Zanaflex-Tizan-Tizanidine 2mg

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Zanaflex-Tizan-Tizanidine 2mg

Generic: Tizanidine 2mg

Manufacturer: Intas

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ZANAFLEX 2mg is an oral short acting muscle relaxant which is available both in the form of tablets as well as capsules. It contains active ingredient “Tizanidine”. ZANAFLEX (tizanidine) is very effective spasmolytic in the management of musculoskeletal conditions.  It is used to treat spasms and cramps of multiple sclerosis and/or spinal injury. It shows its beneficial effects within one hour of taking it. However your doctor can also prescribe it for conditions other than those described here. Always take it with doctor’s prescription otherwise it can be harmful.


Dosage varies from person to person depending upon severity of disease, age of patient, weight of patient, concomitant illness. Always start with lowest effective dose which is 2mg three times a day. The dose is then increased slowly to reach a maintenance dose of 8mg three times a day. Each dose should be taken at an interval of 6 to 8 hours. Total dose of ZANAFLEX should not increase 36 mg a day.

DO not start or stop this medication without the consultation with doctor. Always take the dose prescribed by your doctor.

Missed dose:

If you forget to take the medicine of the day, take it as soon as you remember. But if you missed the dose of a day then do not double the dose on next day.


In case of overdose contact your emergency centre.


It is a muscle relaxant that is used to treat spasmodic condition of multiple sclerosis or of spinal injury. It relieves spasm, tightness and cramps.


Tizanidine is a short-acting alpha 2-adrenergic receptor agonist and reduces spasticity by increasing presynaptic inhibition of motor neurons. It does not act directly on skeletal muscle fibers and neuromuscular junction. The effect of ZANFLEX is greatest on polysynaptic pathways. It reduces facilitation of spinal motor neurons.




Side effects are the unwanted responses of a medicine. Common side effects of ZANAFLEX are:

  • Dizziness
  • Dry mouth
  • Nausea
  • Pain in stomach
  • diarrhoea or constipation
  • tingling or numbness
  • muscle weakness
  • tiredness

Rare side effects are:

  • Difficulty in speaking
  • flu-like symptoms (e.g., fever, chills, cough, fatigue, sore throat)
  • increased or decreased heartbeat
  •  Seeing things that are not there.
  • bleeding in the stomach (e.g., bloody, black, or tarry stools; blood in vomiting or material that looks like coffee grounds)
  •  poor concentration, changes in weight, changes in sleep, decreased interest in activities, thoughts of suicide
  • signs of infection (e.g., fever or chills, shortness of breath, severe dizziness, headache, stiff neck, weight loss )
  • symptoms of  liver disease (nausea, vomiting,  loss of appetite, weight loss, yellowing of the skin/eyes, dark urine, pale stools)
  •  urinary tract infection (pain or burning while urinating, increased frequency of urination, or blood in the urine) 
  • uncontrolled movements of the body
  •  vision changes
  •  Signs of allergic reaction like difficulty in breathing, redness and swelling of tongue/ lips/ throat.

In case you experience any of the above side effects, contact immediately to your nearest health care centre or doctor.


ZANAFLEX is highly contraindicated in conditions like:

  • Liver disease
  • Kidney disease
  • Old people
  • Children
  • Pregnant women
  • Breastfeeding
  • Allergy to tizanidine
  • Patients taking ciprofloxacin and/or fluvoxamine


Always tell your doctor about the herbal, prescription or non-prescription drugs you are using. Here is a list of few drugs which affect ZANAFLEX in some way but this list is not adequate. Consult your health care provider for more information about drugs you are using.

  • High blood pressure medicine like clonidine, methyldopa (alpha agonists)
  • Oral contraceptives (Birth control pills)
  • Antibiotics like Ciprofloxacin
  • Antidepressants like Fluvoxamine
  • Medicines that cause drowsiness like cetirizine, diphenhydramine, alprazolam, diazepam, zolpidem, opiates.
  • Acyclovir
  • Anti-ulcer drugs like Cimetidine, Famotidine
  • Heart medicines like propafenone, amiodarone, verapamil.


  • Do not use ZANAFLEX without prescription of doctor.
  • Do not use in children, elderly, pregnant and breastfeeding without doctor's prescription. Should be taken only if benefits are more than risk.
  • Do not take more than 36 mg in a day. Each dose should be taken at an interval of 6-8 hours.
  • Do not change the way you are taking the medicine that is if you are taking tablets then do not shift to capsules (ZANAFLEX is available in both tablets and capsule form)
  • Take this medicine only for maintaining daily activities.
  • Do not drink alcohol with ZANAFLEX because when taken together they both cause severe drowsiness.
  • Always check label of your cough and cold remedies because they may contain any other CNS depressant.
  • Do not take ZANAFLEX if you are taking Ciprofloxacin and/or Fluvoxamine.
  • Do not increase or decrease the dose by yourself.
  • Be cautious while driving or using heavy machinery after taking ZANAFLEX.



ZANAFLEX should be stored away from heat and light at a dry place. Keep away from children and pets.

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