Chlorzoxazone
Paraflex · ATC code M03BB03
Also known as: Chlorzoxazon, Klorzoksazon
- Key facts
- Active substance
- Chlorzoxazone
- Drug class
- Muscle relaxant
- ATC code
- M03BB03
- Authorisation
- authorised nationally; no central EU authorisation
- Information as of
- 2026-10-29
Key facts
Chlorzoxazone is, per the US prescribing information, a centrally acting agent used as an adjunct to rest and physical therapy for acute, painful musculoskeletal conditions.
What it is used for
- Adjunct to rest, physical therapy and other measures for the relief of discomfort associated with acute, painful musculoskeletal conditions.
- Its mode of action is not clearly identified but may be related to its sedative properties; it does not directly relax tense skeletal muscles.
Dosing
- Usual adult dosage: one tablet (250 mg) three or four times daily.
- Initial dosage for painful musculoskeletal conditions: two tablets (500 mg) three or four times daily; if the response is inadequate, up to three tablets (750 mg) three or four times daily.
- As improvement occurs, the dosage can usually be reduced.
Contraindications
- Known intolerance to the drug.
Important warnings
- Serious (including fatal) hepatocellular toxicity has been reported rarely; the mechanism is unknown and unpredictable.
- Stop immediately at early signs of liver injury (fever, rash, anorexia, nausea, vomiting, fatigue, right upper quadrant pain, dark urine, jaundice) or if liver enzymes become abnormal.
- Caution in patients with known allergies; stop if a sensitivity reaction such as urticaria, redness or itching occurs.
- Alcohol and other CNS depressants may have an additive effect.
Side effects
- Occasional gastrointestinal disturbances; in rare instances possibly gastrointestinal bleeding.
- Occasional drowsiness, dizziness, lightheadedness, malaise or overstimulation.
- Rarely allergic skin rashes, petechiae or ecchymoses; angioneurotic edema or anaphylactic reactions are extremely rare.
- Rarely discoloration of the urine from a metabolite, of no known clinical significance.
Interactions
- Alcohol and other central nervous system depressants: possible additive effect.
Pregnancy and breastfeeding
- Safe use with respect to fetal development has not been established; in women of childbearing potential use only when the potential benefits outweigh the possible risks.
Summary of the official product information, written with AI on 2026-10-29. Every number was checked automatically against the original text. Not reviewed by a physician – the full official text is authoritative.
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For patients
Patient information (US)
This product has no separate US patient information.
Authorisation and brand names by country
Medicines with exactly this active-substance composition, as listed in the national registers – alphabetical and without ranking. Whether a product is currently available is not shown here.
Turkey
- ParaflexGÜREL İLAÇ TİC. A.Ş. · 4 register entries
Source: TİTCK – Ruhsatlı Beşeri Tıbbi Ürünler Listesi, as of 2026-10-16
Brand names in 5 more European countries
- Bulgaria
- Миоксазон
- Denmark
- Klorzoxazon Dak, Klorzoxazon Evolan
- Hungary
- Myoflexin
- Romania
- Clorzoxazonă Arena, Clorzoxazonă Richter
- Sweden
- Klorzoxazon Evolan, Klorzoxazon Orifarm, Paraflex
EMA – Article 57 product data (EU/EEA), 2026-10-29
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Another question about this substance?
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Sources
- U.S. Food and Drug Administration. CHLORZOXAZONE (Happy Robin, LLC) – Prescribing Information, 2025-10-08. DailyMed (NLM), 2026-10-29. https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=3f90c7bc-118f-4371-e063-6394a90a279a
- TİTCK – Ruhsatlı Beşeri Tıbbi Ürünler Listesi, 2026-10-16. https://www.titck.gov.tr/dinamikmodul/85
- Wikidata (CC0): ATC M03BB.
Editorial: Medelix editorial team · last updated 2026-10-29 · How these pages are made · Report an error
Source: U.S. Food and Drug Administration (FDA), prescribing information, via DailyMed (NLM); public domain. Not advertising, not a treatment recommendation. For questions about your own treatment, ask your doctor or pharmacist.