Management of Headache in Pregnant Women

We will create a personalized plan for you that may include stretching and breathing exercises that can help relax the pelvic floor muscles and improve their length. We may fit you for a belt or brace to help stabilize the pelvis. Unfortunately, pregnancy hormones can increase the risk of constipation, and iron supplements can slow the digestive system. Drinking lots of water, staying active, and eating high-fiber foods can help keep things moving and prevent pain.

• If the new mother is required to consume Cyclobenzaprine, she need not discontinue breastfeeding.
• But the composition of cyclobenzaprine is similar to tricyclic antidepressants such as imipramine or amitriptyline, which are known to interact with breast milk.
• It will help avert any adverse effect of the drug on your well-being and infant development.
• Off-label treatments should be prescribed only with clear disclosure of off-label use and risk.

Here are some measures you can use after your muscle injury for effective pain management. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your care team if the problem does not go away or is severe. Do not vyvanse and flexeril drive, use machinery, or do anything that needs mental alertness until you know how this medication affects you. Do not stand or sit up quickly, especially if you are an older patient. Alcohol may interfere with the effect of this medication.

The initial dose is 50 to 100 mg at bedtime that may be increased by 25 or 50 mg at bedtime as needed. The first step of migraine management during pregnancy is conservative, but this option will be insufficient for some women. This review provides a synthesis of current understanding considering both safety and evidence. According to the prescribing information for Flexeril published by the U.S. Food and Drug Administration (FDA),the medication has been tested on mice, rats, and rabbits with no adverse side effects impacting fertility or fetuses.

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Flexeril is usually given in 10 mg tablets up to three times daily 1. It is generally not considered addictive, but it may have side effects such as sleepiness and dizziness. A muscle relaxant, cyclobenzaprine (flexeril) is used to help relieve pain, stiffness, and discomfort caused by strains, sprains, or injuries in muscles. Cyclobenzaprine is very closely related to the antidepressant amitriptyline and it is used as a skeletal muscle relaxant to reduce pain and tenderness and improve mobility.

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You must check to make sure that it is safe to give this drug with all of your child’s other drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor. Cyclobenzaprine may pass into the mother’s breast milk and induce adverse effects in a breastfed kid. Consult your doctor before breastfeeding in conjunction with Flexeril use.

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This information from Lexicomp® explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider. If over-the-counter medication and physical therapy do not help, some people may benefit from injection of corticosteroids. We try to avoid these injections during pregnancy because they are generally guided by fluoroscopy, an imaging technique that uses X-rays. Many women experience lower back pain during pregnancy. For approximately one-third of pregnant patients, the aching annoyance becomes a significant pain in the rear – or more precisely, the tailbone.

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Do not start, stop, or change the dosage of any medicines without your doctor’s approval. Although all skeletal muscle relaxants should be used with caution in older patients, diazepam especially should be avoided in older patients or in patients with significant cognitive or hepatic impairment. On the flip side, some women reported negative experiences with Flexeril while pregnant.

Your doctor can help you determine whether Flexeril is a good option for you and can monitor you and your developing baby for any potential risks or complications. If amitriptyline is discontinued abruptly, dizziness, headache, nausea, and restlessness may occur. Withdrawal symptoms may occur when even a few doses are missed. Therefore, it is recommended that the dose of antidepressants be reduced gradually when therapy is discontinued. Ubrogepant and rimegepant, gepants for acute treatment of migraine are not recommended for use in pregnancy according to ACOG CPG.14 There are no case reports of pregnancy exposures to this class of medication.

If you do experience side effects while taking Flexeril during pregnancy, make sure to talk to your doctor right away. In some cases, your doctor may be able to adjust your dosage or recommend other medications that may be safer for you and your developing baby. It’s also important to avoid driving or operating heavy machinery while taking Flexeril, as the medication can cause drowsiness and make it harder to concentrate. By being aware of the potential side effects of Flexeril and taking steps to manage them, you can help ensure a safe and healthy pregnancy. It is commonly considered an adjunct medication, which means it is to be used in tandem with other methods to treat muscle pain and spasms, such as physical therapy and rest. Alternative and holistic measures are optimal during pregnancy.

How was your experience with Flexeril?

We have plenty of options to reduce pain and make you comfortable. There is no reason to suffer, so if the pain lingers or worsens, talk to your doctor about next steps. You can take some of the pressure off your achy tailbone by using a special seat cushion.