Page last updated: 2024-11-05

tizanidine and Low Back Pain

tizanidine has been researched along with Low Back Pain in 12 studies

tizanidine: RN given refers to parent cpd; structure
tizanidine : 2,1,3-Benzothiadiazole substituted at C-4 by a Delta(1)-imidazolin-2-ylamino group and at C-4 by a chloro group. It is an agonist at alpha2-adrenergic receptor sites.

Low Back Pain: Acute or chronic pain in the lumbar or sacral regions, which may be associated with musculo-ligamentous SPRAINS AND STRAINS; INTERVERTEBRAL DISK DISPLACEMENT; and other conditions.

Research Excerpts

ExcerptRelevanceReference
"Adding baclofen, metaxalone, or tizanidine to ibuprofen does not appear to improve functioning or pain any more than placebo plus ibuprofen by 1 week after an ED visit for acute low back pain."9.30A Randomized, Placebo-Controlled Trial of Ibuprofen Plus Metaxalone, Tizanidine, or Baclofen for Acute Low Back Pain. ( Friedman, BW; Gallagher, EJ; Irizarry, E; Jones, MP; Pearlman, S; Shah, PD; Solorzano, C; Wollowitz, A; Zias, E, 2019)
"Tizanidine and aceclofenac individually have shown efficacy in the treatment of low back pain."9.14Aceclofenac-tizanidine in the treatment of acute low back pain: a double-blind, double-dummy, randomized, multicentric, comparative study against aceclofenac alone. ( Ambade, R; Bartakke, G; Chandanwale, AS; Chandurkar, N; Gupta, A; Pareek, A, 2009)
"Eperisone, an analgesic and centrally acting muscle relaxant has been in use for the treatment of low back pain (LBP)."8.93Clinical efficacy and safety of eperisone for low back pain: A systematic literature review. ( Ali Kareem, S; Bavage, S; Dhadde, SB; Durg, S, 2016)
"Tizanidine hydrochloride, an alpha(2)-adrenergic receptor agonist, is a widely used medication for the treatment of muscle spasticity."8.84Update on tizanidine for muscle spasticity and emerging indications. ( Garay, E; Malanga, G; Reiter, RD, 2008)
"The case of a 59-year-old healthy woman is described, who developed an extreme sinus bradycardia (30/min) with chest pain and acute right heart failure associated with gastrointestinal symptoms and elevation of the liver enzymes while simultaneously taking tizanidine (Sirdalud), diclofenac (Voltaren), and rofecoxib (Vioxx)."7.73[Extreme sinus bradycardia (30/min) with acute right heart failure under tizanidine (Sirdalud). Possible pharmacological interaction with rofecoxib (Vioxx)]. ( Bertoli, R; Caduff Janosa, P; Cerny, A; Kick, A; Moschovitis, G, 2005)
"Muscle spasm is an involuntary, painful contraction of muscles that interferes with the function and cause of muscular disorder."6.73Efficacy of thiocolchicoside in Indian patients suffering from low back pain associated with muscle spasm. ( Joshi, N; Soonawalla, DF, 2008)
"Adding baclofen, metaxalone, or tizanidine to ibuprofen does not appear to improve functioning or pain any more than placebo plus ibuprofen by 1 week after an ED visit for acute low back pain."5.30A Randomized, Placebo-Controlled Trial of Ibuprofen Plus Metaxalone, Tizanidine, or Baclofen for Acute Low Back Pain. ( Friedman, BW; Gallagher, EJ; Irizarry, E; Jones, MP; Pearlman, S; Shah, PD; Solorzano, C; Wollowitz, A; Zias, E, 2019)
"Tizanidine and aceclofenac individually have shown efficacy in the treatment of low back pain."5.14Aceclofenac-tizanidine in the treatment of acute low back pain: a double-blind, double-dummy, randomized, multicentric, comparative study against aceclofenac alone. ( Ambade, R; Bartakke, G; Chandanwale, AS; Chandurkar, N; Gupta, A; Pareek, A, 2009)
"Eperisone, an analgesic and centrally acting muscle relaxant has been in use for the treatment of low back pain (LBP)."4.93Clinical efficacy and safety of eperisone for low back pain: A systematic literature review. ( Ali Kareem, S; Bavage, S; Dhadde, SB; Durg, S, 2016)
"Tizanidine hydrochloride, an alpha(2)-adrenergic receptor agonist, is a widely used medication for the treatment of muscle spasticity."4.84Update on tizanidine for muscle spasticity and emerging indications. ( Garay, E; Malanga, G; Reiter, RD, 2008)
"The case of a 59-year-old healthy woman is described, who developed an extreme sinus bradycardia (30/min) with chest pain and acute right heart failure associated with gastrointestinal symptoms and elevation of the liver enzymes while simultaneously taking tizanidine (Sirdalud), diclofenac (Voltaren), and rofecoxib (Vioxx)."3.73[Extreme sinus bradycardia (30/min) with acute right heart failure under tizanidine (Sirdalud). Possible pharmacological interaction with rofecoxib (Vioxx)]. ( Bertoli, R; Caduff Janosa, P; Cerny, A; Kick, A; Moschovitis, G, 2005)
"To compare extracorporeal shock wave therapy combined with oral medication and an exercise program vs sham treatment with medication and exercise for the treatment of chronic low back pain (CLBP)."3.01Extracorporeal Shock Wave Therapy Combined With Oral Medication and Exercise for Chronic Low Back Pain: A Randomized Controlled Trial. ( Khosrawi, S; Ramezani, M; Taheri, P, 2021)
"Muscle spasm is an involuntary, painful contraction of muscles that interferes with the function and cause of muscular disorder."2.73Efficacy of thiocolchicoside in Indian patients suffering from low back pain associated with muscle spasm. ( Joshi, N; Soonawalla, DF, 2008)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's6 (50.00)29.6817
2010's5 (41.67)24.3611
2020's1 (8.33)2.80

Authors

AuthorsStudies
Luther, JM1
Dominiczak, AF1
Jennings, GLR1
VanDevender, FK1
Carey, RM1
Peixoto, AJ1
Chung, CP1
Oates, JA1
Taheri, P1
Khosrawi, S1
Ramezani, M1
Friedman, BW1
Irizarry, E1
Solorzano, C1
Zias, E1
Pearlman, S1
Wollowitz, A1
Jones, MP1
Shah, PD1
Gallagher, EJ1
Holroyd, KB1
Rittenberg, A1
Pahwa, A1
Bavage, S1
Durg, S1
Ali Kareem, S1
Dhadde, SB1
Malanga, G1
Reiter, RD1
Garay, E1
Soonawalla, DF1
Joshi, N1
Pareek, A1
Chandurkar, N1
Chandanwale, AS1
Ambade, R1
Gupta, A1
Bartakke, G1
Rossi, M1
Ianigro, G1
Liberatoscioli, G1
Di Castelnuovo, A1
Grimani, V1
Garofano, A1
Camposarcone, N1
Nardi, LF1
Moufarrege, G1
Frank, E1
Carstens, DD1
Kick, A1
Bertoli, R1
Moschovitis, G1
Caduff Janosa, P1
Cerny, A1
Ketenci, A1
Ozcan, E1
Karamursel, S1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Ibuprofen Plus Metaxolone, Tizanidine, or Baclofen for Low Back Pain: A Randomized Trial[NCT03068897]Phase 4320 participants (Actual)Interventional2017-05-03Completed
The Effects of EXOPULSE Mollii Suit on Spasticity and Muscular Oxygenation in Patients With Multiple Sclerosis.[NCT05912595]36 participants (Anticipated)Interventional2023-05-18Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Functional Impairment as Measured by the Roland Morris Disability Questionnaire (RMDQ)

"The Roland Morris Disability Questionnaire (RMDQ) is a 24 item instrument that evaluates the impact of low back pain on one's daily life. It is most sensitive for patients with mild to moderate disability due to acute, sub-acute or chronic low back pain. Each question can be answered as either a yes or no. The score ranges from 0 to 24 where a higher score reflects greater impairment and, therefore, worsening in the quality of life. The change in RMDQ is obtained by subtracting the RMDQ score at one week after discharge from the baseline score." (NCT03068897)
Timeframe: Baseline and 7 days

Interventionunits on a scale (Mean)
Metaxalone10.1
Tizanidine11.2
Baclofen10.6
Placebo11.1

Levels of Disability

Disability will be assessed with the Roland-Morris Disability Questionnaire (RMDQ) where patients are asked to tick a box if they agree with 24 statements regarding their ability to perform certain activities (dressing, housework, walking). If the don't agree with the statement (able to perform those activities) they need to leave the tick-box blank or unchecked. Every agreement (tick) counts as a point and an absolute value is formed (min: 0, max: 24). The higher the value the higher the disability level. (NCT03068897)
Timeframe: 7 days

Interventionunits on a scale (Median)
Metaxalone5
Tizanidine3
Baclofen6
Placebo3

Number of Participants Who Experience Change in Low Back Pain

Change is assessed by verbal numerical scale of which 0 represents no pain and 10 represents the worst pain imaginable between the baseline ED visit and the one week follow-up (baseline - 1 week ). The baseline questions will refer to the time period immediately prior to ED presentation (Before you came to the ER today, were you able to…..) (NCT03068897)
Timeframe: Baseline and 7 days

InterventionParticipants (Count of Participants)
Metaxalone28
Tizanidine25
Baclofen26
Placebo22

Number of Participants With Need for Medication for Low Back Pain

Patients will be asked what medications they have used for low back pain (NCT03068897)
Timeframe: 7 days

InterventionParticipants (Count of Participants)
Metaxalone49
Tizanidine48
Baclofen49
Placebo46

Reviews

2 reviews available for tizanidine and Low Back Pain

ArticleYear
Clinical efficacy and safety of eperisone for low back pain: A systematic literature review.
    Pharmacological reports : PR, 2016, Volume: 68, Issue:5

    Topics: Chronic Pain; Clonidine; Humans; Low Back Pain; Pain Measurement; Propiophenones; Treatment Outcome

2016
Update on tizanidine for muscle spasticity and emerging indications.
    Expert opinion on pharmacotherapy, 2008, Volume: 9, Issue:12

    Topics: Adrenergic alpha-2 Receptor Agonists; Clonidine; Dose-Response Relationship, Drug; Humans; Low Back

2008

Trials

6 trials available for tizanidine and Low Back Pain

ArticleYear
Extracorporeal Shock Wave Therapy Combined With Oral Medication and Exercise for Chronic Low Back Pain: A Randomized Controlled Trial.
    Archives of physical medicine and rehabilitation, 2021, Volume: 102, Issue:7

    Topics: Adult; Analgesics; Anti-Inflammatory Agents, Non-Steroidal; Clonidine; Combined Modality Therapy; Di

2021
A Randomized, Placebo-Controlled Trial of Ibuprofen Plus Metaxalone, Tizanidine, or Baclofen for Acute Low Back Pain.
    Annals of emergency medicine, 2019, Volume: 74, Issue:4

    Topics: Acute Pain; Adult; Analgesics, Non-Narcotic; Baclofen; Clonidine; Double-Blind Method; Drug Therapy,

2019
Efficacy of thiocolchicoside in Indian patients suffering from low back pain associated with muscle spasm.
    Journal of the Indian Medical Association, 2008, Volume: 106, Issue:5

    Topics: Acute Disease; Administration, Oral; Adult; Analgesics; Clonidine; Colchicine; Female; Humans; India

2008
Aceclofenac-tizanidine in the treatment of acute low back pain: a double-blind, double-dummy, randomized, multicentric, comparative study against aceclofenac alone.
    European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2009, Volume: 18, Issue:12

    Topics: Activities of Daily Living; Acute Disease; Adolescent; Adult; Aged; Analgesics; Anti-Inflammatory Ag

2009
Eperisone versus tizanidine for treatment of chronic low back pain.
    Minerva medica, 2012, Volume: 103, Issue:3

    Topics: Analysis of Variance; Chronic Pain; Clonidine; Drug Therapy, Combination; Female; Humans; Italy; Low

2012
Assessment of efficacy and psychomotor performances of thiocolchicoside and tizanidine in patients with acute low back pain.
    International journal of clinical practice, 2005, Volume: 59, Issue:7

    Topics: Acute Disease; Adrenergic alpha-Agonists; Adult; Clonidine; Colchicine; Double-Blind Method; Female;

2005

Other Studies

4 other studies available for tizanidine and Low Back Pain

ArticleYear
Paroxysmal Hypertension Associated With Presyncope.
    Hypertension (Dallas, Tex. : 1979), 2019, Volume: 74, Issue:4

    Topics: Clonidine; Female; Humans; Hypertension; Low Back Pain; Middle Aged; Muscle Relaxants, Central; Sync

2019
Misanalysis of Urinalysis: A Teachable Moment.
    JAMA internal medicine, 2016, Volume: 176, Issue:4

    Topics: Analgesics, Opioid; Anti-Bacterial Agents; Cefpodoxime; Ceftizoxime; Clonidine; Diagnostic Errors; E

2016
Eosinophilic exudative pleural effusion after initiation of tizanidine treatment: a case report.
    Pain medicine (Malden, Mass.), 2003, Volume: 4, Issue:1

    Topics: Adult; Analgesics; Chronic Disease; Clonidine; Eosinophilia; Humans; Low Back Pain; Male; Pleural Ef

2003
[Extreme sinus bradycardia (30/min) with acute right heart failure under tizanidine (Sirdalud). Possible pharmacological interaction with rofecoxib (Vioxx)].
    Medizinische Klinik (Munich, Germany : 1983), 2005, Apr-15, Volume: 100, Issue:4

    Topics: Acute Disease; Analgesics; Anti-Inflammatory Agents, Non-Steroidal; Bradycardia; Clonidine; Cyclooxy

2005