- Human Prescription
- Archived
May Be Discontinued
Try Other LabelersRedPharm Drug, Inc.
Contract Pharmacy Services-PA
Blenheim Pharmacal, Inc.
State of Florida DOH Central Pharmacy
Dispensing Solutions, Inc.
Aphena Pharma Solutions - Tennessee, LLC
A-S Medication Solutions
A-S Medication Solutions
- Par Pharmaceutical
Version History
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- SPL 9 - Nov 13, 2019
- SPL 8 - Jul 18, 2018
- SPL 7 - Oct 24, 2017
- SPL 6 - Aug 21, 2015
- SPL 5 - Jul 20, 2015
- SPL 3 - Aug 09, 2010
- SPL 2 - May 13, 2009
- SPL 1 - Sep 18, 2007
Generic: methocarbamol
Pregnancy Risk
Animal reproduction studies have not been conducted with methocarbamol. It is also not known whether methocarbamol can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Methocarbamol should be given to a pregnant woman only if clearly needed.
Animal reproduction studies have not been conducted with methocarbamol. It is also not known whether methocarbamol can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Methocarbamol should be given to a pregnant woman only if clearly needed. Safe use of methocarbamol has not been established with regard to possible adverse effects upon fetal development. There have been reports of fetal and congenital abnormalities following in utero exposure to methocarbamol.Therefore, methocarbamol should not be used in women who are or may become pregnant and particularly during early pregnancy unless in the judgment of the physician the potential benefits outweigh the possible hazards. (see WARNINGS ).
Methocarbamol and/or its metabolites are excreted in the milk of dogs; however, it is not known whether methocarbamol or its metabolites are excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when methocarbamol is administered to a nursing woman.
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IMPRINT: 4212 ; 4212 V SHAPE: oval
COLOR: white
All Imprints
methocarbamol 500 mg - 4211 4211 v round white
methocarbamol 750 mg - 4212 4212 v oval white
methocarbamol - methocarbamol 750 mg oral tablet - 4212 v oval white
methocarbamol 500 mg oral tablet - 4211 v round white
methocarbamol - methocarbamol 750 mg oral tablet - v 4212 oval white
methocarbamol tablet - 4211 v
methocarbamol 500 mg - 4211 v round white
methocarbamol 750 mg - 4212 v oval white
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Description
Methocarbamol Tablets, USP, 500 mg and 750 mg, a carbamate derivative of guaifenesin, is a central nervous system (CNS) depressant with sedative and musculoskeletal relaxant properties.The chemical name of methocarbamol is 3-(2-methoxyphenoxy)-1, 2-propanediol 1-carbamate and has the empirical formula C11H15NO5. Its molecular weight is 241.24.
The structural formula is shown below.
Methocarbamol is a white powder, sparingly soluble in water and chloroform, soluble in alcohol (only with heating) and propylene glycol, and insoluble in benzene and n-hexane.Each tablet, for oral administration, contains either 500 mg or 750 mg of methocarbamol, USP. The inactive ingredients present are colloidal silicon dioxide, magnesium stearate, povidone, pregelatinized corn starch, purified water, sodium starch glycolate, and stearic acid.
Clinical Pharmacology
The mechanism of action of methocarbamol in humans has not been established, but may be due to general central nervous system (CNS) depression. It has no direct action on the contractile mechanism of striated muscle, the motor end plate or the nerve fiber.
Pharmaco*kinetics
In healthy volunteers, the plasma clearance of methocarbamol ranges between 0.20 and 0.80 L/h/kg, the mean plasma elimination half-life ranges between 1 and 2 hours, and the plasma protein binding ranges between 46% and 50%.Methocarbamol is metabolized via dealkylation and hydroxylation. Conjugation of methocarbamol also is likely. Essentially all methocarbamol metabolites are eliminated in the urine. Small amounts of unchanged methocarbamol also are excreted in the urine.
Special populations
The mean (± SD) elimination half-life of methocarbamol in elderly healthy volunteers (mean (± SD) age, 69 (± 4) years) was slightly prolonged compared to a younger (mean (± SD) age, 53.3 (± 8.8) years), healthy population (1.5 (±0.4) hours versus 1.1 (± 0.27) hours, respectively). The fraction of bound methocarbamol was slightly decreased in the elderly versus younger volunteers (41 to 43% versus 46 to 50%, respectively).
The clearance of methocarbamol in 8 renally-impaired patients on maintenance hemodialysis was reduced about 40% compared to 17 normal subjects, although the mean (± SD) elimination half-life in these two groups was similar: 1.2 (± 0.6) versus 1.1 (± 0.3) hours, respectively.
In 8 patients with cirrhosis secondary to alcohol abuse, the mean total clearance of methocarbamol was reduced approximately 70% compared to that obtained in 8 age- and weight-matched normal subjects. The mean (± SD) elimination half-life in the cirrhotic patients and the normal subjects was 3.38 (±1.62) hours and 1.11 (± 0.27) hours, respectively. The percent of methocarbamol bound to plasma proteins was decreased to approximately 40 to 45% compared to 46 to 50% in the normal subjects.
Indications And Usage
Methocarbamol is indicated as an adjunct to rest, physical therapy, and other measures for the relief of discomfort associated with acute, painful musculoskeletal conditions. The mode of action of methocarbamol has not been clearly identified, but may be related to its sedative properties.Methocarbamol does not directly relax tense skeletal muscles in man.
Contraindications
Methocarbamol is contraindicated in patients hypersensitive to methocarbamol or to any of the tablet components.
Warnings
Since methocarbamol may possess a general CNS depressant effect, patients receiving methocarbamol tablets should be cautioned about combined effects with alcohol and other CNS depressants.Safe use of methocarbamol has not been established with regard to possible adverse effects upon fetal development. There have been reports of fetal and congenital abnormalities following in utero exposure to methocarbamol. Therefore, methocarbamol tablets should not be used in women who are or may become pregnant and particularly during early pregnancy unless in the judgment of the physician the potential benefits outweigh the possible hazards (see PRECAUTIONS, Pregnancy ).
Use In Activities Requiring Mental Alertness
Methocarbamol may impair mental and/or physical abilities required for performance of hazardous tasks, such as operating machinery or driving a motor vehicle. Patients should be cautioned about operating machinery, including automobiles, until they are reasonably certain that methocarbamol therapy does not adversely affect their ability to engage in such activities.
Precautions
Information for Patients
Patients should be cautioned that methocarbamol may cause drowsiness or dizziness, which may impair their ability to operate motor vehicles or machinery.Because methocarbamol may possess a general CNS-depressant effect, patients should be cautioned about combined effects with alcohol and other CNS depressants.
Drug Interactions
See WARNINGS and PRECAUTIONS for interaction with CNS drugs and alcohol.Methocarbamol may inhibit the effect of pyridostigmine bromide. Therefore, methocarbamol should be used with caution in patients with myasthenia gravis receiving anticholinesterase agents.
Drug/Laboratory Test Interactions
Methocarbamol may cause a color interference in certain screening tests for 5-hydroxyindoleacetic acid (5-HIAA) using nitrosonaphthol reagent and in screening tests for urinary vanillylmandelic acid (VMA) using the Gitlow method.
Carcinogenesis, Mutagenesis, Impairment of Fertility
Long-term studies to evaluate the carcinogenic potential of methocarbamol have not been performed. No studies have been conducted to assess the effect of methocarbamol on mutagenesis or its potential to impair fertility.
Pregnancy
Animal reproduction studies have not been conducted with methocarbamol. It is also not known whether methocarbamol can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Methocarbamol should be given to a pregnant woman only if clearly needed.Safe use of methocarbamol has not been established with regard to possible adverse effects upon fetal development. There have been reports of fetal and congenital abnormalities following in utero exposure to methocarbamol.Therefore, methocarbamol should not be used in women who are or may become pregnant and particularly during early pregnancy unless in the judgment of the physician the potential benefits outweigh the possible hazards. (see WARNINGS ).
Nursing Mothers
Methocarbamol and/or its metabolites are excreted in the milk of dogs; however, it is not known whether methocarbamol or its metabolites are excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when methocarbamol is administered to a nursing woman.
Pediatric Use
Safety and effectiveness of methocarbamol in pediatric patients below the age of 16 have not been established.
Adverse Reactions
Adverse reactions reported coincident with the administration of methocarbamol include:Body as a whole:ÂAnaphylactic reaction, angioneurotic edema, fever, headache
Cardiovascular system:ÂBradycardia, flushing, hypotension, syncope, thrombophlebitis
Digestive system:ÂDyspepsia, jaundice (including cholestatic jaundice), nausea and vomiting
Hemic and lymphatic system:ÂLeukopenia
Immune system:ÂHypersensitivity reactions
Nervous system:ÂAmnesia, confusion, diplopia, dizziness or lightheadedness, drowsiness, insomnia, mild muscular incoordination, nystagmus, sedation, seizures (including grand mal), vertigo
Skin and special senses:ÂBlurred vision, conjunctivitis, nasal congestion, metallic taste, pruritus, rash, urticaria
Overdosage
Limited information is available on the acute toxicity of methocarbamol. Overdose of methocarbamol is frequently in conjunction with alcohol or other CNS depressants and includes the following symptoms: nausea, drowsiness, blurred vision, hypotension, seizures, and coma.In post-marketing experience, deaths have been reported with an overdose of methocarbamol alone or in the presence of other CNS depressants, alcohol or psychotropic drugs.
Treatment
Management of overdose includes symptomatic and supportive treatment. Supportive measures include maintenance of an adequate airway, monitoring urinary output and vital signs, and administration of intravenous fluids if necessary. The usefulness of hemodialysis in managing overdose is unknown.
Dosage And Administration
Methocarbamol, 500 mg â Adults: Initial dosage: 3 tablets q.i.d. Maintenance dosage: 2 tablets q.i.d.Methocarbamol, 750 mg â Adults: Initial dosage: 2 tablets q.i.d. Maintenance dosage: 1 tablet q.4h. or 2 tablets t.i.d.
Six grams a day are recommended for the first 48 to 72 hours of treatment. (For severe conditions 8 grams a day may be administered). Thereafter, the dosage can usually be reduced to approximately 4 grams a day.
How Supplied
Methocarbamol Tablets, USP 500 mg â white, round, convex face, debossed "4211" bisect over "V" on one side and plain on the reverse side. Available in bottles of 10, 100, 500 and 1000.Methocarbamol Tablets, USP 750 mg â white, capsule shape, convex face, debossed "4212" on one side and debossed "V" on the reverse side. Available in bottles of 10, 100, 500, 1000 and unit-dose packs of 100.
STORAGE AND HANDLING SECTION
Store at 20°â 25°C (68°â 77°F) [See USP Controlled Room Temperature].Dispense in tight container.
Manufactured for: QUALITEST PHARMACEUTICALS Huntsville, AL 358118180464R1/08-R2
Principal Display Panel - 500 Mg
Principal Display Panel - 750 Mg
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"This product uses publicly available data from the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services; NLM is not responsible for the product and does not endorse or recommend this or any other product."
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