Prescription medication · Muscle Relaxant
cyclobenzaprine
Also sold as Flexeril, Amrix. This medicine treats muscle spasms caused by painful conditions.
Data updated 2026-05-15
- 47,426
- FDA reportsOften reported
- 17
- InteractionsSeveral interactions
- $0.02
- Generic price (NADAC)
What the data shows
cyclobenzaprine (Flexeril) is a prescription Muscle Relaxant, reported at a middle-of-the-pack volume (47,426 FDA reports), with 17 documented drug interactions.
Reporting volume reflects how widely a drug is used and studied, not how dangerous it is, a FAERS report documents a temporal association, never proof of cause.
cyclobenzaprine (Flexeril) is a prescription Muscle Relaxant. This medicine treats muscle spasms caused by painful conditions.
Cyclobenzaprine is a muscle relaxant. It helps relieve muscle spasms and pain.
Verify with FDA → · CMS NADAC pricing →
Drug Pricing (NADAC)
Generic Price
$0.02/unit
Generic Available
Yes (13 manufacturers)
Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →
What it does
This medicine treats muscle spasms caused by painful conditions.
Common side effects
Drowsiness, Dry mouth, Fatigue
Key warnings
You should not take this medicine if you are allergic to any of its ingredients.
The sections below are summarized in plain English from cyclobenzaprine's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.
How It Works
Cyclobenzaprine works in the brain and spinal cord to relax your muscles. It reduces muscle spasms, which helps to relieve pain and improve movement. It does not directly work on the muscles themselves.
Side Effects (from patient reports)
Based on 47,426 FDA adverse event reports.
Most-reported reactions
Adverse reactions in FAERS for cyclobenzaprine, by number of reports
- Pain
Pain
4,871 reports
- Fatigue
Fatigue
3,808 reports
- Nausea
Nausea
3,303 reports
- Headache
Headache
3,292 reports
- Chronic Kidney Disease
Chronic Kidney Disease
2,749 reports
- Diarrhoea
Diarrhoea
2,426 reports
- Fall
Fall
2,334 reports
- Arthralgia
Arthralgia
2,325 reports
- Toxicity To Various Agents
Toxicity To Various Agents
2,289 reports
- Dyspnoea
Dyspnoea
2,099 reports
What this shows Bars show how often each reaction was reported, not how likely it is to happen, a report records a temporal association, never proof that the drug caused it.
Reports over time
Adverse-event reports filed for cyclobenzaprine each year to the FDA Adverse Event Reporting System (FAERS).
Year-to-year volume tracks usage, prescribing, and scrutiny, not a change in per-patient risk. Source: FDA FAERS.
Where cyclobenzaprine sits
cyclobenzaprine has more FDA adverse-event reports than 72% of the drugs FAERS tracks. A high position reflects how widely a drug is used and watched, not how dangerous it is.
Percentile across all drugs PlainMeds tracks by FAERS report volume. The dot is cyclobenzaprine; the line is the median (50th percentile).
FDA Adverse Event Report Analysis
Detailed analysis of 47,426 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2003–2025.
Total Reports
47,426
Reports Mentioning Death
6,863
14.5% of reports — not proof of cause
Hospitalization Reports
13,293
Top Indication
Product Used For Unknown Indication
Gender Distribution
Age Distribution
Most Reported Adverse Reactions (FAERS)
| # | Reaction | Reports |
|---|---|---|
| 1 | PAIN | 4,871 |
| 2 | FATIGUE | 3,808 |
| 4 | NAUSEA | 3,303 |
| 5 | HEADACHE | 3,292 |
| 6 | CHRONIC KIDNEY DISEASE | 2,749 |
| 8 | DIARRHOEA | 2,426 |
| 9 | FALL | 2,334 |
| 10 | ARTHRALGIA | 2,325 |
| 11 | TOXICITY TO VARIOUS AGENTS | 2,289 |
| 12 | DYSPNOEA | 2,099 |
| 13 | CONSTIPATION | 2,064 |
| 14 | BACK PAIN | 2,048 |
| 15 | COMPLETED SUICIDE | 1,953 |
| 16 | DIZZINESS | 1,936 |
| 17 | ANXIETY | 1,929 |
Reactions in Death Reports
Reactions in Hospitalization Reports
Source: FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation
Serious Warnings
You should not take this medicine if you are allergic to any of its ingredients. You should not take this medicine if you are taking a monoamine oxidase (MAO) inhibitor or have taken one in the past 14 days. Taking cyclobenzaprine with an MAO inhibitor can cause serious problems, including seizures and death. Also, do not take it if you have heart problems or an overactive thyroid.
Known Drug Interactions
Anticholinergic Drugs Concomitant treatment with clozapine and other drugs with anticholinergic activity (e.g., benztropine, cyclobenzaprine, diphenhydramine) can increase the risk for anticholinergic toxicity and severe gastrointestinal adverse reactions related to hypomotility.
Mechanism: Both drugs have similar side effects that can slow down your digestive system and cause confusion or dry mouth. Combining them makes these side effects much more likely and can lead to severe constipation or toxicity.
Examples: Selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), triptans, 5-HT3 receptor antagonists, drugs that affect the serotonin neurotransmitter system (e.g., mirtazapine, trazodone, tramadol), certain muscle relaxants (i.e., cyclobenzaprine, metaxalone), monoamine oxidase inhibitors (those intended to treat psychiatric disorders and also others, such as linezolid and intravenous methylene blue). Due to the risk of respiratory depression with concomitant use of skeletal muscle relaxants and...
Mechanism: Taking these drugs together increases the risk of dangerous slowing of your breathing. They can also cause a serious buildup of a brain chemical called serotonin.
Product Clinical Comment on Concomitant Use [See Contraindications (4.1)] ; Predominant Effect/Risk [Hypertensive Reaction (HR) [See Warnings and Precautions (5.3)] ; or Serotonin Syndrome (SS) [See Warnings and Precautions (5.7)] ] Altretamine Use with caution If not otherwise specified in this table, consider avoiding concomitant use (see also information on medication-free intervals , use agent at the lowest appropriate dose, monitor for effects of the interaction, advise the patient to report potential effects, and be prepared to discontinue the agent and treat effects of the...
Mechanism: Taking these drugs together can lead to a life-threatening reaction or a sudden, very high increase in blood pressure.
Serotonergic Drugs The concomitant use of opioids with other drugs that affect the serotonergic neurotransmitter system, such as selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), tryptans, 5-HT3 receptor antagonists, drugs that affect the serotonin neurotransmitter system (e.g., mirtazapine, trazodone, tramadol), certain muscle relaxants (i.e., cyclobenzaprine, metaxalone), and monoamine oxidase (MAO) inhibitors (those intended to treat psychiatric disorders and also others, such as linezolid and...
Mechanism: Both drugs increase serotonin levels in the brain, which can cause a serious reaction called serotonin syndrome.
Examples: Selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), triptans, 5-HT3 receptor antagonists, drugs that affect the serotonin neurotransmitter system (e.g., mirtazapine, trazodone, tramadol), certain muscle relaxants (i.e., cyclobenzaprine, metaxalone), monoamine oxidase (MAO) inhibitors (those intended to treat psychiatric disorders and also others, such as linezolid and intravenous methylene blue).
Mechanism: Both drugs increase serotonin levels in the brain, which can cause a serious and potentially dangerous reaction.
This is a plain-language summary of FDA-label interaction records and does not provide individual medication-combination directions.
Common Questions
Can I drive while taking this medicine?
Can I drink alcohol while taking this medicine?
How long does it take for this medicine to work?
Can I take this medicine with other medicines?
What should I do if I have side effects?
Can I stop taking this medicine suddenly?
Is cyclobenzaprine a painkiller?
Can I take cyclobenzaprine long term?
What do the different colored pills mean?
Can I crush or split the tablets?
What are the common side effects of cyclobenzaprine?
Does cyclobenzaprine interact with other medications?
What drug class is cyclobenzaprine?
What pregnancy or breastfeeding source fields are listed for cyclobenzaprine?
Related Medications in Muscle Relaxant
Other drugs grouped near cyclobenzaprine - same-class peers and common alternatives.
baclofen
Lioresal, Gablofen
Baclofen is a muscle relaxant.
Compare with cyclobenzaprine →
botulinum toxin A
Botox
Botox is a drug that blocks nerve signals to muscles.
Compare with cyclobenzaprine →
carisoprodol
Soma
Carisoprodol is a muscle relaxant.
Compare with cyclobenzaprine →
chlorzoxazone
Parafon Forte
Chlorzoxazone is a muscle relaxant.
Compare with cyclobenzaprine →
dantrolene
Dantrium
Dantrolene is a muscle relaxant.
Compare with cyclobenzaprine →
Compare beyond drug class
Nationwide peers by FAERS volume & death-report share
Two PlainMeds-derived comparison paths for cyclobenzaprine: nearest FDA FAERS report volume and nearest death-report share among drugs with at least 1,000 logged reports, excluding same-class neighbors listed above. Counts reflect reporting volume, not proven individual harm.
Similar FAERS report volume
Nearest drugs by total FAERS reports. This record: 47,426.
Similar death-report share
Nearest drugs by FAERS death-report share. This record: 14.47%.
- fluvastatin Δ 0.04 pts · 3,948 reports · HMG-CoA Reductase Inhibitor (Statin) 14.51%death share
- phenytoin Δ 0.05 pts · 20,453 reports · Anticonvulsant (Hydantoin) 14.42%death share
- quetiapine Δ 0.07 pts · 185,533 reports · Atypical Antipsychotic 14.54%death share
- theophylline Δ 0.10 pts · 11,723 reports · Methylxanthine Bronchodilator 14.57%death share
Medication Guides
Understanding Drug Interactions
How CYP450 enzymes, inhibitors, and inducers affect your medications
Generic vs Brand Name Drugs
FDA requirements, cost savings, and when the difference matters
Narrow Therapeutic Index Drugs
FDA bioequivalence and label-record context for narrow therapeutic index medicines
Common Drug Interactions
Dangerous medication combinations and how to protect yourself
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What the FDA Data Shows for cyclobenzaprine
The FDA label for cyclobenzaprine (sold under brand names such as Flexeril, Amrix) classifies it as a prescription-only medication in the Muscle Relaxant class. This medicine treats muscle spasms caused by painful conditions. Official labeling lists 4 commonly reported side effects, including Drowsiness, Dry mouth, Fatigue.
Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 47,426 voluntary reports. The database also lists 17 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. NADAC pricing from CMS shows a generic unit cost of $0.02.
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 are separate source-record fields. This page is a public FDA/CMS registry and does not provide medical, treatment, substitution, or medication-change directions.
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. This registry does not provide medication decisions.
Last updated: December 5, 2025
PlainMeds is rendered directly from FDA openFDA/FAERS extracts, DailyMed labels, and CMS drug-pricing files, no number is typed in by an editor. FAERS counts, recalls, shortages, and price figures on this page are queried live from those federal extracts. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026-05-15. Primary sources: openFDA / FAERS, DailyMed and CMS Part B ASP.
Read our methodology - how this data is sourced, computed, and verified.
Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled from the source snapshot dated . See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a data issue.
All federal data sources used on this page
- FDA Orange Book - approved drug products with therapeutic equivalence. accessdata.fda.gov/cder/ob
- FDA DailyMed - NIH-hosted drug labeling for FDA-approved meds. dailymed.nlm.nih.gov
- FDA Adverse Event Reporting System (FAERS) - post-marketing safety surveillance. fda.gov/drugs/faers
- NLM RxNorm - standardized clinical drug nomenclature. nlm.nih.gov/research/umls/rxnorm
- CMS Medicare Part B Drug Average Sales Price Files - federal drug pricing data. cms.gov/medicare/part-b-drugs/asp
- FDA Drug Shortages Database - current and resolved drug shortage tracking. accessdata.fda.gov/drugshortages