,256

Death-Related Reports

130

Hospitalization Reports

346

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 880 (75%)
Male 288 (25%)

Age Distribution

0–17 5
18–44 169
45–64 417
65–74 152
75+ 62

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DIZZINESS 94
2 NAUSEA 94
3 FATIGUE 92
4 PAIN 90
5 DRUG INEFFECTIVE 81
6 HEADACHE 72
7 ANXIETY 66
8 CHRONIC KIDNEY DISEASE 56
9 DIARRHOEA 53
10 SOMNOLENCE 51
11 DYSPNOEA 47
12 WEIGHT DECREASED 46
13 FALL 45
14 BACK PAIN 44
15 COMPLETED SUICIDE 43

Reactions in Death Reports

COMPLETED SUICIDE 43
TOXICITY TO VARIOUS AGENTS 18
DEATH 16
STEVENS-JOHNSON SYNDROME 14
CARDIO-RESPIRATORY ARREST 9
CHRONIC KIDNEY DISEASE 7
CIRCULATORY COLLAPSE 7
DEPRESSED LEVEL OF CONSCIOUSNESS 7
DIZZINESS 7
RESPIRATORY ARREST 7

Reactions in Hospitalization Reports

PAIN 36
PNEUMONIA 30
ANXIETY 29
NAUSEA 27
FATIGUE 25
DYSPNOEA 23
TOXICITY TO VARIOUS AGENTS 23
FALL 21
ACUTE KIDNEY INJURY 20
CHEST PAIN 15

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

If you are intolerant to chlorzoxazone, you should not take this medicine.

Known Drug Interactions

Examples: Strong CYP3A inhibitors: itraconazole, clarithromycin Moderate CYP3A inhibitors: fluconazole, verapamil Weak CYP3A inhibitors: chlorzoxazone, ranitidine Strong and Moderate CYP3A Inducers Clinical Impact: Concomitant use with a strong or moderate CYP3A inducer decreases lemborexant exposure, which may reduce DAYVIGO efficacy [see Clinical Pharmacology ( 12.3 )].

Mechanism: Chlorzoxazone slows down the process your body uses to get rid of lemborexant. This may lead to higher levels of the sleep medicine in your blood.

What to do: Your doctor may need to monitor you more closely for extra sleepiness or adjust your dose.

Common Questions

Can this medicine make me sleepy?
Yes, drowsiness is a common side effect.
How often should I take this medicine?
Take one tablet three or four times a day, or as your doctor directs.
What should I do if I have side effects?
Tell your doctor about any side effects you experience.
Can I take this with other medicines?
Talk to your doctor about all the medicines you take, including over-the-counter drugs.
How long does it take for this medicine to work?
It may take a few days to feel the full effects of this medicine.
Can I drive while taking this medicine?
This medicine can cause drowsiness, so be careful driving or operating machinery.
What does the tablet look like?
The tablets are light orange to orange, round, hexagonal, and have "N" and "500" printed on them.
How should I store this medicine?
Store this medicine at room temperature in a tight container, away from children.
What if the regular dose doesn't work?
Your doctor might increase your dose to 750mg (one and a half tablets) three or four times daily.
Can this medicine cause allergic reactions?
Rarely, some people get allergic skin rashes from this medicine.
What are the common side effects of chlorzoxazone?
The most commonly reported side effects of chlorzoxazone include Drowsiness, Dizziness, Lightheadedness, Feeling unwell, Over-stimulation. Based on 749 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does chlorzoxazone interact with other medications?
Yes, chlorzoxazone has 1 known drug interactions. Notable interactions include lemborexant. Always inform your doctor about all medications you are taking.
What drug class is chlorzoxazone?
chlorzoxazone belongs to the Muscle Relaxant drug class. It requires a prescription (Rx). This medicine treats discomfort from muscle problems.
Is chlorzoxazone safe during pregnancy?
Talk to your doctor if you are pregnant or breastfeeding. It is not known if this medicine will harm your unborn baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

Related Medications in Muscle Relaxant

Other drugs grouped near chlorzoxazone — same-class peers and common alternatives.

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Medication Guides

Related Health & Safety Data

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What the FDA Data Shows for chlorzoxazone

The FDA label for chlorzoxazone (sold under brand names such as Parafon Forte) classifies it as a prescription-only medication in the Muscle Relaxant class. This medicine treats discomfort from muscle problems. Official labeling lists 5 commonly reported side effects, including Drowsiness, Dizziness, Lightheadedness.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 749 voluntary reports. The database also lists 1 documented drug interaction derived from FDA labeling, with the top-flagged interaction rated minor severity. NADAC pricing from CMS shows a generic unit cost of $0.19.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: March 1, 2025

All federal data sources used on this page