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Orphenadrine Citrate 5 mg/mL Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Orphenadrine Citrate

Orphenadrine Citrate 5 mg/mL Oral Suspension is a liquid dosage form in which orphenadrine citrate is uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for precise administration. This formulation is primarily used to treat muscle spasms and associated pain, providing relief by acting as a muscle relaxant. It is designed for ease of use and accurate dosing, making it suitable for patients requiring tailored muscle spasm management.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Orphenadrine Citrate
Suspension
66fd7b0bdc31c32733aec9f2
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Orphenadrine Citrate 5 mg/mL Oral Suspension is a liquid dosage form in which the active ingredient, orphenadrine citrate, is uniformly dispersed throughout a liquid medium, providing a homogeneous mixture for administration. This formulation is particularly beneficial for patients who have difficulty swallowing tablets or require precise dosing adjustments.

Orphenadrine citrate is a muscle relaxant with anticholinergic properties. It is commonly used to alleviate pain and discomfort associated with acute musculoskeletal conditions such as muscle spasms, strains, and sprains. By inhibiting central nervous system pathways that cause muscle hyperactivity, orphenadrine helps to reduce muscle stiffness and improve mobility, thereby enhancing the patient's comfort and ability to perform daily activities.

The oral suspension form allows for flexible dosing, making it suitable for both adults and pediatric patients who may need individualized dosage regimens. It enables healthcare providers to adjust the dosage accurately based on the patient's specific needs, weight, and response to treatment.

For patients, it is important to use this medication exactly as prescribed by your healthcare provider. Shake the bottle well before each use to ensure the medication is evenly distributed. Use a proper measuring device or syringe to measure each dose accurately; household spoons may not provide the correct dosage. Do not exceed the recommended dose, and follow your provider's instructions regarding the frequency and duration of use.

Common side effects may include dry mouth, dizziness, blurred vision, nausea, constipation, or drowsiness. If you experience any severe side effects such as difficulty urinating, irregular heartbeat, confusion, or signs of an allergic reaction (such as rash, itching, swelling, severe dizziness, or trouble breathing), seek medical attention immediately.

Before starting orphenadrine citrate, inform your healthcare provider of your complete medical history, especially if you have conditions such as glaucoma, enlarged prostate, bladder obstruction, myasthenia gravis, or a history of drug abuse. Also, provide a list of all medications you are currently taking, including prescription drugs, over-the-counter medicines, and herbal supplements, to prevent potential drug interactions.

For prescribers, orphenadrine citrate oral suspension offers a versatile option for patients requiring muscle relaxation who cannot tolerate solid dosage forms. It is crucial to assess the patient's overall health status, co-existing medical conditions, and concomitant medications before prescribing this formulation. Monitor patients for anticholinergic side effects and educate them on the signs of potential adverse reactions. Adjust the dosage carefully in elderly patients and those with hepatic or renal impairment.

Orphenadrine citrate should be used with caution in patients with cardiovascular conditions due to the risk of tachycardia and arrhythmias. It is contraindicated in individuals with obstructive gastrointestinal or urogenital diseases and in those with hypersensitivity to orphenadrine or any components of the formulation.

If you have any questions, please reach out to us for further information and assistance.

Drug Interactions

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Orphenadrine Citrate 5 mg/mL Oral Suspension is a liquid dosage form in which the active ingredient, orphenadrine citrate, is uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for administration. This formulation is primarily used as a muscle relaxant to alleviate discomfort associated with acute musculoskeletal conditions. It works by blocking certain nerve impulses (or pain sensations) that are sent to the brain, thereby providing relief from muscle spasms and associated pain.

When considering the use of Orphenadrine Citrate Oral Suspension, it is crucial to be aware of potential drug interactions that may affect its efficacy or increase the risk of adverse effects. Orphenadrine is known to interact with several other medications, which can lead to significant clinical implications. Patients and prescribers should exercise caution and consult healthcare professionals when combining this medication with others.

One of the primary concerns is the interaction with other central nervous system (CNS) depressants, such as alcohol, benzodiazepines, opioids, and certain antihistamines. Concurrent use of orphenadrine with these substances can enhance CNS depression, leading to increased drowsiness, dizziness, and impaired cognitive and motor functions. Patients should be advised to avoid or limit the consumption of alcohol and consult their healthcare provider before using other CNS depressants.

Orphenadrine may also interact with anticholinergic medications, such as atropine, scopolamine, and certain antihistamines with anticholinergic properties. The combination can potentiate anticholinergic side effects, including dry mouth, urinary retention, constipation, blurred vision, and confusion, particularly in elderly patients. It is important to monitor for these effects and adjust dosages accordingly.

Additionally, orphenadrine can affect the metabolism of certain medications by inhibiting the cytochrome P450 enzyme system, particularly CYP2D6. This interaction can alter the plasma concentrations of drugs metabolized by this pathway, such as certain antidepressants (e.g., fluoxetine, paroxetine), antipsychotics, and beta-blockers. Prescribers should consider potential dose adjustments and monitor therapeutic drug levels when orphenadrine is co-administered with these medications.

Patients with cardiovascular conditions should be cautious, as orphenadrine may interact with antiarrhythmic agents and other medications affecting cardiac conduction. This can increase the risk of arrhythmias or exacerbate existing cardiac conditions. Regular monitoring of cardiac function and appropriate dose adjustments are recommended in such cases.

It is essential for both patients and prescribers to be aware of these potential interactions and to communicate openly about all medications being taken, including over-the-counter drugs and supplements. If you have any questions or concerns regarding the use of Orphenadrine Citrate 5 mg/mL Oral Suspension and its interactions with other medications, please reach out to us for further guidance and support.

How Does it Work

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Orphenadrine Citrate 5 mg/mL Oral Suspension is a liquid dosage form designed to deliver the active ingredient, orphenadrine citrate, in a uniform and easily administrable manner. This formulation ensures that the medication is evenly dispersed throughout the liquid medium, providing a consistent dose with each administration. The suspension is particularly beneficial for patients who may have difficulty swallowing tablets or capsules.

Orphenadrine citrate is a muscle relaxant that works by blocking certain nerve impulses (or pain sensations) that are sent to the brain. It is commonly used to relieve pain and discomfort caused by strains, sprains, and other muscle injuries. By interfering with the transmission of nerve signals, orphenadrine citrate helps to reduce muscle spasms and alleviate pain, allowing for improved mobility and comfort.

The mechanism of action of orphenadrine citrate involves its anticholinergic properties, which means it inhibits the action of acetylcholine, a neurotransmitter involved in muscle contraction. By reducing the activity of acetylcholine, orphenadrine citrate helps to relax muscles and decrease muscle stiffness. This can be particularly beneficial in conditions where muscle spasms are a significant component of the patient's symptoms.

For prescribers, it is important to note that the 5 mg/mL concentration allows for precise dosing adjustments based on the patient's specific needs and response to treatment. This flexibility can be crucial in managing conditions that require tailored therapeutic approaches. Additionally, the oral suspension form can be advantageous for pediatric or geriatric patients, or those with swallowing difficulties, ensuring that the medication is accessible to a broader range of patients.

Patients using Orphenadrine Citrate 5 mg/mL Oral Suspension should follow their healthcare provider's instructions regarding dosage and administration. It is essential to shake the bottle well before each use to ensure the medication is properly mixed. Patients should also be aware of potential side effects, such as dry mouth, dizziness, or blurred vision, and report any adverse reactions to their healthcare provider promptly.

If you have any questions about Orphenadrine Citrate 5 mg/mL Oral Suspension or its use in treating muscle-related conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure appropriate treatment.

Other Uses

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Orphenadrine Citrate 5 mg/mL Oral Suspension is primarily used as a muscle relaxant to alleviate discomfort associated with acute musculoskeletal conditions. However, this formulation may have other potential uses beyond its primary indication. Orphenadrine, an anticholinergic agent, can be considered for off-label use in managing symptoms of Parkinson's disease, particularly for patients who experience tremors and rigidity. Its anticholinergic properties may help in reducing these symptoms, although it is not a first-line treatment for Parkinson's disease. Additionally, Orphenadrine has been explored for its analgesic properties, which may provide relief in certain chronic pain conditions, such as fibromyalgia or neuropathic pain, where traditional pain management strategies are insufficient.

For patients experiencing tension headaches, Orphenadrine Citrate may offer some benefit due to its muscle relaxant and analgesic effects. It is important for prescribers to consider the patient's overall medication regimen and potential interactions, as Orphenadrine can interact with other central nervous system depressants, leading to enhanced sedative effects. Furthermore, due to its anticholinergic activity, caution is advised in patients with glaucoma, urinary retention, or gastrointestinal obstruction. Patients should be informed about potential side effects, such as dry mouth, dizziness, and blurred vision, and advised to report any adverse reactions to their healthcare provider.

For prescribers considering Orphenadrine Citrate 5 mg/mL Oral Suspension for off-label uses, it is crucial to weigh the benefits against potential risks and to monitor patients closely for efficacy and safety. This liquid formulation provides a convenient option for patients who may have difficulty swallowing tablets or require precise dosing adjustments. As always, if you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist both patients and healthcare providers in optimizing therapeutic outcomes.

Frequently Asked Questions

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What is Orphenadrine Citrate 5 mg/mL Oral Suspension?

Orphenadrine Citrate 5 mg/mL Oral Suspension is a liquid dosage form where the active ingredient, Orphenadrine Citrate, is uniformly dispersed in a liquid medium, creating a homogeneous mixture for easy administration.

What is the purpose of Orphenadrine Citrate in this formulation?

Orphenadrine Citrate is a muscle relaxant used to relieve pain and discomfort caused by strains, sprains, and other muscle injuries.

How should I take Orphenadrine Citrate 5 mg/mL Oral Suspension?

Take the prescribed dose of Orphenadrine Citrate 5 mg/mL Oral Suspension by mouth, using a measuring device to ensure accuracy. Follow your healthcare provider's instructions regarding dosage and frequency.

Can I take Orphenadrine Citrate Oral Suspension with food?

Yes, Orphenadrine Citrate Oral Suspension can be taken with or without food. However, taking it with food may help reduce any potential stomach upset.

What should I do if I miss a dose?

If you miss a dose of Orphenadrine Citrate Oral Suspension, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Are there any side effects associated with Orphenadrine Citrate Oral Suspension?

Common side effects may include dry mouth, dizziness, drowsiness, and blurred vision. If you experience severe side effects or allergic reactions, contact your healthcare provider immediately.

How should I store Orphenadrine Citrate 5 mg/mL Oral Suspension?

Store Orphenadrine Citrate 5 mg/mL Oral Suspension at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.

Can I drive or operate machinery while taking Orphenadrine Citrate Oral Suspension?

Orphenadrine Citrate may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how the medication affects you.

Is Orphenadrine Citrate Oral Suspension safe for children?

The safety and effectiveness of Orphenadrine Citrate Oral Suspension in children have not been established. Consult your healthcare provider for guidance specific to pediatric use.

Can I consume alcohol while taking Orphenadrine Citrate Oral Suspension?

It is advisable to avoid alcohol while taking Orphenadrine Citrate, as it can increase the risk of side effects such as dizziness and drowsiness.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Orphenadrine Citrate 5 mg/mL Oral Suspension
Suspension
30 mL
controlled

Take orally

Twice daily