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Tizanidine

Generic Name
Tizanidine
Brand Names
Zanaflex
Drug Type
Small Molecule
Chemical Formula
C9H8ClN5S
CAS Number
51322-75-9
Unique Ingredient Identifier
6AI06C00GW
Background

Tizanidine is a fast-acting drug used for the management of muscle spasm, which may result from the effects of multiple sclerosis, stroke, an acquired brain injury, or a spinal cord injury . It may also be caused by musculoskeletal injury . Regardless of the cause, muscle spasticity can be an extremely painful and debilitating condition.

Initially approved by the FDA in 1996, tizanidine is an Alpha-2 adrenergic receptor agonist reducing spasticity by the presynaptic inhibition of excitatory neurotransmitters that cause firing of neurons promoting muscle spasm .

Indication

Tizanidine is indicated for the relief of muscle spasticity, which can interfere with daily activities. The general recommendation is to reserve tizanidine use for periods of time when there is a particular need for relief, as it has a short duration of action .

Associated Conditions
Acute Low Back Pain, Drug Withdrawal Headache, Insomnia, Migraine, Pain, Seizures, Spasticity, Muscle
Associated Therapies
Withdrawal From Addictive Substance; Detoxification

Single Dose Monoaminergic Drive in Stroke

Early Phase 1
Recruiting
Conditions
Stroke
Interventions
Drug: Placebo
Drug: Tizanidine
First Posted Date
2024-10-30
Last Posted Date
2024-10-30
Lead Sponsor
Northwestern University
Target Recruit Count
64
Registration Number
NCT06666673
Locations
🇺🇸

Northwestern University, Dept. of PTHMS 645 N Michigan Ave, Suite 1100, Chicago, Illinois, United States

Assess the Effect of Metaxalone 640 mg (M640) Compared to Tizanidine 8 mg on Truck Driving Ability and Cognition

Phase 4
Recruiting
Conditions
Cognitive Impairment
Interventions
First Posted Date
2024-04-24
Last Posted Date
2024-06-07
Lead Sponsor
Primus Pharmaceuticals
Target Recruit Count
20
Registration Number
NCT06382662
Locations
🇺🇸

Sun Valley Arthritis Center, Peoria, Arizona, United States

Effect of Tizanidine on Postoperative Urinary Retention After Sacrospinous Suspension

Phase 3
Recruiting
Conditions
Postoperative Urinary Retention
Sacrospinous Vaginal Vault Suspension
Reconstructive Pelvic Surgery
Interventions
First Posted Date
2024-02-14
Last Posted Date
2024-11-19
Lead Sponsor
NorthShore University HealthSystem
Target Recruit Count
30
Registration Number
NCT06258785
Locations
🇺🇸

NorthShore University Health System, Skokie, Illinois, United States

CARES-Spine (Comprehensive Analgesic, Recovery, and Education Support for Spine Surgery) Trial

Phase 3
Not yet recruiting
Conditions
Back Pain
Neck Pain
Chronic Pain
Opioid Misuse
Interventions
Drug: Tizanidine
Behavioral: Enhanced Usual Care
Drug: Placebo
Behavioral: MI-Opioid Taper
First Posted Date
2023-09-07
Last Posted Date
2024-08-16
Lead Sponsor
Stanford University
Target Recruit Count
375
Registration Number
NCT06027099

Opioid-Free Pain Protocol After Shoulder Arthroplasty

First Posted Date
2022-08-05
Last Posted Date
2024-01-12
Lead Sponsor
Henry Ford Health System
Target Recruit Count
80
Registration Number
NCT05488847
Locations
🇺🇸

Henry Ford Health, Detroit, Michigan, United States

Gabapentin and Tizanidine for Insomnia in Chronic Pain

Phase 2
Completed
Conditions
Insomnia Due to Medical Condition
Chronic Pain
Interventions
First Posted Date
2020-06-12
Last Posted Date
2025-01-03
Lead Sponsor
University of California, San Diego
Target Recruit Count
9
Registration Number
NCT04429347
Locations
🇺🇸

Center for Pain Medicine, UC San Diego, La Jolla, California, United States

Ibuprofen Plus Metaxolone, Tizanidine, or Baclofen for Low Back Pain

Phase 4
Completed
Conditions
Low Back Pain
Interventions
First Posted Date
2017-03-03
Last Posted Date
2020-08-12
Lead Sponsor
Montefiore Medical Center
Target Recruit Count
320
Registration Number
NCT03068897
Locations
🇺🇸

Montefiore Medical Center, Bronx, New York, United States

Tizanidine and Superficial Cervical Block on Pain After Thyroidectomy

Phase 4
Completed
Conditions
Thyroidectomy
Interventions
Drug: Placebo
Drug: Tizanidine
Drug: Saline
Drug: Bupivacaine
First Posted Date
2016-04-01
Last Posted Date
2016-12-20
Lead Sponsor
Ataturk University
Target Recruit Count
60
Registration Number
NCT02725359
Locations
🇹🇷

Ataturk University, Yakutiye, Erzurum, Turkey

Tizanidine and Pain After Herniorrhaphy

Phase 4
Completed
Conditions
Unilateral Inguinal Hernia
Interventions
Drug: Placebo
Drug: Tizanidine
First Posted Date
2013-12-20
Last Posted Date
2015-04-23
Lead Sponsor
Diskapi Teaching and Research Hospital
Target Recruit Count
30
Registration Number
NCT02016443
Locations
🇹🇷

Diskapi Yildirim Beyazit training and research hospital, Ankara, Turkey

A Study on the Effect of Vemurafenib on the Pharmacokinetics of a Single Dose of Tizanidine in Patients With BRAFV600 Mutation-Positive Metastatic Malignancies

Phase 1
Completed
Conditions
Malignant Melanoma, Neoplasms
Interventions
First Posted Date
2013-05-01
Last Posted Date
2017-03-20
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
18
Registration Number
NCT01844674
Locations
🇨🇾

Bank of Cyprus Oncology Center, Nicosia, Cyprus

🇨🇦

CSSS champlain - Charles-Le Moyne, Greenfield Park, Quebec, Canada

🇺🇸

Karmanos Cancer Center, Detroit, Michigan, United States

and more 9 locations
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